Question: A nurse is assessing a toddler who has heart failure. Which finding should the nurse expect?
Answer Choices:
Orthopnea, etc.
Answer: Orthopnea
Question: A nurse in the emergency department is caring for a client who took nitroglycerin tablets sublingually for chest pain but now is experiencing a headache. What should the nurse say?
Answer Choices:
A headache is an expected adverse effect of the medication, etc.
Answer: A headache is an expected adverse effect of the medication
Question: A nurse is caring for a client in the ICU after undergoing tricuspid valve replacement. What is the priority action?
Answer Choices:
Confirm the client is in cardiac arrest and call for help, Begin CPR, etc.
Answer: Confirm the client is in cardiac arrest and call for help, Begin CPR
Question: A nurse is caring for a patient with pneumonia. Which nursing interventions should the RN implement to prevent atelectasis?
Answer Choices:
Educate the patient on the proper use of an incentive spirometer, Turn and reposition the patient every 2-hours, Encourage early ambulation, etc.
Answer: Educate the patient on the proper use of an incentive spirometer, Turn and reposition the patient every 2-hours, Encourage early ambulation
Question: A nurse is caring for a client in the emergency department who has a fever, shortness of breath, and is diaphoretic. The client is vomiting and has reddened macules on the palms of their hands. What is the likely diagnosis and what should the nurse do first?
Answer Choices:
Endocarditis, Obtain blood cultures, Obtain a prescription for antibiotic medication, etc.
Answer: Endocarditis, Obtain blood cultures, Obtain a prescription for antibiotic medication
Question: A home health nurse visits a client who has COPD and receives oxygen at 2 L/min via nasal cannula. The client reports difficulty breathing. What is the nurse’s priority?
Answer Choices:
Increase the oxygen flow to 3 L/min, Call emergency services, Have the client cough and expectorate secretions, Assess the client’s respiratory status
Answer: Assess the client’s respiratory status
Question: A nurse is caring for a client who has atrial fibrillation and is receiving heparin. What is the nurse’s priority?
Answer Choices:
The client has an aPTT of 80 seconds, The client experiences sudden weakness of one arm and leg, etc.
Answer: The client experiences sudden weakness of one arm and leg
Question: A nurse is analyzing a client’s electrocardiogram (ECG). Given the heart rate, irregular rhythm, and absence of identifiable P waves, what should the nurse conclude?
Answer Choices:
Atrial fibrillation, etc.
Answer: Atrial fibrillation
Question: What are the preventative measures for heart disease that should be included in the teaching plan?
Answer Choices:
Monitor blood pressure, Lose weight if necessary, etc.
Answer: Monitor blood pressure, Lose weight if necessary
Question: A nurse is admitting a client who has acute heart failure following myocardial infarction (MI). What requires clarification?
Answer Choices:
Morphine sulfate 2 mg IV bolus every 2 hr PRN pain, etc.
Answer: Morphine sulfate 2 mg IV bolus every 2 hr PRN pain
Question: A nurse is providing instruction to a new nurse about caring for clients who are receiving diuretic therapy to treat heart failure. The nurse should explain that which of the following medications puts clients at risk for both hyperkalemia and hyponatremia?
Answer Choices:
Furosemide, Spironolactone, Metolazone, Hydrochlorothiazide
Answer: Spironolactone
Question: What lab tests are used to diagnose a myocardial infarction?
Answer Choices:
Myoglobin, CPK, Troponin I, Troponin T, etc.
Answer: Myoglobin, CPK, Troponin I, Troponin T
Question: A nurse is reviewing laboratory results for a client who has atrial fibrillation. Which lab result could indicate a possible cause of atrial fibrillation?
Answer Choices:
Elevated thyroid-stimulating hormone (TSH), etc.
Answer: Elevated thyroid-stimulating hormone (TSH)
Question: A nurse is planning care for a client who has atrial fibrillation and reports heart palpitations, lightheadedness, and shortness of breath. What procedure should the nurse anticipate for this client?
Answer Choices:
Synchronized electrical cardioversion, etc.
Answer: Synchronized electrical cardioversion
Question: A nurse is caring for a client who has congestive heart failure and is taking digoxin daily. The client refused breakfast and is complaining of nausea and weakness. What should the nurse do first?
Answer Choices:
Check the client’s vital signs, etc.
Answer: Check the client’s vital signs