Question: A nurse is caring for a client with end-stage heart disease who reports increased shortness of breath, even at rest. The nurse should recognize this symptom as:
Answer Choices:
Normal for the condition, A sign of possible pneumonia, Indicative of a worsening condition, Related to decreased activity tolerance.
Answer: Indicative of a worsening condition
Question: A nurse is evaluating a client with heart failure and notes that the client’s medication regimen includes a beta-blocker. The nurse understands that the primary benefit of this medication is to:
Answer Choices:
Increase heart rate, Reduce myocardial oxygen demand, Increase myocardial contractility, Dilate the coronary arteries.
Answer: Reduce myocardial oxygen demand
Question: A nurse is assessing a client who has been admitted for an exacerbation of heart failure. The nurse notes that the client’s respiration rate is 22 breaths per minute and the oxygen saturation is 89% on room air. The most appropriate initial nursing intervention would be to:
Answer Choices:
Administer a sedative to reduce anxiety, Initiate oxygen therapy, Prepare for endotracheal intubation, Increase the head of the bed.
Answer: Initiate oxygen therapy
Question: A nurse in a cardiac unit is caring for a client with severe left-sided heart failure. Which of the following clinical manifestations would most likely be present?
Answer Choices:
Peripheral edema, Pulmonary congestion, Increased urine output, Hypertension.
Answer: Pulmonary congestion
Question: A nurse is caring for a client who has chronic heart failure and notes that the client’s serum sodium level is below normal. The nurse understands that this finding is most likely due to:
Answer Choices:
Excessive intake of sodium, Use of loop diuretics, Inadequate water intake, Overuse of salt substitutes.
Answer: Use of loop diuretics
Question: A nurse is assessing a client who is taking digoxin for heart failure. Which of the following symptoms would suggest digoxin toxicity?
Answer Choices:
Bradycardia, Hypertension, Tachycardia, Polyuria.
Answer: Bradycardia
Question: A nurse is monitoring a client with a history of heart failure. Which of the following lab tests is most indicative of cardiac distress?
Answer Choices:
Creatinine levels, Liver enzymes, Blood urea nitrogen (BUN), Brain Natriuretic Peptide (BNP).
Answer: Brain Natriuretic Peptide (BNP)
Question: A nurse in a clinic is reviewing the lab results of a client with chronic heart failure who reports increased swelling in the legs and fatigue. The nurse notes elevated B-type natriuretic peptide (BNP) levels. This lab finding confirms:
Answer Choices:
Kidney failure, Worsening heart failure, Liver dysfunction, Thyroid dysfunction.
Answer: Worsening heart failure
Question: A nurse is caring for a client who has been hospitalized for heart failure. Which of the following findings should the nurse report immediately to the healthcare provider?
Answer Choices:
Weight gain of 1 kg in 24 hours, Slight nausea after eating, Occasional cough, Fatigue at the end of the day.
Answer: Weight gain of 1 kg in 24 hours
Question: A nurse in the emergency department is caring for a client presenting with chest pain. The client’s electrocardiogram (ECG) indicates an acute myocardial infarction. Which of the following medications should the nurse prepare to administer first?
Answer Choices:
Aspirin, Beta-blocker, Antibiotic, Diuretic.
Answer: Aspirin
Question: A nurse is teaching a client who has heart disease about the warning signs of a heart attack. Which of the following symptoms should the nurse include in the education?
Answer Choices:
Sudden dizziness, Nausea, Chest pain or discomfort, All of the above.
Answer: All of the above
Question: A nurse is caring for a client who recently underwent a heart transplant. Which of the following signs should the nurse monitor as an indication of possible transplant rejection?
Answer Choices:
Decreased heart rate, Increased energy levels, Fever and fatigue, Improved appetite.
Answer: Fever and fatigue
Question: A nurse is providing education to a client who has been diagnosed with hypertension. Which of the following lifestyle changes should the nurse recommend to help manage hypertension?
Answer Choices:
Increase sodium intake, Limit alcohol consumption, Decrease potassium intake, Avoid all physical activity.
Answer: Limit alcohol consumption
Question: A nurse is planning care for a client with hypertension. Which of the following interventions should be included to help control blood pressure?
Answer Choices:
Encourage a low-sodium diet, Suggest increasing calorie intake, Recommend decreasing fluid intake, Advise the client to stop all physical activity.
Answer: Encourage a low-sodium diet
Question: A nurse is providing dietary counseling to a client with hypertension. To help control the blood pressure, the nurse should advise the client to:
Answer Choices:
Increase protein intake, Reduce sodium intake, Avoid carbohydrate-rich foods, Consume more fats.
Answer: Reduce sodium intake
Question: A nurse is performing an assessment on a client who reports increased fatigue and dizziness. Upon assessment, the nurse finds that the client has low blood pressure and bradycardia. Which of the following actions should the nurse take first?
Answer Choices:
Apply a warm compress, Elevate the legs, Initiate an IV fluid bolus, Monitor for further symptom progression.
Answer: Elevate the legs