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WorksheetsNUR 213 Perfusion
Total questions: 24
Worksheet time: 12mins
Name
Class
Date
1.
While performing a shift assessment on the client with heart failure, the client reports increased shortness of breath. The nurse increases the oxygen per order. Which of the following interventions should the nurse implement at this time?
a)
Obtain the client's weight
b)
Auscultate lung sounds
c)
Assist the client into high-fowler's position
d)
Check oxygen saturation with pulse oximeter
2.
The new graduate RN is preparing discharge instructions for the client with heart failure who is to increase potassium intake in his diet. The client demonstrates understanding of instructions when he states:
a)
"I will consume more white rice"
b)
"I will eat more baked potatoes"
c)
"I will drink more grape juice"
d)
"I will drink more powdered cocoa mixes"
3.
A nurse is preparing to administer propranolol (Inderal) to the client who has been diagnosed with a dysrhythmia. The nurse will perform which of the following interventions while the client is receiving this medication?
a)
Hold propranolol for an apical pulse greater than 100/min
b)
Administer propranolol to increase the client's BP
c)
Assist the client when she sits up or stands after taking the medication
d)
Monitor for hypokalemia frequently due to the risk for propranolol toxicity
4.
While repositioning the client who is 6 hours post-angioplasty via the femoral artery, the nurse notes blood underneath the client's lower back. The nurse suspects:
a)
Cardiac tamponade
b)
Retroperitoneal bleeding
c)
Heart failure
d)
Bleeding from the incisional site
5.
The ED nurse is reviewing the lab results of the client with a diagnosis of possible myocardial infarction. She correctly identifies an elevation in which of the following lab results as being indicative of damage to cardiac tissue confirming the diagnosis?
a)
Myoglobin
b)
Creatine kinase-MB
c)
Troponin I
d)
C-Reactive Protein (CRP)
6.
Along with persistent, crushing chest pain, which signs/symptoms would make the nurse suspect that the client is experiencing a myocardial infarction?
a)
Midepigastric pain and pyrosis
b)
Diaphoresis and cool clammy skin
c)
Intermittent claudication and pallor
d)
Jugular vein distention and dependent edema
7.
The client is one day postop coronary artery bypass graft surgery (CABG) is exhibiting sinus tachycardia. The nurse will perform which priority intervention?
a)
Assess the apical pulse for one minute
b)
Notify the client's cardiac surgeon
c)
Prepare the client for synchronized cardioversion
d)
Determine if the client is having pain
8.
The client's telemetry reading shows a P wave prior to every QRS complex and the rate is 80/minute. The nurse should implement which of the following interventions?
a)
Request a 12-lead electrocardiogram
b)
Prepare to administer the ordered digoxin po
c)
Assess the client's cardiac enzymes
d)
Document this as normal sinus rhythm
9.
The priority nursing diagnosis for a client with a cardiac dysrhythmia?
a)
Alteration in comfort
b)
Decreased cardiac output
c)
Impaired gas exchange
d)
Activity intolerance
10.
The nurse is monitoring the client who is 24 hours post-cardiac surgery. The client's urine output for the past three hours has averaged 20ml/hr. The client's serum creatinine is 2.2 mg/dl, and the blood urea nitrogen is 45mg/dl. The nurse anticipates the client is at risk for which of the following?
a)
Hypovolemia
b)
Acute renal failure
c)
Glomerulonephritis
d)
Urinary tract infection
11.
The nurse is monitoring the client who is 24 hours post-cardiac surgery. The client's urine output for the past three hours has averaged 20ml/hr. The client's serum creatinine is 2.2 mg/dl, and the blood urea nitrogen is 45mg/dl. The nurse anticipates the client is at risk for which of the following?
a)
Hypovolemia
b)
Acute renal failure
c)
Glomerulonephritis
d)
Urinary tract infection
12.
The nurse is reviewing an electrocardiogram rhythm strip. The P waves and QRS complexes are present and regular. The PR interval is 0.16 seconds, and the QRS complexes measure 0.06 seconds. The heart rate is 64 beats/min. The nurse correctly assesses the rhythm strip as:
a)
Sinus bradycardia
b)
1st degree AV block
c)
Normal sinus rhythm
d)
Sick sinus syndrome
13.
The client experiences frequent bursts of ventricular tachycardia on the cardiac monitor. The nurse should be most concerned about which of the following with this dysrhythmia?
a)
It can develop into ventricular fibrillation at any time
b)
It is almost impossible to convert to a normal rhythm
c)
It is uncomfortable for the client, giving a sense of impending doom.
d)
It produces a high cardiac output that quickly leads to cerebral and myocardial ischemia
14.
A nurse would evaluate that defibrillation of a client was most successful if which of the following observations was?
a)
Arousable, sinus rhythm, and BP 112/70
b)
Arousable, marked bradycardia, and BP 85/53
c)
Nonarousable, supraventricular tachycardia, and BP 112/65
d)
Nonarousable, sinus rhythm, and BP 86/60
15.
The ED nurse is evaluating a client's response to cardioversion. Which of the following observations would be of highest priority to the nurse?
a)
Blood pressure
b)
Status of airway
c)
Oxygen flow rate
d)
Level of consciousness
16.
The pediatric nurse is caring for an infant with a congenital heart defect and is monitoring the infant closely for signs of congestive heart failure (CHF).The nurse assesses the infant for which early sign of CHF?
a)
Pallor
b)
Cough
c)
Tachycardia
d)
Slow, shallow breathing
17.
The new graduate RN is providing discharge instructions for the parents of a child with congestive heart failure (CHF) regarding administration of digoxin (Lanoxin). Which statement made by the parents would indicate the need for further instruction?
a)
"I will not mix the medication with food"
b)
"If more than one dose is missed, I will call the pediatrician"
c)
"I will take the child's pulse before administering the medication"
d)
"If the child vomits after the medication is administered I will not repeat the dose"
18.
The nurse is educating a women's community group about congenital heart disorders. Which factor should the nurse identify as placing a child at a greater risk for being born with a congenital heart disorder?
a)
Chromosomal abnormality such as Down syndrome
b)
Mother infected with gonorrhea
c)
Fetal exposure to a bacterial infection
d)
Young age of mother
19.
Immediately after the birth of an infant, the nurse is completing a physical assessment. Which manifestation indicates the infant may have a heart defect associated with decreased pulmonary blood flow?
a)
Clubbing of fingers and toes
b)
Poor feeding
c)
Fatigue
d)
Profound cyanosis that does not respond to oxygen
20.
A nurse is caring for a pregnant client with preeclampsia. The nurse is at the bedside and notes that the client has now progressed to eclampsia. Which would be the nurse's first priority?
a)
Assess BP and fetal heart rate
b)
Administer magnesium sulfate IV
c)
Administer oxygen by mask
d)
Maintain an open airway
21.
A client with severe preeclampsia is 12 hours postpartum after delivering a healthy baby. Why has the health care provider ordered a magnesium sulfate infusion to be continued for this client?
a)
There is a need to control postpartum bleeding.
b)
There is indication that fluid intake and output is inadequate after delivery.
c)
There is a need to suppress lactation after delivery.
d)
There is the possibility of seizures after delivery.
22.
The nurse is planning care of a client with a diagnosis of cardiac dysrhythmia and selects which of the following as the highest priority nursing diagnosis?
a)
Potential for spiritual distress
b)
Diminished activity intolerance
c)
Decreased cardiac output
d)
Fear
23.
The nurse is caring for a client with Disseminated Intravascular Coagulation (DIC) and has identified the need to promote tissue perfusion. What intervention would the nurse include in the plan of care?
a)
Assessing level of consciousness
b)
Using of a standard pain scale to evaluate and monitor pain
c)
Providing emotional support
d)
Applying cool compresses to painful joints
24.
Which diagnostic test does the nurse anticipate will be required for a client at risk for developing Disseminated Intravascular Coagulation (DIC)?
a)
CT scan
b)
Electrolyte panel
c)
X-rays
d)
Coagulation studies
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