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Heart and Neck Vessels Practice Exam Questions And Answers Already Passed.
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1. Based on Mr. Depodi's Report of increasingly frequent periods of dyspnea, dizziness and minor chest discomfort, what assessment should the nurse perform next? 1. Ask the client to stand and the recheck the blood pressure. 2. Place the client in a supine position and observe for orthopnea. 3. ...

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  • September 13, 2024
  • 7
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

Subjects

  • irregular pulse

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  • Heart and Neck Vessels
  • Heart and Neck Vessels

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Heart and Neck Vessels Practice Exam
Questions And Answers Already Passed.
1. Based on Mr. Depodi's Report of increasingly frequent periods of dyspnea, dizziness and minor chest
discomfort, what assessment should the nurse perform next?

1. Ask the client to stand and the recheck the blood pressure.

2. Place the client in a supine position and observe for orthopnea.

3. Measure the apical and radial pulse rates at the same time.

4. Determine if the client is currently experiencing any angina. - Answer Determine if the client is
currently experiencing any angina.



2. After palpating an irregular pulse rhythm at the left radial pulse site, what action should the nurse take
to confirm the client's heart rate?

1. Palpate both radial pulses simultaneously.

2. Auscultate the apical pulse for one minute.

3. Compare the ulnar pulse to the radial pulse.

4. Ask the client if he experiences palpitations. - Answer Auscultate the apical pulse for one minute.



3. To gather data about Tomas' history of chest pain, how should the nurse begin?

1. Encourage the client to describe his chest discomfort.

2. Determine if the chest pain has radiated to other sites.

3. Question the client about the frequency of his symptoms.

4. Ask the client to rate his chest pain on a numeric scale. - Answer Encourage the client to describe his
chest discomfort.



4. To obtain information that will help distinguish whether the client's fatigue is cardiac in nature, what
question should the nurse ask the client?

1. Why do you feel your fatigue is related to your age? At what time of the day do you feel most
fatigued?

2. Can you describe the quality of your fatigue?

, 3. What do you do when you feel tired?

4. At what time of the day do you feel most fatigued? - Answer At what time of the day do you feel
most fatigued?



5. Before developing the client's plan of care, what information is most important for the nurse to obtain
regarding the client's spirituality?

1. Whether the client participates in formal religious services regularly.

2. How the client's spiritual beliefs impact his health care expectations.

3. What beliefs the client holds regarding the existence of a higher power.

4. The old played by a spiritual advisor within the client's faith tradition. - Answer How the client's
spiritual beliefs impact his health care expectations.



6. Is it most important for the nurse to obtain further information related to which aspect of the client's
care?

1. Hygiene practices.

2. Sleep patterns.

3. Exercise habits.

4. Dietary needs.

5. Herbs or purgatives used - Answer Dietary needs

Herbs or purgatives used



7. How should the nurse prepare the client for inspection of the precordium?

1. Assist the client to a left side-lying position with his chest and back exposed.

2. Open the back of the client's gown while he sits on the side of the bed.

3. Help the client to a supine position on the bed with his chest exposed.

4. Loosen the client's gown and ask him to lean forward in the bedside chair. - Answer Help the client
to a supine position on the bed with his chest exposed.



8. The nurse should observe the force of the impulse at what location?

1. Left midclavicular line, 2nd intercostal space.

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