NUR 254 Test 1 Review Questions With Complete Solutions
A 65 year old, obese patient who has been extremely sedentary
for most of her life is diagnosed with coronary artery disease.
You are educating her with regards to physical activity. What
would a reasonable initial goal be? Correct Answer Park in the
farthest parking spots and increase your walk to work and at
stores.
A client complains of chest pain and the nurse administers 0.4
mg of SL nitro. Prior to administering a second dose 5 minutes
later, the nurse should assess which of the following? Correct
Answer check bp
reassess pain
a flutter Correct Answer Verapamil, Digoxin, beta blockers,
Cardioversion, anti-coagulants, & anti-arrhythmics (Cardizem)
A patient complains of chest pain. In order to obtain a thorough
history for diagnostic purposes the nurse should ask questions
about the chest pain. The acronym PQRST is a helpful quick
reminder. True or False: This abbreviation stands for P -
Precipitating factors Q - Quality R - Region/radiation S -
Severity T - Timing Correct Answer True
A PATIENT DEVELOPS PSVT AND IS SYMPTOMATIC.
PRIOR TO ADENOSINE OR CARDIOVERSION, WHAT IS
A NONPHARMACOLOGIC INTERVENTION FOR PSVT?
Correct Answer ELICIT VAGAL RESPONSE/VALSALVA
MANEUVER
,A patient has a history of aortic stenosis and has a murmur. This
murmur would be best auscultated in what location? Correct
Answer 2nd intercostal space, right sternal border
A patient has been receiving enoxaparin. Which of the following
labs is important to monitor to detect HIT (heparin induced
thrombocytopenia)? Correct Answer platelet count
A patient is experiencing STEMI (ST elevation myocardial
infarction). The nurse has administred SL nitro every 5 minutes
X 3 with no relief. What analgesic will the nurse anticipate
administering next? Correct Answer morphine
A patient is involved in a MVC. Which finding would indicate
neruogenic shock as opposed to hypovolvemic shock?
1. Decreased hgb and hct
2. Bradycardia
3. Tachycardia
4. Hypotension
5. Hypertension Correct Answer 2. bradycardia
A patient is taking simvastatin for coronary artery disease.
Which of the following is the desired goal for triglycerides?
Correct Answer <150 mg/dL
,A PATIENT SECOND DEGREE TYPE 2 HEART BLOCK
THAT HAS PROGRESSED TO THIRD DEGREE
(COMPLETE) HEART BLOCK. WHAT IS THE PRIORITY
INTERVENTION? Correct Answer pacemaker
A patient with a known DVT (deep vein thrombosis) may have a
surgical procedure to place this, which would "catch" any clots
that may dislodge Correct Answer Inferior Vena Cava (IVC)
filter
A patient with coronary artery disease has been taking aspirin 81
mg daily for more than a year. The physician prescribes
clopidogrel after the patient has a cardiac cath with stent
placement. The physician continues the aspirin order as well.
The nurse should: Correct Answer administer the medication as
it acts differently to prevent platelet aggregation than aspirin
A PATIENT WITH HIGH LDL SHOULD BE ADVISED TO
REPLACE FOODS HIGH IN SATURATED FAT WITH
FOODS HIGHER IN UNSATURATED FAT. NAME THREE
(3) FOODS THE PATIENT SHOULD AVOID THAT ARE
HIGH IN SATURATED FAT. Correct Answer BUTTER,
CHEESE, MILK, CREAM, ICE CREAM, COCONUT OIL
AND FATTY MEATS
A patient with myocardial infarction is ordered the fibrinolytic
streptokinase. Which of the following would contraindicate its
use? Correct Answer a patient that fell 3 days ago
a sign/symptom of early/Stage I shock? Correct Answer
Tachycardia
, adenosine Correct Answer Antiarrhythmic-short flatline for
SVT
afib Correct Answer Anticoagulant and diltiazem
After a severe myocardial infarction the ability of the damaged
myocardium to pump effectively can be decreased. This can lead
to heart failure. Which of the following serum labs would be
useful in detecting heart failure? Correct Answer Brain
natriuretic protein (BNP)
After administering nitroglycerin a patient complains of
headache. The nurse knows this is: Correct Answer the result
of vasodilation in the cerebral vessels
All of the manifestations of shock can be directly related to the
body's attempts to maintain __________. Correct Answer
Perfusion of vital organs (heart and brain)
Amiodarone Correct Answer Antiarrhythmic-for
Vfib/Vtach/Afib
An echocardiogram is performed after a massive myocardial
infarction. This would provide which information? Correct
Answer Pictures of cardiac structures
angioplasty Correct Answer Restore blood flow to ischemic
area
A 65 year old, obese patient who has been extremely sedentary
for most of her life is diagnosed with coronary artery disease.
You are educating her with regards to physical activity. What
would a reasonable initial goal be? Correct Answer Park in the
farthest parking spots and increase your walk to work and at
stores.
A client complains of chest pain and the nurse administers 0.4
mg of SL nitro. Prior to administering a second dose 5 minutes
later, the nurse should assess which of the following? Correct
Answer check bp
reassess pain
a flutter Correct Answer Verapamil, Digoxin, beta blockers,
Cardioversion, anti-coagulants, & anti-arrhythmics (Cardizem)
A patient complains of chest pain. In order to obtain a thorough
history for diagnostic purposes the nurse should ask questions
about the chest pain. The acronym PQRST is a helpful quick
reminder. True or False: This abbreviation stands for P -
Precipitating factors Q - Quality R - Region/radiation S -
Severity T - Timing Correct Answer True
A PATIENT DEVELOPS PSVT AND IS SYMPTOMATIC.
PRIOR TO ADENOSINE OR CARDIOVERSION, WHAT IS
A NONPHARMACOLOGIC INTERVENTION FOR PSVT?
Correct Answer ELICIT VAGAL RESPONSE/VALSALVA
MANEUVER
,A patient has a history of aortic stenosis and has a murmur. This
murmur would be best auscultated in what location? Correct
Answer 2nd intercostal space, right sternal border
A patient has been receiving enoxaparin. Which of the following
labs is important to monitor to detect HIT (heparin induced
thrombocytopenia)? Correct Answer platelet count
A patient is experiencing STEMI (ST elevation myocardial
infarction). The nurse has administred SL nitro every 5 minutes
X 3 with no relief. What analgesic will the nurse anticipate
administering next? Correct Answer morphine
A patient is involved in a MVC. Which finding would indicate
neruogenic shock as opposed to hypovolvemic shock?
1. Decreased hgb and hct
2. Bradycardia
3. Tachycardia
4. Hypotension
5. Hypertension Correct Answer 2. bradycardia
A patient is taking simvastatin for coronary artery disease.
Which of the following is the desired goal for triglycerides?
Correct Answer <150 mg/dL
,A PATIENT SECOND DEGREE TYPE 2 HEART BLOCK
THAT HAS PROGRESSED TO THIRD DEGREE
(COMPLETE) HEART BLOCK. WHAT IS THE PRIORITY
INTERVENTION? Correct Answer pacemaker
A patient with a known DVT (deep vein thrombosis) may have a
surgical procedure to place this, which would "catch" any clots
that may dislodge Correct Answer Inferior Vena Cava (IVC)
filter
A patient with coronary artery disease has been taking aspirin 81
mg daily for more than a year. The physician prescribes
clopidogrel after the patient has a cardiac cath with stent
placement. The physician continues the aspirin order as well.
The nurse should: Correct Answer administer the medication as
it acts differently to prevent platelet aggregation than aspirin
A PATIENT WITH HIGH LDL SHOULD BE ADVISED TO
REPLACE FOODS HIGH IN SATURATED FAT WITH
FOODS HIGHER IN UNSATURATED FAT. NAME THREE
(3) FOODS THE PATIENT SHOULD AVOID THAT ARE
HIGH IN SATURATED FAT. Correct Answer BUTTER,
CHEESE, MILK, CREAM, ICE CREAM, COCONUT OIL
AND FATTY MEATS
A patient with myocardial infarction is ordered the fibrinolytic
streptokinase. Which of the following would contraindicate its
use? Correct Answer a patient that fell 3 days ago
a sign/symptom of early/Stage I shock? Correct Answer
Tachycardia
, adenosine Correct Answer Antiarrhythmic-short flatline for
SVT
afib Correct Answer Anticoagulant and diltiazem
After a severe myocardial infarction the ability of the damaged
myocardium to pump effectively can be decreased. This can lead
to heart failure. Which of the following serum labs would be
useful in detecting heart failure? Correct Answer Brain
natriuretic protein (BNP)
After administering nitroglycerin a patient complains of
headache. The nurse knows this is: Correct Answer the result
of vasodilation in the cerebral vessels
All of the manifestations of shock can be directly related to the
body's attempts to maintain __________. Correct Answer
Perfusion of vital organs (heart and brain)
Amiodarone Correct Answer Antiarrhythmic-for
Vfib/Vtach/Afib
An echocardiogram is performed after a massive myocardial
infarction. This would provide which information? Correct
Answer Pictures of cardiac structures
angioplasty Correct Answer Restore blood flow to ischemic
area
