CARDIOVASCULAR TESTBANK LATEST EXAM
2025 WITH QUESTIONS AND VERIFIED
ANSWERS |100% CORRECT ANSWERS |
ALREADY GRADED A+ | CARDIOVASCULAR
TESTBANK ACTUAL FINAL EXAM [ NEW]
A nurse assesses an older adult client who is experiencing a myocardial infarction.Which clinical manifestation should the nurse expect?
- Excruciating pain on inspiration
- Left lateral chest wall pain
- Disorientation and confusion
d. Numbness and tingling of the arm - ANSWER- ANS: C
In older adults, disorientation or confusion may be the major manifestation of myocardial infarction caused by poor cardiac output. Pain manifestations and numbness and tingling of the arm could also be related to the myocardial infarction. However, the nurse should be more concerned about the new onset of disorientation or confusion caused by decreased perfusion.
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A nurse assesses a client 2 hours after a cardiac angiography via the left femoral artery. The nurse notes that the left pedal pulse is weak. Which action should the nurse take?
- Elevate the leg and apply a sandbag to the entrance site.
- Increase the flow rate of intravenous fluids.
- Assess the color and temperature of the left leg.
d. Document the finding as left pedal pulse of +1/4. - ANSWER- ANS: C
Loss of a pulse distal to an angiography entry site is serious, indicating a possible arterial obstruction. The pulse may be faint because of edema. The left pulse should be compared with the right, and pulses should be compared with previous assessments, especially before the procedure. Assessing color (pale, cyanosis) and temperature (cool, cold) will identify a decrease in circulation. Once all peripheral and vascular assessment data are acquired, the primary health care provider should be notified. Simply documenting the findings is inappropriate. The leg should be positioned below the level of the heart or dangling to increase blood flow to the distal portion of the leg. Increasing intravenous fluids will not address the clients problem.
A nurse assesses a client who is recovering after a left-sided cardiac catheterization. Which assessment finding requires immediate intervention?
- Urinary output less than intake
- Bruising at the insertion site 2 / 4
- Slurred speech and confusion
d. Discomfort in the left leg - ANSWER- ANS: C
A left-sided cardiac catheterization specifically increases the risk for a cerebral vascular accident. A change in neurologic status needs to be acted on immediately.Discomfort and bruising are expected at the site. If intake decreases, a client can become dehydrated because of dye excretion. The second intervention would be to increase the clients fluid status. Neurologic changes would take priority.
A nurse assesses a client who is scheduled for a cardiac catheterization. Which assessment should the nurse complete prior to this procedure?
- Clients level of anxiety
- Ability to turn self in bed
- Cardiac rhythm and heart rate
d. Allergies to iodine-based agents - ANSWER- ANS: D
Before the procedure, the nurse should ascertain whether the client has an allergy to iodine-containing preparations, such as seafood or local anesthetics. The contrast medium used during the procedure is iodine based. This allergy can cause a life-threatening reaction, so it is a high priority. Second, it is important for the nurse to assess anxiety, mobility, and baseline cardiac status.
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A nurse cares for a client who is prescribed magnetic resonance imaging (MRI) of the heart. The clients health history includes a previous myocardial infarction and pacemaker implantation. Which action should the nurse take?
- Schedule an electrocardiogram just before the MRI.
- Notify the health care provider before scheduling the MRI.
- Call the physician and request a laboratory draw for cardiac enzymes.
- Instruct the client to increase fluid intake the day before the MRI. - ANSWER-
ANS: B
The magnetic fields of the MRI can deactivate the pacemaker. The nurse should call the health care provider and report that the client has a pacemaker so the provider can order other diagnostic tests. The client does not need an electrocardiogram, cardiac enzymes, or increased fluids.
A nurse assesses a client who is recovering from a myocardial infarction. The clients pulmonary artery pressure reading is 25/12 mm Hg. Which action should the nurse take first?
- Compare the results with previous pulmonary artery pressure readings.
- Increase the intravenous fluid rate because these readings are low.
- Immediately notify the health care provider of the elevated pressures.
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