Test 4

232 Questions  I  By Mflanagan2009 on March 21, 2012

  
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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 clienic 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 clients 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 beatsmin. 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 f ound to be hypotension. 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 sdministered a drug that causes vasoconstriction. Which finding indicates an expected response?
A.
B.
C.
D.
10.  The client is being given a drug that block 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 a 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 cleint is most at risk for cardiovascular disease?
A.
B.
C.
D.
15.  Which client is most at risk for peripherial vascular disease
A.
B.
C.
D.
16.  Which client statement alerts the nurse to the occurance of heart failure?
A.
B.
C.
D.
17.  Which statement made by a client would alert the nurse tot he presence of e dema
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.  Whihc assessment finding indicates arterial insufficiency
A.
B.
C.
D.
20.  The nurse deermines that the client has clubbing. Which is the best intervention?
A.
B.
C.
D.
21.  The cleint's blood pressure is 134/88 mm Hg. Which is the nurses best i ntervention?
A.
B.
C.
D.
22.  The nurse assesses the client's cardiac  status. Which finding required immediate intervention
A.
B.
C.
D.
23.  A client consistently reports feeling dizzy and lightheaded when moving from 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 ausculate the second heart sound?
A.
B.
C.
D.
26.  The nurse hears a splitting of S1 on the auscultation of a young adult child, Which is the nurse's best action?
A.
B.
C.
D.
27.  The nurse hears a splitting an atrila gallop (S4) in an older adult client. Which is the best intervention?
A.
B.
C.
D.
28.  The cleint aske 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 the left pedal pulse is weak. Which is the nurse's first action?
A.
B.
C.
D.
30.  Which assessment fidnign after a left sided cardiac catheterization requires immediate intervention?
A.
B.
C.
D.
31.  Which cleint assessment takes priority prior to a cardiac catheterization?
A.
B.
C.
D.
32.  Prior to a resting electrocardiography, which direction is the most improtant for the nurse to give the client?
A.
B.
C.
D.
33.  PriorA nurse is monotoring a client undergoing exercise electrocardiography (stress test) which assessment finding necessitiates that the test be stopped?
A.
B.
C.
D.
34.  A client who has survived a cardiac arrest is s cheduled for an electophysiology study (EPS) which is the highest priority to teach this client?
A.
B.
C.
D.
35.  A client who is scheduled for a 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 result of a client who underwent myocardial nuclear perfusion imaging (MNPI) with thallium during exercises 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 in a client recovering from a myocardial infarction. Which  is th enurse'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 thenurse 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 clocker. Which statemtn best indicates that the cleint understands the action of this medication.
A.
B.
C.
D.
43.  Which client statement alerts thenurse to the possibility of cardiovascular disease (CVD)
A.
B.
C.
D.
44.  What laboratory value is indicative of a myocardial infarctin
A.
B.
C.
D.
45.  Which laboratory results alerts the nurse that a female client is at high risk for a cardiovascular disease?
A.
B.
C.
D.
46.  An older adult has returned from a cardiac catherization. After the initail assessment done by the RN, which activities can the nurse delegate tot he unlicensed assisitive personal?
A.
B.
C.
D.
47.  A client with a history of renal insufficiency is scheduled for a cardiac cathererization. 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 cleint is admitted to rule out ischemic heart diseas. Which symptoms are indicative of heart disease.(selecct all that apply)
A.
B.
C.
D.
E.
F.
G.
49.  Which action will the nurse take to improve the quality of the electrocardiiographic rhythm transmission tot hemonitoring system?
A.
B.
C.
D.
50.  What will the nurse do to ensure the validity of comparison of electrocardiograms (ECGs) taken at different times?
A.
B.
C.
D.
51.  A client's cardiac status is being observed by telemetry monitoring. A nurse observes a P wave that changes shape in lead II. What conconclusion will the nurse make from this?
A.
B.
C.
D.
52.  What does the P wave on an ECG tracing represent
A.
B.
C.
D.
53.  A nurse notes that the PE interval on a client's ECG tracing is 0.14 second. What action will the nurse take?
A.
B.
C.
D.
54.  The client has exactly 8.0 R-R intervals in 150 small blocks on the ECG paper. Based on this information, the nurse calculates the client's ventricular heart rate to be which of the following
A.
B.
C.
D.
55.  In analyzing a client's ECG tracing, the nurse observes that nor all QRS complexes are preceded by a P wave. What is the nurse's interpretation of this observation
A.
B.
C.
D.
56.  The nurse observes a prominent U wave on the clients ECG tracing. What is the nurses interpretation of this finding
A.
B.
C.
D.
57.  The cleint has a consistent and regular heart rate of 128 beats/min. Which psychologic alterations would be consistent wth this finding?
A.
B.
C.
D.
58.  The client's heart rate increases slightly during inspiration and decreases slightly  during expiration. what action will the nurse take
A.
B.
C.
D.
59.  The client with tachycardia is experiencing clinical manifestation. Which one alerts the nurse to the need for immediate intervention
A.
B.
C.
D.
60.  The client is experiencing sinus bradycardia withhyopotension and dizziness. Which will the nurse administer?
A.
B.
C.
D.
61.  The client is experiencing occasional premature atrial contraction (PAC's) accompanied by palpations. These episodes resolve spontaneously without treatment. What instruction will be included in a teaching plan for this client
A.
B.
C.
D.
62.  The clients ECG reveals tachycardia with a heart rate of 170 beats/min that was initiated after a premature atrial contraction. this rhythm resolved spontaneously withut treatment. WHat is the nurse;s interpretation of this finding>
A.
B.
C.
D.
63.  The nurse notes absent P waves and a heart rate of 200 beats/min on the client's telemetry. How does the nurse interpret these finding
A.
B.
C.
D.
64.  What will the nurse administer to a client withsustained supraventrical tachycardia?
A.
B.
C.
D.
65.  The client has a heart rate averaging 56 beats/min. The client has had no adverse symptoms associated with this bradycaredia and is not being treated for it. Which of the following activity modifications should the nurse suggest to avoid further slowing of the heart rate
A.
B.
C.
D.
66.  Which client is most at risk for atrial fibrillation
A.
B.
C.
D.
67.  Whiat physical assessment finding finding are expected in a client with atrial flutter and a rapid ventricular response?
A.
B.
C.
D.
68.  Which is a priority intervention for the client experiencing atrial fibrillation
A.
B.
C.
D.
69.  Which alteration, when manifested in a client with atrial fibrillation, should alert the nurse tot he possibility of an embolic stoke
A.
B.
C.
D.
70.  A nurse is caring for a client with a chronic atrial fibrillation who is at risk for systemic emboli. Which drug should the nurse expect to administer to prevent this complication
A.
B.
C.
D.
71.  Which dysrhythemia may develope in a client with frequent premature ventricular contractions
A.
B.
C.
D.
72.  A client ECG shows slow, irregular, wide QRS complexes and regular atrial rhythm. What is the nurse's interpretation of this observation
A.
B.
C.
D.
73.  A client;s ECG tracing shows normal sinus rhythm followed by a complexs of three PVC's with a return to normal sunus rhy thm. What is the nurse's interpretation of this finding/
A.
B.
C.
D.
74.  A client with myocardial ischemia is having freauent PVC's. Which intervetnion will the nurse administer
A.
B.
C.
D.
75.  The nurse has administered adenosine (adenocard) what is the expected therapeutic response?
A.
B.
C.
D.
76.  A clients ECG tracing shows a run of sustained ventricular tachycardia. What is the first action that the nurse will take.
A.
B.
C.
D.
77.  Which medication will the nurse administer to prevent recurrent ventricular tachycardia?
A.
B.
C.
D.
78.  A client with unstable ventricular tachycardia is receiving amiodarone hydrochloride by intravenous infusion. The nurse notes that the client's heart rate has decreased from 68 to 50 beats/min. The client is asymptomatic. What is the nurse's priority intervention
A.
B.
C.
D.
79.  The client withischemic heart disease has an ECG tracing that shows first degree heart block. What is the nurse's best action?
A.
B.
C.
D.
80.  Which assessment will  the nurse perform whenever a client has any type of dysrhthmia
A.
B.
C.
D.
81.  The physician is about to perform carotid sinus massage on a client withsupraventricular tachycardia. What equiptment or supplies will the nurse have ready for possible compplications.
A.
B.
C.
D.
82.  A nurse is caring for a client with second degree AV block type II. which is the nurse's priority intervention
A.
B.
C.
D.
83.  A client withthird degree heart block is admitted to the telemetry unit. The nurse observes wide QRS complexes, with a heart rate of 35 beats/min on the monitor. What physical assessment parameter would be importantto incorporate for this client
A.
B.
C.
D.
84.  A client with third degree AV block presents to the emergency room with a heart rate of 40 beats/min or lower is decreased cardiac output. The consequences of this dyshythmia is poor tissue perfusion to the brain and other vital organs.
A.
B.
C.
D.
85.  Which type of pacing would be most appropriate for a client with symptomatic infranodal third degree heart block
A.
B.
C.
D.
86.  A client is about to undergo noninvasive temporary pacing (NCP) which action is most appropriate for preparing this client for the procedure
A.
B.
C.
D.
87.  The nurse observes the presence of a pacind spike but no QRS on the client's ECG tracing. How will the nurse interpret this event?
A.
B.
C.
D.
88.  Which instructions will the nurse include in the teaching plan for a cient with a permenant pacemaker
A.
B.
C.
D.
89.  How will the nurse intervent for the cient with ventricular fibrillation
A.
B.
C.
D.
90.  The client with ventricular tachycardia is unresponsive and has no pulse. What will the nurse do first?
A.
B.
C.
D.
91.  A client w ith heart failure developes an increase in preload. Which mechanism contributes to this increase?
A.
B.
C.
D.
92.  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.
93.  A client is admitted with early stage heart failure, which assessment finding does the nurse expect
A.
B.
C.
D.
94.  A client with systolic dysfunciton has an ejection fraction of 38%. the nurse expects to observe which physiologiv change
A.
B.
C.
D.
95.  Which client is most at risk for developing left sided heart failure
A.
B.
C.
D.
96.  Which client statement alerts the nurse to a possible heart failure
A.
B.
C.
D.
97.  A client with a history of myocardial infarction calls the clinic report the  onset of a cough that is troublesome only at night. What direction will the nurse give to the client.
A.
B.