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Competency Appraisal CARDIOVASCULAR SYSTEM

Prepared By: Group 7

Competency Appraisal CARDIOVASCULAR SYSTEM Two weeks prior to admission, the patient Mr. Bong-bong experienced a vehicular accident with multiple abrasions on his body, he seeks medical attention because of his high body temperature, while interviewing the client, the nurse noticed that some of his wounds on the right foot has accumulation of pus.

Competency Appraisal CARDIOVASCULAR SYSTEM 1.Knowing that the client has a pus formation, what blood component composing the highest percentage in pus content. a.Neutrophils b.Lymphocytes c.Monocytes d.Basophils

Competency Appraisal CARDIOVASCULAR SYSTEM


2.A 24 year old client was brought to EA due to allergic reaction after eating lobsters and complaining DOB, rashes all over the body, headache and nauseated. Understanding the situation of the client which blood component releases histamine and heparin? a.Monocytes b.Lymphocytes c.Neutrophils d.Basophils

Competency Appraisal CARDIOVASCULAR SYSTEM Mr. Yakis a 65 year old male experienced a sudden elevation of body temperature of 38.6C. According on his previous record he underwent a neck surgery because of his goiter two weeks ago, now he is admitted at CMH emergency room, his initial temperature is 39C.

Competency Appraisal CARDIOVASCULAR SYSTEM


3.Realizing the situation of Mr. Yakis, the physician ordered laboratory for CBC, as a nurse you are expecting which blood component is elevated. a.Lymphocyte b.Eosinophils c.Monocyte d.Neutrophils e.Both b and d

Competency Appraisal CARDIOVASCULAR SYSTEM


4.Mr. Yakis is recovering from his recent neck surgery, the nurse is expected to provide proper care to the client s wound in order to avoid infection, understanding the principle of white blood cells, how can you tell that the client is prone to infection based on CBC findings? a.Elevated basophils b.Decreased amount of eosinophils c.Increased granulocytes d.Elevated lymphocytes

Competency Appraisal CARDIOVASCULAR SYSTEM


Peter Angelito is 84 year old male has diabetes mellitus. He is weak and experiencing sudden onset of dizziness and other mild symptoms of diabetes mellitus. He died recently and the cause of his death is thrombosis formation that leads to pulmonary embolism.

Competency Appraisal CARDIOVASCULAR SYSTEM


5.Understanding the situation of the client, how will you relate the cause of his death on his long time disease? a.The client s DM makes his blood viscous and lead to thrombosis. b.The plasma of the client enclose the blood component is disrupted by the viscous flow of blood c.The client s blood flow is slow d.None of the above

Competency Appraisal CARDIOVASCULAR SYSTEM


6.A 64 year old male arrives at EA with complaint of chest pain, as your initial assessment you have noticed that there is a positive Levine s sign, increased heart rate and palpitation. The doctor ordered which of the following diagnostic test that is preferred for heart valve function? a.Chest x-ray b.Duplex Doppler d.Echocardiogram e.Electrocardiogram

Competency Appraisal CARDIOVASCULAR SYSTEM


7.Mr. Ian Ibaon is 25 years old male was admitted At PPMC complaining of angina pectoris, based on the assessment done to him, he was diagnosed with hypertrophic cardiomyopathy. As a nurse you understand that hypertrophic cardiomyopathy is caused by: a.Widening causes the ventricle walls to thin. b.This condition causes the heart muscles to thicken especially in the left ventricles and septum. c.The walls of the ventricles become rigid, which restricts their ability to stretch when filled with blood. d.This problem is caused by scar tissue.

Competency Appraisal CARDIOVASCULAR SYSTEM


8.Heart failure is a medical condition wherein myocardial cell is infarcted and unable to pump blood for the circulation. What are the initial sign and symptom? 1.Fatigue 2.Dyspnea 3.Neck vein distention 4.Increased CVP 5.Pulmonary Edema a.1,2,4 and 5 above b. 2,3, and 5 c. 1,3 and 4 d. none of the

Competency Appraisal CARDIOVASCULAR SYSTEM


9.Among the layers of the heart, the myocardium is responsible for contractility, the endocardium for the enclosement and protection while the other layer is pericardium. Which of the following is applicable on the abnormality or infection of pericardium? a.Cardiac tamponade b.Friction rub c.Pericarditis d.Both a and c

Competency Appraisal CARDIOVASCULAR SYSTEM


10.As a nurse, you are fully equipped with knowledge on the chambers of the heart, you know that endocardium lines all the chambers of the heart, but how can you identify which valve it is a valve of semilunar valve release oxygenated blood for circulation 1.Tricuspid valve 2.Bicuspid valve 3.Pulmonic valve 4.Aortic valve 5.Mitral valve a.2 and 5 b. 5 c. 1 and 3 d. 4 e. none of the above

Competency Appraisal CARDIOVASCULAR SYSTEM


11.How do you call the pointed end of the valve in cardiac chambers? a.Chonchaes b.Cusps c,.Chordae tendinae d.All of the above

Competency Appraisal CARDIOVASCULAR SYSTEM


12.The nurse is caring for an adult who has a clotting time of 20 minutes. What should be the nurse intervention regarding the laboratory values? a.Observe the client carefully for thrombus formation b.Protect the client from sources of infection c.Assure the client has adequate rest d.Avoid giving the client injections

Competency Appraisal CARDIOVASCULAR SYSTEM


13.The layer of vein which is composed of elastic and smooth covering is called the: a.Tunica adventitia b.Tunica media c.Tunica intima d.Lumen

Competency Appraisal CARDIOVASCULAR SYSTEM


The client is a 48 year old female thrill seeker adventurer, she started to feel sudden sensation of pain on her chest when she attain the biggest scale of her weight, weighing 480 pounds.

Competency Appraisal CARDIOVASCULAR SYSTEM


14.Understanding the situation of the client, her lifestyle and way of life may develop a thrombosis formation, chest pain, elevated blood pressure by means of what affection on client s layer of blood vessels? a.Tunica externa b.Tunica interna c.Tunica media d.Epithelium

Competency Appraisal CARDIOVASCULAR SYSTEM


15.The client experienced pain because of decreased blood supply on tissue, specifically on the cell, the best description on how her pain developed is: a.The pain is lead by a thrombus formation b.Pain is ranging from 8 scale when she is high blood c.There is absence of aerobic metabolism on client s tissue d.All of the above e.None of the above

Competency Appraisal CARDIOVASCULAR SYSTEM


16.The heart is composed of semilunar valve and AV valve. Each of this valve plays an important function on the heart s pumping action. Knowing that, which part of the heart is also called heartstring? a.Mitral valve b.Chordae tendinae c.Inferior and superior vena cava d.Aorta

Competency Appraisal CARDIOVASCULAR SYSTEM


17.In blood circulation the part of the heart which pumps deoxygenated blood to the lungs is the right ventricle and passes to pulmonic valve then the blood will flow next to the: a.Pulmonary vein b.Lungs c.Pulmonary artery d.Aortic valve e.None of the above

Competency Appraisal CARDIOVASCULAR SYSTEM


18.Which statement best describes the difference between the pain of angina and the pain of myocardial infarction? a.Pain of angina cannot be relieved by rest while pain of MI can be relieved by rest b.Pain of MI radiates to the right arm while pain of angina radiates from the chest c.Pain of angina precipitate by extreme temperature while pain of MI precipitates by emotions d.Pain of MI lasts for less than 15 minutes while pain of angina lasts for more than 15 minutes.

Competency Appraisal CARDIOVASCULAR SYSTEM


19.The chamber that contracts against low pulmonary vascular pressure is? a.Right atrium b.Left atrium c.Right ventricle d.Left ventricle

Competency Appraisal CARDIOVASCULAR SYSTEM


20.This is a chamber of the heart which collect the pulmonary venous system of the circulation, it is also the chamber wherein the Bundle of His lines in the electrical conduction system of the heart. a.Right atrium b.Left atrium c.Right ventricle d.Left ventricle e.Both a and b

Competency Appraisal CARDIOVASCULAR SYSTEM


21.It distributes the oxygenated blood to lower parts of the body. a.Abdominal aorta b.Aortic arch c.Thoracic aorta d.Ascending aorta

Competency Appraisal CARDIOVASCULAR SYSTEM


22.The heart continuously beating although SA node fails, AV node, Bundle of his, and the only remaining conduction system is purkinjie fiber. a.False b.True c.Partially true d.Partially false e.Not applicable

Competency Appraisal CARDIOVASCULAR SYSTEM


A 56 years old male client who is hypertensive and working on a construction site who had been admitted at ER with complaints of palpitation, dizziness and body malaise.

Competency Appraisal CARDIOVASCULAR SYSTEM


23.Understanding the client s condition, the nurse knowledge on electrical conduction system of the heart will be assessed if the nurse identify which part of system is the cause of palpitation on the client. a.SA node b.AV node c.Bundle of his d.Purkijie fibers e.All of the above

Competency Appraisal CARDIOVASCULAR SYSTEM


24.It is important that the nurse should be knowledgeable about cardiac output in order to: a.Evaluate blood flow to peripheral tissues b.Determine the electrical activity of the myocardium c.Provide information on the immediate need for oxygen d.Implement nutritional changes

Competency Appraisal CARDIOVASCULAR SYSTEM


25.Person s body has different types of circulation, in person s circulation there are two which needed a high and low pressure for proper distribution of blood on body, which of the following circulation it is? a.Pulmonary circulation b.Systemic circulation c.Portal circulation d.Either a or b e.Both a and b

Competency Appraisal CARDIOVASCULAR SYSTEM


26.Which of the following diagnostic studies most likely would confirm a myocardial infarction? a.Serum myoglobin level b.Creatinine kinase (CK) c.White blood cell count (WBC) d.Troponin T levels

Competency Appraisal CARDIOVASCULAR SYSTEM


27.Understanding the client s cardiac output and its normal cardiac cycle, what is the normal value of cardiac output? a.3.5 to 8 liters b.3900mL c.8000mL d.3500 to 8000mL e.All of the above

Competency Appraisal CARDIOVASCULAR SYSTEM


28.The person s body has a different branches of arteries and veins, starting from the largest vessel to the smallest capillaries wherein the arteries carries oxygenated blood and vein carries deoxygenated blood. Which major artery supply head and neck? a.Cephalic artery b.Jugular vein c.Carotid artery d.Brachiocephalic vein e.None of the above

Competency Appraisal CARDIOVASCULAR SYSTEM


29.Knowing that the systemic circulation needed a higher pressure to supply the blood on extremities, if the patient had a stenosis or narrowing on tricuspid valve, the blood will pump out to the systemic circulation. How you will identify if it is occurring in the patient? a.Dyspnea b.Edema c.Alveolar collapse d.Interstitial edema e.Both b and d

Competency Appraisal CARDIOVASCULAR SYSTEM


30.Understanding pulmonary circulation and the different branches of aorta in the human body. Peter Angelito is diagnosed with abdominal aneurysm which is not ruptured yet by preventing or avoiding of straining of the patient. As a nurse how will Peter Angelito s circulation affected if it is ruptured? a.Cyanosis episode b.Paleness c.Weakness d.Fatigue e.Decreased blood pressure

Competency Appraisal CARDIOVASCULAR SYSTEM

Competency Appraisal CARDIOVASCULAR SYSTEM

Competency Appraisal CARDIOVASCULAR SYSTEM

Competency Appraisal CARDIOVASCULAR SYSTEM

Competency Appraisal CARDIOVASCULAR SYSTEM