CARDIAC PRACTICE QUESTIONS
A nurse is assessing a client was right sided heart failure. Which of the following findings should the nurse expect? A. Decreased capillary refill. B. Dyspnea C. Orthopnea D. Dependent edema.
D.
A nurse is caring for a client who has thrombocytopenia and develops epistaxis. Which of the following action should the nurse take? A. Have the client gently blood clots from the nose every five minutes B. Instruct the client to sit with his head hyper extended C. Apply ice compresses to the back of the clients neck. D. Apply lateral pressure to the client knows for 10 minutes.
D.
A nurse is completing an assessment for a client with a history of unstable angina. Which of the following findings should the nurse expect? A. Chest pain is relieved soon after resting. B. Nitroglycerin relieves chest pain. C. Physical exertion does not precipitate chest pain. D. Just been last longer than 15 minutes.
D.
A nurse is assessing a client who has late stage, heart failure, and is experiencing fluid volume overload. Which of the following findings should the nurse expect? A. Weight gain of 1 kg (2.2 LB) in 1 day. B. Pitting edema +1 C. Client report of nocturnal cough. D. B-type natriuretic peptide (BNP) level of 100pg/mL.
A
A nurse is caring for a client who had an myocardial infarction five days ago. The client has a sudden onset of shortness of breath and begins coughing, frothy pink sputum. The nurse auscultates loud bubbly, sounds on inspiration. Which of the following adventitious breath down to the nurse document? A. Course crackles B. Wheezes. C. Rhonchi. D. Friction rub.
A
A nurse is caring for a client who has for femoral thrombophlebitis and a prescription for enoxaparin. Which of the following action should the nurse take? A. Elevate the affected leg. B. Place the client on bed rest C. Massage the affected leg. D. Administer aspirin for discomfort.
A
A nurse is caring for a client with heart failure whose telemetry readings displays of flattening of the T-wave. Which of the following laboratory results should the nurse anticipate as the cause of this ECG change? A. Potassium 2.8 mEq/L B. Digoxin level 0.7 ng/mL C. Hemoglobin 9.8 g/dL D. Calcium 8.0 mg
A
A nurse is caring for an older client who has an acute myocardial infarction (MI). When assessing a client, the nurse should identify that the older adults are prone to complications of MI from tissue perfusion, because of which of the following age-related factors? A. Peripheral vascular resistance increases. B. The sensitivity of blood pressure adjusting baroreceptors increases. C. Blood is hypercoagulable and clots more quickly. D. Cardiac medication are less effective.
A
A nurse is monitoring a client for reperfusion following thrombolytic therapy to treat acute myocardial infarction (MI). Which of the following indicators to the nurse identified to confirm reperfusion? A. Ventricular dysrhythmias B. Appearance of Q waves. C. Elevated ST segment. D. Reoccurrence of chest pain.
A
A nurse is reviewing the menu selections have a client who has heart failure and anticipate discharge to home the following day. Which of the following lunch choices should the nurse identify as an indication that the client understands dietary instructions? A. Turkey on whole wheat bread. B. Hamburger and french fries. C. Frankfurter on a white roll D. Macaroni and cheese.
A
A nurse is preparing a client for cardiac catheterization. Which of the following pieces of information should the nurse give to the client before the procedure? (SATA) A. You'll have to lie flat for several hours after the procedure. B. You'll receive medication to relax you before the procedure. C. You'll feel a cool sensation after the injection of the dye. D. You'll have to keep your legs straight after the procedure. E. You'll have to limit the amount of fluid you drink for the first 24 hour.
A, B, D.
A nurse is teaching a client who has coronary artery disease about the difference between angina pectoris and myocardial infarction (MI). Which of the following manifestations should the nurse identify as indications of MI? (SATA) A. Nausea and vomiting. B. Diaphoresis and dizziness C. Chest and left arm pain that subsides with rest. D. Anxiety and feelings of doom. E. Bounding pulse and bradypnea
A, B, D.
A nurse is assessing a client who is deep vein thrombosis in her left calf. Which of the following manifestations should the nurse expect to find? (SATA) A. Hardening along the blood vessel. B. Absence of the peripheral pulse. C. Tenderness in the calf. D. Cool skin on the leg E. Increased leg circumference.
A, C, E.
A nurse is assessing a client who has left-sided heart failure. Which of the following finding should the nurse expect? A. Pitting peripheral edema. B. Crackles in the lung bases. C. Jugular vein distention D. Hepatomegaly
B
A nurse is assessing a client who has peripheral vascular disease in a venous ulcer on the right ankle. Which of the following findings should the nurse expect the client affected extremity? A. Absent pedal pulses. B. Ankle swelling. C. Hair loss D. Skin atrophy
B
A nurse is examining the ECG of a client who has frequent premature ventricular contractions (PVC). Which of the following QRS changes should the nurse expect to see on a client's ECG. A. Narrower than usual QRS complexes B. Much greater amplitude than the QRS complexes. C. Same polarity as the usual QRS complexes. D. Immediate resumption of the usual rhythm.
B
A nurse is monitoring a client who has heart failure related to mitral stenosis. The client reports shortness of breath on exertion. Which of the following conditions for the nurse expect? A. Increase cardiac output. B. Increase pulmonary congestion. C. Decrease left atrial pressure. D. Decreased pulmonary artery pressure.
B
A nurse is monitoring the electrocardio gram of a client who is hypocalcemia. Which of the following findings should the nurse expect? A. Flattened T waves. B. Prolonged QT intervals. C. Shortened QT intervals. D. Widened QRS complexes.
B
A nurse is preparing an in-service presentation about the management of myocardial infarction (MI). Death, following MIs, often result of which of the following complications? A. Cardiogenic shock. B. Dysrhythmias. C. Heart failure D. Pulmonary edema
B
A nurse is providing teaching about lifestyle changes to a client who has experienced a myocardial infarction and has a new prescription for a beta blocker. Which of the following client statement indicates an understanding of the teaching ? A. I should eat foods that are high in saturated fats. B. Before taking my medication, I will count my radial pulse. C. I will exercise once a week for an hour at the Health Club. D. I will stop taking my medication when my blood pressure is within normal range.
B
A nurse is completing an assessment on a client which of the following findings should the nurse identify as a risk for coronary artery disease? (SATA) A. Hypothyroidism. B. Hypertension C. Diabetes mellitus. D. Hyperlipidemia E. Tobacco smoking
B, C, D, E.
A nurse on a telemetry unit is caring for a client who has an irregular radial pulse. Which of the following ECG abnormalities should the nurse recognizes as atrial flutter? A. P Waze occurring at 0.16 seconds before each QRS complex B. Atrial rate of 300/min with QRS complex of 80/min C. Ventricular rate of 82/min with an atrial rate of 80/min D. Irregular ventricular rate of 125/min with a wide QRS pattern.
B.
A client who just learned that he has variant (Prinzmetal's) angina asks the nurse have this type of angina compares with stable angina. Which of the following reply to the nurse make? A. Exertion often brings on pain. B. Variant angina occurs randomly at various times. C. Variant angina can cause changes on your electrocardiogram. D. Reducing your cholesterol can help you experience less pain.
C
A nurse is assessing a client who had coronary artery bypass graft for cardiac tamponade. Which of the following action should the nurse take? A. Check for hypertension. B. Auscultate for loud, bounding heart sounds. C. Auscultate blood pressure for pulsus paradoxus. D. Check for a pulse deficit
C
A nurse is assessing a client who has pericarditis. Which of the following manifestations should the nurse expect? A. Bradycardia with ST segment depression. B. Relief of chest pain with deep inspiration. C. Dyspnea with hiccups. D. Chest pain that increases when sitting upright.
C
A nurse is caring for a client who is having a possible myocardial infarction (MI). Which of the following finding should have the nurse identify as an associate manifestation of an MI? A. Headache B. Hemoptysis C. Nausea D. Diarrhea.
C
A nurse is monitoring a client who had a myocardial infarction. For which of the following complications to the nurse monitor in the first 24 hours? A. Infective endocarditis. B. Pericarditis. C. Ventricular dysrhythmias D. Pulmonary emboli.
C
A nurse is preparing an in-service presentation about assessing clients who are having an acute myocardial infarction (MI). What is the most common assessment finding with acute MI? A. Dyspnea. B. Pain in the shoulder and left arm. C. Substernal chest pain. D. Palpitations.
C
A nurse is providing discharge, teaching for a client who has a newly inserted, permanent pacemaker. Which of the following instruction should the nurse include in the teaching? A. Request providers prescription when traveling to alert, airport security B. Stand at least 3 feet away while using a microwave. C. Keep your cell phone 6 inches away from your pacemaker when making a call. D. Avoid showering first two weeks following surgery.
C
A nurse in the clinic is assessing the lower extremities and ankles a client with a history of peripheral arterial disease. Which of the following findings should the nurse expect? A. Pitting edema. B. Areas of reddish brown pigmentation. C. Dry, pale skin with minimal body hair D. Sunburned appearance with desquamation
C.
A nurse is assessing a client was 85 years old. Which of the following findings should the nurse identify as a manifestation of myocardial infarction? A. Sudden hemoptysis B. Acute diarrhea. C. Frontal headache. D. Acute confusion.
D
A nurse is caring for a client who is peripheral vascular disease (PVD) and ulcers on the toes. Which of the following findings of PVD is a risk factor for ulceration of the extremities? A. Insufficient skin care. B. Dehydration. C. Immobility. D. Impaired circulation.
D
A nurse is showing client who has right-sided heart failure, and illustration of the heart. Which of the following blood vessels carry deoxygenated blood to the right atrium? A. Right coronary artery. B. Left carotid artery C. Aorta D. Superior vena cava.
D
