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WorksheetsNCLEX - CARDIOVASCULAR Day1 (Part 1)
Total questions: 15
Worksheet time: 15mins
Name
Class
Date
1.
The nurse is preparing to administer newly prescribed warfarin to a client who has a deep venous thrombosis and is receiving IV heparin. The client states, "I am already receiving heparin." Which of the following responses would be appropriate for the nurse to make?
a)
Both medications will be administered until a therapeutic anticoagulation level is achieved.
b)
The heparin infusion will be discontinued after you receive the first dose of warfarin.
c)
The two medications will work together to break apart the clot in your leg.
d)
I will clarify the prescription for warfarin with your health care provider.
2.
The nurse is caring for a client who is receiving a continuous IV infusion of heparin. The client's aPTT is prolonged, and the client has small bruises on the arms. Which of the following actions should the nurse take first?
a)
Stop the heparin infusion.
b)
Request a prescription for protamine sulfate.
c)
Assess the IV insertion site.
d)
Report the findings to the health care provider.
3.
The nurse is caring for a 3-year-old client with Kawasaki disease who is receiving IV immunoglobulin (IVIG) therapy. The nurse should understand that IVIG is administered to
a)
minimize the rash
b)
prevent cardiac complications
c)
reduce cervical lymphadenopathy
d)
decrease swelling of the palms and soles
4.
The clinic nurse is providing instructions to a client who will be wearing a Holter monitor for the next 24 hours. Which instructions are important to review with the client?
a)
How to transmit the readings over the phone
b)
Keep a diary of activities and any symptoms experienced
c)
Refrain from exercising while wearing the monitor
d)
The monitor may be removed only when bathing
5.
The nurse is caring for a client with hypovolemic shock who has an order for IV fluid resuscitation. The nurse should prepare to administer
a)
5% albumin
b)
5% dextrose in water
c)
0.9% sodium chloride
d)
lactated Ringer solution with 5% dextrose in water
6.
The nurse is talking with a client with hypertension who is receiving hydrochlorothiazide and amlodipine. Which of the following statements by the client would be essential to follow up?
a)
I like to have a banana every morning with my breakfast.
b)
I occasionally feel dizzy when I stand from a seated position.
c)
I started taking licorice root for occasional heartburn.
d)
I usually take my medications early in the morning.
7.
The nurse is talking with a client with hypertension and hyperlipidemia who is receiving nifedipine and simvastatin. Which of the following statements by the client would require follow-up?
a)
I need to change positions slowly when I get out of bed.
b)
I take my medications daily with a glass of grapefruit juice.
c)
I drink a glass of red wine with dinner a few times each week.
d)
I have begun seasoning my foods with fresh herbs and spices.
8.
A client with hypertension and type 2 diabetes has recently started taking chlorthalidone. Which report by the client is most concerning to the nurse?
a)
Dizziness on standing
b)
Fasting blood glucose of 160 mg/dL
c)
Presence of muscle cramps
d)
Sunburn on both arms
9.
The nurse is teaching a client with atrial fibrillation who has a new prescription for warfarin. The nurse should teach the client to avoid excess or inconsistent intake of which of the following foods? Select all that apply.
a)
bananas
b)
oranges
c)
spinach
d)
broccoli
e)
kale
10.
The nurse is preparing to administer medications to a client admitted with atrial fibrillation. The nurse notes the vital signs shown in the exhibit. Which medications due at this time are safe to administer? Select all that apply.
a)
Diltiazem extended-release PO
b)
Heparin subcutaneous injection
c)
Lisinopril PO
d)
Metoprolol PO
e)
Timolol ophthalmic
11.
A client with hypertension is prescribed lisinopril. The nurse instructs the client to notify the health care provider (HCP) immediately if which adverse effect occurs when taking this medication?
a)
Cough
b)
Dizziness
c)
Rapid-onset confusion
d)
Swelling of the lips and tongue
12.
A client diagnosed with stable angina is being discharged home on the cholesterol-lowering drug rosuvastatin. The nurse should teach the client to report which side effect to the health care provider (HCP) immediately?
a)
Abdominal discomfort
b)
Insomnia
c)
Morning headache
d)
Muscle aches or weakness
13.
The home health nurse visits a client with atrial fibrillation who is newly prescribed digoxin 0.25 mg orally on even-numbered days. Which of the following client statements show that teaching has been effective? Select all that apply.
a)
I need to call the health care provider (HCP) if I have trouble reading.
b)
I need to check my blood pressure before taking my medicine.
c)
I should call the HCP if I develop nausea and vomiting.
d)
I should check my heart rate prior to taking this medication.
e)
I will call the HCP if I feel dizzy and lightheaded.
14.
A client is being discharged with a prescription for apixaban after being treated for a pulmonary embolus. Which clinical data is most concerning to the nurse?
a)
Client eats a vegetarian diet
b)
Client has chronic atrial fibrillation
c)
Client takes indomethacin for osteoarthritis
d)
Client's platelet count is 176,000/mm3
15.
The nurse in the outpatient clinic is caring for a client with heart failure who reports increased ankle swelling and a 3-lb (1.4-kg) weight gain over the past 2 days. The nurse reviews the client's current medications and anticipates the need for an increase in the dosage of which of the following medications?
a)
Bumetanide
b)
Candesartan
c)
Carvedilol
d)
Isosorbide
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