1. A client is newly diagnosed with a heart murmur and asks the nurse to
explain what this means. What is the nurse's best response? A. "It is a term
health care providers use to describe the efficiency of blood circulation."
B. "It is a rushing sound that blood makes moving across narrowed places
or defects."
C. "It is the sound of the heart muscle stretching in an area of weakness."
D. "It is the sound the heart makes when it has an increased workload."
B. "It is a rushing sound that blood makes moving across narrowed places or defects."
2. A client is scheduled for an echocardiography today and asks why this test
is being performed. What is the nurse's best response?
A. "This procedure assesses for blockages within the coronary arteries."
B. "This procedure will evaluate the oxygen saturation in your blood."
C. "This procedure assesses for abnormal electrical impulses within the
heart."
D. "This procedure is a noninvasive way to assess the structure of the
heart."
, 2
D. "This procedure is a noninvasive way to assess the structure of the heart."
3. When obtaining a client's vital signs, the nurse assesses a blood pressure
of 124/78 mmHg. What is the nurse's most anticipated intervention?
A. Teach lifestyle modification to decrease blood pressure and add two
blood pressure-lowering medications from two different classes.
B. Teach the client lifestyle modifications to decrease blood pressure and
evaluate yearly.
C. Teach lifestyle modification to decrease blood pressure and add one
blood pressure-lowering medication.
D. Teach the client lifestyle modifications to decrease blood pressure and
reassess in 3 - 6 months
D. Teach the client lifestyle modifications to decrease blood pressure and reassess in 3
- 6 months.
4. A client consistently reports feeling dizzy and lightheaded when moving
from a supine position to a sitting position. What nursing assessment
takes priority at this time?
A. Respiratory rate
B. Neurovascular evaluation
C. Blood pressure
D. Pulse oximetry
C. Blood pressure
5. The client is scheduled for electrocardiography (EKG/ECG). After teaching
by the nurse, which statement by the client indicates a good understanding
, 3
of the pre-procedure teaching?
A. "I must lie as still as possible during the procedure."
B. I can not eat or drink before the electrocardiography."
C. "I am likely to feel the warmth as the dye enters my heart."
D. "I will increase my fluid intake on the day of the procedure."
A. "I must lie as still as possible during the procedure."
6. The nurse is assessing a client's understanding of his hypertension
therapy. What client statement indicates a need for further teaching?
A. "If my blood pressure stays under control, I will reduce my risk for a
heart attack."
B. "If I lose weight, I might be able to reduce my blood pressure
medication."
C. "When my blood pressure is normal, I will no longer need to take
medication."
D. "When getting out of bed in the morning, I will sit for a few moments
then stand."
C. "When my blood pressure is normal, I will no longer need to take medication."
7. The nurse is providing teaching to a group of clients at a local community
center. The nurse teaches that modifiable risk factors for cardiovascular
disease include which of the following? SELECT ALL THAT APPLY
A. Male Gender
B. HTN
C. Overweight/Obesity
, 4
D. Sedentary Lifestyle
E. Older age
B. HTN
C. Overweight/Obesity
D. Sedentary Lifestyle
(AGE AND GENDER ARE NOT MODIFIABLE)
8. A nurse is providing instructions to a new nurse about caring for clients
who are receiving diuretic therapy to treat heart failure. The nurse should
explain that which of the following medications puts clients at risk for both
hyperkalemia and hyponatremia?
A. Spironolactone
B. Lasix
C. Furosemide
D. HCTZ
A. Spironolactone
9. A nurse is reviewing cardiac biomarker lab values on a client experiencing
angina. Which lab test is not considered a cardiac biomarker?
A. BNP
B. Myoglobin
C. Troponin T and I
D. Creatine Kinase (CK)/Ck-MB
A. BNP (brain natriuretic peptide)
10. What are cardiac biomarkers?
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