A Quiz Questions Over Hospital Client

232 Questions | Total Attempts: 393

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Blood Pressure Quizzes & Trivia

Questions and Answers
  • 1. 
    A client has had a recent myocardial infarction involving the left ventricle. WHich assessment finding is expected?
    • A. 

      Faint S1 and S2 sounds on auscultation

    • B. 

      Decreased cardiac output

    • C. 

      Increased blood pressure

    • D. 

      Increased strength of peripheral pulses

  • 2. 
    A client with a stenotic mitral valve has presented to the clienic for further evaluation. WHich intervention is the highest priority?
    • A. 

      Assessment of blood pressure

    • B. 

      Assessment of heart rate

    • C. 

      Intravenous fluids

    • D. 

      Administration of digoxin

  • 3. 
    What assessment finding will the nurse expect as the client's mean arterial blood pressure decreases below 60 mm Hg?
    • A. 

      Increased cardiac output

    • B. 

      Hypertension

    • C. 

      Chest Pain

    • D. 

      Decreased heart rate

  • 4. 
    A clients heart rate and rhythm is regular. What does the nurse assume from this finding?
    • A. 

      The coronary arteries have no atherosclerosis

    • B. 

      Blood pressure is stable

    • C. 

      Conductivity of the cells in the heart is normal

    • D. 

      Automaticity of the cells in the conduction system is normal

  • 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. 

      Sinoartial (SA) node

    • B. 

      Bachmann's bundle

    • C. 

      Bundle of His

    • D. 

      Purkinji fibers

  • 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. 

      Increased heart rate

    • B. 

      Vasodilation

    • C. 

      Hypoxemia

    • D. 

      Decreased respiratory rate

  • 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. 

      Decreased cardiac output

    • B. 

      Increased blood pressure

    • C. 

      Increased pulse pressure

    • D. 

      Increased mean arterial pressure

  • 8. 
    A client's heart disease has resulted in a reduction of stroke volume. Which compensatory mechanism is expected?
    • A. 

      Increased blood pressure

    • B. 

      Decreased mean arterial pressure

    • C. 

      Increased heart rate

    • D. 

      Decreased respiratory rate

  • 9. 
    The nurse has sdministered a drug that causes vasoconstriction. Which finding indicates an expected response?
    • A. 

      Increased diastolic blood pressure

    • B. 

      Decreased heart rate

    • C. 

      Increased systolic blood pressure

    • D. 

      Increased mean arterial pressure

  • 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. 

      Increased blood pressure

    • B. 

      Increased heart rate

    • C. 

      Increased cardiac output

    • D. 

      Decreased heart rate

  • 11. 
    Which client does the nurse determine is at high risk for cardiovascular disease?
    • A. 

      Older audlt with asthma

    • B. 

      Asian american woman with breast cancer

    • C. 

      Middle aged African Man with diabetes mellitus

    • D. 

      Postmenopausal woman on estrogen hormone replacement therapy

  • 12. 
    Which illness in a client's history would alert the nurse to the possibility of an abnormality of the heart valves?
    • A. 

      Tuberculosis

    • B. 

      Recurrent viral pneumonia

    • C. 

      Rheumatic Fever

    • D. 

      Asthma

  • 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. 

      Document the finding as normal

    • B. 

      Evaluate the client for pulse deficit

    • C. 

      Assess the client's medication

    • D. 

      Administer atropine

  • 14. 
    Which cleint is most at risk for cardiovascular disease?
    • A. 

      A woman on hormone replacement therapy

    • B. 

      A woman who has never been pregnant

    • C. 

      A woman with elevated HDL (high density lipoprotein) levels

    • D. 

      A woman with abdominal obesity

  • 15. 
    Which client is most at risk for peripherial vascular disease
    • A. 

      A middle aged man who smokes

    • B. 

      A middle aged woman with a sedentary lifestyle

    • C. 

      An older man who is moderately obese

    • D. 

      A young adult with a famiy history of coronary artery disease

  • 16. 
    Which client statement alerts the nurse to the occurance of heart failure?
    • A. 

      I get short of breath when I climb stairs

    • B. 

      I see halos floating by

    • C. 

      I have trouble remembering things

    • D. 

      I have lost my appetite

  • 17. 
    Which statement made by a client would alert the nurse tot he presence of e dema
    • A. 

      I wake up to go to the bathroom at night

    • B. 

      My shoes fit tighter by the end of the day?

    • C. 

      I seem to feel more anxious lately

    • D. 

      I drink at least eight full glasses of water a day

  • 18. 
    A client has been diagnosed as having New York Heart Association Class I functional status. What will the nurse teach the client?
    • A. 

      You have no limitations on ordinary physical activity

    • B. 

      The discomfort you experience may occur with ordinary physical activity

    • C. 

      You will not be able to do more than simple activity

    • D. 

      The discomfort you have may be present even at rest

  • 19. 
    Whihc assessment finding indicates arterial insufficiency
    • A. 

      Dependent edema

    • B. 

      Dependent rubor

    • C. 

      Bluish discoloration of the toes

    • D. 

      Clubbing of the fingers

  • 20. 
    The nurse deermines that the client has clubbing. Which is the best intervention?
    • A. 

      Calling the health care provider

    • B. 

      Assessing capillary refill

    • C. 

      Assessing the client's pulse oxygen level

    • D. 

      Monitoring the client's heart rate

  • 21. 
    The cleint's blood pressure is 134/88 mm Hg. Which is the nurses best i ntervention?
    • A. 

      Calling the health care provider because this is severe hypertension

    • B. 

      Reassessing the blood pressure in 1 month because this is stage 2 hypertension

    • C. 

      Reassessing the client's blood pressure at the next yearly physical

    • D. 

      Teaching the client lifestyle modifications to decrease the blood pressure

  • 22. 
    The nurse assesses the client's cardiac  status. Which finding required immediate intervention
    • A. 

      Swishing sound heard on either side of the neck

    • B. 

      Bounding pulses

    • C. 

      Pulse rate of 90 beats/min

    • D. 

      Blood pressure of 140/90 mm Hg

  • 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. 

      Pulse oximetry

    • B. 

      Blood pressure

    • C. 

      Respiratory rate

    • D. 

      Neurological evaluation

  • 24. 
    Which technique will the nurse use to assess the point of maximal impulse (PMI)
    • A. 

      With the client ina supine position at a 45 degree angle, compress the upper right abdimen for 30 to 40 seconds and observe for neck vein distention

    • B. 

      Measure the blood pressure in both upper arms. The arm with the highest pressure should be used for blood pressure measurement thereafter

    • C. 

      Apply the bell of the stethoscope over the skin of the carotid artery while the client holds his or her breath

    • D. 

      With the client in the supine position, inspect the chest for prominent precordial pulsations

  • 25. 
    Which technique will the nurse use to ausculate the second heart sound?
    • A. 

      Bell of the stethoscope at the base of the heart

    • B. 

      Diaphragm of the stethoscope at the base of the heart

    • C. 

      Bell of the stethoscope at the left sternal border of the heart

    • D. 

      Diaphragm of the stethoscope at the left sternal border of the heart

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