ATI Unit 4 Cardiovascular Questions

A nurse is caring for a client who asks why the provider prescribed a daily aspirin. Which of the following responses should the nurse make?

"Aspirin reduces the formation of blood clots that could cause a heart attack"

A nurse is teaching a client who has angina about a new prescription for metoprolol. Which of the following statements by the client indicates understanding of the teaching?

"I will call my doctor if my pulse rate is less than 60"

A nurse is completing discharge teaching with a client who had a surgical placement of a mechanical heart valve. Which of the following statements by the client indicates understanding of the teaching?

"I will have my prothrombin time checked on a regular basis"

A nurse is completing discharge teaching with a client who has a permanent pacemaker. Which of the following statements by the client indicates understanding of the teaching? "I will notify the airport screeners about my pacemaker." "I will expect to have occasional hiccups" "I will have to disconnect my garage door opener." "I will take my pulse every 2 to 3 days."

"I will notify the airport screeners about my pacemaker."

A nurse is providing discharge teaching for a client who has HF and is on a fluid restriction of 2,000 mL/day. The client asks the nurse how to determine the appropriate amount of fluids they are allowed. Which of the following statements is an appropriate response by the nurse?

"Pour the amount of fluid you drink into an empty 2-liter bottle to keep track of how much you drink"

A cardiac nurse educator is reviewing the use of the fixed rate mode pacemaker with a group of newly hired nurses. Which of the following statements by a newly hired nurse indicates understanding of the review? "This means the pacemaker fires an asynchronous pattern." "This means the pacemaker fires only when the heart rate is below a certain rate." "The pacemaker can automatically adjust to a client's increased activity level." "The pacemaker activity is triggered by heart muscle activity."

"This means the pacemaker fires an asynchronous pattern."

A nurse is teaching a client who is scheduled for coronary angiography. Which of the following statements should the nurse include? "You should have nothing to eat or drink for 4 hours prior to the procedure." "You will be given general anesthesia during the procedure." "You should not have this procedure done if you are allergic to eggs." "You will need to keep you affected leg straight following the procedure."

"You will need to keep your affected leg straight following the procedure"

A nurse is orienting a newly licensed nurse on the care of a client who is to have a line placed for hemodynamic monitoring. Which of the following statements by the newly licensed nurse indicated understanding? "Air should be instilled into the monitoring system prior to the procedure." "The client should be positioned on the left side during the procedure." "The transducer should be level with the second intercostal space after the line is placed." "A chest x-ray is needed to verify placement after the procedure."

A chest x-ray is needed to verify placement after the procedure.

A nurse is caring for a group of clients. Which of the following clients is at risk for obstructive shock?

A client who has a pulmonary arterial stenosis

A nurse on a cardiac unit is caring for a group of clients. The nurse should recognize which of the following clients as being at risk for the development of a dysrhythmia? (Select all that apply.) A client who has metabolic alkalosis. A client who has a blood potassium level of 4.3 A client who has COPD A client who has an SaO2 of 96% A client who underwent stent placement in a coronary artery.

A client who has metabolic alkalosis. A client who has COPD. A client who underwent stent placement in a coronary artery.

A nurse is caring for a client who is 4 hr postop following coronary artery bypass grafting surgery. The client is able to inspire 200 mL with the incentive spirometer, then declines to try to cough because of the fatigue and pain. Which of the following actions should the nurse take? Allow the client to rest, and return in 1 hr. Administer IV bolus analgesic and return in 15 min. Document the 200 mL as an appropriate inspired volume. Tell the client coughing after incentive spirometry is required.

Administer IV bolus analgesic and return in 15 min.

A nurse is planning care for a client who has septic shock. Which of the following actions is the priority for the nurse to take?

Administer antibiotic therapy

A nurse is caring for a client who has chronic venous insufficiency and a prescription for thigh-high compression stockings. Which of the following actions should the nurse take?

Apply the stockings in the morning upon awakening and before getting out of bed.

A nurse is admitting a client who has complete heart block as demonstrated by ECG. The client's heart rate is 34/min and blood pressure is 83/48 mm Hg. The client is lethargic and unable to complete sentences. Which of the following actions should the nurse perform first? Transport the client to the cardiovascular laboratory. Prepare the client for insertion of a permanent pacemaker. Obtain a signed informed consent form for a pacemaker. Apply transcutaneous pacemaker pads.

Apply transcutaneous pacemaker pads.

A nurse is caring for a client who has HF and reports increased SOB. Which of the following actions should the nurse take first?

Assist the client into high-Folwer's position

A nurse is completing discharge teaching with a client following placement of an ICD. Which of the following information should the nurse include? (Select all that apply) Avoid large magnetic fields Caution family members that they can receive harmful unexpected shocks from the ICD. Take body temp at the same time each day. Wear tight clothing to hold the device in place. Perform arm stretching exercises to strengthen muscles surrounding the ICD.

Avoid large magnetic fields Take body temp at the same time each day.

A nurse is assessing a client who is undergoing hemodynamic monitoring. The client has a CVP of 7 mm Hg and a PAWP of 17 mm Hg. Which of the following findings should the nurse expect? (Select all that apply) Poor Skin Turgor Bilateral Crackles in the Lungs Jugular vein distention Dry Mucous Membranes Hepatomegaly

Bilateral crackles in the lungs Jugular vein distention Hepatomegaly

A nurse is assessing a client who has splinter hemorrhages of the nail beds and reports a fever. The nurse should identify these findings as manifestations of which of the following disorders?

Infective endocarditis

A nurse is caring for a client following peripheral bypass graft surgery of the left lower extremity. Which of the following findings pose an immediate concern? (Select all that apply.) Trace of bloody drainage on dressing Capillary refill of affected limb of 6 seconds Mottled appearance of the limb Throbbing pain of affected limb that is decreased following IV bolus analgesic Pulse of 2+ in the affected limb

Capillary refill of affected limb of 6 seconds Mottled appearance of the limb

A nurse is caring for a client who has a prescription for an afterload-reducing medication. The nurse should identify that this medication is administered for which of the following types of shock?

Cardiogenic

A nurse is caring for four clients. Which of the following clients should the nurse identify as being at risk of developing rheumatic endocarditis?

Child who has streptococcal pharyngitis

A nurse at a provider's office is reviewing the laboratory test results for a group of clients. The nurse should identify that which of the following results indicates the client is at risk for heart disease? (Select all that apply) Cholesterol (total) 245 HDL 90 LDL 140 Triglycerides 125 Troponin I 0.02

Cholesterol (total) 245 LDL 140

A nurse is caring for a client following the insertion of a temporary venous pacemaker via the femoral artery that is set as a VVI pacemaker rate of 70/min. Which of the following findings should the nurse report to the provider? (Select all that apply.) Cool and clammy foot with capillary refill of 5 seconds. Observed pacing spike followed by a QRS complex. Persistent hiccups. Heart rate 84/min Blood Pressure 104/62 mm Hg

Cool and clammy foot with capillary refill of 5 seconds. Persistent Hiccups.

A nurse is providing teaching for a client who has a new diagnosis of HTN and a new prescription for spironolaction 25 mg/day. Which of the following statements by the client indicates an understanding of the teaching?

I will report any changes in heart rate to my provider.

A nurse educator is reviewing expected findings in. client who has right-sided valvular heart disease with a group of nurses. Which of the following findings should the nurse include in the discussion? (SATA)

Dyspnea Client report of fatigue Peripheral edema

A nurse is screening a client for HTN. The nurse should identify that which of the following actions by the client increase the risk for HTN?

Eating popcorn at the movie theater Consuming 36 oz beer daily

A nurse is caring for a client who is experiencing wheezing and swelling of the tongue. Which of the following medications should the nurse anticipate administering first?

Epinephrine

A nurse is caring for a client who experienced defibrillation. Which of the following should be included in the documentation of this procedure? (Select all that apply). Follow-up ECG Energy settings used IV fluid intake Urinary Output Skin Condition under electrodes

Follow-up ECG Energy settings used Skin condition under electrodes

A nurse is caring for a client who has pericarditis. Which of the following findings should the nurse expect?

Friction rub

A nurse is providing discharge teaching for a client who has a prescription for furosemide 40 mg PO daily. The nurse should instruct the client to take this med at which of the following times of the day?

Morning

A nurse is completing the admission physical assessment of a client who has mitral valve insufficiency. Which of the following findings should the nurse expect?

Neck vein distention

A nurse is caring for a client who is admitted to the ER with a BP of 266/147 mm Hg. The client reports a headache and double vision. The client states, "I ran out of dilitazem 3 days ago, and am unable to purchase more." Which of the following actions should the nurse take first?

Obtain IV access and prepare to administer an IV antihypertensive

A nurse on a cardiac unit is caring for a client who is on telemetry. The nurse recognizes the client's heart rate is 46/min and notifies the provider. Which of the following prescriptions might be appropriate for this client? Defibrillation Pacemaker insertion Synchronized cardioversion Administration of IV lidocaine

Pacemaker insertion

A nurse in a clinic is caring for a client who has been on long-term NSAID therapy to treat pericarditis. Which of the following lab findings should the nurse report to the provider?

Platelets 100,000

A nurse is completing the admission assessment of a client who will undergo peripheral bypass graft surgery on the left leg. Which of the following findings should the nurse expect? Rubor of the affected leg when elevated 3+ dorsal pedal pulse in left foot Thin, peeling toenails of left foot Report of intermittent claudication in the affected leg

Report of intermittent claudication in the affected leg

A nurse in the ER is completing an assessment on a client who is in shock. Which of the following findings should the nurse expect?

Seizure activity RR 42 Weak, thready pulse

A nurse is presenting a community education program on recommended lifestyle changes to prevent angina and MI. Which of the following changes should the nurse recommend be made first?

Smoking cessation

A nurse is admitting a client who has a suspected MI and a history of angina. Which of the following findings will help the nurse distinguish stable angina from an MI? Stable angina can be relived with rest and nitroglycerin. The pain of an MI resolves in less than 15 min The type of activity that causes an MI can be identified. Stable angina can occur for longer than 30 minutes.

Stable angina can be relived with rest and nitroglycerin.

A nurse is completing the admission assessment of a client who has suspected pulmonary edema. Which of the following manifestations are expected findings? (SATA)

Tachypnea Persistent cough Orthopnea

A nurse is an urgent care clinic is obtaining a history from a client who has type 2 diabetes mellitus and a recent diagnosis of HTN. This is the second time in 2 weeks that the client experienced hypoglycemia. Which of the following client data should the nurse report to the provider?

Takes metoprolol daily after meals

A newly licensed nurse is observing a cardioversion procedure and hears the team leader call out, "Stand clear." This statement indicates which of the following events is occurring? The cardioverter is being charged to the appropriate setting. The team should initiate CPR due to pulseless electrical activity. Team members cannot be in contact with equipment connected to the client. A time-out is being called to verify correct protocols.

Team members cannot be in contact with equipment connected to the client.

A nurse is admitting a client who has suspected rheumatic endocarditis. The nurse should expect a prescription for which of the following lab tests to assist in confirmation of this diagnosis?

Throat culture

A nurse is planning care for a client who has a PICC line in the right arm. Which of the following interventions should the nurse include? (Select all that apply) Use a 10 mL syringe to flush the PICC line Apply gentle force if resistance is met during injection. Cleanse ports with alcohol for 15 seconds prior to use. Maintain a transparent dressing over the insertion site. Flush with 10 mL heparin before and after medication administration.

Use a 10mL syringe to flush the PICC line. Cleanse ports with alcohol for 15 seconds prior to use. Maintain a transparent dressing over the insertion site.

A nurse is teaching a client who has HF and new prescriptions for furosemide and digoxin. Which of the following information should the nurse include? (SATA)

Weigh daily, first thing each morning. Decrease Sodium intake