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EXAM 4 CARDIAC: NSG 121 FINAL EXAM STUDY GUIDE |BRAND NEW EXAM QUESTIONS AND CORRECT ANSWERS ALL GRADED A+|GUARANTEED SUCCESS|LATEST UPDATE $10.49
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EXAM 4 CARDIAC: NSG 121 FINAL EXAM STUDY GUIDE |BRAND NEW EXAM QUESTIONS AND CORRECT ANSWERS ALL GRADED A+|GUARANTEED SUCCESS|LATEST UPDATE
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Course
NSG 121 CARDIAC
Institution
NSG 121 CARDIAC
EXAM 4 CARDIAC: NSG 121 FINAL EXAM STUDY GUIDE |BRAND NEW EXAM QUESTIONS AND CORRECT ANSWERS ALL GRADED A+|GUARANTEED SUCCESS|LATEST UPDATE
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 t...
EXAM 4 CARDIAC: NSG 121 FINAL EXAM
STUDY GUIDE 2024-2025|BRAND NEW EXAM
QUESTIONS AND CORRECT ANSWERS ALL
GRADED A+|GUARANTEED SUCCESS|LATEST
UPDATE
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." - ANSWER-
✔B. "It is a rushing sound that blood makes moving across narrowed places or
defects."
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." -
ANSWER-✔D. "This procedure is a noninvasive way to assess the structure of the
heart."
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 - ANSWER-✔D. Teach the client lifestyle modifications to decrease
blood pressure and reassess in 3 - 6 months.
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 - ANSWER-✔C. Blood pressure
The client is scheduled for electrocardiography (EKG/ECG). After teaching by the
nurse, which statement by the client indicates a good understanding 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." - ANSWER-✔A. "I
must lie as still as possible during the procedure."
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."
- ANSWER-✔C. "When my blood pressure is normal, I will no longer need to take
medication."
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
D. Sedentary Lifestyle
E. Older age - ANSWER-✔B. HTN
C. Overweight/Obesity
D. Sedentary Lifestyle
(AGE AND GENDER ARE NOT MODIFIABLE)
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 - ANSWER-✔A. Spironolactone
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 - ANSWER-✔A. BNP (brain natriuretic peptide)
What are cardiac biomarkers? - ANSWER-✔Myoglobin
Troponin T and I
Creatine kinase (CK)/Ck-MB
A client who has a new diagnosis of hypertension has a prescription for an ACE
inhibitor. The nurse instructs the client about the adverse effects of the medication.
The client demonstrates an understanding of the teaching by stating that he will
notify his provider if he experiences which of the following?
A. Tendon Pain
B. Constipation
C. Persistent cough
D. Frequent urination - ANSWER-✔C. Persistant Cough
According to the updated 2017 Hypertension Clinical Guidelines, which population is
more likely to have hypertension than other groups and which medication(s) are
more effective for the population?
A. Asian Americans; calcium channel blockers and ace inhibitors
B. Hispanic American; thiazide diuretics and calcium channel blockers
C. African American; calcium channel blockers and thiazide diuretics
D. African American; ace inhibitors and angiotensin II receptor blockers - ANSWER-
✔C. African American; calcium channel blockers and thiazide diuretics
According to the JNC 8 guidelines for the management of hypertension, the nurse
anticipates the first medication choice for a client in the general population with
uncomplicated hypertension, might be:
A. Statins
B. Anti-platelets
C. Beta blockers
D. Thyazide diuretics - ANSWER-✔Thyazide diuretics
The nurse recognizes the difference between a hypertensive emergency and a
hypertensive urgency is:
A. Decreased cardiac output
B. Uncomplicated pulse pressure
C. Potential damage to target organs
D. Hyperglycemia - ANSWER-✔C. Potential damage to target organs
, The nurse knows that which factors effect peripheral vascular resistance?
A. The viscosity of the blood and cardiac output
B. The viscosity of the blood and diameter of the blood vessel
C. The diameter of the blood vessel and cardiac output
D. Cardiac output and blood pressure - ANSWER-✔B. The viscosity of the blood and
diameter of the blood vessel
The nurse knows that characteristics of acute coronary syndrome in clients include:
SELECT ALL THAT APPLY
A. Unusual fatigue
B. High sodium
C. Sleep disturbances
D. SOB
E. Chest discomfort - ANSWER-✔A. Unusual fatigue
C. Sleep disturbances
D. SOB
E. Chest discomfort
A nurse is teaching a client about diagnostic tests. A diagnostic test that could
indicate target organ damage from prolonged uncontrolled hypertension includes:
A. Intra-arterial line
B. Palpation for apical thrill
C. BUN/Creatinine
D. Orthostatic vital signs - ANSWER-✔C. BUN/Creatinine
While conducting medication teaching on ace inhibitors for a newly diagnosed client
with hypertension, the nurse emphasizes what possible side effect to report?
A. Angioedema and seizures
B. Frequent urination and nagging cough
C. High sodium levels and nausea
D. Angioedema and nagging dry cough - ANSWER-✔D. Angioedema and nagging dry
cough
The nurse instructs a client with hypertension to avoid all of the following
medications except:
A. Birth control pills
B. OTC cold medication with pseudoephedrine
C. Guaifenesin
D. Calcium Channel Blockers - ANSWER-✔D. Calcium Channel Blockers
The nurse is caring for a client with heart failure. Which of the following are
characteristics of systolic heart failure?SELECT ALL THAT APPLY
A. Reduced ejection fraction
B. Normal ejection fraction
C. Stiff heart muscle
D. Change in contraction of ventricles
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