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NS660 Final Exam Questions with Complete Answers
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NS660 Final Exam Questions with Complete Answers
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NS660 Final Exam Questions withComplete Answers
When caring for a patient with essential hypertension what instruction should the nurse
provide to the patient to normalize blood pressure?
a. Reduce sodium intake.
b. Increase iodine intake
c. Increase intake of fluids.
d. Avoid intake of low fat diet. - Answer-A. Reduce sodium intake.
A patient has been diagnosed with prehypertension and has been encouraged to
exercise regularly and begin a weight loss program. What other healthcare professional
may be helpful for the client to see?
a. social worker
b. occupational therapist
c. pharmacist
d. registered dietitian - Answer-D. registered dietitian
The nurse is caring for a patient newly diagnosed with hypertension. Which statement
by the patient indicates the need for further teaching?
a. "I think I'm going to sign up for a yoga class twice a week to help reduce my stress."
b. "I will consult a dietician to help get my weight under control."
c. "If I take my blood pressure and it is normal, I don't have to take my blood pressure
pills."
d. "When getting up from bed, I will sit for a short period before standing up." - Answer-
c. "If I take my blood pressure and it is normal, I don't have to take my blood pressure
pills."
The nurse observes a certified nursing assistant (CNA) obtaining a blood pressure
reading with a cuff that is too small for the patient. The nurse informs the CNA that
using a cuff that is too small can affect the reading results in what way?
A. It will be significantly different with each reading.
B. The results will be falsely decreased.
C. It will give an accurate reading.
D. The results will be falsely elevated. - Answer-D. The results will be falsely elevated.
A nurse is reviewing the laboratory results for a client who has a history of
atherosclerosis and notes elevated cholesterol levels. Which of the following statements
by the client indicates the nurse should plan follow-up teaching on a low-cholesterol
diet?
,a. "I flavor my fish with lemon juice."
b. "I eat two eggs for breakfast each morning."
c. "I cook my food with canola oil."
d. "I take an omega-3 supplement daily." - Answer-b. "I eat two eggs for breakfast each
morning"
Which laboratory test result will the nurse review to determine the effects of therapy for
a patient being treated for heart failure?
a. Troponin
b. Homocysteine (HCY)
c. Low-density lipoprotein (LDL)
d. B-type natriuretic peptide (BNP) - Answer-D. BNP
A nurse is caring for a client who is postoperative and is at risk for developing venous
thromboembolism (VTE). The nurse should instruct the client to avoid which of the
following unsafe actions?
a. Elevating her feet
b. Massaging her legs
c. Flexing her ankles
d. Ambulating too soon after surgery - Answer-B. Massaging her legs
When teaching the patient with PAD about modifying risk factors associated with the
condition, what should the nurse emphasize?
a. Maintenance of normal body weight is the most important factor in controlling arterial
disease.
b. Amputation is the ultimate outcome if the patient does not alter lifestyle behaviors.
c. Risk-reducing behaviors initiated after angioplasty can stop the progression of the
disease.
d. Modifications will reduce the risk of other atherosclerotic conditions such as stroke. -
Answer-d. Modifications will reduce the risk of other atherosclerotic conditions such as
stroke.
A nurse is caring for a client with left-sided heart failure. Which of the following findings
should the nurse expect? (Select all)
a. Hepatomegaly
b. S3 and S4 heart sounds.
c. Crackles heard in the auscultation of the lungs
d. Cough (dry or pink-tinged)
e. Jugular venous distension
f. Restlessness and confusion - Answer-B, C, D, F
(JVD is a sign of right-sided heart failure)
, A nurse is caring for a client who receives furosemide (Lasix) to treat heart failure.
Which of the following laboratory values should the nurse monitor for this client due to
this medication?
a. Bicarbonate
b. Potassium
c. Albumin
d. Cortisol - Answer-B. Potassium
(Furosemide is a loop diuretic that promotes the excretion of potassium. The nurse
should monitor the client's potassium level to watch for hypokalemia.)
A nurse is teaching the partner of a client who had an acute myocardial infarction (MI)
about the reason blood was drawn from the client. Which of the following statements
should the nurse make regarding cardiac enzymes (biomarkers) studies?
a. "Cardiac enzymes will identify the location of the MI."
b. "These tests help determine the degree of damage to the heart tissues."
c. "Cardiac enzymes assist in diagnosing the presence of pulmonary congestion."
d. "These tests will enable the provider to determine the heart structure and mobility of
the heart valves." - Answer-B. "These tests help determine the degree of damage to the
heart tissues."
(Cardiac enzyme studies are obtained because the degree of enzyme elevation reflects
the degree of damage to the myocardium. The enzymes most commonly measured are
CPK and troponin. These enzymes have a characteristic rise and fall pattern after an
MI. It may take 4 hr or more after the onset of manifestations for the test to become
abnormal and up to 24 hr for the level to peak. Eventually, the levels in the blood fall
back to normal. Consequently, serial blood tests must be taken from the client to
document and evaluate enzyme levels.)
A nurse is teaching a client who has chronic stable angina about starting therapy with
SL nitroglycerin tablets. The nurse should include which of the following instructions
regarding how to take the medication?
a. "Take this medication after each meal and at bedtime."
b. "Take one tablet every 15 min during an acute attack."
c. "Take one tablet at the first indication of chest pain."
d. "Take this medication with 8 ounces of water." - Answer-C. "Take one tablet at the
first indication of chest pain."
The patient is admitted with pain, edema, and warm skin on her lower left leg. What test
should the nurse expect to be ordered first?
a. Complete blood count (CBC)
b. Duplex ultrasound
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