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NURS230 SISIs Angelina Scribano and Riley Kenehan Final exam review part 1 2023
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NURS230 SISIs Angelina Scribano and Riley Kenehan Final exam review part 1 2023
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Part 1: Final Exam Review, NURS230 SISIs: Angelina Scribano and Riley Kenehan
This packet covers all content up until the current unit. It is categorized by topic throughout the
packet. As a reminder, these are questions compiled by fellow students and no questions can be used to
leverage points in NURS230 based on any exams.
Cardiac Content
1. A client admitted to the hospital with chest pain and a history of type 2 diabetes mellitus is
scheduled for cardiac catheterization. Which medication would need to be withheld for 24 hours
before the procedure and for 48 hours after the procedure?
a. Regular insulin
b. Glipizide (Glucotrol)
c. Repaglinide (Prandin)
d. Metformin (Glucophage)
2. A client is wearing a continuous cardiac monitor, which begins to sound its alarm. A nurse sees no
electrocardiographic complexes on the screen. Which is the priority action of the nurse?
a. Call a code.
b. Call the health care provider.
c. Check the client's status and lead placement.
d. Press the recorder button on the electrocardiogram console.
3. A client is having frequent premature ventricular contractions. The nurse should place priority on
assessment of which item?
a. Sensation of palpitations
b. Causative factors, such as caffeine
c. Precipitating factors, such as infection
d. Blood pressure and oxygen saturation
4. A client with angina complains that the anginal pain is prolonged and severe and occurs at the
same time each day, most often at rest in the absence of precipitating factors. How would the
nurse best describe this type of anginal pain?
a. Stable angina-relieved with rest, induced from excercise
b. Variant angina- during rest
c. Unstable angina
d. Nonanginal pain
5. The nurse is monitoring a client with acute pericarditis for signs of cardiac tamponade. Which
assessment finding indicates the presence of this complication?
a. Flat neck veins
b. A pulse rate of 60 beats/min
c. Muffled or distant heart sounds- others for cardiac tamponade include tach, juglar vein
distention, falling of blood pressure
d. Wheezing on auscultation of the lungs
6. The nurse in the medical unit is reviewing the laboratory test results for a client who has been
transferred from the intensive care unit. The nurse notes that a cardiac troponin T level assay was
performed while the client was in the intensive care unit. The nurse determines that this test was
performed to assist in diagnosing which condition?
a. Heart failure-BNP
b. Atrial fibrillation
c. Myocardial infarction
, d. Ventricular tachycardia
7. The nurse is performing an assessment on a client with a diagnosis of left-sided heart failure.
Which assessment component would elicit specific information regarding the client's left-sided
heart function?
a. Listening to lung sounds
b. Monitoring for organomegaly
c. Assessing for jugular vein distention
d. Assessing for peripheral and sacral edema
8. The nurse in the medical unit is assigned to provide discharge teaching to a client with a
diagnosis of angina pectoris. The nurse is discussing lifestyle changes that are needed to
minimize the effects of the disease process. The client continually changes the subject during the
teaching session. The nurse interprets that this client's behavior is most likely related to which
problem?
a. Anxiety related to the need to make lifestyle changes
b. Boredom resulting from having already learned the material
c. An attempt to ignore or deny the need to make lifestyle changes
d. Lack of understanding of the material provided at the teaching session and
embarrassment about asking questions
9. The nurse has provided dietary instructions to a client with coronary artery disease. Which
statement by the client indicates an understanding of the dietary instructions?
a. "I'll need to become a strict vegetarian."
b. "I should use polyunsaturated oils in my diet."
i. Avoid foods high in fat and cholesterol such as eggs, whole, milk, red meat
c. "I need to substitute eggs and whole milk for meat."
d. "I should eliminate all cholesterol and fat from my diet."
10. The health care provider has written a prescription for a client to have an echocardiogram. Which
action should the nurse take to prepare the client for the procedure?
a. Questions the client about allergies to iodine or shellfish
b. Has the client sign an informed consent form for an invasive procedure
c. Tells the client that the procedure is painless and takes 30 to 60 minutes
d. Keeps the client on nothing-by-mouth (NPO) status for 2 hours before the procedure
11. A client with coronary artery disease is scheduled to have a diagnostic exercise stress test. Which
instruction should the nurse plan to provide to the client about this procedure?
a. Eat breakfast just before the procedure.
b. Wear firm, rigid shoes, such as workboots.
c. Wear loose clothing with a shirt that buttons in front.
i. NPO a/f bedtome/ minimum 2hrs b/f test, supportive shoes, no smoking on day
d. Avoid cigarettes for 30 minutes before the procedure.
12. A client recovering from pulmonary edema is preparing for discharge. What should the nurse plan
to teach the client to do to manage or prevent recurrent symptoms after discharge?
a. Sleep with the head of bed flat.
b. Weigh himself or herself on a daily basis.
c. Take a double dose of the diuretic if peripheral edema is noted.
d. Withhold prescribed digoxin (Lanoxin) if slight respiratory distress occurs.
13. A client is admitted to the hospital with a diagnosis of mitral stenosis. The narrowing of this valve
will impede circulation of blood through which structures?
a. Left ventricle to aorta
b. Left atrium to left ventricle
c. Right atrium to right ventricle
d. Right ventricle to pulmonary artery
, 14. A client is admitted to the hospital with a diagnosis of aortic regurgitation. The nurse plans care
for the client, knowing that the failure of the aortic valve to close completely allows blood to flow
retrograde through which structures?
a. Aorta to left ventricle
b. Left ventricle to left atrium
c. Right ventricle to right atrium
d. Pulmonary artery to right ventricle
15. A nurse who is auscultating a 56-year-old client's apical heart rate before administering digoxin
(Lanoxin) notes that the heart rate is 52 beats/min. The nurse should make which interpretation
about this information?
a. Normal, because of the client's age
b. Abnormal, requiring further assessment- no not admin digoxin b/s it does not treaat low
HR, it increases strength and contraction n the heart, HCP notified
c. Normal, as a result of the effects of digoxin
d. Normal, because this is the reason the client is receiving digoxin
16. Which laboratory test results may be associated with peaked or tall, tented T waves on a client's
electrocardiogram (ECG)?
a. Chloride level of 98 mEq/L
b. Sodium level of 135 mEq/L
c. Potassium level of 6.8 mEq/L
d. Magnesium level of 1.6 mEq/L
17. A client is being discharged from the hospital after being treated for infective endocarditis. The
nurse should provide the client with which discharge instruction?
a. Take antibiotics until the chest pain is fully resolved.
b. Take acetaminophen (Tylenol) if the chest pain worsens.
c. Use a firm-bristle toothbrush and floss vigorously to prevent cavities.
d. Notify all health care providers (HCP) of the history of infective endocarditis before any
invasive procedures.
i. Will give prophylactic antibiotics
18. The nurse is watching the cardiac monitor and notices that the rhythm suddenly changes. No P
waves or QRS complexes are seen; instead, the monitor screen shows an irregular wavy line. The
nurse interprets that the client is experiencing which rhythm?
a. Sinus tachycardia
b. Ventricular fibrillation
c. Ventricular tachycardia- wide QRS complex
d. Premature ventricular contractions (PVCs)
19. The nurse notes that a client's cardiac rhythm shows absent P waves and no PR interval. How
should the nurse interpret this rhythm?
a. Bradycardia
b. Tachycardia
c. Atrial fibrillation
d. Normal sinus rhythm (NSR)
20. The nurse is teaching a client with cardiomyopathy about home care safety measures. The nurse
should address with the client which most important measure to ensure client safety?
a. Assessing pain
b. Administering vasodilators
c. Avoiding over-the-counter medications
d. Moving slowly from a sitting to a standing position
Perioperative:
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