A patient has been experiencing increasing shortness of breath and fatigue. The physician has ordered a diagnostic test in order to determine what type of heart failure the patient is having. What diagnostic test does the nurse anticipate being ordered?
a. A chest x-ray
b. An echocardiogram
c....
A patient has been experiencing increasing shortness of breath and fatigue. The
physician has ordered a diagnostic test in order to determine what type of heart failure
the patient is having. What diagnostic test does the nurse anticipate being ordered?
a. A chest x-ray
b. An echocardiogram
c. An electrocardiogram
d. A ventriculogram correct answer- b. An echocardiogram
A patient is seen in the emergency department (ED) with heart failure. What key
diagnostic test does the nurse assess to determine the severity of the patient's heart
failure?
a. Blood urea nitrogen (BUN)
b. Complete blood count (CBC)
c. B-type natriuretic peptide (BNP)
d. Serum electrolytes correct answer- c. B-type natriuretic peptide (BNP)
A patient is admitted to the intensive care unit (ICU) with left- sided heart failure. What
clinical manifestations does the nurse anticipate finding when performing an
assessment? (Select all that apply.)
a. Jugular vein distention
b. Ascites
c. Pulmonary crackles
d. Dyspnea
e. Cough correct answer- c. Pulmonary crackles
d. Dyspnea
e. Cough
The nurse is assessing a patient with suspected acute venous insufficiency. What
clinical manifestations would indicate this condition to the nurse? (Select all that apply.)
a. Cool and cyanotic skin
b. Initial absence of edema
c. Sharp pain that may be relieved by the elevation of the extremity
d. Full superficial veins
e. Brisk capillary refill of the toes correct answer- a. Cool and cyanotic skin
c. Sharp pain that may be relieved by the elevation of the extremity
d. Full superficial veins
,The nurse is caring for a patient with peripheral arterial insufficiency. What can the
nurse suggest to help relieve leg pain during rest?
a. Elevating the limb about heart level
b. Lowering the limb so that it is dependent
c. Massaging the limb after application of cold compresses
d. Placing the limb in a plane horizontal to the body correct answer- b. Lowering the
limb so that it is dependent
The nurse is assisting a patient with peripheral arterial disease to ambulate in the
hallway. What should the nurse include in the education of the patient during
ambulation?
a. "As soon as you feel pain, we will go back and elevate your legs."
b. "If you feel pain during the walk, keep walking until the end of the hallway is reached."
c. "Walk to the point of pain, rest until the pain subsided, then resume ambulation."
d. "If you feel any discomfort, stop and we will use a wheelchair to take you back to your
room." correct answer- c. "Walk to the point of pain, rest until the pain subsided, then
resume ambulation."
The nurse is caring for a patient with venous insufficiency. What should the nurse
assess the patient's lower extremities for?
a. Rudor
b. Cellulitis
c. Dermatitis
d. Ulceration correct answer- d. Ulceration
The nurse is educating a patient with chronic venous insufficiency about prevention of
complications related to the disorder. What should the nurse include in the information
given to the patient? (Select all that apply.)
a. Avoid constricting garments.
b. Elevate the legs about the heart level for 30 minutes every 2 hours.
c. Sit as much as possible to rest the valves in the legs.
d. Sleep with the foot of the bed elevated about 6 inches.
e. Sit on the side of the bed and dangle the feet. correct answer- a. Avoid constricting
garments.
b. Elevate the legs about the heart level for 30 minutes every 2 hours.
d. Sleep with the foot of the bed elevated about 6 inches.
The nurse is reviewing the results of a total cholesterol level for a patient who has been
taking simvastatin (Zocor). What results display the effectiveness of the medication?
a. 160-190 mg/dL
b. 210-240 mg/dL
, c. 250-275 mg/dL
d. 280-300 mg/dL correct answer- a. 160-190 mg/dL
The nurse is discussing risk factors for developing CAD with a patient in the clinic.
Which results would indicate that the patient is not at significant risk for the development
of CAD?
a. Cholesterol, 280 mg/dL
b. Low density lipoprotein (LDL), 160 mg/dL
c. High-density lipoprotein (HDL), 80 mg/dL
d. A ratio of LDL to HDL of 4.5 to 1.0 correct answer- c. High-density lipoprotein (HDL),
80 mg/dL
A patient asks the nurse how long he will have to wait after taking nitroglycerin before
experiencing pain relief. What is the best answer by the nurse?
a. 3 minutes
b. 15 minutes
c. 30 minutes
d. 60 minutes correct answer- a. 3 minutes
The nurse is educating a patient diagnosed with angina pectoris about the difference
between the pain of angina and an MI. How should the nurse describe the pain
experienced during an MI? (Select all that apply).
a. It is relieved by rest and inactivity
b. It is substernal in location.
c. It is sudden in onset and prolonged in duration.
d. It is viselike and radiates to the shoulders and arms.
e. It subsides after taking nitroglycerin. correct answer- b. It is substernal in location.
c. It is sudden in onset and prolonged in duration.
d. It is viselike and radiates to the shoulders and arms.
The nurse is attempting to determine the ventricular rate and rhythm of a patient's
telemetry strip. What should the nurse examine to determine this part of the analysis?
a. PP interval
b. QT interval
c. RR interval
d. TP interval correct answer- c. RR interval
The nurse is caring for a patient with a diagnosis of pericarditis. Where does the nurse
understand the inflammation is location?
a. The thin fibrous sac encasing the heart
b. The inner lining of the heart and valves
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