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WorksheetsNCLEX - CARDIOVASCULAR Day3 (Part 1)
Total questions: 15
Worksheet time: 15mins
Name
Class
Date
1.
The nurse has taught a client with heart failure who has had multiple admissions to treat exacerbations. Which of the following statements by the client would require follow-up?
a)
I will begin weighing myself at the same time every day.
b)
I will eat foods high in potassium while taking furosemide.
c)
I will start incorporating moderate exercise into my daily routine.
d)
I will eat frozen meals from the grocery store instead of restaurant foods.
2.
The nurse is reviewing discharge instructions on home management for a client with peripheral arterial disease. Which statements indicate a correct understanding of the instructions? Select all that apply.
a)
I will apply moisturizing lotion on my legs every day.
b)
I will elevate my legs at night when I am sleeping.
c)
I will keep my legs below heart level when sitting.
d)
I will start walking outside with my neighbor.
e)
I will use a heating pad to promote circulation.
3.
The nurse is assessing a client who has a pericardial effusion. Which of the following findings would indicate that the client is experiencing cardiac tamponade? Select all that apply.
a)
muffled heart tones
b)
jugular venous distension
c)
bounding peripheral pulses
d)
blood pressure of 80/60 mm Hg
e)
decreased breath sounds on the left side
4.
The nurse is teaching a client who is scheduled for a cardiac pharmacologic stress test in 2 days. Which of the following information should the nurse include? Select all that apply.
a)
Do not smoke any cigarettes on the day of the test.
b)
Take your beta blocker medication the morning of the test.
c)
You may experience transient nausea or flushing during the test.
d)
You can drink decaffeinated coffee instead of regular coffee the morning of the test.
e)
A peripheral venous access device will be inserted to administer medications during the test.
5.
A client taking a diuretic for chronic heart failure experiences constipation. What is the nurse's best recommendation?
a)
Drink 2 extra glasses of water with each meal
b)
Exercise for longer periods
c)
Include more fiber in the diet
d)
Take warm baths to relax the abdomen
6.
The nurse is providing discharge instructions to the parent of a 3-year-old client who has Kawasaki disease. The nurse should instruct the parent to immediately notify the health care provider if the client experiences
a)
fever
b)
fatigue
c)
joint pain
d)
skin peeling
7.
The nurse is assigned to the following clients. Which client does the nurse assess/identify as being at greatest risk for the development of a deep venous thrombosis (DVT)?
a)
A 25-year-old client with abdominal pain who smokes cigarettes and takes oral contraceptives
b)
A 55-year-old ambulatory client with exacerbation of chronic bronchitis and hematocrit of 56%
c)
A 72-year-old client with a fever who is 2 days post coronary stent placement
d)
An 80-year-old client who is 4 days postoperative from repair of a fractured hip
8.
The nurse is caring for a client with chronic venous insufficiency. Which of the following findings would be consistent with the condition?
a)
absent pedal pulses bilaterally
b)
toes cold to palpation bilaterally
c)
absence of hair on the lower extremities
d)
brown, hardened skin on the lower extremities
9.
A nurse is teaching the parents of an infant with tetralogy of Fallot. Which of the following actions should the nurse include to reduce the incidence of hypercyanotic spells? Select all that apply.
a)
Dress the infant in warm clothing and blankets
b)
Encourage smaller, frequent feedings
c)
Intervene quickly to prevent the infant from crying excessively
d)
Promote a quiet period on waking in the morning
e)
Turn the infant frequently during sleep
10.
The nurse is assessing for the presence of jugular venous distension (JVD) on a newly admitted client with a history of heart failure. Which is the best position for the nurse to place the client in when observing for JVD?
a)
Head of the bed elevated to a 45-degree angle
b)
Head of the bed elevated to a 60-degree angle
c)
Head of the bed elevated to a 90-degree angle
d)
Head of the bed flat
11.
The nurse is admitting a client with heart failure-related fluid overload. Which action should the nurse complete first?
a)
Administer oxygen.
b)
Assess the client's breath sounds.
c)
Initiate cardiac monitoring.
d)
Insert a peripheral IV catheter.
12.
The nurse is assessing a client with aortic stenosis. Which of the following findings would be consistent with the condition?
a)
bounding peripheral pulses
b)
distended neck veins
c)
syncope on exertion
d)
loud S2 heart sound
13.
An elderly client tells the nurse "I have experienced leg pain for several weeks when I walk to the mailbox each afternoon, but it goes away once I stop walking." What is the priority assessment the nurse should perform?
a)
Assess for dry, scaly skin on the lower legs
b)
Assess for presence or absence of hair growth on lower extremities
c)
Check for presence and quality of posterior tibial and dorsalis pedis pulses
d)
Obtain a dietary history
14.
The nurse is teaching a client diagnosed with Raynaud phenomenon about ways to prevent recurrent episodes. Which instructions should the nurse include? Select all that apply.
a)
Avoid excessive caffeine
b)
Immerse hands in cold water
c)
Practice yoga or tai chi
d)
Refrain from using tobacco products
e)
Wear gloves when handling cold objects
15.
The nurse is performing the modified Allen test prior to obtaining a blood specimen from a client for arterial blood gas analysis. The nurse should understand that the modified Allen test is performed to determine
a)
if capillary refill is adequate
b)
if the radial pulse is palpable
c)
the patency of the ulnar artery
d)
the presence of a neurological deficit
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