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a. SGPT
b. LDH
c. CK-MB
d. AST
a. 8 minims
b. 10 minims
c. 12 minims
d. 15 minims
a. Disappearance of Q waves
b. Elevated ST segments
c. Absence of P wave
d. Flattened T waves
4. Mr. Ong, a client with CHF, has been receiving a cardiac glycoside, a
diuretic, and a vasodilator drug. His apical pulse rate is 44 and he is on
bed rest. The nurse concludes that his pulse rate is most likely the result
of the:
a. Diuretic
b. Vasodilator
c. Bed-rest regimen
d. Cardiac glycoside
5. After the acute phase of congestive heart failure, the nurse should
expect the dietary management of the client to include the restriction of:
a. Magnesium
b. Sodium
c. Potassium
d. Calcium
a. Enhance comfort
b. Increase cardiac output
c. Improve respiratory status
d. Peripheral edema decreased
a. measles
b. rheumatic fever
c. hay fever
d. encephalitis
12. A client has been diagnosed with hypertension. The nurse priority
nursing diagnosis would be
14. The following are lipid abnormalities. Which of the following is a risk
factor for the development of atherosclerosis and PVD?
16. Nurse Trisha teaches a client with heart failure to take oral
Furosemide in the morning. The reason for this is to help.
18. Nurse Maureen would expect the client with mitral stenosis would
demonstrate symptoms associated with congestion in the:
a. Right atrium
b. Superior vena cava
c. Aorta
d. Pulmonary
20. Which of the following should the nurse teach the client about the
signs of digitalis toxicity?
a. Increased appetite
b. Elevated blood pressure
c. Skin rash over the chest and back
d. Visual disturbances such as seeing yellow spots
23. You are providing care for a patient with Arterial Occlusive Disease,
and writing a Nursing Care Plan. One of your interventions is to position
the patient's legs below the level of the heart. From which of the
following Nursing Diagnoses is the above intervention MOST LIKELY derived
from:
24. An 18 month old with Tetralogy of Fallot has a "tet" spell after
having an invasive procedure. To improve the child's cardiac status
which of the following interventions should the nurse do initially:
a. Protamine Sulfate
b. Aminocaproic Acid (Amicar)
c. Vitamin K
d. Heparin
a. measles
b. rheumatic fever
c. hay fever
d. encephalitis
29. A nurse is caring for a 2 year-old child after corrective surgery for
Tetralogy of Fallot. The mother reports that the child has suddenly begun
seizing. The nurse recognizes this problem is probably due to
32. Which of the ff. statements by the client to the nurse indicates a
risk factor for CAD?
33. The nurse is teaching the patient regarding his permanent artificial
pacemaker. Which information given by the nurse shows her knowledge
deficit about the artificial cardiac pacemaker?
a. take the pulse rate once a day, in the morning upon awakening
b. may be allowed to use electrical appliances
c. have regular follow up care
d. may engage in contact sports
34. A client with chronic heart failure has been placed on a diet
restricted to 2000mg. of sodium per day. The client demonstrates
adequate knowledge if behaviors are evident such as not salting food and
avoidance of which food?
a. Whole milk
b. Canned sardines
c. Plain nuts
d. Eggs
a. “When your chest pain begins, lie down, and place one tablet under
your tongue. If the pain continues, take another tablet in 5 minutes.”
b. “Place one tablet under your tongue. If the pain is not relieved in 15
minutes, go to the hospital.”
c. “Continue your activity, and if the pain does not go away in 10
minutes, begin taking the nitro tablets one every 5 minutes for 15
minutes, then go lie down.”
d. “Place one Nitroglycerine tablet under the tongue every five minutes
for three doses. Go to the hospital if the pain is unrelieved.
37. Mr. Ong, a client with CHF, has been receiving a cardiac glycoside, a
diuretic, and a vasodilator drug. His apical pulse rate is 44 and he is on
bed rest. The nurse concludes that his pulse rate is most likely the result
of the:
A. Diuretic
B. Vasodilator
C. Bed-rest regimen
D. Cardiac glycoside
a. Distal tubule
b. Collecting duct
c. Glomerulus of the nephron
d. Ascending limb of the loop of Henle
40. After the acute phase of congestive heart failure, the nurse should
expect the dietary management of the client to include the restriction of:
a. Magnesium
b. Sodium
c. Potassium
d. Calcium
41. The diet ordered for a client with CHF permits him to have a 190 g
of carbohydrates, 90 g of fat and 100 g of protein. The nurse
understands that this diet contains approximately:
a. 2200 calories
b. 2000 calories
c. 2800 calories
d. 1600 calories
42. Twenty four hours after admission for an Acute MI, Jose’s
temperature is noted at 39.3 C. The nurse monitors him for other
adaptations related to the pyrexia, including:
a. Shortness of breath
b. Chest pain
c. Elevated blood pressure
d. Increased pulse rate
43. Jose, who had a myocardial infarction 2 days earlier, has been
complaining to the nurse about issues related to his hospital stay. The
best initial nursing response would be to:
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a. Allow him to release his feelings and then leave him alone to allow
him to regain his composure
b. Refocus the conversation on his fears, frustrations and anger about his
condition
c. Explain how his being upset dangerously disturbs his need for rest
d. Attempt to explain the purpose of different hospital routines
a. Disappearance of Q waves
b. Elevated ST segments
c. Absence of P wave
d. Flattened T waves
45. Myra is ordered laboratory tests after she is admitted to the hospital
for angina. The isoenzyme test that is the most reliable early indicator
of myocardial insult is:
a. SGPT
b. LDH
c. CK-MB
d. AST
46. Joey asks the nurse why he is receiving the injection of Morphine
after he was hospitalized for severe anginal pain. The nurse replies that
it:
a. 60 microdrops/minute
b. 20 microdrops/minute
c. 30 microdrops/minute
d. 40 microdrops/minute
a. Inform the client that a warm, flushed feeling and a salty taste may
be
b. Maintain pressure dressing over the site of puncture and check for
c. Check pulse, color and temperature of the extremity distal to the site
of
d. Kept the extremity used as puncture site flexed to prevent bleeding.
a. 8 minims
b. 10 minims
c. 12 minims
d. 15 minims
a. “When your chest pain begins, lie down, and place one tablet under
your tongue. If the pain continues, take another tablet in 5 minutes.”
b. “Place one tablet under your tongue. If the pain is not relieved in 15
minutes, go to the hospital.”
c. “Continue your activity, and if the pain does not go away in 10
minutes, begin taking the nitro tablets one every 5 minutes for 15
minutes, then go lie down.”
d. “Place one Nitroglycerine tablet under the tongue every five minutes
for three doses. Go to the hospital if the pain is unrelieved.
53. The nurse is teaching the patient regarding his permanent artificial
pacemaker. Which information given by the nurse shows her knowledge
deficit about the artificial cardiac pacemaker?
a. take the pulse rate once a day, in the morning upon awakening
b. may be allowed to use electrical appliances
c. have regular follow up care
d. may engage in contact sports
54. Mr. Braga was ordered Digoxin 0.25 mg. OD. Which is poor knowledge
regarding this drug?
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56. The telemetry nurse notes a peaked T-wave for the client diagnosed
with congestive heart failure. Which laboratory data should the nurse
assess?
a. CPK-M2.
b. Troponin.
c. BNP (beta-type natriuretic peptide).
d. Potassium.
57. Which medical client problem should the nurse include in the plan of
care for a client diagnosed with cardiomyopathy?
a. Heart failure.
b. Activity intolerance.
c. Powerlessness.
d. Anticipatory grieving.
58. The client is three (3) hours post-myocardial infarction. Which data
would warrant immediate intervention by the nurse?
59. The nurse is told in report that the client has aortic stenosis. Which
anatomical position should the nurse auscultate to assess the murmur?
60. Which meal would indicate the client understands the discharge
teaching concerning the recommended diet for coronary artery disease?
61. The nurse assessing the client with pericardial effusion at 1600 notes
the apical pulse is 72 and the BP is 138/94. At 1800, the client has neck
vein distention, the apical pulse is 70, and the BP is 106/94. Which
action would the nurse implement first?
62. Which data would cause the nurse to question administering digoxin to
a client diagnosed with congestive heart failure?
63. What is the priority problem in the client diagnosed with congestive
heart failure?
66. The client is diagnosed with pericarditis. When assessing the client,
the nurse is unable to auscultate a friction rub. Which action should the
nurse implement?
67. The unlicensed nursing assistant comes and tells the primary nurse
that the client diagnosed with coronary artery disease is having chest
pain. Which action should the nurse take first?
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70. The nurse is transcribing the doctor’s orders for a client with
congestive heart failure. The order reads 2.5 mg of Lanoxin daily. Which
action should the nurse implement?
71. The nurse is caring for clients on a cardiac floor. Which client
should the nurse assess first?
73. Which intervention should the nurse implement with the client
diagnosed with dilated cardiomyopathy?
a. Keep the client in the supine position with the legs elevated.
b. Discuss a heart transplant, which is the definitive treatment.
c. Prepare the client for coronary artery bypass graft.
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74. The nurse is caring for a client who goes into ventricular
tachycardia. Which intervention should the nurse implement first?
77. The male client diagnosed with essential hypertension has been
prescribed an alphaadrenergic blocker. Which intervention should the nurse
discuss with the client?
a. Eat at least one (1) banana a day to help increase the potassium
level.
b. Explain that impotence is an expected side effect of the medication.
c. Take the medication on an empty stomach to increase absorption.
d. Change position slowly when going from lying to sitting position.
79. The nurse is assessing the client diagnosed with long-term arterial
occlusive disease.
Which assessment data support the diagnosis?
81. The nurse is administering a beta blocker to the client diagnosed with
essential hypertension.
Which intervention should the nurse implement?
82. The nurse and an unlicensed nursing assistant are caring for a 64-
year-old client who is 4 hours post-operative bilateral femoral–popliteal
bypass surgery. Which nursing task should be delegated to the unlicensed
nursing assistant?
84. The nurse is unable to assess a pedal pulse in the client diagnosed
with arterial occlusive disease. Which intervention should the nurse
implement first?
86. The health-care provider ordered a femoral angiogram for the client
diagnosed with arterial occlusive disease. Which intervention should the
nurse implement?
87. Which assessment data would cause the nurse to suspect the client
has atherosclerosis?
88. The client asks the nurse, “My doctor just told me that
atherosclerosis is why my legs hurt when I walk. What does that mean?”
Which response by the nurse would be the best response?
a. “The muscle fibers and endothelial lining of your arteries have become
thickened.”
b. “The next time you see your HCP ask what atherosclerosis means.”
c. “The valves in the veins of your legs are incompetent so your legs
hurt.”
d. “You have a hardening of your arteries that decreases the oxygen to
your legs.”
a. Shortness of breath.
b. Abdominal bruit.
c. Ripping abdominal pain.
d. Decreased urinary output.
91. The client comes to the clinic complaining of muscle cramping and
pain in both legs when walking for short periods of time. Which medical
term would the nurse document in the client’s record?
92. The health-care provider prescribes an ACE inhibitor for the client
diagnosed with essential hypertension. Which statement is the most
appropriate rationale for administering this medication?
93. The client diagnosed with arterial occlusive disease is one (1) day
post-operative right femoral popliteal bypass. Which intervention should
the nurse implement?
94. The client tells the nurse that his cholesterol level is 240 mg/dL.
Which action should the nurse implement?
95. The nurse knows the client understands the teaching concerning a
low-fat, low cholesterol diet when the client selects which meal?
aortic aneurysm.
Which sign/symptom would make the nurse suspect the client has an
expanding Abdominal Aortic Aneurysm?
98. The client is one (1) day post-operative abdominal aortic aneurysm
repair. Which information from the unlicensed nursing assistant would
require immediate intervention from the nurse?
99. The client had an abdominal aortic aneurysm repair 2 days ago.
Which intervention should the nurse implement first?