Question: A nurse is caring for an older adult client who has left-sided heart failure. Which of the following assessment findings should the nurse expect?
Answer Choices:
Jugular distention, Nocturnal polyuria, Frothy sputum, Dependent edema
Answer: Frothy sputum
Question: A nurse is caring for a client who has an elevated potassium level and is on a cardiac monitor. The nurse is aware that hyperkalemia may be associated with changes to the T-wave.
Answer Choices:
Hot spots to identify the T-wave
Answer: Identification of the T-wave in an ECG tracing
Question: A nurse in an emergency department is planning care for a client who is having an acute myocardial infarction (MI). The nurse should plan to administer which of the following medications after the initial acute phase to manage the client’s pain and anxiety?
Answer Choices:
Aspirin, Nitroglycerin, Oxygen, Morphine
Answer: Morphine
Question: Which of the following risk factors is associated with a client having a higher risk of experiencing status asthmaticus?
Answer Choices:
Previous intubation due to status asthmaticus episode, Bronchial pneumonia, Previous stroke, Irritants and hypersensitivity to medications
Answer: Previous intubation due to status asthmaticus episode
Question: A nurse is caring for a client who has coronary artery disease. Which of the following prescription options should be a priority or non-priority for this patient?
Answer Choices:
Prepare for percutaneous coronary intervention, Aspirin 160 mg PO STAT, Atenolol 50 mg PO BID, Prepare for cardiac catheterization, Captopril 12.5 mg PO TID, Morphine 8 mg IV STAT
Answer: Priority: Aspirin 160 mg PO STAT, Prepare for percutaneous coronary intervention, Morphine 8 mg IV STAT. Non-Priority: Atenolol 50 mg PO BID, Prepare for cardiac catheterization, Captopril 12.5 mg PO TID
Question: A nurse in an emergency department is assessing a client who is having a suspected acute myocardial infarction (MI). Which of the following manifestations should the nurse expect to find for a client experiencing an acute MI? (Select all that apply.)
Answer Choices:
Nausea, Diaphoresis, Tachycardia, Headache, Orthopnea.
Answer: Nausea, Diaphoresis, Tachycardia, Orthopnea
Question: A nurse is analyzing a client’s electrocardiogram (ECG) strip and identifies the following information: Heart rate: 92/min, Rhythm: Irregular, P wave: Unable to identify, PR interval: Unable to measure, QRS duration: 0.10 seconds. Based upon this information, the nurse should interpret the client’s rhythm as indicating which of the following?
Answer Choices:
Atrial fibrillation, First-degree heart block, Sinus bradycardia, Supraventricular tachycardia
Answer: Atrial fibrillation
Question: A nurse is providing care for a group of clients who have coronary artery disease and 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?
Answer Choices:
A client who has CAD and Bell’s palsy, A client who has CAD and COPD, A client who has CAD and chronic allergies, A client who has CAD and chronic diverticulitis
Answer: A client who has CAD and COPD
Question: 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 nurse’s priority?
Answer Choices:
Airway management, Defibrillation, Amiodarone administration, Epinephrine administration.
Answer: Defibrillation
Question: A nurse is admitting a client who reports chest pain. The nurse is preparing the client for cardiac catheterization. Which of the following actions should the nurse take? (Select all that apply.)
Answer Choices:
Mark the surgical site, Obtain the client’s vital signs, Confirm the client’s allergies, Witness the client’s signature on the informed consent form, Inform the client of the risks of the procedure
Answer: Obtain the client’s vital signs, Confirm the client’s allergies, Witness the client’s signature on the informed consent form, Inform the client of the risks of the procedure
Question: A nurse is assessing a client who has right ventricular failure. Which of the following findings should the nurse expect?
Answer Choices:
Dizziness, Crackles in the lungs, Hepatomegaly, Dry, hacking cough.
Answer: Hepatomegaly
Question: A nurse in a clinic is caring for a client who has a prescription for digoxin. Which of the following statements indicates the client is experiencing digoxin toxicity?
Answer Choices:
“My tongue is red and beefy.”, “I am gaining weight.”, “I am constipated.”, “My vision seems yellow.”
Answer: “My vision seems yellow.”
Question: A nurse is caring for an older adult client. The nurse informs the client that straining while defecating can cause which of the following?
Answer Choices:
Gastric ulcer, Diarrhea, Dysrhythmias, Dilated pupils.
Answer: Dysrhythmias
Question: Which of the following are the most common manifestations of COPD?
Answer Choices:
Chronic cough, Sputum production, Dyspnea, Nausea, Chest pain
Answer: Chronic cough, Sputum production, Dyspnea
Question: Which information should the RN include when teaching the client about the prescribed transdermal nitroglycerin patch?
Answer Choices:
Use a different site every day, Avoid applying the patch on hairy areas, Do not touch the medication portion of the patch, etc.
Answer: Use a different site every day, Avoid applying the patch on hairy areas, Do not touch the medication portion of the patch