A nurse assesses a client who had a myocardial infarction and is hypotensive. Which
additional assessment
finding should the nurse expect?
a. Heart rate of 120 beats/min
b. Cool, clammy skin
c. Oxygen saturation of 90%
d. Respiratory rate of 8 breaths/min
A
A nurse assesses a client after...
AHN 447 Exam #1 (Multiple Choice)
Questions and Correct Verified Answers
A nurse assesses a client who had a myocardial infarction and is hypotensive. Which
additional assessment
finding should the nurse expect?
a. Heart rate of 120 beats/min
b. Cool, clammy skin
c. Oxygen saturation of 90%
d. Respiratory rate of 8 breaths/min
✓ A
A nurse assesses a client after administering a prescribed beta blocker. Which
assessment should the nurse expect to find?
a. Blood pressure increased from 98/42 mm Hg to 132/60 mm Hg
b. Respiratory rate decreased from 25 breaths/min to 14 breaths/min
c. Oxygen saturation increased from 88% to 96%
d. Pulse decreased from 100 beats/min to 80 beats/min
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✓ D
A nurse assesses clients on a medical-surgical unit. Which client should the nurse
identify as having the
greatest risk for cardiovascular disease?
a. An 86-year-old man with a history of asthma
b. A 32-year-old Asian-American man with colorectal cancer
c. A 45-year-old American Indian woman with diabetes mellitus
d. A 53-year-old postmenopausal woman who is on hormone therapy
✓ C
A nurse assesses an older adult client who has multiple chronic diseases. The clients
heart rate is 48
beats/min. Which action should the nurse take first?
a. Document the finding in the chart.
b. Initiate external pacing.
c. Assess the clients medications.
d. Administer 1 mg of atropine.
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✓ C
An emergency room nurse obtains the health history of a client. Which statement by
the client should alert
the nurse to the occurrence of heart failure?
a. I get short of breath when I climb stairs.
b. I see halos floating around my head.
c. I have trouble remembering things.
d. I have lost weight over the past month.
✓ A
A nurse obtains the health history of a client who is newly admitted to the medical unit.
Which statement by
the client should alert the nurse to the presence of edema?
a. I wake up to go to the bathroom at night.
b. My shoes fit tighter by the end of the day.
c. I seem to be feeling more anxious lately.
d. I drink at least eight glasses of water a day.
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✓ B
A nurse assesses an older adult client who is experiencing a myocardial infarction.
Which clinical
manifestation should the nurse expect?
a. Excruciating pain on inspiration
b. Left lateral chest wall pain
c. Disorientation and confusion
d. Numbness and tingling of the arm
✓ C
A nurse assesses a client 2 hours after a cardiac angiography via the left femoral artery.
The nurse notes that the left pedal pulse is weak. Which action should the nurse take?
a. Elevate the leg and apply a sandbag to the entrance site.
b. Increase the flow rate of intravenous fluids.
c. Assess the color and temperature of the left leg.
d. Document the finding as left pedal pulse of +1/4.
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