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WorksheetsNCLEX - CARDIOVASCULAR Day3 (Part 2)
Total questions: 8
Worksheet time: 8mins
Name
Class
Date
1.
The nurse is caring for a client with end-stage kidney disease who has missed multiple hemodialysis treatments. The client has an elevated serum potassium level and continuous cardiac monitoring shows tall, peaked T waves. Which of the following medications should the nurse expect to be prescribed for the client?
a)
captopril
b)
amiodarone
c)
spironolactone
d)
calcium gluconate
e)
-
2.
The nurse in the emergency department is assessing a client who was involved in a motor vehicle collision. Which of the following findings would be a priority to follow up?
a)
cold and clammy skin
b)
urine output of 32 mL/hr
c)
edema of the left upper extremity
d)
oxygen saturation of 92% on room air
e)
-
3.
The nurse is assessing a 1-month-old infant with atrial septal defect. Which of the following findings would be consistent with the condition?
a)
cyanosis
b)
muffled heart tones
c)
murmur
d)
weak femoral pulses
e)
-
4.
A nurse is making initial client rounds at the beginning of the shift. Which client should the nurse see first?
a)
36-year-old client with endocarditis who has a temperature of 100.6 F (38.1 C), chills, malaise, and a heart murmur
b)
40-year-old client with pericardial effusion who has blood pressure of 84/62 mm Hg and jugular venous distension
c)
67-year-old client admitted for pneumonia with new-onset atrial fibrillation, who has blood pressure of 130/90 mm Hg and heart rate of 110/min
d)
70-year-old client with advanced heart failure who is receiving intravenous (IV) diuretics, has blood pressure of 80/60 mm Hg, and is watching TV
e)
-
5.
The nurse is assessing a client with suspected hypovolemic shock. Which of the following findings would support a diagnosis of hypovolemic shock?
a)
Warm, flushed skin
b)
Jugular venous distension
c)
Urine output less than 0.5 ml/kg/hr
d)
Mean arterial pressure of 68 mm Hg
e)
-
6.
The nurse has taught a client with coronary artery disease. Which of the following statements by the client would indicate a correct understanding of the teaching?
a)
I may be experiencing a myocardial infarction if I have heartburn that is not relieved by taking antacids.
b)
A low-sodium diet is not necessary if I take my blood pressure medication consistently.
c)
I can expect to experience mild shortness of breath while walking around the house.
d)
A diet low in saturated fats in combination with atorvastatin can cure my condition.
e)
-
7.
The nurse is admitting a client with a diagnosis of right-sided heart failure resulting from pulmonary hypertension. What clinical manifestations are most likely to be assessed? Select all that apply.
a)
Crackles in lung bases
b)
Increased abdominal girth
c)
Jugular venous distension
d)
Lower extremity edema
e)
Orthopnea
8.
The nurse is caring for a newborn with patent ductus arteriosus. Which finding would be consistent with the condition?
a)
Blowing diastolic murmur
b)
Harsh systolic murmur
c)
Loud machine-like murmur
d)
Systolic ejection murmur
e)
-
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