3500 Nursing Science Cardiac Review Questions

3500 Nursing Science Cardiac Review Questions with Correct Answers The nurse is caring for a client who is hospitalized for treatment of severe hemolytic anemia. Which of the following actions should the nurse implement?

• provide a diet high in Vitamin K

b) Place the client on protective isolation

c) Alternate periods of rest and activity

• teach the client how to avoid injury - Correct Answer c) Alternate periods of rest and activity

The nurse has finished teaching a client about taking oral ferrous sulphate. Which of the following client statements indicates that additional instruction is needed?

a) I will call the doctor if my stools start to turn black

b) I will take a stool softener if I feel constipated occasionally

c) I should take the iron with orange juice about an hour before eating

d) I should increase my fluid and fibre intake while i am taking iron tablets - Correct Answer a) I will

call the doctor if my stools start to turn black The RPN is observing a student nurse who is doing a physical assessment on a client. The RPN will need to intervene immediately if the student implements which of the following interventions?

• places the client in the left lateral position to check for the point of maximal impulse
• presses on the skin over the tibia for 100 seconds to check for edema
• palpates both carotid arteries simultaneously to compare pulse quality
• documents a murmur heard along the left sternal border as an aortic murmur - Correct Answer c)

palpates both carotid arteries simultaneously to compare pulse quality Which of the following actions should the nurse in hypertension clinic take in order to obtain an accurate baseline BP for a new client

• obtain a BP reading in each arm and average the results
• deflate the BP cuff at a rate of 1-10 mmHg / second
• have the client sit in a chair
• assist the client to the supine position for BP measurements - Correct Answer c) have the client sit

in a chair 1 / 4

the nurse is caring for a client who has just diagnosed with hypertension and has a new prescription fr captopril. which of the following information is important to include when teaching the client

• check BP daily before taking the medication
• increase fluid intake if dryness of the mouth is a problem
• include high-potassium foods like bananas in the diet
• change position slowly to help prevent dizziness and falls - Correct Answer d) change position

slowly to help prevent dizziness and falls the nurse is providing teaching to a client about use of sublingual nitroglycerin. which of the following client statements indicate that teaching has been effective.

a) I can expect indigestion as an adverse effect of nitroglycerin

b) I can only take the nitroglycerin if I start to have chest pain

c) I will call an ambulance if I still have pain 5 mins after taking the nitroglycerin

d) I will help slow down the progress of the plaque formation by taking nitroglycerin - Correct Answer

c) I will call an ambulance if I still have pain 5 mins after taking the nitroglycerin

A client who has chronic heart failure tells the nurse "I felt fine when I went to bed but I woke up in the middle of the night feeling like I was suffocating" which of the following information should the nurse document related to this assessment

• pulsus alternans
• two-pillow orthopnea
• acute bilateral pleural effusion
• paroxysmal nocturnal dyspnea - Correct Answer d) paroxysmal nocturnal dyspnea

the nurse working in the HF clinic will know that teaching for a client with newly diagnosed HF has been effect when the client does which of the following actions?

• uses the additional pillow to sleep when feeling short of breath at night
• tells the home care nurse that furosemide is taken at bedtime
• calls the clinic when the weight increases from 56- 59 kg in 2 days
• says that the nitroglycerin patch will be used for any chest pain that develops - Correct Answer c)

calls the clinic when the weight increases from 56- 59 kg in 2 days 2 / 4

which of the following information will the nurse include when teaching a client who is scheduled to have a permanent pacemaker inserted for treatment of chronic atrial fibrillation with slow ventricular response?

• the pacemaker prevents of minimizes irritability
• the pacemaker paces the atria at rates of to 500 impulses/min
• the pacemaker discharges if ventricular fibrillation and cardiac arrest occur
• the pacemaker stimulates a heartbeat if the clients heart rate drops too low - Correct Answer d)

the pacemaker stimulates a heartbeat if the clients heart rate drops too low The nurse is caring for a young client who had a mandatory ECG before participation on a college swim team and is found to have sinus bradycardia rate 52. BP is 114/54mmHg, and the student denies any health problems. which of the following actions by the nurse is best

• allow the student to participate on the swim team
• refer the student to a cardiologist for further assessment
• obtain more detailed information about the students health history
• tell the student to stop swimming immediately is any dyspnea occurs - Correct Answer a) allow the

student to participate on the swim team the nurse is admitting a client with possible acute pericarditis. which of the following diagnostic assessments should the nurse plan to teach the client about?

a) Electrolyte levels

• echocardiography
• daily blood cultures
• cardiac catheterization - Correct Answer b) echocardiography

the nurse is assessing a client with mitral valve stenosis and hypoxemia. which of the following findings should the nurse expect to assess.

• diastolic murmur
• peripheral edema
• right upper quadrant tenderness
• complaints of SOB - Correct Answer d) complaints of SOB

heart failure questions - Correct Answer 3 / 4

How do angiotensin-converting enzyme (ACE) inhibitors, such as enalapril (Vasotec), work to reduce HF? Select all that apply.

• Cause systemic vasodilation
• Increase cardiac contractility
• Reduce preload and afterload
• Prevent the conversion of angiotensin I to angiotensin II
• Block sympathetic nervous system stimulation to the heart
• Promote the excretion of sodium and water in the renal tubules - Correct Answer a. Cause systemic

vasodilation

• Reduce preload and afterload
• Prevent the conversion of angiotensin I to angiotensin II
• What laboratory tests should be ordered for M.G. related to the order for furosemide (Lasix)?

Select all that apply

• Sodium level
• Potassium level
• Magnesium level
• Coagulation studies
• Serum glucose level
• Complete blood count - Correct Answer a. Sodium level
• Potassium level
• Magnesium level
• Serum glucose level
• What is the reason for ordering the beta blocker carvedilol?
• Increase urine output
• Cause peripheral vasodilation
• Increase the contractility of the heart
• Reduce cardiac stimulation from catecholamines - Correct Answer d. Reduce cardiac stimulation

from catecholamines

• You assess M.G. for conditions that may be a contraindication to carvedilol.
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