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134 Questions  I  By RNSTUDENT29

  
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1.  A client has had a recent myocardial infarction involving the left ventricle. Which assessment finding is expected?
A.
B.
C.
D.
2.  A client with a stenotic mitral valve has presented to the clinic for further evaluation. Which intervention is the highest priority?
A.
B.
C.
D.
3.  What assessment finding will the nurse expect as the client’s mean arterial blood pressure decreases below 60 mm Hg?
A.
B.
C.
D.
4.  A client’s heart rate and rhythm is regular. What does the nurse assume from this finding?
A.
B.
C.
D.
5.  The client presents with a heart rate of 40 beats/min. The nurse expects that an electrophysiological study may determine an alteration in which structure?
A.
B.
C.
D.
6.  A client brought to the emergency room following a myocardial infarction is found to be hypotensive. Which compensatory change is expected as a result of baroreceptor stimulation?
A.
B.
C.
D.
7.  A client with a history of having several myocardial infarctions has excessive filling of the ventricles as a result. Which physiologic response will the nurse expect to see in this client?
A.
B.
C.
D.
8.  A client’s heart disease has resulted in a reduction of stroke volume. Which compensatory mechanism is expected?
A.
B.
C.
D.
9.  The nurse has administered a drug that causes vasoconstriction. Which finding indicates an expected response?
A.
B.
C.
D.
10.  The client is being given a drug that blocks the action of the sympathetic nervous system. Which assessment finding does the nurse expect?
A.
B.
C.
D.
11.  Which client does the nurse determine is at high risk for cardiovascular disease?
A.
B.
C.
D.
12.  Which illness in the client’s history would alert the nurse to the possibility of an abnormality of the heart valves?
A.
B.
C.
D.
13.  A nurse is performing an admission assessment on an older adult client with multiple chronic diseases. The nurse finds the heart rate to be 48 beats/min. What will the nurse do first?
A.
B.
C.
D.
14.  Which client is most at risk for cardiovascular disease?
A.
B.
C.
D.
15.  Which client is most at risk for peripheral vascular disease?
A.
B.
C.
D.
16.  Which client statement alerts the nurse to the occurrence of heart failure?
A.
B.
C.
D.
17.  Which statement made by a client would alert the nurse to the presence of edema?
A.
B.
C.
D.
18.  A client has been diagnosed as having New York Heart Association Class I functional status. What will the nurse teach the client?
A.
B.
C.
D.
19.  Which assessment finding indicates arterial insufficiency?
A.
B.
C.
D.
20.  The nurse determines that the client has clubbing. Which is the best intervention?
A.
B.
C.
D.
21.  The client’s blood pressure is 134/88 mm Hg. Which is the nurse’s best intervention?
A.
B.
C.
D.
22.  The nurse assesses the client’s cardiac status. Which finding requires immediate intervention?
A.
B.
C.
D.
23.  A client consistently reports feeling dizzy and lightheaded when moving from a supine position to a sitting position. Which assessment takes priority at this time?
A.
B.
C.
D.
24.  Which technique will the nurse use to assess the point of maximal impulse (PMI)?
A.
B.
C.
D.
25.  Which technique will the nurse use to auscultate the second heart sound?
A.
B.
C.
D.
26.  The nurse hears a splitting of S1 on auscultation of a young adult client. Which is the nurse’s best action?
A.
B.
C.
D.
27.  The nurse hears an atrial gallop (S4) in an older adult client. Which is the best intervention?
A.
B.
C.
D.
28.  The client asks the nurse to explain about his heart murmur. Which is the nurse’s best response?
A.
B.
C.
D.
29.  A client has returned from an angiography via the left femoral artery. Two hours after the procedure, the nurse notes that the left pedal pulse is weak. Which is the nurse’s first action?
A.
B.
C.
D.
30.  Which assessment finding after a left-sided cardiac catheterization requires immediate intervention?
A.
B.
C.
D.
31.  Which client assessment takes priority prior to a cardiac catheterization?
A.
B.
C.
D.
32.  Prior to a resting electrocardiography, which direction is the most important for the nurse to give the client?
A.
B.
C.
D.
33.  A nurse is monitoring a client undergoing exercise electrocardiography (stress test). Which assessment finding necessitates that the test be stopped?
A.
B.
C.
D.
34.  A client who has survived a cardiac arrest is scheduled for an electrophysiology study (EPS). Which is the highest priority to teach this client?
A.
B.
C.
D.
35.  A client who is scheduled for echocardiography today asks why this test is being performed. How will the nurse respond?
A.
B.
C.
D.
36.  For which of the following clients is magnetic resonance imaging of the heart contraindicated?
A.
B.
C.
D.
37.  The results of a client who underwent myocardial nuclear perfusion imaging (MNPI) with thallium during exercise show diffuse uptake of the thallium in all areas of the heart 10 minutes after injection. What is the interpretation of this finding?
A.
B.
C.
D.
38.  A nurse obtains a pulmonary artery pressure reading of 25/12 mm Hg in a client recovering from a myocardial infarction. Which is the nurse’s first intervention based on these findings?
A.
B.
C.
D.
39.  A nurse is preparing to measure a client’s pulmonary artery wedge pressure (PAWP). In what position will the nurse place the client for the most accurate results?
A.
B.
C.
D.
40.  A client’s mixed venous oxygen saturation (SvO2) is 44%. Which is the nurse’s primary intervention?
A.
B.
C.
D.
41.  A client’s cardiac catheterization has shown an 80% blockage of the right coronary artery (RCA). While waiting for bypass surgery, what is essential to have on hand?
A.
B.
C.
D.
42.  A client post–myocardial infarction is placed on a beta blocker. Which statement best indicates that the client understands the action of this medication?
A.
B.
C.
D.
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43.  Which client statement alerts the nurse to the possibility of cardiovascular disease (CVD)?
A.
B.
C.
D.
44.  Which laboratory value is indicative of a myocardial infarction?
A.
B.
C.
D.
45.  Which laboratory result alerts the nurse that a female client is at high risk for cardiovascular disease?
A.
B.
C.
D.
46.  An older adult has returned from a cardiac catheterization. After the initial assessment done by the RN, which activities can the nurse delegate to the unlicensed assistive personnel?
A.
B.
C.
D.
47.  A client with a history of renal insufficiency is scheduled for a cardiac catheterization. What will the nurse expect to do for this client precatheterization? (Select all that apply.)
A.
B.
C.
D.
E.
F.
G.
48.  A female client is admitted to rule out ischemic heart disease. Which symptoms are indicative of heart disease? (Select all that apply.)
A.
B.
C.
D.
E.
F.
G.
49.  A client with heart failure develops an increase in preload. Which mechanism contributes to this increase?
A.
B.
C.
D.
50.  A client is admitted with early-stage heart failure. Which immediate compensatory response would the nurse expect to see in this client?
A.
B.
C.
D.
51.  A client is admitted with early-stage heart failure. Which assessment finding does the nurse expect?
A.
B.
C.
D.
52.  A client with systolic dysfunction has an ejection fraction of 38%. The nurse expects to observe which physiologic change?
A.
B.
C.
D.
53.  Which client is most at risk of developing left-sided heart failure?
A.
B.
C.
D.
54.  Which client statement alerts the nurse to possible heart failure?
A.
B.
C.
D.
55.  A client with a history of myocardial infarction calls the clinic to report the onset of a cough that is troublesome only at night. What direction will the nurse give to the client?
A.
B.
C.
D.
56.  Which statement made by a client would alert the nurse to the possibility of right-sided heart failure?
A.
B.
C.
D.
57.  Which client is at highest risk for the development of high-output heart failure?
A.
B.
C.
D.
58.  The nurse notes that the client’s apical pulse is displaced to the left. What conclusion can be drawn from this assessment?
A.
B.
C.
D.
59.  The nurse assesses a client and notes the presence of an S3 gallop. Which is the nurse’s priority intervention?
A.
B.
C.
D.
60.  A client asks the nurse why it is important to be weighed every day if he or she has right-sided heart failure. How will the nurse respond?
A.
B.
C.
D.
61.  A client has been admitted to the intensive care unit with worsening pulmonary manifestations of heart failure. Which primary collaborative intervention should the nurse perform?
A.
B.
C.
D.
62.  Which nursing diagnosis would be considered a priority for the client with heart failure?
A.
B.
C.
D.
63.  The client with heart failure is experiencing respiratory difficult. Which is the nurse’s priority action?
A.
B.
C.
D.
64.  The client with heart failure is prescribed enalapril (Vasotec). What is the nurse’s focus for teaching?
A.
B.
C.
D.
65.  Which is the priority intervention for a client who has received the first dose of captopril (Capoten)?
A.
B.
C.
D.
66.  The client with moderate heart failure is being discharged. Which is of priority to teach the client?
A.
B.
C.
D.
67.  The client who just started taking isosorbide dinitrate (Isordil) complains of a headache. What is the nurse’s first action?
A.
B.
C.
D.
68.  The client with heart failure has been ordered to receive a daily nitroglycerin transdermal patch. Which is the priority nursing intervention?
A.
B.
C.
D.
69.  Which intervention is essential to teach the client starting on digoxin therapy?
A.
B.
C.
D.
70.  A client is taking triamterene-hydrochlorothiazide (Dyazide) and furosemide (Lasix). Which assessment finding alerts the nurse to a serious side effect?
A.
B.
C.
D.
71.  A client with heart failure is going through rehabilitation to increase his or her activity tolerance. The nurse will stop the client’s activity if which symptom is assessed?
A.
B.
C.
D.
72.  An older adult client with heart failure has developed atrial fibrillation. What diagnostic or laboratory test would the nurse expect to be ordered?
A.
B.
C.
D.
73.  Which assessment finding alerts the nurse to the possibility of pulmonary edema in an older adult?
A.
B.
C.
D.
74.  A client with a history of heart failure is being discharged. Which instruction will assist the client in the prevention of complications associated with heart failure?
A.
B.
C.
D.
75.  A client has been admitted to the acute care unit for an exacerbation of heart failure. Which is the nurse’s priority intervention?
A.
B.
C.
D.
76.  Which assessment finding supports a diagnosis of impaired tissue perfusion in the client with heart failure?
A.
B.
C.
D.
77.  Which assessment finding does the nurse expect in the client with mitral valve prolapse?
A.
B.
C.
D.
78.  What clinical manifestation alerts the nurse to the possibility that the client’s mitral stenosis has progressed?
A.
B.
C.
D.
79.  Which assessment finding does the nurse expect in a client diagnosed with aortic stenosis?
A.
B.
C.
D.
80.  Which assessment finding does the nurse expect in the client with mitral insufficiency?
A.
B.
C.
D.
81.  The client who has had a prosthetic valve replacement asks the nurse why he must take anticoagulants for the rest of his life. How will the nurse respond?
A.
B.
C.
D.
82.  A client has just undergone a balloon valvuloplasty. For which complication of this procedure should the nurse monitor this client?
A.
B.
C.
D.
83.  A client is preparing to be discharged home following mitral valve replacement. Which statement indicates that the client requires further education?
A.
B.
C.
D.
84.  A young adult presents with a fever, symptoms of heart failure, and a murmur. Which additional data will the nurse obtain?
A.
B.
C.
D.
85.  Which precautions are appropriate when providing care to a client with infective endocarditis?
A.
B.
C.
D.
86.  The home care nurse is assessing the client receiving antibiotic therapy in the home for infective endocarditis. Which of the following clinical manifestations requires re-evaluation of the treatment regimen?
A.
B.
C.
D.
87.  The nurse has difficulty hearing heart sounds in a client with pericarditis. Which is the priority action of the nurse?
A.
B.
C.
D.
88.  Which assessment finding does the nurse expect in a client with pericarditis?
A.
B.
C.
89.  A nurse is caring for a client admitted with tachycardia, a pericardial friction rub, and the development of a murmur. Which finding in the client’s history leads the nurse to suspect rheumatic carditis?
A.
B.
C.
D.
90.  Which instructions are essential in a teaching plan for a client with hypertrophic cardiomyopathy (HCM)?
A.
B.
C.
D.
91.  The nurse cautions the client who has received a heart transplant to change positions slowly. Why is this instruction a priority?
A.
B.
C.
D.
92.  Which teaching is essential for a client discharged after a heart transplant who is prescribed cyclosporine (Sandimmune)?
A.
B.
C.
D.
93.  A client is classified (staged) at level A heart failure. What will the nurse teach the client?
A.
B.
C.
D.
94.  A client with end-stage heart failure is awaiting a transplant. The client appears depressed and states, “I know a transplant is my last chance but I don’t want to become a vegetable.” What is the nurse’s best response?
A.
B.
C.
D.
95.  Which question will best help the nurse to assess the activity level of a client with a history of heart failure?
A.
B.
C.
D.
96.  A client with heart failure has a blood pressure of 140/60 mm Hg. How will the nurse interpret this finding?
A.
B.
C.
D.
97.  An older adult client with heart failure states, “I don’t know what to do. I don’t want to b