Question: A nurse is providing teaching to a client who has heart disease and is being discharged with a new medication regimen. Which of the following information should the nurse include about managing medications at home?
Answer Choices:
Take medications at the same time each day, Increase dosage if symptoms worsen, Stop taking the medication if side effects occur, Skip doses if feeling better.
Answer: Take medications at the same time each day
Question: A nurse is caring for a client who has a history of heart failure and reports increased shortness of breath. Which of the following actions should the nurse take first?
Answer Choices:
Administer prescribed diuretics, Elevate the head of the bed, Check oxygen saturation, Record a detailed history of the symptoms.
Answer: Elevate the head of the bed
Question: A nurse is caring for a client following a myocardial infarction. The client is confused about why they need to attend cardiac rehabilitation. The nurse should explain that cardiac rehabilitation programs typically focus on which of the following? (Select all that apply.)
Answer Choices:
Increasing cardiovascular fitness, Providing dietary guidelines, Offering emotional support, Teaching stress management techniques.
Answer: Increasing cardiovascular fitness, Providing dietary guidelines, Offering emotional support, Teaching stress management techniques
Question: A nurse in a cardiac rehabilitation center is discussing lifestyle modifications with a client who has recently suffered a heart attack. Which of the following modifications should the nurse recommend?
Answer Choices:
Adopt a low-fat diet, Start an exercise program approved by a healthcare provider, Reduce daily stress, All of the above.
Answer: All of the above
Question: A nurse is caring for a client who has just undergone a cardiac catheterization. Which of the following complications should the nurse prioritize for monitoring?
Answer Choices:
Sudden weight gain, Fever over the next 24 hours, Signs of infection at the catheter site, Hematoma formation at the puncture site.
Answer: Hematoma formation at the puncture site
Question: A nurse is preparing to administer a beta-blocker to a client with hypertension. Before administration, which of the following parameters is most important for the nurse to check?
Answer Choices:
Temperature, Blood pressure, Respiratory rate, Blood glucose.
Answer: Blood pressure
Question: A nurse is preparing to administer medication to a client who has congestive heart failure and notes that the client’s blood pressure is significantly lower than usual. What is the nurse’s best action?
Answer Choices:
Administer the medication as ordered, Withhold the medication and notify the healthcare provider, Double the medication dose to increase blood pressure, Administer a fluid bolus to increase blood pressure.
Answer: Withhold the medication and notify the healthcare provider
Question: A nurse is caring for a client who has reported chest pains. Upon assessment, the nurse notes tachycardia and a drop in blood pressure. What should be the nurse’s first action?
Answer Choices:
Administer an anti-anxiety medication, Prepare the client for an ECG, Provide supplemental oxygen, Call for a cardiac enzyme test.
Answer: Prepare the client for an ECG
Question: A nurse is providing teaching to a client who has a new prescription for digoxin, a medication for heart failure. Which of the following statements by the client indicates a need for further teaching?
Answer Choices:
“I will check my pulse daily before taking my medication.”, “I need to monitor for signs of low blood sugar.”, “I should report any rapid weight gain or loss.”, “I will avoid taking antacids with digoxin.”
Answer: “I need to monitor for signs of low blood sugar.”
Question: A nurse in an emergency department is caring for a client who reports substernal chest pain and dyspnea. The client is vomiting and is diaphoretic. Which of the following laboratory tests are used to diagnose a myocardial infarction? (Select all that apply.)
Answer Choices:
Myoglobin, Plasma low-density lipoproteins (LDL), Troponin I, Troponin T, CPK.
Answer: Myoglobin, Troponin I, Troponin T, CPK
Question: A nurse is preparing to administer a diuretic to a client who has a high blood pressure reading. Which of the following actions should the nurse take first?
Answer Choices:
Check the client’s electrolyte levels, Administer the medication as scheduled, Document the high blood pressure, Consult the healthcare provider.
Answer: Consult the healthcare provider
Question: A nurse is caring for a client who is post-operative and has a history of pulmonary artery hypertension. The nurse should be alert for which of the following symptoms that might indicate a worsening of this condition?
Answer Choices:
Sudden onset of back pain, Increased thirst and frequent urination, Shortness of breath and decreased oxygen saturation, Tingling in the hands and feet.
Answer: Shortness of breath and decreased oxygen saturation
Question: A nurse is assessing a client who recently started taking a new medication for heart failure. The nurse should recognize which of the following as an adverse effect that could potentially worsen the client’s condition?
Answer Choices:
Diarrhea, Bradycardia, Skin rash, Dizziness.
Answer: Bradycardia
Question: A nurse in a cardiac unit is caring for a client after an angioplasty. Which of the following complications should the nurse monitor for as a priority?
Answer Choices:
Thrombosis at the site, Infection, Bleeding, Allergic reaction to contrast dye.
Answer: Bleeding
Question: A nurse in an emergency department is caring for a client who reports that their substernal chest pain is unrelieved by nitroglycerin. The nurse should recognize that this is a characteristic of which of the following types of angina?
Answer Choices:
Stable angina, Unstable angina, Variant angina, Silent ischemia.
Answer: Unstable angina
Question: A nurse is assessing a client with congestive heart failure who reports increased swelling in the legs and difficulty breathing at night. Which of the following interventions should the nurse suggest?
Answer Choices:
Increase physical activity immediately, Restrict salt intake and take prescribed diuretics, Take sedatives to improve sleep, Increase fluid intake to flush out excess sodium.
Answer: Restrict salt intake and take prescribed diuretics
Question: A nurse in a cardiac ICU is caring for a client who has developed ventricular tachycardia. What is the nurse’s priority intervention?
Answer Choices:
Administer a beta-blocker, Perform immediate defibrillation, Prepare for endotracheal intubation, Monitor for a drop in blood pressure.
Answer: Perform immediate defibrillation
Question: A nurse is caring for a client with heart failure. The client is prescribed a medication that can cause hyperkalemia. Which of the following symptoms should the nurse monitor for in this client?
Answer Choices:
Nausea, Muscle weakness, Constipation, Increased urination.
Answer: Muscle weakness
Question: A nurse is reviewing the medical chart of a client who is scheduled for coronary artery bypass graft (CABG) surgery. What information should the nurse identify as a risk factor for postoperative complications?
Answer Choices:
A history of smoking, Controlled hypertension, Age under 50 years, A vegetarian diet.
Answer: A history of smoking
Question: A nurse is evaluating a client who has left-sided heart failure. The nurse should recognize which of the following findings as a potential sign of this condition?
Answer Choices:
Jugular vein distention, Ascites, Crackles in the lungs, Hepatomegaly.
Answer: Crackles in the lungs
Question: A nurse is conducting a class for clients with heart disease about managing their condition. Which of the following points should the nurse emphasize?
Answer Choices:
Smoking cessation, Avoiding all physical activity, Increasing saturated fat intake, Reducing fluid intake to 500 mL/day.
Answer: Smoking cessation
Question: A nurse is conducting a health screening at a community center. What is the most appropriate advice for a client who has been diagnosed with hypertension?
Answer Choices:
Restrict fluid intake to less than 2 liters per day, Increase sodium intake to enhance water elimination, Monitor blood pressure at home regularly, Avoid all physical activity.
Answer: Monitor blood pressure at home regularly
Question: A nurse is caring for a client who has just had a central venous pressure (CVP) line inserted. The nurse knows that the main purpose of this line is to assess which of the following?
Answer Choices:
Heart function, Liver function, Renal function, Pancreatic function.
Answer: Heart function