SN3711 Revision

Which laboratory test is the most indicative for a myocardial infarction?

• C-reactive protein (CRP)

• Troponin I

• Creatinine

• Blood glucose

Which of the following is considered an invasive cardiac diagnostic test?

• Exercise stress test

• Magnetic resonance imaging (MRI)

• Transthoracic echocardiogram (TTE)

• Cardiac catheterization

Which statement, if made by the client, would cause the nurse to suspect an abdominal aortic aneurysm (AAA)?

• I sometimes have indigestion when I lie down.

• I often notice my heart beating in my abdomen.

• I feel fatigue and shortness of breath with minimal exertion.

• I have extreme pain radiating down my left arm.

A client has a diagnosis of deep vein thrombosis (DVT). What would be the typical physical assessment findings?

• Extremity is cool to touch and most often asymptomatic.

• Circumference on both arms will be increased.

• Thread pulse and slow capillary refill on both sides of the extremities.

• Pain with swelling in affected part of leg.

The nurse is caring for a patient with an acute myocardial infarction. Which of the following laboratory findings would MOST concern?

• Erythrocyte sedimentation rate (ESR)

• Hematocrit (Hct)

• Creatine Kinase (CK)

• Serum cholesterol level

Which of the following is not the major characteristic of angina pain?

• The pain is in the retrosternal area.

• It usually starts from the abdomen and radiates to the right arm.

• It has a chocking or heavy sensation.

• It may radiate to neck and jaw.

Which of the following symptoms would be MOST characteristic of acute myocardial infraction?

• Shortness of breath and sweating.

• Sharp, well-localized chest pain.

• Severe substernal pain radiating down the left arm.

• Sharp, burning chest pain moving from place to place.

The nurse looks at a hospitalized client’s cardiac monitor screen and notes this cardiac rhythm (refer to figure below). What rhythm is this?

• Atrial fibrillation

• Atrial tachycardia

• Ventricular fibrillation

• Ventricular tachycardia

The nurse prepares to administer a dose of digoxin (Lanoxin), checks the client’s apical pulse rate, and notes that it is 55 beats/ minute. The nurse should take which of the following action?

• Give the digoxin and recheck the apical pulse rate in one hour

• Give half of the prescribed dose and notify the doctor

• Check the client’s blood pressure and administer the digoxin

• Check the client’s most recent potassium level and digoxin level and withhold the medication.

What is the rationale for a low-sodium diet in the client with congestive heart failure?

• Fluid retention will decrease, and this will improve cardiac output.

• Fluids will be retained in the body to maintain cardiac output.

• A decrease in sodium level will cause a decrease in potassium level, thus decrease heart rate.

• A low serum sodium level can improve myocardial contractility.