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What term is used to identify the period that follows depolarization of the myocardium and represents a period during which no new cardiac potential can be propagated?


A) Absolute refractory
B) Hyperpolarization
C) Resting
D) Threshold

E) A) and B)
F) B) and C)

Correct Answer

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What is the nurse monitoring when observing the QRS complex on the electrocardiogram?


A) Ventricular activity
B) Pulmonary artery closure
C) Mitral valve opening
D) Aortic valve closing

E) A) and B)
F) C) and D)

Correct Answer

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The cardiac electrical impulse normally begins spontaneously in the sinoatrial (SA) node because it:


A) has a superior location in the right atrium.
B) is the only area of the heart capable of spontaneous depolarization.
C) has rich sympathetic innervation via the vagus nerve.
D) depolarizes more rapidly than other automatic cells of the heart.

E) A) and B)
F) B) and C)

Correct Answer

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What represents the sum of all ventricular muscle cell depolarization?


A) PR interval
B) QRS complex
C) QT interval
D) P wave

E) A) and B)
F) C) and D)

Correct Answer

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Baroreceptors are located in the:


A) renal artery.
B) superior vena cava.
C) carotid artery.
D) circle of Willis.

E) B) and C)
F) A) and D)

Correct Answer

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The thoracic lymphatic duct drains into the:


A) left subclavian artery.
B) right atrium.
C) right subclavian vein.
D) left subclavian vein.

E) A) and B)
F) B) and C)

Correct Answer

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A 20 year old underwent an echocardiogram to assess chest pain.Results revealed a congenital defect in the papillary muscles.Which of the following would the nurse expect to occur?


A) Closure of the semilunar valve
B) Backward expulsion of the atrioventricular valves
C) Closure of the atrioventricular valve
D) Backward expulsion of the semilunar valves

E) None of the above
F) B) and D)

Correct Answer

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Which statement indicates the nurse understands coronary ostia? The coronary ostia (the openings to the coronary arteries) are found in the:


A) left ventricle.
B) inferior vena cava.
C) coronary sinus.
D) aorta.

E) B) and C)
F) C) and D)

Correct Answer

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A nurse assesses the heart after acetylcholine because the effect of acetylcholine on the heart is to:


A) decrease the refractory period.
B) increase calcium influx.
C) increase the strength of myocardial contraction.
D) decrease the heart rate.

E) A) and D)
F) A) and C)

Correct Answer

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D

A nurse is discussing the pressure generated at the end of diastole.Which term is the nurse describing?


A) Preload
B) Afterload
C) Systemic vascular resistance
D) Total peripheral resistance

E) B) and C)
F) B) and D)

Correct Answer

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A function of the pericardium is to:


A) provide a barrier against extracardial infections.
B) improve blood flow through the heart.
C) play a role in cardiac conduction.
D) assist in cardiac contraction.

E) All of the above
F) A) and B)

Correct Answer

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Blood flow is affected by: (Select all that apply.)


A) blood viscosity.
B) blood vessel diameter.
C) blood pressure.
D) blood vessel length.
E) blood composition.

F) A) and B)
G) D) and E)

Correct Answer

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The molecule that aids in bonding of the troponin complex to actin and tropomyosin is troponin:


A) C.
B) I.
C) T.
D) M.

E) None of the above
F) All of the above

Correct Answer

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What are the thickened areas of the sarcolemma of myocardial cells that enable electrical impulses to travel in a continuous cell-to-cell fashion called?


A) Myosins
B) Intercalated disks
C) Troponin Ts
D) I bands

E) B) and C)
F) All of the above

Correct Answer

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A nurse is evaluating stroke volume.Which of the following factors affect stroke volume? (Select all that apply.)


A) Preload
B) Peripheral vascular resistance
C) Afterload
D) Ejection fraction
E) Contractility

F) None of the above
G) B) and D)

Correct Answer

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After activation of the Bainbridge reflex in a patient, the nurse assesses for:


A) increased heart rate.
B) decreased blood pressure.
C) increased rate and depth of respirations.
D) decreased myocardial contractility.

E) A) and D)
F) All of the above

Correct Answer

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A

A 28 year old with seizure disorder has a vagus nerve stimulator implanted to help control seizure activity.Which result will the nurse expect to occur?


A) Increased speed of cardiac cycle
B) Increased cardiac contractility
C) Decreased vasodilation
D) Decreased cardiac conduction

E) A) and D)
F) B) and D)

Correct Answer

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As a result of blockage in the pulmonary artery, blood would first back up into the:


A) aorta.
B) left ventricle.
C) pulmonary veins.
D) right ventricle.

E) A) and D)
F) B) and C)

Correct Answer

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As stated by the Frank-Starling law, there is a direct relationship between the _____ of the blood in the heart at the end of diastole and the _____ of contraction during the next systole.


A) pressure; duration
B) volume; force
C) viscosity; force
D) viscosity; duration

E) All of the above
F) A) and B)

Correct Answer

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Depolarization of a cardiac muscle cell occurs as the result of:


A) a decrease in the permeability of the cell membrane to ions.
B) the rapid movement of ions across the cell membrane.
C) a blockade by calcium ions.
D) stimuli instigated during the refractory period.

E) A) and B)
F) A) and C)

Correct Answer

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B

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