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To detect an apical radial pulse deficit, the nurse would:
a. count the apical rate and then the radial rate
b. assess the apical and radial heart rates for regularity
c. assess the carotid pulse for forcefulness
d. count the apical and radial pulses at the same time
2. When assessing blood pressure from a lying to a standing position, which mm Hg
indicates that the patient is volume depleted?
a. 5 mm Hg
b. 10 mm Hg
c. 15 mm Hg
d. 20 mm Hg
3. A patient has experienced a recent myocardial infarction (MI). A complication the
nurse should monitor for is:
a. weight loss
b. an irregular pulse
c. depression
d. abdominal pain.
4. A 49 year old patient has multiple risk factors for coronary artery disease. A modifiable
risk factor the patient can focus on is:
a. family history
b. age
c. smoking
d. male gender
5. A 72 year old patient is complaining of pain after open-heart surgery. In addition to
giving the ordered morphine, the nurse could:
a. change positions
b. massage the legs
c. turn up the pacemaker
d. check the temperature
6. Postoperative care for a patient who had open-heart surgery includes coughing and
deep breathing. To increase the effectiveness of this procedure, the nurse would:
a. give a back rub
b. listen to breath sounds
c. use a pillow as a splint
d. monitor the chest tubes for paten
Immunosuppressant drugs to prevent ejection. The nurse should monitor the patient
closely for:
a. dysrhythmias
b. bleeding

administration of a short-acting sedative b. pacemaker spikes will be monitored carefully 9. “Everything will go great! Dr. You are too upset. notifying the physician of a pulse rate below 60 b. a normal rate 13. Home care instruction by the nurse would include: a. The nurse will instruct the patient to expect: a. through the clothing c. C is the best!” b. A 29 year old patient is to receive cardioversion for his dysrhythmia. A 68 year old patient is scheduled for open-heart surgery in the morning and is crying. On auscultation. A side effect that should be reported is: a. at areas on the anterior aspect of the chest d. A patient is taking garlic from the health food store to decrease cholesterol. remaining on restricted activity for 6 months d. the best technique by the nurse would be to listen: a. with the bell b. When auscultating heart sounds. 10. infection 8. “I will call the physician for a sedative. reporting pacemaker rejection 12. constipation b. bradycardia 11. weight gain d. only at the apex 14. The appropriate response from the nurse would be: a. The nurse knows a heart murmur indicates: . bradycardia c. the nurse detected a heart murmur. his digoxin dose will be taken as scheduled c. an abnormal heart sound d. the procedure to be completely safe d. A permanent pacemaker was inserted for heart block. continuing with micro shock precautions c. so do not cry” c. bruising c. “I know how you feel. dizziness d. “Tell me what concerns you the most” d. postural hypotension b.c. THE QUESTION WAS INCOMPLETE … 59. This would be identified as: a.

In preparation for the examination. Laboratory tests are performed to identify damage to the heart muscle. prepare the patient for sedation d. have the patient sign a consent b. To prepare for the exam. The physician has ordered continuous pulse oximetry. a loud ventricular gallop 15. monitor the gag reflex d. give a beta-blocking medication d. CPK-MB b. troponin . identifies damage cells in the myocardium 17. implement no special preparation 20.a. An important teaching point for a patient with aortic stenosis is to: a. lipid profile d. remove all metal objects c. remove all metal objects 18. annually have an electrocardiogram 16. involves a single prick b. The test that is elevated the earliest with heart damage is: a. the pericardium is inflamed c. remove the gel from all sites on the skin 19. ambulate the patient in the hall b. THE QUESTION WAS INCOMPLETE …nurse would expect to: a. obtain a place on the heart transplant list b. give the patient a special heart diet c. A stress test is scheduled for a 41 year old patient. the nurse would: a. The nurse explains to the patient that the procedure: a. restrict activity to bed rest with bathroom privileges d. the valves are not closing correctly b. check the puncture site c. have the patient sign a consent b. LDH c. the nurse would: a. there is a decrease in pacemaker cells d. measure the amount of oxygen in the blood c. is applied to the wrist d. take prophylactic antibiotics with dental procedures c. A 26 year old patient is scheduled for a magnetic resonance imaging (MRI) examination.

oral intake 24. draw arterial blood gases 22. The nursing diagnosis with the highest priority would be: a. urinary output d. atropine sublingually 25. written instructions on medication d. blood pressure d. ask if the patient is allergic to seafood or iodine b. Follow up visits are important to monitor the patient’s: a. In preparation for this examination. atropine sulfate intravenously has been administered. activity intolerance .21. remove all metal objects c. A patient is scheduled for a heart catheterization. Discharge instruction should include: a. blood pressure b. meperidine hydrochloride intramuscularly b. liver function 26. nitroglycerin orally c. muscle twitching d. give the patient a special heart diet d. incontinence of urine 23. To treat a dysrhythmia. weight gain b. Severe chest pain is reported by a patient during myocardial infarction. A patient with acute congestive heart failure presents with jugular vein distention. morphine sulfate intravenously d. pacemaker use at the bedside c. The nurse should monitor: a. is administered to lower a patient’s cholesterol. weight c. the nurse would: a. bleeding time b. THE QUESTION WAS INCOMPLETE …shock. The nurse would monitor for: a. high-energy exercise program 27. morphine sulfate for pain b. A medication. A patient has had an acute myocardial infarction. simvastatin (Zocor). tachycardia c. crackles bilaterally. and dyspnea. white count c. The drug of choice to relieve patient’s pain is: a.

25 mg daily. place the patient in a supine position b. a nonselective betaadrenergic blocker for his heart condition. increased urinary output b. b. A diuretic medication is being administered for congestive heart failure. muscle weakness 30. not stop the drug abruptly 32. A patient is receiving digoxin. Anxiety d. double the dose if the rate is 62 31. thirst d. nothing by mouth (NPO) c. monitoring vital signs and electrocardiogram (ECG) d. give the dose if the apical rate is 59 d. Before giving the medication. double the dose if symptoms occur d. sit or lie down when taking the drug. group activities to promote rest c. 0. count an apical pulse for 15 seconds b. the nurse would: a. have the patient cough and deep breathe every 2 hours d. encourage large meals for extra needed calories 29. Nursing care of this patient would include: a. hold the dose if the apical rate is 57 c. The nurse should monitor for an adverse effect of: a. a signed consent b. limit caffeine intake c. Excess fluid volume c. THE QUESTION WAS INCOMPLETE …intervention to decrease the work load of the heart would be to: a. Ineffective coping 28. weight loss c. The nurse would teach the patient to: a. A 46 year old patient is receiving propranolol (Inderal). weighing the patient daily .b. The physician has ordered a lidocaine infusion at 2 mg/min.