NUR 336 Perfusion Practice Questions

A nurse is caring for a client who is at risk for shock. Which of the following findings is the earliest indicator that this complication is developing? A. Hypotension B. Anuria C. Narrowing pulse pressure D. Decreased level of consciousness

C. Narrowing pulse pressure

A nurse is instructing a client who has a new diagnosis of Raynaud's disease about preventing the onset of manifestations. Which of the following client statements should indicate to the nurse the need for additional teaching? A. "I will wear gloves when removing food from the freezer" B. "I will try to anticipate and avoid stressful situations when possible" C "I will complete the smoking cessation program I started" D. "I will take my medications at the first sign of an attack"

D. "I will take my medications at the first sign of an attack"

Which of the following are typical signs and symptoms of pericarditis? (SATA) A. Fever B. Increased pain when leaning forward C. ST segment depression D. Pericardial friction rub E. Breathing in relieves the pain

A, D

A nurse assessing a client determines that he is in the compensatory stage of shock. Which of the following findings support this conclusion? A. Confusion B. Blood pressure 84/50 mm Hg C. Anuria D. Petechiae

A. Confusion

Which of the following recurring conditions most commonly occurs in patients with cardiomyopathy? A. Heart failure B. Diabetes C. MI D. Pericardial effusion

A. Heart failure

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? A. Obtain a pair of slipper socks for the client B. Rub the client's feet briskly for several minutes C. Increase the client's oral fluid intake D. Place a moist heating pad under the client's feet

A. Obtain a pair of slipper-socks for the client

A nurse is reviewing discharge instructions with a client who has Raynaud's disease. Which of the following client statements indicates an understanding of the teaching? A. "I plan to use nicotine gum to help me quit smoking" B. "I am going to take a stress management class" C. "I will limit myself to only two cups of coffee in the morning" D. "I should not drive in the winter months"

B. "I am going to take a stress management class"

A nurse is teaching a client who has a new diagnosis of venous insufficiency. Which of the following instructions should the nurse include? A. "Apply ice packs to your legs" B. "Use elastic stockings" C. "Remain on bed rest" D. "Place your legs in a dependent position while in bed"

B. "Use elastic stockings"

A nurse is providing discharge teaching to a client who has peripheral arterial disease (PAD). Which of the following instructions should the nurse include in the teaching? A. Apply a heating pad on a low setting to help relieve leg pain B. Adjust the thermostat so that the environment is warm C. Wear antiembolic stockings during the day D. Rest with the legs above heart level

B. Adjust the thermostat so that the environment is warm

A nurse is caring for a client who is in the compensatory stage of shock. Which of the following findings should the nurse expect? A. Mottled skin B. Blood pressure 115/68 mmHg C. Heart rate 160/min D. Metabolic acidosis

B. Blood pressure 115/68 mmHg

A nurse is caring for a client who has peripheral arterial disease (PAD). Which of the following symptoms should the nurse expect to find in the early stage of the disease? A. Intermittent claudication B. Dependent Rubor C. Rest Pain D. Foot ulcers

B. Dependent Rubor

A nurse is caring for a client who has pericarditis and reports feeling a new onset of palpitations and shortness of breath. Which of the following assessments should indicate to the nurse that the client may have developed atrial fibrillation? A. Different blood pressure in the upper limbs B. Different apical and radial pulses C. Differences between oral and axillary temperatures D. Differences in upper and lower lung sounds

B. Different apical and radial pulses

A nurse is assessing a client who has chronic venous insufficiency. Which of the following findings should the nurse expect? A. Dependent rubor B. Edema C. Hair loss D. Thick, deformed toenails

B. Edema

A nurse is assessing a male client who has advanced peripheral artery disease (PAD). Which of the following findings should the nurse expect? A. Thin, pliable toe nails B. Leg pain at rest C. Hairy legs D. Flushed, warm legs

B. Leg pain at rest

A nurse is teaching a client who has a new diagnosis of atrial fibrillation. The nurse should instruct the client to monitor for which of the following complications? A. Bradycardia B. Pulmonary embolism C. Peripheral vascular Disease D. Hypertension

B. Pulmonary embolism

A nurse is assessing a newborn for manifestations of a large patent ductus arteriosus. Which of the following findings should the nurse expect? A. Cyanosis with crying B. Systolic murmur C. Weak pulses D. Chronic hypoxemia

B. Systolic murmur

A nurse is assessing a client who has atrial fibrillation. Which of the following pulse characteristics should the nurse expect? A. Slow B. Not palpable C. Irregular D. Bounding

C. Irregular

A nurse is reviewing the laboratory results of a male adult client who is at risk for peripheral arterial disease from atherosclerosis. The nurse should identify that which of the following results places the client at risk? A. Triglycerides 130 mg/dL B. Blood glucose 92 mg/dL C. LDL 172 mg/dL D. HDL 84 mg/dL

C. LDL 172 mg/dL

A nurse is caring for a client who has atrial fibrillation and receives digoxin daily. Before administering this medication, which of the following actions should the nurse take? A. Offer the client a light snack B. Measure the client's blood pressure C. Measure the client's apical pulse D. Weigh the client

C. Measure the client's apical pulse

A nurse is caring for a client who has hypovolemic shock. Which of the following should the nurse recognize as an expected finding? A. Hypertension B. Flushing of the skin C. Oliguria D. Bradypnea

C. Oliguria

You are providing care to a patient with pericarditis. Which of the following is NOT a proper nursing intervention for this patient? A. Monitor the patient for complications of cardiac tamponade B. Administer ibuprofen as needed for pain C. Place the patient in a supine position to relieve pain D. Monitor the patient for muffled heart sounds

C. Place the patient in a supine position to relieve pain

A nurse is caring for a client who has atrial fibrillation and is receiving heparin. Which of the following findings is the nurse's priority? A. The client's ECG tracing shows irregular heart rate without P waves B. The client has an aPTT of 80 seconds C. The client experiences sudden weakness of one arm and leg D. The client's urine output is cloudy and odorous

C. The client experiences sudden weakness of one arm and leg

A nurse is caring for a client who returns to the nursing unit from the recovery room after a sigmoid colon resection for adenocarcinoma. The client had an episode of intraoperative bleeding. Which finding indicates to the nurse that the client may be developing hypovolemic shock? A. Decrease in the respiratory rate from 20 to 16/min B. Decrease in the urinary output from 50 mL to 30 mL per hour C. Increase in the temperature from 37.5 Celsius (99.5 F) to 38.6 C (101.5 F) D. Increase in the heart rate from 88 to 110/min

D. Increase in the heart rate from 88 to 110/min

A nurse is preparing to administer dabigatran to a client who has atrial fibrillation. The nurse should explain that the purpose of this medication is which of the following? A. To convert atrial fibrillation to sinus rhythm B. To dissolve clots in the bloodstream C. To slow the response of the ventricles to the fast atrial impulses D. To reduce the risk of stroke in clients who have atrial fibrillation

D. To reduce the risk of stroke in clients who have atrial fibrillation

A nurse is caring for a client who is on warfarin therapy for atrial fibrillation. The client's INR is 5.2. Which of the following medications should the nurse prepare to administer? A. Epinephrine B. Atropine C. Protamine D. Vitamin K

D. Vitamin K

A nurse is reviewing laboratory results of a client who has atrial fibrillation and is taking warfarin. For which of the following results should the nurse notify the provider? A. PT 45 seconds B. Hgb 16 g/dL C. Hct 44% D. Platelets 190,000/mm3

A. PT 45 seconds

A nurse is assisting with obtaining an electrocardiogram (ECG) for a client who has atrial fibrillation Which of the following actions should the nurse take? (SATA) A. Keep the client NPO after midnight B. Inspect the electrode pads C. Wash the skin with plain water before placing the electrodes D. Instruct the client not talk during the test E. Administer an analgesic prior to the procedure

B, C, D

Dyspnea, cough, expectoration, weakness, & Edema are classic signs & Symptoms of which of the following conditions? A. Pericarditis B. Hypertension C. MI D. Heart Failure

D. Heart failure

The nurse expects that a client with mitral stenosis would demonstrate symptoms associated with congestion in the: A. Aorta B. Right atrium C. Superior vena cava D. Pulmonary circulation

D. Pulmonary circulation