Exam Review
- A nurse is giving a presentation to a community group about preventing atherosclerosis. Which of the following should the nurse include as a modifiable risk factor for this disorder? (Select all that apply.)(SATA)A)SmokingB)HypercholesterolemiaC)HypertensionD)Genetic predispositionE)Obesity
- A nurse is assisting with the care of a client in the emergency department and reports severe radiating chest pain and shortness of breath. The client appears restless, frightened, and slightly cyanotic. The provider prescribes oxygen by nasal cannula at 4 L/min stat, cardiac enzyme levels, IV fluids, and a 12-lead ECG. Which of the following actions should the nurse take first?A)Initiate oxygen therapy.B)Attach the leads for a 12-lead ECG.C)Obtain a blood sample.D)Insert the IV catheter.
- A nurse in a clinic is caring for a client who has heart failure and is taking digoxin. Which of the following statements by the client indicates the client is experiencing digoxin toxicity?A)"My vision seems yellow."B)"I am gaining weight."C)"My tongue is red and beefy."D)"I am constipated."
- A nurse is preparing to administer digoxin 0.25 mg PO to a client. The amount available is digoxin 0.125 mg tablets. How many tablets should the nurse administer to the client? (Round to the nearest whole number.) ______ tabletsCorrect Answer:2 tablets
Exam Review
- A nurse is preparing to administer 0.9% sodium chloride 1 L IV to infuse over 8 hr. The drop factor of the manual IV tubing set is 15 gtts/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) ______ gtts/minCorrect Answer:31 gtts/min.
- A nurse is reviewing a provider's admission orders for a client who has acute heart failure. For which of the following prescriptions should the nurse obtain clarification?A)Laboratory testing of serum potassium upon admissionB)Ambulate three times dailyC)Bumetanide 1 mg IV bolus every 12 hrD)Morphine sulfate 2 mg IV bolus every 2 hr PRN pain
- A nurse is collecting data from a client who has an acute myocardial infarction (MI). Which of the following clinical manifestations should the nurse expect to find? (Select all that apply.)(SATA)A)OrthopneaB)TachycardiaC)DiaphoresisD)NauseaE)Headache
- A nurse is collecting data from a client who is receiving continuous cardiac monitoring that is indicating premature ventricular contractions (PVCs). Which of the following findings should the nurse expect when assessing the client?A)BradycardiaB)S3 heart soundsC)Irregular pulsationsD)Increase in point of maximum impulse (PMI)
Exam Review
- A nurse is assisting with the care of a client who was admitted to the telemetry unit after he experienced chest pain, dyspnea and diaphoresis. Which of the following ECG findings is a manifestation of acute myocardial infarction?A)The PR intervals are 0.15 second.B)The QT interval is equal to the R to R interval.C)The QRS intervals are 0.08 second.D)The ST segment is above the isoelectric line.
- A nurse is caring for a client who asks why she is being prescribed aspirin 325 mg daily following a myocardial infarction. The nurse should instruct the client that aspirin is prescribed for clients who have coronary artery disease for which of the following effects?A)To provide analgesiaB)To prevent blood clottingC)To prevent feverD)To reduce inflammation
- A nurse is collecting data on a client who has a pericardial effusion and has developed hypotension and muffled heart sounds. Which of the following procedures should the nurse anticipate for this client?A)Synchronized electrical cardioversionB)Left ventricular assist deviceC)PericardiocentesisD)Septal myectomy
- A nurse is caring for a client who is newly-admitted and has angina. The client asks the nurse, "Why am I taking nitroglycerin?" Which of the following responses should the nurse make?A)"Nitroglycerin relieves nausea and prevents vomiting, which could lead to aspiration."B)"Nitroglycerin acts as a bronchodilator to open small airways and decrease shortness of breath."C)"Nitroglycerin decreases chest pain by dissolving blood clots that are occluding the arteries."D)"Nitroglycerin dilates cardiac blood vessels to deliver more oxygen to the heart."
Exam Review
- A nurse is collecting data from a client who reports a sudden onset of shortness of breath, fatigue, and dizziness. Electrocardiography indicates the client is experiencing atrial fibrillation. Which of the following medications should the nurse expect to administer?A)Vitamin KB)DigoxinC)AtropineD)Magnesium
- A nurse is reinforcing discharge teaching with a client prescribed verapamil to treat angina. Which of the following instructions should the nurse include?A)Monitor for decreased heart rate while taking this medication.B)Consume a low-residue diet while taking this medication.C)Take the medication as needed at the onset of chest pain.D)Take the medication with citrus juice.
- A nurse is reinforcing teaching with a client about how to prevent the onset of manifestations of Raynaud's phenomenon. Which of the following statements should the nurse identify as an indication that the client needs further teaching?A)"I will complete the smoking cessation program I started."B)"I will keep my house at a cool temperature."C)"I will try to anticipate and avoid stressful situations."D)"I will wear gloves when removing food from the freezer."
- Which information will the nurse give when advising a patient on what to do to avoid the development of tolerance to nitroglycerin?A)Use the sublingual form only.B)Store the drug in a dark container, free from light and moisture.C)Allow for a daily 8- to 12-hour nitrate free period.D)Administer subsequent doses parenterally.
Exam Review
- A nurse is assisting in providing care for a group of clients who have coronary artery disease who are all scheduled for coronary artery bypass grafts (CABG). Which of the following clients is at the highest risk for complications following the surgical procedure?A)A client who has coronary artery disease (CAD) and chronic obstructive pulmonary disease (COPD)B)A client who has coronary artery disease (CAD) and Bell's palsyC)A client who has coronary artery disease (CAD) and chronic diverticulitisD)A client who has coronary artery disease (CAD) and chronic allergies
- A nurse is collecting data from a client who has left-sided heart failure. Which of the following findings should the nurse expect?A)Pitting edema of the lower legsB)Right upper quadrant painC)Shortness of breath while lying downD)Jugular venous distention
- A nurse in a clinic is reviewing teaching about food choices with a client who has recently begun taking warfarin. The nurse should instruct the client to limit consumption of which of the following foods?A)KaleB)White beansC)CantaloupeD)Whole grain bread
- Which type of angina is precipitated by physical exertion and is relieved by rest?A)UnstableB)Chronic stableC)VariantD)Nocturnal
Exam Review
- Which number identifies the pulse pressure for a patient whose blood pressure reading is 134/78?A)134B)212C)78D)56
- A nurse is preparing to administer potassium chloride 30 mEq PO daily. The amount available is potassium chloride 20 mEq/15mL. How many mL should the nurse administer? (Round the answer to the nearest tenth Do not use a trailing zero.) ______ ML
- A nurse is collecting data from a client who is taking warfarin and has an elevated PT/INR. Which of the following medications should the nurse anticipate administering?A)DisulfiramB)ProtamineC)NaloxoneD)Vitamin K
- A nurse is contributing to the care plan for a client who has developed deep-vein thrombosis. Which of the following interventions should the nurse include?A)Apply cold compresses to the affected extremity.B)Elevate the affected extremity when the client is resting.C)Massage the affected extremity gently.D)Limit the client's fluid intake to 1 L/day.