Question: Which of the following findings should the nurse identify as requiring immediate follow-up?
Answer Choices:
Pedal pulses of right leg 3+
Capillary refill less than 3 seconds in right great toe
Warmth on right leg
4+ edema to right leg
Inflammation and irritation on right calf
Answer: 4+ edema to right leg
Inflammation and irritation on right calf
Warmth on right leg
Question: A nurse is caring for a client who has had a spinal cord injury at the level of the T2-T3 vertebrae. When planning care, the nurse should anticipate which of the following types of disability?
Answer Choices:
Paraplegia
Paresthesia
Quadriplegia
Hemiplegia
Answer: Paraplegia
Question: What does the P-wave represent on an EKG?
Answer Choices:
Ventricular repolarization
Ventricular depolarization
Atrial repolarization
Atrial depolarization
Answer: Atrial depolarization
Question: A nurse is caring for a client who has a traumatic brain injury (TBI). Which of the following secondary conditions should the nurse anticipate the client might develop?
Answer Choices:
Decreased appetite and a lack of sleep
Loss of sensation and cognition difficulties
Body dysmorphia and neurofibrillary tangles
Development of emotional disorders and acute pain
Answer: Loss of sensation and cognition difficulties
Question: A nurse is caring for a client who has a spinal cord injury at the fourth cervical level. Which of the following mobility options should the nurse anticipate for this client?
Answer Choices:
Manual wheelchair
Sip-and-puff device
Drive-adapted wheelchair
Ultra-light wheelchairs
Answer: Sip-and-puff device
Question: A nurse is providing teaching about potential complications to a client who has a spinal cord injury. Which of the following should the nurse include in the teaching as a common complication of spinal cord injuries?
Answer Choices:
Temperature sensitivity
Contractures
Sexual dysfunction
Disc degeneration
Urinary tract infections
Answer: Contractures
Sexual dysfunction
Urinary tract infections
Question: A nurse is assessing a client who has a score of 6 on the Glasgow Coma Scale. The nurse should expect which of the following outcomes based on this score?
Answer Choices:
Indicates stable neurologic status
The client is in a deep coma
The client is alert and oriented
The client needs total nursing care
Answer: The client is in a deep coma
Question: What is the indication for giving a patient with chest pain Aspirin?
Answer Choices:
To reduce the risk of blood clot formation
To increase blood pressure
To relieve musculoskeletal pain
To decrease heart rate
Answer: To reduce the risk of blood clot formation
Question: You are caring for a patient with heart failure. What medication class do you usually administer to patients in heart failure?
Answer Choices:
Antidepressants
Anticoagulants
Diuretics
Antibiotics
Answer: Diuretics
Question: What vital sign is important to assess before administering Digoxin to a patient?
Answer Choices:
Temperature
Respiratory rate
Blood pressure
Heart rate
Answer: Heart rate
Question: What are the steps in the cardiac electrical pathway?
Answer Choices:
Atrioventricular node
Bundle of His
Sinoatrial node
Electrocardiogram (ECG)
Purkinje fibers
Left bundle branch
Supraventricular tachycardia
Pulmonary emboli
Ischemia
Answer: Sinoatrial node
Atrioventricular node
Bundle of His
Left bundle branch
Purkinje fibers
Question: A nurse admits a client who has a subarachnoid hemorrhage and increased intracranial pressure (ICP). Which of the following medications should the nurse expect to administer to decrease ICP?
Answer Choices:
Mannitol
Phenytoin
Dopamine
Nicardipine
Answer: Mannitol
Question: A nurse is caring for a client who has a T-4 spinal cord injury. Which of the following client findings should the nurse identify as an indication the client is at risk for experiencing autonomic dysreflexia?
Answer Choices:
The client states having nasal congestion.
The client’s bladder becomes distended.
The client states having a severe headache.
The client’s blood pressure becomes elevated.
Answer: The client’s bladder becomes distended
Question: Which of the following EKG findings indicates a normal sinus rhythm?
Answer Choices:
Regular R-R intervals
Absence of P waves
Inverted T waves
Wide QRS complexes
Answer: Regular R-R intervals
Question: Which of the following statements accurately describes the role of the heart in circulation?
Answer Choices:
The heart exchanges oxygen and carbon dioxide in the coronary arteries.
The heart regulates blood pressure by controlling the volume of blood in circulation.
The heart pumps oxygenated blood to the lungs for exchange of carbon dioxide.
The heart receives deoxygenated blood from the body and pumps it to the lungs for oxygenation.
Answer: The heart receives deoxygenated blood from the body and pumps it to the lungs for oxygenation.
Question: Which of the following is a common cause of heart failure?
Answer Choices:
Anemia
Hypertension
Obesity
Lung cancer
Answer: Hypertension