Exam Review
- A patient is admitted with uncontrolled atrial fibrillation. The patient's medication history includes vitamin D supplements and calcium. What type of stroke is this patient at MOST risk for?A)Ischemic thrombosisB)Ischemic embolismC)HemorrhagicD)Ischemic stenosis
- A patient is receiving lidocaine by continuous intravenous (IV) infusion. The nurse understands this medication is prescribed for what condition?A)Ventricular dysrhythmiasB)Sinus bradycardiaC)Atrial fibrillationD)First-degree heart block
- Which of the following is TRUE regarding the etiology of acute decompensated heart failure?A)There has been a 3x increase in hospital admissions over the last 30 yearsB)70% of cases are due to acute exacerbation of existing heart failure due to poor medication adherence, inadequate home regimen, dietary indiscretion & infectionC)25% of cases are de novo/new following MI, arrhythmias or sudden increase in BPD)5% of cases are due to advanced LV systolic dysfunctionE)All the above
- A nurse is caring for a client who has a burn injury and is receiving total parenteral nutrition (TPN). Which of the following lab values supports the nurse’s evaluation that the treatment is effective?A)Hematocrit 43%B)White Blood Cell count 8,000/uLC)Serum albumin 4.2 g/dLD)Calcium level 9.4 mg/dL
Exam Review
- You’re performing a head-to-toe assessment on a patient with a spinal cord injury at T6. The patient is restless, sweaty, and extremely flushed. You assess the patient’s blood pressure and heart rate. The patient’s blood pressure is 140/98 and heart rate is 52. You look at the patient's chart and find that their baseline blood pressure is 106/76 and heart rate is 72. What action should the nurse take FIRST?A)Reassess the patient's blood pressure.B)Check the patient’s blood glucose.C)Position the patient at 90 degrees and lower the legs.D)Provide cooling blankets for the patient.
- The nurse is assessing a client in the postictal phase of generalized tonic-clonic seizure. What is an expected finding?A)DrowsinessB)Inability to moveC)ParesthesiaD)Hypotension
- The nurse is caring for a client when a seizure occurs. What data is a priority for the nurse to obtain during this phase of the seizure?A)Heart rate, respirations, pulse oximeter, and blood pressureB)Last dose of anticonvulsant and circumstances at the timeC)Type of visual, auditory, and olfactory aura the client experiencedD)Movement of the head and eyes and muscle rigidity
- In planning care for the client who has had a stroke, the nurse should obtain a history of the client’s functional status before the stroke because?A)The rehabilitation plan will be guided by itB)Functional status before the stroke will help predict outcomesC)It will help the client recognize his physical limitationsD)The client can be expected to regain much of his functioning
Exam Review
- What is a priority nursing assessment in the first 24 hours after admission of the client with a cerebrovascular accident?A)Cholesterol levelB)Pupil size and responseC)Bowel soundsD)Echocardiogram
- A nurse in an emergency department is reviewing the medical record of a client who has an extensive burn injury. Which of the following laboratory results should the nurse expect?A)Metabolic alkalosisB)HyponatremiaC)HyperkalemiaD)Anemia
- Your patient’s recent PTT is 45. According to protocol, you need to increase the Heparin drip by 2 units/kg/hr and administer 30 units/kg IV bolus. The patient is currently receiving a Heparin drip at 22 units/kg/hr. The patient weighs 129 lbs. How many units will the patient receive as a bolus, and how many units per kilogram per hour will the patient receive based on the new PTT result?A)1,289 units; 24 units/kg/hrB)2,500 units; 22 units/kg/hrC)1758 units; 24 units/kg/hrD)1,857 units; 24 units/kg/hr
- A nurse is caring for a client in a critical care unit who suffered a knife wound to the chest. The nurse suspects the client is developing cardiac tamponade. What finding supports this hypothesis?A)Sudden lethargyB)Muffled heart soundsC)Flattened neck veinsD)Bradycardia
Exam Review
- A nurse is caring for a client who develops a ventricular fibrillation rhythm. The client is unresponsive, pulseless, and apneic. Which of the following actions is the priority?A)DefibrillationB)Airway managementC)Epinephrine administrationD)Amiodarone administration
- A nurse is teaching an older adult client who is postoperative following insertion of a permanent pacemaker. The nurse should instruct the client to notify the provider about which of the following manifestations?A)Increased urine outputB)Rapid pulseC)FatigueD)Sneezing
- A nurse in an urgent care center is assessing a client who reports a sudden onset of irregular palpitations, fatigue, and dizziness. The nurse finds a rapid and irregular heart rate with a significant pulse deficit. Which of the following dysrhythmias should the nurse expect to find on the ECG?A)First-degree AV blockB)Atrial fibrillationC)Sinus bradycardiaD)Sinus tachycardia
- A nurse is preparing to administer verapamil by IV bolus to a client who is having cardiac dysrhythmias. What adverse effect will the nurse anticipate?A)HyperthermiaB)HypotensionC)OtotoxicityD)Muscle pain
Exam Review
- A nursing assistant is providing care to a client with left-sided paralysis. Which of the following actions by the nursing assistant requires the nurse to intervene?A)Providing passive range of motion exercises to the left extremities during the bed bath.B)Elevating the foot of the bed to reduce edema.C)Pulling up the client under the left shoulder when getting out of bed to a chair.D)Putting high top tennis shoes on the client after bathing.
- A nurse is caring for a client who has bacterial endocarditis. Which of the following manifestations is the priority for the nurse to monitor for?A)AnorexiaB)DyspneaC)FeverD)Malaise
- A patient presents to the emergency room reporting chest pain. They state their chest pain occurs with activity and that it subsided after taking nitroglycerin. In addition, the patient states the pain lasted for 8 minutes. Based on the patient's signs and symptoms, what type of angina may the patient be experiencing?A)unstable anginaB)variant anginaC)stable anginaD)microvascular angina
- The nurse is caring for a client diagnosed with an anterior myocardial infarction 2 days ago. Upon assessment, the nurse identifies a new systolic murmur at the apex. The nurse should first:A)Assess for changes in vital signs.B)Draw an arterial blood gas.C)Evaluate heart sounds with the client leaning forward.D)Obtain a 12 Lead electrocardiogram.
Exam Review
- The nurse is caring for a client diagnosed with an anterior myocardial infarction 2 days ago. Upon assessment, the nurse identifies a new systolic murmur at the apex. The nurse should first:A)Assess for changes in vital signs.B)Draw an arterial blood gas.C)Evaluate heart sounds with the client leaning forward.D)Obtain a 12 Lead electrocardiogram.
- A nurse is caring for a client who has atrial fibrillation and is receiving intravenous heparin. Which of the following findings is the nurse’s priority?A)The client’s ECG shows an irregular heart rate without P wavesB)The client has an aPTT of 80 secondsC)The client has new onset weakness in one armD)The client's urine output is cloudy and odorous
- A patient is ordered to start an IV Dopamine drip at 5 mcg/kg/min. The patient weighs 57 kg. You have a bag of Dopamine that reads 400 mg/250 mL. What will you set the IV pump drip rate (mL/hr) at?A)12 mL/hrB)10.7 mL/hrC)0.2 mL/hrD)20.5 mL/hr
- The nurse is providing teaching to a client at risk for endocarditis. What statement will the nurse make?A)“Immediately report a fever, lack of appetite, or night sweats to your physician.”B)“Take prophylactic antibiotics after dental work and invasive procedures."C)“Include potassium rich foods in your diet"D)“Monitor your pulse regularly.”