Cardiovascular 1

1) The home care nurse visits a patient with a new permanent pacemaker implanted in the area
below the left clavicle. It is MOST important for the nurse to respond to which of the following?
“I know my wound is healing because I see drainage from the incision site.”
2) The office nurse prepares a client for a resting electrocardiogram (EKG). Which of the following
statements by the client indicates teaching is successful? “The more still I can lie, the better the
results will be.”
3) Which of the following nursing measures is MOST effective for preventing thrombophlebitis for
a patient while on bedrest? Elevate the foot of the bed with the knee gatch and pillow
4) One week following a myocardial infarction, a patient complains to the nurse of fatigue. The
nurse notes that the patient is slightly short of breath and the pulse rate is 110 bpm. Which of
the following actions at the nurse is best? Administer high-flow oxygen
5) The nurse is monitoring a client receiving treatment for hypertension. Which blood pressure
reading indicates to the nurse that the treatment is successful? 120/78
6) When a nurse administers dopamine via IV drip, which factor is most important? The client’s
weight in kilograms
7) The nurse cares for the client receiving digoxin and hydrochlorothiazide. The nurse understands
a major adverse effect of hydrochlorothiazide includes which finding? Hypokalemia
8) The nurse cares for the client 12 hours after aotofermoral bypass. It is most important for the
nurse to place the client in which position? Full supine
9) To assess the pulse during adult cardiopulmonary resuscitation (CPR), which site should the
nurse assess? The carotid artery
10) The nurse cares for a client diagnosed with angina. The nurse understands that nitroglycerin is
used in the treatment of angina pectoris for which reason? Decreases preload
11) The nurse in the student health service of a college is planning a series of brief presentations on
reducing health risks. One of the topics is going to be toxic shock syndrome (TSS). It is MOST
important for the nurse to target which of the following groups in marketing this program? All
females
12) A client is diagnosed with angina, and the nurse instructs the client about care at home. The
nurse determines that teaching is effective if the client makes which statement? “If I have chest
pain, I should stop my activity and take a nitroglycerin tablet.”
13) The nurse is caring for the client receiving methyldopa. The nurse instructs the client about
common adverse effects of methyldopa. Which information does the nurse include? Loss of
libido
14) It is MOST important for the nurse to take which action when administering cardiopulmonary
resuscitation? Compress the chest at least a rate of 100 compressions per minute
15) A cline tarries in the emergency department reporting severe pain in the left leg that is not
relieved by rest or medication. On physical examination, the nurse is most likely to assess which
symptom? Cold, mottled leg
16) The nurse is teaching a client diagnosed with heart failure about he prescribed medication. The
nurse explains the purpose of digoxin includes which reason? Increase that strength of the
heart’s contractions.
17) Several hours after being admitted to the unit, an intravenous lidocaine drip is started for a
client diagnosed with acute myocardial infarction. The nurse understands which outcome is the
purpose of this medication? Decrease the myocardial irritability.
18) The nurse understands that the CABs of CPR stand for which? Compressions, airway, breathing
19) The nurse performs diet teaching for a client diagnosed with a myocardial infarction. The nurse
determines that teaching is effective if the client selects which of the following menus? Sliced
turkey, green beans, pear.
20) The nurse cares for a client after a coronary artery bypass graft (CABG). Which observation
during the postoperative period most concerns the nurse? The heavy chest tube drainage
suddenly stops.
21) The nurse cares for the client with acute myocardial infarction. The client’s skin is clammy, blood
pressure is 85/50; client appears restless and anxious. Which action should the nurse take
FIRST? Administer analgesia as ordered
22) The nurse teaches a client receiving an antihypertensive medication before discharge. The nurse
determines that further teaching is necessary when the client makes which statement? “I can
stop taking the medication when my blood pressure goes down.”
23) The nurse teaches the client with angina prior to discharge. It is most important for the client to
report which behavior? A change in the character of the pain
24) The nurse instructs the client about hypertension. Which client statement indicates teaching is
successful? “I know I must see my health care provider on a regular basis.”
25) A nurse understands that the primary purpose of promoting rest following a myocardial
infarction includes which rationale? Decrease the workload on the heart
26) The nurse supervised the nursing student caring for the client who had a femoropopliteal bypass
graft in the right leg 12 hours ago. The nurse intervenes if the nursing student performs which
intervention? The nursing student places the client in a chair for 30 minutes; The nursing
student obtains a Doppler evaluation of the client’s right leg every two hours
27) The nurse cares for clients on the medical unit. Propranolol is ordered for the client. Which
information found in the client’s history causes the nurse to intervene? The client has had
asthma since childhood.
28) The client comes to the cardiac clinic reporting of anorexia, nausea, and blurred vision. The
nurse understands these symptoms indicate the client may be experiencing which condition?
Hypokalemia
29) The nurse instructs a client in the outpatient clinic about a cardiac stress test. Which statement
by the nurse is best? “The stress test will determine the amount of stress that your heart can
tolerate.”
30) The client is started on warfarin. The nurse instructs the client to regularly obtain blood work to
measure which laboratory value? Prothrombin time