front 1 A nurse identifies premature ventricular complexes (PVCs) on a client's cardiac monitor and concludes that these complexes are a sign of what?
| back 1 B. Cardiac irritability |
front 2 A client's monitor shows a PQRST wave for each beat and indicates a rate of 120 beats/minute. The rhythm is regular. What does the nurse conclude that the client is experiencing?
| back 2 B. Sinus tachycardia |
front 3 The nurse concludes that the gradual occlusion of the internal or common carotid arteries, manifested by transient ischemic attacks, may occur because of what reason?
| back 3 B. Atherosclerosis of the vascular system |
front 4 A client on a telemetry unit demonstrates a regular sinus rhythm (RSR) with an occasional premature atrial contraction (PAC). What action should the nurse take?
| back 4 A. Continue to monitor the client |
front 5 What client response must the nurse monitor to determine the effectiveness of amiodarone?
| back 5 B. Decrease in cardiac dysrhythmias |
front 6 A nurse in the cardiovascular clinic reviews a client's ECG. What should the nurse do?
| back 6 B. Document that the rhythm is normal. |
front 7 A nurse in the coronary care unit (CCU) identifies ventricular fibrillation on a client's cardiac monitor. What intervention is the priority?
| back 7 B. Immediate defibrillation |
front 8 The nurse is providing teaching to a client with atrial flutter who has received a prescription for an oral anticoagulant. The client asks the nurse to provide a list of foods that are high in Vitamin K and that should be avoided. What should the nurse include on the list? Select all that apply.
| back 8 A. Spinach C. Broccoli |
front 9 The nurse provides discharge teaching to a client with a history of angina. The nurse instructs the client to call for emergency services immediately if the client's pain does what?
| back 9 C. Continues after rest and nitroglycerin |
front 10 What are the clinical manifestations of myocardial infarction in women? Select all that apply.
| back 10 B. Indigestion C. Unusual fatigue D. Sleep disturbances |
front 11 A client experiences angina and is admitted to the telemetry unit for observation. Sublingual nitroglycerin tablets are prescribed to control periodic episodes of chest pain. Which instruction should the nurse include when teaching the client about the correct use of sublingual nitroglycerine?
| back 11 D. Hold the tablet under the tongue until it is dissolved. |
front 12 The health care provider prescribes isosorbide dinitrate (Isordil) 10 mg as needed three times a day and a nitroglycerin transdermal disk once a day for a client with chronic angina pectoris. The client asks the nurse why the isosorbide dinitrate is prescribed. What is the nurse's best response?
| back 12 C. “The isosorbide dinitrate allows more oxygen to get to heart tissue.” |
front 13 A nurse is preparing to teach a client to apply a nitroglycerin patch (Nitro-Dur) as prophylaxis for angina. Which instruction should the nurse include in the teaching plan?
| back 13 B. Remove a previous patch before applying the next one |
front 14 A nurse is caring for a client who is admitted to the hospital with a diagnosis of unstable angina. Sublingual nitroglycerin has been prescribed. What client response indicates that nitroglycerin is effective?
| back 14 A. Pain subsides as a result of arteriole and venous dilation |
front 15 A client has a history of progressive carotid and cerebral atherosclerosis and experiences transient ischemic attacks (TIAs). What does the nurse explain to the client about TIAs?
| back 15 A. TIAs are temporary episodes of neurological dysfunction |
front 16 Family members of a client who had a brain attack (CVA) ask why the client cries easily and without provocation. The nurse explains what about the client?
| back 16 C. The client has little control over this behavior |
front 17 A client is admitted to the hospital with weakness in the right extremities and speech that is slightly slurred. A diagnosis of brain attack (CVA) is suspected. During the first 24 hours after symptom onset, what is the priority nursing intervention?
| back 17 B. Evaluate motor status |
front 18 The nurse is caring for a client two days after the client had a brain attack (CVA). What should the nurse do to prevent the development of plantar flexion?
| back 18 D. Maintain the feet at right angles to the legs |
front 19 A nurse begins planning for the discharge of a client who had a brain attack (CVA) with residual hemiparesis and hemianopsia. What information should the nurse include in the discharge teaching plan for this client?
| back 19 C. Significance of a safe environment |
front 20 A client is admitted with a brain attack (CVA) with left-sided paralysis. The client leans to the left when placed in a sitting position and fails to respond to stimuli in the left visual field. What should the client's plan of care include?
| back 20 C. Teaching the client to use head movements to scan the left field of vision |
front 21 A client is admitted to the hospital with the diagnosis of a right-sided brain attack (CVA). The client is right-handed. Which task will be most difficult for this client?
| back 21 D. Dressing every morning |
front 22 To prevent excessive bruising when administering subcutaneous heparin, what should the nurse do?
| back 22 C. Avoid massaging the injection site after the injection |
front 23 What should the nurse expect the health care provider to prescribe if a client exhibits clinical indicators of warfarin (Coumadin) overdose?
| back 23 B. Vitamin K |
front 24 A client is receiving warfarin (Coumadin). Which test result should the nurse use to determine if the daily dose of this anticoagulant is therapeutic?
| back 24 A. International Normalized Ratio (INR) |
front 25 A client is admitted with the diagnosis of possible myocardial infarction, and a series of diagnostic tests are prescribed. Which blood level should the nurse expect will increase first if this client has had a myocardial infarction?
| back 25 D. Troponin T (cTnT) |
front 26 A woman comes to the emergency department reporting signs and symptoms determined by the health care provider to be caused by a myocardial infarction. The nurse obtains a health history. Which reported symptoms does the nurse determine are specifically related to a myocardial infarction in women? Select all that apply.
| back 26 A. Severe fatigue B. Sense of unease |
front 27 A client with a coronary occlusion is experiencing chest pain and distress. What is the primary reason that the nurse should administer oxygen to this client?
| back 27 C. Increase oxygen concentration to heart cells |
front 28 A nurse is reinforcing a teaching plan for a client with a history of a myocardial infarction (MI). The client requests information on how to prevent a future MI. The nurse determines that additional teaching or clarification is needed when the client makes which statement?
| back 28 A. “I will restrict my physical activity.” |
front 29 A client's diet is modified to eliminate foods that act as cardiac stimulants. The nurse should teach the client to avoid what foods? Select all that apply.
| back 29 A. Iced tea D. Hot cocoa E. Chocolate pudding |
front 30 A client with cardiac dysrhythmia is undergoing drug therapy. The primary health-care provider instructs the nurse to monitor the client for fatigue, dizziness, and tachycardia. Which medication may be responsible for the client’s condition?
| back 30 B. Diltiazem |