Theory Test #3 Missed Questions

A nurse is discussing Hodgkin's disease with a client recently diagnosed with the illness. The client says, "I know I am going to die." What response from the nurse would be most appropriate and accurate? A) "Some clients survive 10 or more years." B) "We will all die some day." C) "Most clients die within a few years." D) "Treatment will improve the quality of whatever time you have."

A) "Some clients survive 10 or more years."

A young mother brings her 4-year-old in to the pediatric clinic with a mild fever and a red, spotty rash that is beginning to fade. The child's heart rate is rapid, and the rhythm is abnormal. The mother states the child has been healthy until about 3 weeks ago when the child had a sore throat. The nurse suspects rheumatic carditis. What organism causes rheumatic carditis? A) Group A beta-hemolytic strep B) Staphylococcus aureus C) Streptococcus viridians D) Epstein-Barr virus

A) Group A beta-hemolytic strep

The instructor is talking with a nursing student who is caring for a client with pericarditis. The instructor asks the student to name the main characteristic of pericarditis. What should be the student's answer? A) Precordial pain B) Dyspnea C) Fever D) Respiratory symptoms

A) Precordial pain

A nurse is caring for a client with acute pulmonary edema. To immediately promote oxygenation and relieve dyspnea, what actions should the nurse perform? Select all that apply. A) administer oxygen B) place the client in an upright position C) have the client take deep breaths D) perform chest physiotherapy E) instruct the client to cough

A) administer oxygen B) place the client in an upright position

Hypertension is diagnosed when the client demonstrates a systolic blood pressure greater than ______ mm Hg or a diastolic blood pressure greater than _____ mm Hg over a sustained period. A) 140, 90 B) 130, 80 C) 110, 60 D) 120, 70

B) 130, 80

When do coronary arteries primarily receive blood flow? A) During cardiac standstill B) During diastole C) During expiration D) During systole

B) During diastole

When caring for an adolescent client recovering from rheumatic fever, which diversional activity would the nurse advise against? A) Video games B) Exercise C) Listening to music D Having friends over

B) Exercise

A nurse is reviewing the various manifestations of anemia across the lifespan and notes a significant difference in how the older adult client responds to anemia versus a younger individual. Which concepts related to aging and the response to anemia does the nurse recognize? Select all that apply. A) Cardiac output increases more than in younger clients. B) Fatigue is often greater than in younger clients. C) Heart rate does not increase as much as in younger clients. D) Dyspnea is not reported as often as in younger clients. E) Confusion is often greater than in younger clients.

B) Fatigue is often greater than in younger clients. C) Heart rate does not increase as much as in younger clients. E) Confusion is often greater than in younger clients.

The nurse is providing instruction to a group of new nurses orienting on the unit, highlighting the benefits of the automatic implanted cardioverter defibrillator (AICD). While pointing at a diagram of the heart, at which location would the nurse identify the placement of the electrical lead? A) On the right atrium near the SA node B) In the right ventricle near the septum C) At the left atrium on the anterior wall D) On the left ventricle on the posterior wall

B) In the right ventricle near the septum

The nurse notes that the client has had a change in mental status. Why would it be important for the nurse to report extremes in the thought process of a client with cardiovascular disorder to the physician? A) It is an indication of an impending heart failure. B) The client may develop anxiety disorder. C) It may indicate a problem with oxygenation. D) It creates anxiety during the diagnostic testing.

C) It may indicate a problem with oxygenation.

The nurse is caring for a client who has developed obvious signs of pulmonary edema. What is the priority nursing action? A) Lay the client flat. B) Notify the family of the client's critical state. C) Stay with the client. D) Update the health care provider.

C) Stay with the client.

Which term describes the amount of blood ejected per heartbeat? A) cardiac output B) ejection fraction C) stroke volume D) afterload

C) stroke volume

An ECG has been ordered for a newly admitted client. What should the nurse do prior to electrode placement? A) Clean the skin with povidone-iodine solution. B) Ensure that the area for electrode placement is dry. C) Apply tincture of benzoin to the electrode sites and wait for it to become "tacky." D) Gently abrade the skin by rubbing the electrode sites with dry gauze or cloth.

D) Gently abrade the skin by rubbing the electrode sites with dry gauze or cloth.

The nurse is caring for a client with Buerger's disease. The nurse knows that most of the care for this disease is carried out at home. What would be important to teach a client with Buerger's disease? A) The need for adhering to the correct diet B) The importance of joining a support group C) The need to cooperate with the home health nurse D) The importance of smoking cessation

D) The importance of smoking cessation