Question: A client who has a history of myocardial infarction (MI) is prescribed aspirin 325 mg. The nurse recognizes that the aspirin is given due to which of the following actions of the medication?
Answer Choices:
Antipyretic, Antiplatelet aggregate, Anti-inflammatory, Analgesic.
Answer: Antiplatelet aggregate
Question: A nurse is preparing a client for transfer to the ICU for placement of a pulmonary artery catheter. The nurse should explain to the client that this catheter is used to monitor which of the following conditions?
Answer Choices:
Renal function, Intracranial pressure, Spinal cord perfusion, Hemodynamic status.
Answer: Hemodynamic status
Question: A nurse is caring for a client with a history of heart failure. Upon examination, the nurse observes jugular vein distention. This finding is most commonly associated with:
Answer Choices:
Dehydration, Right-sided heart failure, Left-sided heart failure, Anemia.
Answer: Right-sided heart failure
Question: 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?
Answer Choices:
First-degree AV block, Sinus bradycardia, Atrial fibrillation, Sinus tachycardia.
Answer: Atrial fibrillation
Question: A nurse is caring for a client who is receiving total parenteral nutrition via a peripherally inserted central catheter (PICC). When assessing the client, the nurse notes swelling of the client’s arm above the PICC insertion site. Which of the following actions should the nurse take first?
Answer Choices:
Notify the provider who inserted the PICC line, Apply a cold pack to the client’s upper arm, Remove the PICC line, Measure the circumference of both upper arms.
Answer: Notify the provider who inserted the PICC line
Question: A nurse is preparing to discharge a client with heart failure. To promote optimal management at home, the nurse should emphasize the importance of:
Answer Choices:
Monitoring weight daily, Eating a high-sodium diet, Limiting fluid intake to 1 liter per day, Avoiding all physical activity.
Answer: Monitoring weight daily
Question: A nurse in the emergency department is caring for a client who is experiencing manifestations of a myocardial infarction (MI). Which of the following laboratory tests should the nurse expect the provider to prescribe?
Answer Choices:
Brain natriuretic peptide (BNP), Creatinine kinase (CK), Troponin, C-reactive protein.
Answer: Troponin
Question: A nurse is assessing a client with chronic heart failure and notes new symptoms of nocturnal dyspnea and a cough that worsens when lying down. The nurse should interpret these symptoms as indicators of:
Answer Choices:
Gastroesophageal reflux disease, Exacerbation of asthma, Worsening heart failure, Chronic obstructive pulmonary disease.
Answer: Worsening heart failure
Question: A nurse enters a client’s room and finds the client pulseless. The family has requested a do-not-resuscitate (DNR) order from the provider, but he has not written the order yet. Which of the following actions should the nurse take?
Answer Choices:
Call the emergency response team, Seek immediate help from the risk manager, Respect the family’s wishes and do nothing, Call the provider for a stat DNR order.
Answer: Call the emergency response team.
Question: A nurse is reviewing treatment plans for a client with acute decompensated heart failure who is experiencing pulmonary edema. Which of the following is the most appropriate initial treatment?
Answer Choices:
Administer high-flow oxygen, Begin diuretic therapy, Start beta-blocker therapy, Perform chest physiotherapy.
Answer: Administer high-flow oxygen
Question: A nurse is caring for a client who had a myocardial infarction and is now in the rehabilitation phase. Which of the following activities would the nurse recommend to help improve cardiovascular health and assist with recovery?
Answer Choices:
Participate in a supervised exercise program, Undertake high-intensity sports, Restrict all physical activity, Focus solely on dietary changes.
Answer: Participate in a supervised exercise program
Question: A nurse in the emergency department is caring for a client who reports chest pressure and shortness of breath. Which of the following laboratory tests should the nurse anticipate the provider to prescribe?
Answer Choices:
Lipase, Aspartate aminotransferase (AST), Troponin I, B-type natriuretic peptide (BNP).
Answer: Troponin I
Question: A nurse is preparing to administer digoxin to a client who has heart failure. Which of the following actions is appropriate?
Answer Choices:
Instructing the client to eat foods that are low in potassium, Withholding the medication if the heart rate is above 100/min, Evaluating the client for nausea, vomiting, and anorexia, Measuring apical pulse rate for 30 seconds before administration.
Answer: Measuring apical pulse rate for 30 seconds before administration.
Question: A nurse is reviewing the health history for a client who has angina pectoris and a prescription for propranolol hydrochloride PO 40 mg twice daily. Which of the following findings in the history should the nurse report to the provider?
Answer Choices:
History of bronchial asthma, hypothyroidism, migraine headaches, hypertension.
Answer: The client has a history of bronchial asthma.
Question: A nurse is providing instructions to a client who has a new diagnosis of hypertension. The nurse advises the client to avoid which of the following to help manage their condition?
Answer Choices:
Caffeine, Fresh fruits, Whole grains, Lean proteins.
Answer: Caffeine
Question: Which of the following is a condition that is a life-threatening emergency, requires immediate intervention, and can mimic the signs and symptoms of heart failure?
Answer Choices:
Roth Spots, Cardiac Tamponade, Osler’s Nodes, Janeway Lesions.
Answer: Cardiac Tamponade
Question: A nurse is assessing a client who had left femoral cardiac angiography. Identify where the nurse will palpate to assess the most distal pulse on the affected side.
Answer Choices:
Dorsal pedis area on the foot.
Answer: Dorsal pedis area on the foot.
Question: A nurse is caring for a client who recently started taking a medication for hypertension and reports feeling dizzy when standing up. The nurse recognizes this as a symptom of orthostatic hypotension. What is the best nursing intervention for this symptom?
Answer Choices:
Advise the client to sit or lie down if feeling dizzy, Increase the medication dose, Recommend decreasing fluid intake, Suggest exercising more frequently.
Answer: Advise the client to sit or lie down if feeling dizzy
Question: While auscultating a client’s heart sounds, the nurse hears turbulence between the S1 and S2 heart sounds. The nurse should document this finding as which of the following?
Answer Choices:
A systolic murmur, An expected heart sound, A third heart sound (S3), A fourth heart sound (S4).
Answer: A systolic murmur
Question: A nurse is caring for a client who presents with signs of a stroke. The client’s history includes hypertension and atrial fibrillation. Which of the following should the nurse identify as a risk factor that most likely contributed to the stroke?
Answer Choices:
Atrial fibrillation, Hypertension, Both atrial fibrillation and hypertension, Neither atrial fibrillation nor hypertension.
Answer: Both atrial fibrillation and hypertension