Cardiac & Respiratory ATI Test Questions for Test 3
A nurse is caring for a client who has hypovolemic shock. Which of the following should the nurse recognize as an expected finding?
Oliguria
A nurse is assessing a toddler who has heart failure. Which of the following findings should the nurse expect?
Orthopnea
A nurse is reviewing the laboratory results for a client who has a history of atherosclerosis and notes elevated cholesterol levels. Which of the following statements by the client indicates the nurse should plan follow-up teaching on a low-cholesterol diet?
" I eat two eggs for breakfast each morning"
A nurse is teaching a client who has emphysema about self-management strategies. Which of the following statements by the client indicates an understanding of the teaching?
" I will follow a daily diet high in calories and protein"
A client who has coronary artery disease tells the nurse he is afraid of dying from a heart attack. Which of the following responses should the nurse make?
"Tell me more about these fears of dying from a heart attack."
A nurse is teaching the partner of a client who had an acute myocardial infarction (MI) about the reason blood was drawn from the client. Which of the following statements should the nurse make regarding cardiac enzymes studies?
"These tests help determine the degree of damage to the heart tissues"
A nurse is caring for a client who is in the compensatory stage of shock. Which of the following findings should the nurse expect?
Blood pressure 115/68 mmHg
A nurse is providing teaching about a heart healthy diet to a group of clients with hypertension. Which of the following statements by one of the clients indicates a need for further teaching?
"I may eat 10 ounces of lean protein each day"
A nurse is providing dietary teaching for a client who has chronic obstructive pulmonary disease. Which of the following instructions should the nurse include?
"Limit water intake with meals"
A nurse is caring for a client who experienced a lacerated spleen and has been on bedrest for several days. The nurse auscultates decreased breath sounds in the lower lobes of both lungs. The nurse should realize that this finding is most likely an indication of which of the following conditions?
Atelectasis
A nurse is caring for a client who is postoperative following vascular surgery. Which of the following signs should indicate to the nurse that the client has developed a thrombus?
Dull Aching calf pain
A nurse is assessing a client who has infective endocarditis. Which of the following findings should be the priority for the nurse to report to the provider?
Dyspnea
A nurse is caring for a client who has infective endocarditis. Which of the following manifestations is the priority for the nurse to monitor for?
Dyspnea
A nurse is caring for a client who has emphysema. Which of the following findings should the nurse expect to assess in this client? (Select all that apply)
Dyspnea Barrel Chest Clubbing of the fingers
A nurse is assessing a 3-year-old child who has aortic stenosis. Which of the following findings should the nurse expect? (Select all that apply.)
Hypotension Weak Pulses Murmur
A nurse is caring for a client 1 day postoperative who has developed atelectasis. Which of the following manifestations is an expected finding for this condition?
Hypoxemia
Which performing an admission assessment for a client, the nurse notes that the client has varicose veins with ulcerations and lower extremity edema with a report of a feelings of heaviness. Which of the following nursing diagnoses should the nurse identify as being the priority in the client's care?
Impaired tissue perfusion
A nurse in the emergency department is assessing a client who has internal injuries from a car crash. The client is disoriented to time and place, diaphoretic, and his lips are cyanotic. The nurse should anticipate which of the findings as an indication of hypovolemic shock?
Increase heart rate.
A nurse is assessing a client who has a pneumothorax with a chest tube in place. For which of the following findings should the nurse notify the provider?
Movement of the trachea toward the unaffected side
A nurse is caring for a client who is experiencing hypovolemic shock. Which of the following blood products should the nurse anticipate administering to this client?
Packed RBC's
A nurse is caring for an infant who has a congenital heart defect. Which of the following defects is associated with increased pulmonary blood flow?
Patent ductus arteriosus
A nurse is caring for a client who reports a new onset of severe chest pain. Which of the following actions should the nurse take to determine if the client is experiencing a myocardial infarction?
Perform a 12 lead ECG
A nurse is providing teaching to a client who has a family history of hypertension. The nurse should inform the client that his blood pressure of 124/84 mm Hg places him in which of the categories?
Prehypertension
A nurse is auscultating a client's lung sounds and identifies crackles in the left lower lobe. Which of the following interventions should the nurse take?
Repeat auscultation after asking the client to breathe deeply and cough.
A nurse is caring for a client who has a history of exposure to TB and symptoms of night sweats and hemoptysis. Which of the following tests should the nurse realize is the most reliable to confirm the diagnosis of active pulmonary TB?
Sputum culture for acid-fast bacillus
A nurse is reviewing the laboratory values of a client who had a myocardial infarction 3 hr ago. The nurse should expect which of the following laboratory values to be elevated?
Troponin I
A nurse is caring for a client who came to the emergency department reporting chest pain. The provider suspects a myocardial infarction. While waiting for the troponin levels report, the client asks what this blood test will show. Which of the following explanations should the nurse provide the client?
Troponin is a heart muscle protein that appears in the bloodstream when there is damage to the heart.
A client who has a history of myocardial infarction (MI) is prescribed aspirin 325 mg. The nurse recognizes that the aspirin in given due to which of the following actions of the medication?
anitplatelet aggregate
A nurse in a provider's office is assessing a client. The nurse should identify that which of the following findings are manifestations of pulmonary tuberculosis? (select apply)
night sweats low-grade fever blood in the sputum
A nurse is assessing a client who has asthma. Which of the following areas should the nurse evaluate as the most reliable indicator of central cyanosis?
oral mucosa
A nurse is giving a presentation at a community center about chronic bronchitis. Which of the following information should the nurse include as effective for preventing this disorder?
smoking cessation
A nurse is reinforcing teaching with a client regarding reduction of risk factors for coronary artery disease. Which of the following statements by the client indicates the understanding of the teaching? (select all that apply)
- "I must stop smoking" - "I need to monitor my weight" - " i am limiting by intake of fast foods"
A nurse is instructing a client who is newly diagnosed with pulmonary tuberculosis (TB} about the use of antitubercular medications. Which of the following information should the nurse include in the teaching?
A typical course of treatment involves 6 to 9 months of consistent medication use.
A nurse in an urgent care center is caring for a client who is having an acute asthma exacerbation. Which of the following actions is nurse's highest priority?
Administering a nebulized beta-adrenergic
A nuse is caring for a client who has valvular heart disease and is at risk for developing left-sided heart failure. Which of the following manifestations should alert the nurse the client is developing this condition?
Breathlessness
A nurse is assessing a client who has chronic respiratory insufficiency. Which of the following findings should the nurse expect as a result of the long-term inadequate oxygenation?
Clubbing of the fingers
A nurse in a provider's office is assessing an older client whose son reports that the client has been sick with a respiratory illness for the past 6 days. Which of the following assessment findings is a manifestation of pneumonia in the older adult client?
Confusion
A nurse in the emergency department is assessing an older adult client who has community- acquired pneumonia. Which of the following findings should the nurse expect?
Confusion
A nurse is caring for an older adult client who has left-sided heart failure. Which of the following assessment findings should the nurse expect?
Frothy sputum
A nurse is caring for a toddler who has acute laryngotracheobronchitis and has been placed in a cool mist tent. Which of the following findings indicates that the treatment has been effective?
Decreased Stridor
A nurse is caring for a client who has pneumonia. Which of the following actions should the nurse take to promote thinning of respiratory secretions?
Encourage the client to increase fluid intake
A nurse is caring for a client who has chronic obstructive pulmonary disease (COPD). The client tells the nurse, " I can feel the congestion in my lungs, and I certainly cough a lot, but I can't seem to bring anything up." Which of the following actions should the nurse take to help this client with tenacious bronchial secretions?
Encouraging the client to drink 2 to 3 L of water daily
A nurse is assessing a client who has developed atelectasis postoperatively. Which of the following findings should the nurse expect?
Increasing dyspnea
A nurse is providing teaching to a client about interventions to reduce the risk of developing cardiovascular disease. Which of the following statements by the client should indicate to the nurse the need for further teaching.
Increasing my intake of foods containing trans-fatty acids can lower my risk.
A nurse in the emergency room is caring for a client who presents with manifestations that indicate a myocardial infarction. Which of the following prescriptions should the nurse take first?
Initiate oxygen therapy
A nurse is assessing a client who has postoperative atelectasis and is hypoxic. Which of the following manifestations should the nurse expect?
Intercostal retractions
A nurse is auscultating the lungs of a client who has pleurisy. Which of following adventitious breath sounds should the nurse expect to hear?
Loud, scratchy sounds
A nurse in an emergency department is assessing a client who is having a suspected acute myocardial infarction (MI). Which of the following manifestations should the nurse expect to find for a client experiencing an acute MI? (select all that apply)
Nausea tachycardia Diaphoresis
A nurse is caring for a client who has peripheral vascular disease and reports difficulty sleeping because of. cold feet. Which of the following nursing actions should the nurse take to promote the client's comfort?
Obtain a pair of slipper-socks for the client.
A nurse is implementing a plan of care for a client who has AIDS with recurring pneumonia. Which of the following actions should the nurse take?
Obtain a sputum culture
A nurse is admitting a client who requires droplet precautions due to influenza. Which of the following actions should the nurse take?
Wear a mask when providing care to the client
A nurse is auscultating the breath sounds of a client who has asthma. What the client exhales, the nurse hears continuous high-pitched squeaking sounds. The nurse should document this as which of the following adventitious breath sounds?
Wheezes
A nurse is preparing a community health program for adults at risk for cardiovascular disease. Which of the following should the nurse include as a modifiable risk factor?
cigarette smoking
A nurrse in an emergency department is planning care for a client who is having an acute myocardial infarction (MI). The nurse should plan to administer which of the following medications after the inital acute phase to manage the client's pain and anxiety?
morphine