WorksheetsMS Exam 1 Review
Total questions: 59
Worksheet time: 44mins
A nurse is checking for paradoxical blood pressure on a client who has constrictive pericarditis. Which of the following findings should the nurse expect?
Apical pulse rate different than the radial pulse rate
Increase in heart rate by 20% when standing
Drop in systolic BP by 20 mm Hg when moving from a lying to a sitting position
Drop in systolic BP more than 10 mm Hg on inspiration
A nurse is caring for a client immediately following a cardiac catheterization with a femoral artery approach. Which of the following actions should the nurse take?
Check pedal pulses every 15 min.
Perform passive range-of-motion for the affected extremity.
Remind the client not to turn from side to side.
Keep the client in high-Fowler's position for 6 hr.
A nurse is collecting data from a client who has right-sided heart failure. Which of the following findings should the nurse expect?
Frothy sputum
Dyspnea
Orthopnea
Peripheral edema
A nurse is reviewing the laboratory findings of a client who experienced an acute myocardial infarction 6 days ago. Which of the following laboratory values should the nurse expect to remain elevated at this time?
Myoglobin
Creatinine kinase-MB
Troponin T
Creatinine phosphokinase
A nurse is reinforcing teaching with an older adult client who has had a newly inserted permanent pacemaker. Which of the following manifestations should the nurse include in the teaching as a pacemaker malfunction that the client should report to the provider?
Increased urine output
Rapid pulse
Fatigue
Sneezing
A nurse is caring for an older adult client who has left-sided heart failure. Which of the following findings should the nurse expect?
Frothy sputum
Dependent edema
Nocturnal polyuria
Jugular distention
A nurse is reinforcing teaching with a client who is taking warfarin about monitoring its therapeutic effect. The nurse should issue which of the following statements about the provider’s use of the international normalized ratio (INR)?
You will need to fast 12 hours prior to having the test completed.
This is the only test available for anticoagulant therapy monitoring.
You will need the test done twice per month starting this medication.
This is a standardized test, so it eliminates the variations different laboratories report in prothrombin times.
A nurse is collecting data from a client who has atrial fibrillation. When documenting the quality of the client's pulse, which of the following terms should the nurse use?
Slow
Not palpable
Irregular
Bounding
A nurse is assisting with the care of a client who has infective endocarditis. Which of the following manifestations should the nurse identify as a complication of this disorder?
heart murmur
Dyspnea
Fever
Petechiae
A nurse is caring for a client who is postoperative following vascular surgery. Which of the following manifestations should indicate to the nurse that the client has developed a thrombus?
Positive Kernig’s sign
Positive Homan’s sign
Dull, aching calf pain
Soft, pliable calf muscle
A nurse in an outpatient clinic is collecting data from a client who tells the nurse, "I have pain in my legs when I begin to walk, but the pain stops when I stop walking." Which of the following conditions should the nurse suspect?
An acute obstruction in the vessels of the legs
Peripheral vascular problems in both legs
Diabetes mellitus
Calcium deficiency
A nurse is collecting data from a client who has mitral stenosis. Which of the following findings is a manifestation of this condition?
Angina
Cyanosis
Dyspnea on exertion
S3 heart sound
A nurse is caring for a client who recently had surgery for insertion of a permanent pacemaker. Which of the following prescriptions should the nurse question?
Serum cardiac enzyme levels
MRI of the chest
Physical therapy
Low-sodium diet
A nurse in a provider’s office is collecting data from a client who takes furosemide daily for heart failure. Which of the following findings is a manifestation of hypokalemia?
Reports of numbness in the feet
Reports of fatigue
Increased bowel sounds
Positive Trousseau’s sign
A nurse is collecting data on a client who has infective endocarditis. The nurse should recognize which of the following findings is the priority to report to the provider?
Anorexia
Dyspnea
Fever
Malaise
A nurse is caring for a client who has unilateral leg edema with associated pain and a low-grade temperature. What is the most likely condition the client is experiencing?
Deep vein thrombosis
Cellulitis
Congestive heart failure
Arterial insufficiency
Patient has a DVT. Which of the following action should the nurse take?
Elevate the affected leg.
Apply cold compresses to the client's leg.
Place a pillow under the client's knees.
Massage the painful area of the leg.
A nurse is collecting data from a client who has left-sided heart failure. Which of the following findings should the nurse expect?
Jugular venous distention
Right upper quadrant pain
Pitting edema of the lower legs
Shortness of breath while lying down
A nurse is reinforcing teaching with a newly licensed nurse about reading a client's ECG tracing. The nurse should include in the teaching that the P wave represents which of the following cardiac electrical activities?
Ventricular depolarization
Late ventricular repolarization
Atrial depolarization
Early ventricular repolarization
A nurse is reinforcing teaching with a client who has a new diagnosis of angina pectoris. Which of the following information about anginal pain should the nurse include in the teaching?
The pain usually lasts more than 20 min.
The pain worsens with deep inspiration.
The pain persists with rest and organic nitrates.
Exertion and anxiety can trigger the pain.
A nurse is reinforcing teaching with a client who is scheduled for an ECG. Which of the following instructions should the nurse include?
You will need to lie still during the procedure.
You should avoid eating for 8 hours before the test.
You will feel mild pain during the procedure.
You should not take your medications before the test.
A nurse is reinforcing discharge teaching for a client who is postoperative following the insertion of a permanent pacemaker. Which of the following instructions should the nurse include?
You will not be able to travel by air due to security screening.
You should hold your cell phone on the side opposite the pacemaker.
You should avoid the use of small electric devices.
You should carry your pacemaker in a small pocket.
A nurse is reinforcing discharge teaching for a client who will be taking warfarin (Coumadin) at home. Which of the following statements indicates that the client understands the effects of this medication?
It's okay to have a couple of glasses of wine with dinner.
I'll be sure to eat foods with lots of vitamin K.
I'll take aspirin for my headaches.
I'll use my electric razor for shaving.
A nurse is reinforcing teaching with a client who has peripheral vascular disease. Which of the following instructions should the nurse include in the teaching?
Elevate your legs while in bed.
Incorporate walking into your daily routine.
Wear knee length stockings.
Shop for new shoes during the morning hours.
A nurse is caring for a client who asks why she is being prescribed aspirin 325 mg daily following a myocardial infarction. Aspirin is prescribed for clients who have coronary artery disease for which of the following effects?
To prevent platelet aggregation
To relieve chest pain
To lower blood pressure
To reduce cholesterol levels
A nurse is collecting data from a client who is taking warfarin and has an elevated PT/INR. Which of the following medications should the nurse anticipate administering?
Vitamin K
Protamine
Naloxone
Disulfiram
A nurse is performing an electrocardiogram on a client who is experiencing chest pain. Which of the following statements should the nurse make?
You may feel a slight tingling while the test is being done.
The test will be complete in 30 to 60 minutes.
I will need to apply electrodes to your chest and extremities.
The radioactivity from the dye lasts only a few hours.
A nurse in a clinic is caring for a client who has heart failure and is taking digoxin. Which of the following statements by the client indicates the client is experiencing digoxin toxicity?
I am gaining weight.
I am constipated.
My vision seems yellow.
My tongue is red and beefy.
A nurse in a provider's office is reinforcing teaching with a client who has risk factors for atherosclerosis. The nurse should help the client identify which of the following as treatment goals?
Maintain blood pressure at less than 140/90 mm Hg.
Increase intake of saturated fats.
Encourage a sedentary lifestyle.
Promote smoking as a stress reliever.
A nurse is reviewing a provider's admission orders for a client who has acute heart failure. For which of the following prescriptions should the nurse obtain clarification?
Morphine sulfate 2 mg IV bolus every 2 hr PRN pain
Laboratory testing of serum potassium upon admission
Ambulate three times daily
Bumetanide 1 mg IV bolus every 12 hr
A nurse in a clinic is reviewing teaching about food choices with a client who has recently begun taking warfarin. The nurse should instruct the client to limit consumption of which of the following foods?
Kale
Cantaloupe
Whole grain bread
White beans
A nurse is reinforcing teaching with a middle-age client about hypertension. Which of the following information should the nurse include in the teaching?
Set your goal body weight within 25% of ideal body weight.
Limit alcohol consumption to 3 drinks a day when hypertensive.
Plan to have potassium blood levels checked when taking a thiazide diuretics.
Plan to lower sodium intake to 3,000 mg each day.
A nurse at a provider's office receives a telephone call from a client who reports nausea and has unrelieved chest pain after taking a nitroglycerin tablet 5 min ago. Which of the following is an appropriate response by the nurse?
Advise the client to take an antacid.
Instruct the client to call 911.
A nurse is collecting data from a client who has peripheral arterial disease (PAD). Which of the following findings should the nurse expect?
Intermittent claudication
Darkened skin color near extremities
Warm extremities
Edema
A nurse is reinforcing instructions with a client who is scheduled for a cardiac catheterization with angiography. Which of the following statements should the nurse include in the instructions?
You should expect to feel some tingling in the affected limb the day following the procedure.
You might be asked to perform mild exercises during the procedure.
You might have to lie in bed for 6 hr after the procedure.
You should not eat or drink for 4 hr following the procedure.
A nurse is reviewing the laboratory results for a male adult client who is at risk for peripheral arterial disease from atherosclerosis. The nurse should identify that which of the following results places the client at risk?
Triglycerides 130 mg/dL
LDL 172 mg/dL
Blood glucose 92 mg/dL
HDL 84 mg/dL
A nurse is reinforcing discharge teaching with a client who was recently diagnosed with heart failure. Which of the following statements should the nurse include in the teaching?
Begin exercising twice per week.
Consume a low-residue diet.
Weigh yourself every 2 days.
A nurse is reinforcing health screening education with a group of clients. The nurse should recognize that which of the following clients has the greatest risk for hypertension?
A client who is of Asian ethnicity
A female client who is 44-years-old
A male client who is 53-years-old
A client who is African American
A nurse is reviewing the laboratory values of a client who had a myocardial infarction 5 days ago. The nurse should expect an elevated level of which of the following laboratory values?
Aspartate aminotransferase (AST)
CK-MB
Unconjugated bilirubin
Troponin T
A nurse is caring for a client who has atrial fibrillation and is receiving heparin. Which of the following findings is the nurse’s priority?
ECG tracing shows irregularly irregular heart rate without P waves.
aPTT result of 70 seconds
Slurred speech
Urine output is cloudy and odorous
A nurse is caring for a client who is newly-admitted and has angina. The client asks the nurse, "Why am I taking nitroglycerin?" Which of the following responses should the nurse make?
Nitroglycerin relieves nausea and prevents vomiting, which could lead to aspiration.
Nitroglycerin decreases chest pain by dissolving blood clots that are occluding the arteries.
Nitroglycerin acts as a bronchodilator to open small airways and decrease shortness of breath.
Nitroglycerin dilates cardiac blood vessels to deliver more oxygen to the heart.
A nurse is reinforcing teaching with a client who has peripheral vascular disease (PVD). The nurse should recognize that which of the following statements by the client indicates a need for further teaching?
I will avoid crossing my legs at the knees.
I will use a thermometer to check the temperature of my bath water.
I will not go barefoot.
I will wear stockings with elastic tops.
A nurse is caring for a client who recently had a permanent pacemaker placed. The nurse is reinforcing teaching following the initial pacemaker check. Which of the following statements by the client indicates understanding?
I will notify my provider if my heart rate goes 10 beats above the set rate.
I will let my dentist know that I have a pacemaker.
My pacemaker will need reprogramming if I stand too close to a microwave oven.
My pacemaker will need to be replaced in 10 years.
A nurse is preparing to administer haloperidol 5 mg IM to a client. Available is haloperidol 50 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth/whole number. Use a leading zero if it applies. Do not use a trailing zero.)
0.1 mL
0.5 mL
1 mL
0.05 mL
A nurse is calculating a client's fluid intake over the past 8 hr. The client had one 8-oz cup of coffee, 3 oz of juice, and 12 oz of soda. The client's water pitcher had 800 mL and 200 mL remain. The client also had IV fluids infusing at 40 mL/hr via an IV pump. How many mL should the nurse document as the client's total intake for the shift?
1,343 mL
1,200 mL
1,500 mL
1,050 mL
Which finding leads the nurse to suspect that the patient could be experiencing an acute exacerbation of left-sided congestive heart failure (CHF)?
Bilateral crackles upon auscultation of the lungs
Decreased jugular vein distention
Increased blood pressure
Improved appetite
When documenting the quality of the client's pulse who has atrial fibrillation, which of the following terms should the nurse use?
Irregular
Regular
Bounding
Thready
Which part of the eye is responsible for controlling the amount of light that enters?
Retina
Iris
Macula
Cornea
Which of the following is an expected finding in a client with suspected Ménière’s disease?
Presence of a purulent lesion in the external ear canal
Feeling of pressure in the ear
Bulging, red bilateral tympanic membranes
Unilateral hearing loss
To confirm a suspected cataract, the following areas of the eye are examined:
Lens
Cornea
Retina
Optic nerve
When assessing cataracts, what is a common manifestation associated with the condition?
Decreased ability to distinguish colors
Improved night vision
Enhanced depth perception
Heightened color sensitivity
A nurse is assessing a client who has open-angle glaucoma. What findings should the nurse expect?
Gradual loss of peripheral vision
Sudden pain and halos around lights
Blurred central vision
Reddened conjunctiva
Which of the following is a characteristic manifestation of Meniere's disease?
Sudden loss of taste
Severe chest pain
Intermittent episodes of vertigo
Persistent backache
Which symptom may indicate an ototoxic drug reaction related to Meniere disease?
Hearing ringing
Feeling of fullness in the ears
Extreme dizziness
A patient with type 2 diabetes reports having floaters, dark areas of vision, and blurry distorted vision. What condition is suspected?
Open-angle glaucoma
Cataracts
Retinal detachment
Macular degeneration
Which beta blocker is used ophthalmically in the treatment of glaucoma?
Timolol
Metoprolol
Propranolol
Atenolol
What should a client do to prevent increased intraocular pressure after laser eye surgery for glaucoma when lying in bed?
Sleep with the affected eye directly facing the ceiling
Use a soft pillow to elevate the head
Avoid using any pillows under the head
Keep the head elevated with multiple pillows
Which part of the cardiac conduction system is known as the pacemaker of the heart:
SA node
AV node
Bundle of HIS
Purkinje fibers
Bundle branches
