Cardiovascular System | Myocardial Infarction And Heart Failure NCLEX Quiz 17
All questions are shown, but the results will only be given after you’ve finished the quiz. You are given 1 minute per question, a total of 10 minutes in this quiz.
- 1.A nurse caring for a client in one room is told by another nurse that a second client has developed severe pulmonary edema. On entering the 2nd client’s room. the nurse would expect the client to be:
- A.
Slightly anxious
- B.
Mildly anxious
- C.
Moderately anxious
- D.
Extremely anxious
- 2.A client with pulmonary edema has been on diuretic therapy. The client has an order for additional furosemide (Lasix) in the amount of 40 mg IV push. Knowing that the client also will be started on Digoxin (Lanoxin). a nurse checks the client’s most recent:
- A.
Digoxin level
- B.
Sodium level
- C.
Potassium level
- D.
Creatinine level
- 3.A client who had cardiac surgery 24 hours ago has a urine output averaging 19 ml/hr for 2 hours. The client received a single bolus of 500 ml of IV fluid. Urine output for the subsequent hour was 25 ml. Daily laboratory results indicate the blood urea nitrogen is 45 mg/dL and the serum creatinine is 2.2 mg/dL. A nurse interprets the client is at risk for:
- A.
Hypovolemia
- B.
UTI
- C.
Glomerulonephritis
- D.
Acute renal failure
- 4.A nurse is preparing to ambulate a client on the 3rd day after cardiac surgery. The nurse would plan to do which of the following to enable the client to best tolerate the ambulation?
- A.
Encourage the client to cough and deep breathe
- B.
Premedicate the client with an analgesic
- C.
Provide the client with a walker
- D.
Remove telemetry equipment because it weighs down the hospital gown.
- 5.A client’s electrocardiogram strip shows atrial and ventricular rates of 80 complexes per minute. The PR interval is 0.14 second. and the QRS complex measures 0.08 second. The nurse interprets this rhythm is:
- A.
Normal sinus rhythm
- B.
Sinus bradycardia
- C.
Sinus tachycardia
- D.
Sinus dysrhythmia
- 6.A client has frequent bursts of ventricular tachycardia on the cardiac monitor. A nurse is most concerned with this dysrhythmia because:
- A.
It is uncomfortable for the client. giving a sense of impending doom.
- B.
It produces a high cardiac output that quickly leads to cerebral and myocardial ischemia.
- C.
It is almost impossible to convert to a normal sinus rhythm.
- D.
It can develop into ventricular fibrillation at any time.
- 7.A home care nurse is making a routine visit to a client receiving digoxin (Lanoxin) in the treatment of heart failure. The nurse would particularly assess the client for:
- A.
Thrombocytopenia and weight gain
- B.
Anorexia. nausea. and visual disturbances
- C.
Diarrhea and hypotension
- D.
Fatigue and muscle twitching
- 8.A client with angina complains that the angina pain is prolonged and severe and occurs at the same time each day. most often in the morning. On further assessment a nurse notes that the pain occurs in the absence of precipitating factors. This type of anginal pain is best described as:
- A.
Stable angina
- B.
Unstable angina
- C.
Variant angina
- D.
Nonanginal pain
- 9.The physician orders continuous intravenous nitroglycerin infusion for the client with MI. Essential nursing actions include which of the following?
- A.
Obtaining an infusion pump for the medication
- B.
Monitoring BP q4h
- C.
Monitoring urine output hourly
- D.
Obtaining serum potassium levels daily
- 10.Aspirin is administered to the client experiencing an MI because of its:
- A.
Antipyretic action
- B.
Antithrombotic action
- C.
Antiplatelet action
- D.
Analgesic action
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