NURS 4510 - E2 Test Questions and Correct Answers

A client who has endocarditis with vegetation on the mitral valve suddenly reports severe left foot pain. You note that no pulse is palpable in the left foot and that it is cold and pale. Which action should you take next? A. Lower the client's left foot below heart level. B. Administer oxygen at 4 L/min to the client. C. Notify the client's physician about the change in status. D. Reassure the client that embolization is common in endocarditis. C While working on the cardiac step-down unit, you are serving as preceptor to a newly graduated RN who has been in a 6-week orientation program. Which client will be best to assign to the new graduate? A. 19-year-old with rheumatic fever who needs discharge teaching before going home with a roommate today B. 33-year-old admitted a week ago with endocarditis who will be receiving ceftriaxone (Rocephin) 2 g IV C. 50-year-old with newly diagnosed stable angina who has many questions about medications and nursing care D. 75-year-old who has just been transferred to the unit after undergoing coronary artery bypass grafting yesterday B After receiving the change-of-shift report, which patient should you assess first? A. 18-month-old with coarctation of the aorta who has decreased pedal pulses B. 3-year-old with rheumatic fever who reports severe knee pain C. 5-year-old with endocarditis who has crackles audible throughout both lungs D. 8-year-old with Kawasaki disease who has a temperature of 102.2° F (39° C) C As the pediatric unit charge nurse, you are working with a newly-graduated RN who has been on orientation in the unit for 2 months. Which patient should you assign to the new RN? A. 2-year-old with a ventricular septal defect for whom digoxin (Lanoxin) 90 mcg by mouth has been prescribed B. 4-year-old who had a pulmonary artery banding and has just been transferred in from the intensive care unit C. 9-year-old with mitral valve endocarditis whose parents need teaching about IV antibiotic administration D. 16-year-old with a heart transplant who was admitted with a low-grade fever and tachycardia A