1. 1. Patients with acute myocardial infarction treated with thrombolytic
agents like streptokinase. The side effects that should be observed
after giving the medicine is
a. Hypertension
b. Oedema and dyspnea
c. Haemorrhage and hypotension
d. Headache and urticaria
2. Cardiac output is influenced by the following factors:
a. Contractility contractility, blood pressure and vital capacity
b. Cardiac contractility, blood volume and tidal volume
c. Cardiac contractility, blood volume and pulse rate
d. Cardiac contractility, tidal volume and blood pressure
3. QRS complexes in 12 leads ECG graph shows
a. Ventricular diastole
b. Atrial diastole
c. Atrial systole
d. Ventricular systole
4. “Morphine sulphate” is given to patients with acute myocardial
infarction for
a. Expand the coronary blood vassel
b. Relieve severe pain and anxiety

2. c. Encourage patient to sleep
d. Relieve heart rate
5. Immediate action if a patient is not breathing carotid pulse was not
detected
a. Perform CPR ( Cardiopulmonary Resuscitation)
b. Place the patient in supine position on the bed
c. Give patient oxygen
d. Inform doctor immediate
6. An intravenous flow is given rapidly to patients with congestive heart
failure can result in oedema in
a. Heart
b. Lungs
c. Brain
d. Spleen
7. The action taken by the nurse at the level of blood pressure 90/70
mmHg for a patient receiving the drug antihypertension is
a. Stop giving medicines and encourage patient rest on the bed
b. Continue giving medications as prescribed
c. Advise patient on medication when necessary
d. Delay the provision of medicines and report to the doctor

3. 8. Aerobic exercise is one of the activities of a healthy lifestyle. Benefit for
heart is
a. Increase the level of HDL
b. Increase the level of LDL
c. Reduce the burden of heart
d. Strengthen the heart muscle
9. Symptoms shown by patients with cerebral anuerysm is
a. Pupil dilatation
b. Diaphoresis skin
c. Decrease in heart rate
d. Increase in blood pressure
10. Unconscious patients potentially get venous thrombosis. what are the
factors that contribute to this event?
a. Injury to the endothelium of blood vessels
b. Disturbance of blood supply
c. Increase in platelet count
d. Stasis of blood in the veins
11. The following is a disability suffered by children who have tetralogy
of Fallot, except

4. a. Pulmonary stenosis
b. Ventricular septal defect
c. Dextroposition of aorta
d. Left ventricular hypertrophy
12. Due to the weakness in the artery walls known as
a. Embolism
b. Atheroma
c. Aneurysm
d. Thrombosis
Questions 13 and 14 are related to the scenario below. Mr. Johari
admitted to the hospital with a diagnosis of acute pulmonary
edema. He look tired, dyspnea, cough frequently with pink and
frothy sputum.
13. The following is immediate actions to relieve the acute pulmonary
edema during Mr Johari arrived at the ward except
a. Rest the patient in Fowler's position
b. Give nebulizer as ordered by doctor
c. Oxygen 3l/min given by nasal prong
d. Frusemide given as ordered by doctor
14. What is the factor that influence the nature of sputum of Mr. Johari?
a. Bleeding in trachea

5. b. Inflammation of lung tissues
c. Increased pulmonary pressure
d. Injury in upper respiratory tract
15. The action of frusemide in the treatment of heart failure is
a. Improve the function of aldosterone
b. Decrease intravascular volume
c. Symphathetic nerve stimulation inhibits
d. Encourage the production of liquid from the venous system
16. The purpose of periodic inspections renal profile for patients receiving
diuretic therapy is to control the balance of homeostasis
a. Sodium
b. Calcium
c. Nutrium
d. Potassium
17. Left ventricle failure can cause pulmonary edema. This condition is
caused by
a. Metabolic acidosis
b. Respiratory acidosis
c. Increased systemic pressure
d. Increased pulmonary pressure
18. Paralysis on one side of the body due to stroke is known as

6. a. Diplegia
b. Paraplegia
c. Hemiplegia
d. Quadriplegia
19. Patients with infective endocarditis high risk of having cerebral vascular
accident (CVA) due to
a. Atherosclerosis
b. Aortic aneurysm
c. Cerebral haemorrhage
d. Embolism of vegetation
20. Paroxysmal nocturnal dyspnea is common to patients with
a. Angina pectoris
b. Congestive heart failure
c. Acute pulmonary oedema
d. Acute myocardial infarction
21. CCF patients are advised to be calm always because the strees
a. Increased cardiac output
b. Reduce contractility in heart
c. Retarded the action of sympathetic nerve
d. Decreased venous return to the heart
22. Structures of cardiac involved in infective endocarditis is
a. Valve

7. b. Septum
c. Pericardium
d. Myocardium
23. Diagnostic test to detect disruptions in the heart valve is
a. Chest x-ray
b. Angiogram
c. Echocardiogram
d. Electrocardiogram
24. Nifedipine tablet is a drug that in group
a. Vasodilator
b. Vasopressor
c. Beta-blocker
d. Calcium-channel blocker
25. The following is a modifiable risk factor in the incidence of atherosclerosis
a. Age (nonmodifiable)
b. Emotional stress
c. Gender
d. Genetic
26. Clients with myocardial infarction will have a fever due to
a. Vasoconstriction in the coronary artery
b. Inflammation in coronary artery
c. Necrosis of the myocardium
d. Cathecolamine produced in the myocardium of muscle

8. 27. Characteristics of a normal ECG is
a. Occur P wave
b. ST segmen depression
c. QRS complex more than 0:12 seconds
d. PR interval between 0:12 to 0:25 seconds
28. The purpose of cleaning the patient's skin with spirit while performing an
ECG is to
a. Disinfecting the patient's skin
b. Provide comfort to patients
c. Get a clear reading of the ECG
d. Avoid electrode from falling off
29. The following is the responsibility of giving frusemide tablets to a patient
with CCF, except
a. Monitor apex beat
b. Monitor I/O chart
c. Monitor the signs of hypokalemia
d. Monitor blood result (BUSE)
30. Half-body paralyze to a patient with Cerebral Vascular Accident (CVA)
known as
a. Paralysis
b. Hemiplegia
c. Dysarthria
d. Dysphagia