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WorksheetsNCLEX - CARDIOVASCULAR Day4 (Part 1)
Total questions: 15
Worksheet time: 8mins
Name
Class
Date
1.
When admitting a client who had an anterior wall ST-elevation myocardial infarction to the cardiac stepdown unit, which intervention should the nurse perform first?
a)
Assess for jugular venous distension
b)
Attach the cardiac monitor to the client
c)
Auscultate heart and breath sounds
d)
Obtain the client's vital signs
e)
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2.
The nurse on a medical surgical unit enters a room, finds a client unresponsive with no pulse, and starts 2 minutes of CPR. The nurse receives and attaches an automated external defibrillator, but no shock is advised. Which action should the nurse perform next?
a)
Check for a carotid pulse for at least 10 seconds
b)
Provide rescue breaths at a rate of 10-12/min
c)
Resume chest compressions at a rate of 100/min
d)
Use the jaw-thrust maneuver to assess the airway
e)
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3.
A client with chest pain is diagnosed with acute pericarditis by the health care provider. The nurse explains that the pain will improve with which of the following?
a)
Coughing and deep breathing
b)
Left lateral position
c)
Pursed-lip breathing
d)
Sitting up and leaning forward
e)
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4.
A client with an implantable cardioverter defibrillator (ICD) develops ventricular tachycardia (VT) with a pulse while admitted to the medical-surgical unit. The ICD fires multiple times without successfully stopping the VT, causing the client to become confused and difficult to rouse. Which action by the nurse is appropriate?
a)
Attempt to stimulate a vagal response by having the client cough
b)
Deactivate the client's implantable cardioverter defibrillator with an external magnet
c)
Obtain a STAT 12-lead ECG to verify the cardiac rhythm
d)
Prepare for synchronized cardioversion with the external defibrillator
e)
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5.
The nurse is teaching a client about precipitating factors for chronic stable angina. Which of the following precipitating factors should the nurse include? Select all that apply.
a)
antiplatelet therapy
b)
emotional upset
c)
tobacco use
d)
strenuous activity
e)
high occupational stress
6.
The elementary school nurse is reviewing single-rescuer CPR algorithms with a student nurse. Which of the following statements by the student nurse would require follow-up?
a)
I can use pediatric automated external defibrillator pads on an adult.
b)
I will compress a child's chest to a depth of 2 inches (5 cm) when performing CPR.
c)
If a child appears unresponsive, I will shout the child's name and shake the shoulders.
d)
When performing CPR, I will deliver 30 compressions followed by 2 breaths.
e)
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7.
The nurse is performing an initial assessment on a client in hypertensive crisis. What is the nurse's priority assessment?
a)
Heart sounds
b)
Level of consciousness
c)
Lung sounds
d)
Visual fields and acuity
e)
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8.
The nurse is caring for a client who is experiencing the cardiac rhythm in the ECG strip shown below. The nurse should recognize that the client is experiencing
a)
asystole
b)
atrial fibrillation
c)
ventricular fibrillation
d)
ventricular tachycardia
e)
-
9.
The nurse is caring for a client who has an implantable cardioverter defibrillator (ICD). The ICD has delivered 2 shocks, but the client does not have a pulse. Which of the following actions should the nurse take next?
a)
Administer IV epinephrine.
b)
Deactivate the ICD with a magnet.
c)
Initiate chest compressions.
d)
Continue to monitor the cardiac rhythm.
e)
-
10.
A 2-year-old at an outpatient clinic stops breathing and does not have a pulse. CPR is initiated. When the automated external defibrillator (AED) arrives, the nurse notes that it has only adult AED pads. What is the appropriate action at this time?
a)
Continue CPR without using the automated external defibrillator (AED) until paramedics arrive
b)
Place one AED pad on the chest and the other on the back
c)
Place one AED pad on the upper right chest and the other on the lower left side
d)
Place one AED pad on the upper right chest and dispose of the other
e)
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11.
The nurse is caring for assigned clients. Which of the following clients should the nurse assess first? Click the exhibit button for additional information.
a)
Client 2 days postoperative coronary artery bypass grafting with diminished breath sounds in the lung bases and a temperature of 101.2 F (38.4 C)
b)
Client who had a permanent demand pacemaker inserted 4 hours ago and has occasional pacemaker spikes on the cardiac monitor
c)
Client who has a peripherally inserted central venous catheter and is reporting swelling of the right arm and shortness of breath
d)
Client with atrial fibrillation who has an INR of 1.2 and is due to receive a scheduled dose of warfarin now
e)
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12.
The nurse in the outpatient clinic is talking with a client who was diagnosed with hypertension 6 months ago. The client's current blood pressure is 170/94 mm Hg. Which of the following questions would be most important for the nurse to ask?
a)
Are you feeling overwhelmed at home or work?
b)
Can you describe your daily eating habits to me?
c)
Do you smoke cigarettes or use tobacco products?
d)
How often do you take your antihypertensive medications?
e)
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13.
The nurse reviews the ECG of a client. Which prescribed medication should the nurse suspect as the cause of the ECG findings?
a)
Captopril
b)
Carvedilol
c)
Glipizide
d)
Levothyroxine
e)
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14.
A client is admitted to the cardiac care unit with atrial fibrillation. Vital signs are shown in the exhibit. Which prescription should the nurse perform first?
a)
Administer diltiazem 20 mg IVP
b)
Administer rivaroxaban 20 mg PO
c)
Draw blood for a thyroid function test
d)
Send the client for echocardiogram
e)
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15.
A nurse on the telemetry unit observes the following rhythm on the monitor of a client admitted with coronary artery disease. What action should the nurse take first?
a)
Administer atropine 0.5 mg IV push
b)
Measure the client's vital signs
c)
Move the client back to bed from chair
d)
Obtain a temporary pacemaker
e)
-
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