A Quiz Questions Over Hospital Client
- 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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