POST TEST MS 1 A.
Impaired gas exchange related to airflow
1.When caring for a client with acute myocardial
infarction, the nurse recognizes that prompt pain
management is essential for which reason?
A. The discomfort will increase client anxiety
and reduce coping.
B. Relief of pain indicates that the myocardial
infarction is resolving.
C. Pain relief improves the oxygen supply and
decreases oxygen demand.
D. Pain medication should not be used until a
definitive diagnosis has been established.
2.How does the nurse can assess the client for
trousseau sign?
A. Ask the client to flex his hands
B. Gently tap the client’s cheek and note for the
reaction
C. Place a blood pressure cuff to the arm of the
client then inflate it 40 mmHg higher than the
client’s systolic bp and note for the palmar
flexion
D. Place a blood pressure cuff to the arm of the
client then inflate it 40mmHg lower than the
client’s systolic bp and note for the palmar
flexion
3.A nurse is caring for a client requiring positive
pressure mechanical ventilation. The client has been
fighting the ventilator-assisted breaths, and the
client’s blood pressure has been steadily decreasing.
Which would be the most appropriate intervention by
the nurse?
A. Place the client in the prone position
B. Prepare to administer intravenous
aminophylline
C. Notify the respiratory therapist to increase
the positive pressure settings
D. Call the physician to suggest sedatives and
paralytics
4.A male patient is admitted to the healthcare facility
for treatment of chronic obstructive pulmonary
disease. Which nursing diagnosis is most important
for this patient?
obstruction
B. Risk for infection related to retained
secretions
C. Activity intolerance related to fatigue
D. Anxiety related to actual threat to health
status
5.A pt is diagnosed with hypokalemia. After reviewing
the pt's current medications, which of the following
might have contributed to the pt's health problem?
A. Narcotic
B. Corticosteroid
C. Thiazide diuretic
D. Muscle relaxer
6.Carlo, a 55-year-old patient with a feeding tube, has
been experiencing severe watery stool. The patient is
lethargic and has poor skin turgor, a pulse of 120, and
hyperactive reflexes. Nursing interventions would
include:
A. Applying wrist restraints to avoid accidental
removal of the tube feeding
B. Administering salt tablets and monitoring
hypertonic parenteral solutions
C. Administering sedatives
D. Measuring and recording intake and output
daily weights
7.After a coronary angiogram, an urgent PTCA with
stenting was done to Ms. Dina. After, she was placed
on “dual antiplatelet therapy” (Aspirin 80 mg/ tablet
twice a day, and Clopidogrel 75 mg/ tablet, once a
day). The nurse knows that the purpose for this is to:
A. Dissolve any blood clots left
B. To prevent the artery from rupturing
C. Increase the efficiency of the PTCA
D. Prevent the stent from allowing it to be
enveloped by clots
8.Nurse would be most concerned about which lab
values obtained from a client receiving furosemide
(lasix) therapy?
A. BUN 20
B. Potassium 2.5 mEq/L
C. Creatinine 3.1
 D. Magnesium 1.8 D. Performing thoracentesis
9.To promote continued improvement in the 14.A 64 year old client is brought in to the hospital
respiratory status of a client following chest tube with thirsty, dry, sticky mucous membranes,
removal after a chest surgery for multiple rib fracture, decreased urine output, fever, a rough tongue and
the nurse should: lethargy. Serum sodium level is above 145 mEq/L.
Should the nurse start salt tablet when caring for this
A. Continue observing for dyspnea and crepitus
client?
B. Encourage bed rest with active and passive
range of motion exercises A. No, sodium intake should be restricted
C. Turn him from side to side at least every 2 B. Yes, this will correct the sodium deficit
hours C. Yes, along with the hypotonic IV
D. Encourage frequent coughing and deep D. No, start with the sodium chloride IV
breathing
15.The client obtained a sodium level of 125 mEq/L,
10.This is the pressure that draws water inside the then a client asks the nurse why does her sodium
vessel which is more concentrated decreases. The nurse best response will be:
A. Filtration A. “Because you were put on an NPO because
B. Diffusion of your previous diagnostic procedure and
C. Active Transport now you are on a law salt diet.”
D. Osmosis B. “Its okay, you need to worry about it.”
C. “Because you had a frequent episodes of
11.The client visits to the hospital and complaining of
vomiting” - potassium
tremors, shallow respiration and nausea and vomiting.
D. “May be you need to increase taking foods
Which of the following laboratory results confirms the
rich in vitamin D.” - calcium
client’s condition?
16.Nurse Carlo caring for a client with a
A. Magnesium level of 3.2 mEq/L
pneumothorax and who has had a chest tube inserted
B. Magnesium level of 2.8 mEq/L
notes continues gentle bubbling in the suction control
C. Magnesium level of 3.0 mEq/L
chamber. What action is appropriate?
D. Magnesium level of 1.2 mEq/L
A. Check for an air leak because the bubbling
12.The nurse checks the results of lab tests and notes
should be intermittent
that the potassium level is 2.5 mEq/L. After reporting
B. Do nothing, because this is an expected
this finding to the physician, the nurse assesses the
finding
client for:
C. Increase the suction pressure so that the
A. Hypertension. bubbling becomes vigorous
B. Weak, irregular pulse D. Immediately clamp the chest tube and notify
C. Bounding pulse. the physician
D. Increased bowel sounds
17.The nurse evaluates which of the following clients
13.If a pleural effusion develops, which of the to have hypermagnesemia?
following actions best describes how the fluid can be
A. A client who has hyperthyroidism and a
removed from the pleural space and proper lung
magnesium level of 1.6 mEq/L
status restored?
B. A client who has CHF takes diuretic and has
A. Performing paracentesis magnesium leve of 2.3 mEq/L.
B. Allowing the pleural effusion o drain by itself
C. Inserting a chest tube
 C. A client who has a renal failure takes
antacids and has a magnesium level of 2.9
mEq/L
D. A client who has chronic alcoholism and a
magnesium level of 1.3 mEq/L
18.Which of the following statement best explains
how opening collapsed alveoli improves oxygenation?
A. Alveoli have no effect on oxygenation
B. Alveoli need oxygen to live
C. Collapsed alveoli increase oxygen demand
D. Gaseous exchange occurs in the alveolar
membrane
19.The observation that indicates a desired response
to thoracostomy drainage of a client with chest injury
is:
A. Constant bubbling in the drainage chamber
B. Increased breath sounds
C. Increased respiratory rate
D. Crepitus detected on palpation of chest
20.The most abundant cations in the extracellular
compartment compartment is:
A. Calcium
B. Sodium
C. Potassium
D. Magnesium
21.A nurse is assessing lung sounds on a client with
pneumonia who is having pain during inspiration and
expiration. The nurse hears loud grating sounds over
the lung fields. The nurse should document the
client’s pain level and should document that:
A. Pleural friction rub was heard upon
auscultation.
B. Wheezing was heard upon auscultation.
C. Fine crackles were heard upon auscultation.
D. Lung sounds were clear upon auscultation.
22.Which finding should a nurse expect when
completing an assessment on a client with chronic
bronchitis?
A. Pink, frothy sputum
B. Minimal sputum with cough
C. Barrel chest
D. Stridor on expiration
23.A client has a serum calcium level of 7.2 mg/dl.
During the physical examination, the nurse expects to
assess which of the following:
A. Hegar’s Sign
B. Homan’s Sign
C. Trousseau’s Sign
D. Goodell’s Sign
24.Eddie, 40 years old, is brought to the emergency
room after the crash of his private plane. He has
suffered multiple crushing wounds of the chest,
abdomen and legs. It is feared his leg may have to be
amputated. When Eddie arrives in the emergency
room, the assessment that assume the greatest
priority are:
A. Pain, Respiratory rate and blood pressure
B. Quality of respirations and presence of
pulses
C. Abdominal contusions and other wounds
D. Level of consciousness and pupil size
25.This is a type of fluid imbalance occurs when the
loss of ECF volume exceeds the intake of fluids and
when the water and electrolytes are lost in the same
proportion?
A. Fluid Volume Excess
B. None of the above
C. Fluid Volume Deficit
D. Rehydration
26.Sublingual nitroglycerin tablets begin to work
within 1 to 2 minutes. How should the nurse instruct
the client to use the drug when chest pain occurs?
A. Take one tablet, then an additional tablet
every 5 minutes for a total of 3 tablets. Call
the physician if pain persists after three
tablets.
B. Take one tablet and rest for 10 minutes. Call
the physician if pain persists after 10
minutes.
C. Take one tablet. If pain persists after 5
minutes, take two tablets. If pain still persists
5 minutes later, call the physician.
 D. Take one tablet every 2 to 5 minutes until the D. Muscular contraction and relaxation
pain stops.
31.A client has been taking INH for 2 months. The
27.Ms. Dina was treated and after 3 days she is for client complains to a nurse about numbness,
discharge already. She was wondering when she can paresthesias, and tingling in the extremities. the nurse
resume her “intimate activity” with her husband. The interprets that the client is experiencing:
nurse’s best response would be:
A. Hypercalcemia
A. Delay sex until 1 week after you are B. Impaired peripheral circulation
discharged C. Small blood vessel spasm
B. The best time you can have sex is when D. Peripheral neuritis
your husband wants it too
32.A 60-year-old male client comes into the
C. If you can tolerate 2 flights of stairs and it
emergency department with complaints of crushing
has been 2 months already since discharge,
chest pain that radiates to his shoulder and left arm.
consult your doctor again, and he may give
The admitting diagnosis is acute myocardial
you the go signal to resume your “intimate
infarction. Immediate admission orders include
activities” (sex) with your husband.
oxygen by NC at 4L/minute, blood work, chest x-ray,
D. If you will be undergoing cardiac rehab, it is
an ECG, and 2mg of morphine given intravenously.
advisable you resume sex during phase I of
The nurse should first:
the Rehab program
A. Order the chest x-ray
28.Some particles cannot be able to cross into the
B. Administer the morphine
other compartment because a cell membrane
C. Obtain a 12-lead ECG
requires the assistance of membrane altering system.
D. Obtain the lab work
This term is called?
33.A male client asks the nurse about the potassium
A. Impermeability of the cells
her potassium level. The nurse noticed that the
B. Facilitated Diffusion
patient’s potassium level is 5.7 mEq/L. The patient
C. Osmosis
then asks the nurse about the factors that can cause
D. Filtration
an elevation of the potassium level. Which of the
E. Correct
following is the correct response from the nurse?
29.A chest tube with water seal drainage is inserted to
A. The patient had an over administration of
a client following a multiple chest injury. A few hours
potassium sparing diuretics
later, the client’s chest tube seems to be obstructed.
B. The patient had an over administration of
The most appropriate nursing action would be to
corticosteroids
A. Clam the tube immediately C. The client had a frequent episodes of
B. Prepare for chest tube removal vomiting
C. Milk the tube toward the collection container D. The patient had a frequent episode of
as ordered diarrrhea
D. Arrange for a stat Chest x-ray film.
34.Nurse Reynolds caring for a client with a chest
30.Which of the following is not the function of tube turns the client to the side, and the chest tube
calcium? accidentally disconnects. The initial nursing action is
to:
A. Enzyme Activation
B. Intracellular production and utilization of ATP A. Place a sterile dressing over the
C. Formation and mineralization of bones and disconnection site
teeth B. Call the physician
 C. Immediately replace the chest tube system
D. Place the tube in bottle of sterile water
35.The majority of the body’s water is contained in
which of the following fluid compartments?
A. Intracellular Compartment
B. Extracellular Compartment
C. Interstitial Compartment
D. Intravascular Compartment
36.An elderly pt with peripheral neuropathy has been
taking magnesium supplements. The nurse realizes
that which of the following symptoms can indicate
hypermagnesemia?
A. Hypotension, warmth, & sweating
B. Nausea & vomiting
C. Hyperreflexia
D. Excessive urination
37.A client with TB asks a nurse about precautions t
take after discharge from the hospital to prevent
infection of others. The nurse develops a response to
the client’s question based on the understanding that:
A. The disease is transmitted by droplet nuclei.
B. Deep pile carpet should be removed from
the home.
C. The client should maintain enteric
precautions only.
D. Clothing and sheets should be bleached
after each use.
38.A nurse begins to hear high-pressure alarms in the
room of a client requiring respiratory assistance with a
ventilator. Which is the best action by the nurse?
A. Lower the tidal volumes being delivered to
the client
B. Wait and allow the client time to regulate
breathing in coordination with the ventilator
C. Silence the alarm and restart the ventilator
D. Check ventilator tubing and connections
39.A client enters the ER complaining of chest
pressure and severe epigastric distress. His VS are
158/90, 94, 24, and 99*F. The doctor orders cardiac
enzymes. If the client were diagnosed with an MI, the
nurse would expect which cardiac enzyme to rise
within the next 3 to 8 hours?
A. Creatine kinase (CK or CPK)
B. Lactic dehydrogenase (LDH)
C. LDH-1
D. LDH-2
40.Patients diagnosed with hypervolemia should
avoid sweet or dry food because:
A. It obstructs water elimination
B. It can lead to weight gain
C. It increases the clients desire to consume
fluid
D. It can cause dehydration
41.This is a solution having a higher solute
concentration?
A. Isotonic Solution
B. All of the above
C. Hypotonic Solution
D. Hypertonic Solution
42.The client who has a diagnosis of fluid volume
deficit was told to monitor his BUN and Creatinine.
Which of the following is an expected result of the
patient’s BUN and Creatinine level?
A. Both the BUN and creatinine will decrease
B. The BUN will decrease and the creatinine
will increase
C. Increase BUN and creatinine
D. Both the BUN and creatinine will increase
43.The physician ordered a complete blood count
laboratory to a client. Which of the following is the
expected result on the client CBC?
A. The CBC reveals a decrease in the
hemoglobin and an increase in hematocrit
B. The CBC reveals a decrease in hematocrit
and hemoglobin
C. The CBC reveals an increase in hemoglobin
and decrease in hematocrit
D. The CBC reveals an increase in hematocrit
and hemoglobin
44.A patient is prescribed 40 mEq potassium as a
replacement. The nurse realizes that this replacement
should be administered
A. Via a rectal suppository.
 B. Mixed in the prescribed intravenous fluid.
C. Directly into the venous access line.
D. Via intramuscular injection.
45.A client has the following arterial blood gas values:
pH 7.12, PaCO2 40 mmHg and HCO3 15 mEq/L.
These ABG values suggest which disorder?
A. Metabolic Alkalosis
B. Respiratory Alkalosis
C. Respiratory Acidosis
D. Metabolic Acidosis
46.The physician refers the client with unstable
angina for a cardiac catheterization. The nurse
explains to the client that this procedure is being used
in this specific case to:
A. Bypass obstructed vessels
B. Assess the functional adequacy of the valves
and heart muscle.
C. Open and dilate the blocked coronary
arteries
D. Assess the extent of arterial blockage
47.A nurse observes for early manifestations of acute
respiratory distress syndrome (ARDS) in a client
being treated for smoke inhalation. Which signs
indicates the possible onset of ARDS in this client?
A. Decrease in both white and red blood cell
counts
B. Cough with blood-tinged sputum and
respiratory alkalosis
C. Diaphoresis and low SaO2 unresponsive to
increased oxygen administration
D. Hypertension and elevated PaO2
48.Atherosclerosis impedes coronary blood flow by
which of the following mechanisms?
A. Plaques obstruct the vein
B. Blood clots form outside the vessel wall
C. Hardened vessels dilate to allow the blood to
flow through
D. Plaques obstruct the artery
49.Magnesium performs all of the following functions
except:
A. Assisting in protein metabolism
B. Facilitating sodium transport
C. Assisting in cardiac muscle contraction
D. Contributing to vasoconstriction
50.A nurse had given a client taking ethambutol
(Myambutol) information about the medication. The
nurse determine that the client understands the
instructions if the client states that he or she will
immediately report:
A. Orange-red discoloration of body secretions.
B. impaired sense of hearing.
C. GI side effects.
D. Problems with visual acuity
51.To evaluate the effectiveness of prescribed
therapies for a patient with ventilatory failure, which
diagnostic test will be most useful to the nurse?
A. Pulse oximetry
B. Pulmonary artery pressure monitoring
C. Chest x-rays
D. Arterial blood gas (ABG) analysis
52.Etiologies associated with hypomagnesemia
include which of the following:
A. Decreased vitamin D intake
B. Hyperaldosteronism
C. Renal Failure
D. Constipation
53.A client was then admitted to the cardiac unit and
placed on telemetry. A nurse reviews the client’s
laboratory values and notes that the client’s
potassium level increases to 6.3 mEq/L. When
analyzing the cardiac rhythm, the nurse would expect
to note which electrocardiogram (ECG) finding?
A. Sinus rhythm with a depressed ST segment
B. Sinus rhythm with a tall, peaked T wave
C. Sinus tachycardia with a prolonged QT
interval
D. Sinus tachycardia with an extra U wave
54.The movement of both solute and solvent by
hydrostatic pressure, from an area of a higher
pressure to an area of a lower pressure is called?
A. Osmosis
B. Filtration
 C. Diffusion B. Paresthesia, muscle weakness and flaccid
D. Active Transport paralysis
C. Dysrhythmia
55.Body fluids perform which of the following
D. Oliguria
functions?
60.The nursing is assessing the client for chvostek
A. Cushion the organs
sign. Which of the following findings is correct about
B. Transport nutrients
chvostek sign?
C. Transport electrical charges
D. Facilitated fat metabolism A. There is a presence of cervical softening
B. There is pain on dorsiflexion of the foot
56.A client, newly diagnosed with asthma is preparing
C. There is twitching and/or contracture of the
for discharge. Which point should a nurse emphasize
facial muscles produced by tapping on the
during the client’s teaching?
facial nerve at a specific point on the face.
A. Limit exposure to sources that trigger an D. There is a carpopedal spasm induced by
attack inflating the blood pressure cuff above
B. Use inhaled steroid medication as a rescue systolic pressure
inhaler
61.Eddie, a plane crash victim, undergoes
C. Use peak flow meter only if symptoms are
endotracheal intubation and positive pressure
worsening
ventilation. The most immediate nursing intervention
D. Contact care provider only if nighttime
for him at this time would be to:
wheezing becomes a concern
A. Prepare him for emergency surgery
57.A client, hospitalized for a severe case of
B. Maintain sterility of the ventilation system
pneumonia, is asking a nurse why a sputum sample is
C. Facilitate his verbal communication
needed. The nurse should reply that the primary
D. Assess his response to the equipment
reason is to
62.Nurse Maureen has assisted a physician with the
A. Complete the first of three samples to be
insertion of a chest tube. The nurse monitors the
collected.
client and notes fluctuation of the fluid level in the
B. Differentiate between pneumonia and
water seal chamber after the tube is inserted. Based
atelectasis
on this assessment, which action would be
C. Encourage expectoration of secretions.
appropriate?
D. Help select the appropriate antibiotic.
A. Reinforce the occlusive dressing
58.A client with hypokalemia had an ECG monitored
B. Continue to monitor the client
in the morning. Which of the following is the expected
C. Encourage the client to deep breathe
ECG reading to client?
D. Inform the physician
A. Flattened and depressed T waves
Will be reviewed
B. Widened QRS
C. Prominent U waves and depressed ST 63.Which of the following condition of the client
segment contributes to Fluid volume excess?
D. Prolonged PR interval
A. A client who take 2 glasses of water in a day
59.What is the serious clinical manifestation the client B. A Client who is experiencing excessive
may experience having this potassium level? vomiting
C. A client who has a decreased dietary sodium
A. Abdominal cramping
intake
 D. A client who received an over administration 69.Which of the following should the nurse include in
of hypertonic intravenous fluids the diet teaching for a client with a sodium level of
125 mEq/l?
64.Clinical assessment of fluid volume deficit would
be confirmed if the nurses identify which of the A. Bake Ham
following? B. Bake Chicken
C. Cheese and noodles
A. Full bounding pulse
D. Bake Potato
B. Dry mucous membrane
C. 1 lb weight loss 70.The physician ordered lasix to a client with a
D. Engorged neck vein hyperkalemia. The nurse knows that the action of
lasix to the client condition is to?
65.The term which refers to the total number of
anions equal to the total number of cations is called? A. Decrease potassium excretion through
urination
A. Homeostasis
B. Increase potassium excretion through
B. Infiltration
urination
C. Diffusion
C. Decrease potassium absorption in the body
D. Electrical Stability
D. Increase potassium absorption in the body
66.A 57-year-old male patient is diagnosed of PE. He
71.This is the fluid dynamics in which the movement
often complains of worse pain during deep breathing
of solutes or particles in a solution is from a higher
exercises, coughing and sometimes when he is
concentration to a lower concentration
sneezing. Based on the patient’s observed
manifestations. He is experiencing: A. Filtration
B. Diffusion
A. Pain brought by thick mucus secretions
C. Osmosis
B. Pleuritic Chest Pain
D. Active Transport
C. Pain cause by angina
D. Pain brought about by the inflammation 72.A nurse is gathering data on a client with a
diagnosis of tuberculosis (TB). The nurse reviews the
67.In the evaluation of a client’s response to fluid
results of which diagnostic test that will CONFIRM this
replacement therapy, the observation that indicates
diagnosis?
adequate tissue perfusion to vital organs is:
A. Bronchoscopy
A. Central venous pressure reading of 2 cm
B. Tuberculin skin test
H2O
C. Chest x-ray
B. Blood pressure readings of 50/30 and 70/40
D. Sputum culture
within 30 minutes
C. Pulse rates of 120 and 110 in a 15 minute 73.Which of the following is an example of positively
period charged ions (cations)?
D. Urinary output is 30 ml in an hour
A. Sodium
68.Nurse Ruth assessing a patient for tracheal B. Bicarbonate
displacement should know that the trachea will C. Chloride
deviate toward the: D. Phosphate
A. Affected side in a hemothorax 74.Which of the following actions is the first priority
B. Contralateral side in a simple pneumothorax care for a client exhibiting signs and symptoms of
C. Affected side in a tension pneumothorax coronary artery disease?
D. All of the above
A. Administer sublingual nitroglycerin
 B. Educate the client about his symptoms 79.During auscultation of the client with pleurisy which
C. Decrease anxiety is commonly heard on the lungs of the client?
D. Enhance myocardial oxygenation
A. Presence of Pleuritic Friction Rub
75.A client is taking spirinolactone (Aldactone) to B. Absent or diminished breath sounds
control her hypertension. Her serumpotassium level is C. Presence of Wheezes
6 mEq/L. For this client, the nurse’s priority should be D. Presence of crackles
to assess her:
80.The force that draws water or solvent from a less
A. Respiratiry Rate concentrated solution into a more concentrated
B. Bowel Sounds solution through a semi-permeable membrane is
C. Electrocardiogram (ECG) results called?
D. Neuromuscular Function
A. Osmosis
76.This is the water pushing pressure that pushes B. Filtration
outward to the membrane from an area of higher C. Diffusion
concentration to the area of lower concentration? D. Active Transport
A. Osmotic Pressure 81.A client was given Nitrostat (Nitroglycerine) 0.3 mg
B. Hydrostatic Pressure via sublingual route. The nurse knows that the action
C. Blood Pressure of the medication is to?
D. Oncotic Pressure
A. Causes vasoconstriction of the blood vessel
77.A client comes to the emergency department with B. Administered to dissolve the clots
status asthmaticus. His respiratory rate is 48 bpm, C. Causes vasodilation of the peripheral
and he is wheezing. An BG analysis reveals pH of vasculature thereby increasing blood flow to
7.52 Partial pressure of areterial CO2 (PaCO2) of 30 the heart
mmHg, PaO2 of 70mmhg and bicarbonate of 26 D. Treats hypertension
mEq/L. What disorder is indicated by these findings?
82.Which one of the following medications could
A. Respiratory Alkalosis potentially exacerbate the problem of patient with
B. Metabolic Alkalosis FVD?
C. Metabolic Acidosis
A. Synthroid
D. Respiratory Acidosis
B. Digoxin
78.A client with a suspected pulmonary embolus C. Insulin
receives a ventilation and quantification nuclear D. Lasix
medicine (VQ) scan to evaluate regional lung
83.Following a treadmill test and cardiac
ventilation of airflow and regional lung blood flow. In
catheterization, the client is found to have coronary
consulting with a physician, a nurse learns that there
artery disease, which is inoperative. He is referred to
is a VQ mismatch. Based on this information, which
the cardiac rehabilitation unit. During his first visit to
action should be taken by the nurse?
the unit he says that he doesn’t understand why he
A. Inform the client that the test was normal needs to be there because there is nothing that can
B. Explain to the client that further testing will be done to make him better. The best nursing
be needed response is:
C. Reassure the client that he/she does not
A. “Do you feel that you will have to make some
have a pulmonary embolus
changes in your life now?”
D. Tell the client that tuberculosis treatment will
be needed
 B. “You are probably right but we can gradually
increase your activities so that you can live a
more active life.”
C. “Here we teach you to gradually change your
lifestyle to accommodate your heart
disease.”
D. “Cardiac rehabilitation is not a cure but can
help restore you to many of your former
activities.”
84.Which of the following should the nurse assess in
this pt?
A. Weight loss
B. Jugular Vein Distension
C. Orthostatic changes in pulse rate and bp
D. Poor skin turgor
85.Which of the following is the most common
symptom of myocardial infarction?
A. Dyspnea
B. Edema
C. Chest pain
D. Palpitations
86.The client was sent to the cardiac catheterization
laboratory for her to have a coronary angiogram.
Which of the following statements best explains what
the procedure is?
A. It is a procedure wherein a catheter will be
inserted to visualize if your coronary arteries
are patent and provides good blood flow to
your heart muscles
B. It is a non invasive procedure that will enable
your doctor evaluate your coronary arteries if
they are blocked, if they are then they are
not supplying enough oxygen to your heart.
C. Coronary angiogram is the same as any
other angiogram and no contrast dye will be
used since we will be using a coronary
catheter
D. It is also known as the right heart
catheterization, it will check your
hemodynamic parameters
87.These are the charged ions capable of conducting
electricity and solutes in all compartments?
A. Anions
B. Electrolytes
C. Cations
D. Fluid
88.In renal regulation of water balance, the functions
of angiotensin II include:
A. Selectively constricting portions of the
arterioles in the nephron
B. Catalyzing calcium rich nutrients
C. Increasing progesterone secretion into the
renal tubules
D. Blood clotting within the nephron
89.A priority nursing intervention for a client with
hypervolemia involves which of the following?
A. Encouraging the client to consume sodium
free fluids
B. Monitoring respiratory status for signs and
symptoms of pulmonary complications
C. Establishing IV access with a large bore
catheter
D. Drawing a blood sample for typing and cross
matching.
90.Which of the following nursing diagnoses might
apply to a patient with fluid volume deficit?
A. Increased Cardiac output
B. Altered urinary elimination
C. Decreased cardiac output
D. Impaired physical mobility
91.A client being discharged from the hospital to
home with a diagnosis of TB is worried abut the
possibility of infecting the family and others. The
nurse determines that the client would get the most
reassurance from the knowledge that:
A. The family will receive prophylactic therapy,
and the client will not be contagious after 1
continuous week of medication therapy.
B. A Family does not need therapy, and the
client will not be contagious after 1 month of
medication therapy.
C. The family does not need therapy, and the
client will not be contagious after 6
consecutive weeks of medication therapy.
 D. The family will receive prophylactic therapy, the acid-base disorder this pt is demonstrating is
and the client will not be contagious after 2 which of the following?
to 3 consecutive weeks of medication
A. Metabolic acidosis
therapy.
B. Respiratory alkalosis
92.Which of the following conditions most commonly C. Respiratory acidosis
results in CAD? D. Metabolic alkalosis
A. Renal failure 98.A client with asthma has pronounced wheezing
B. DM upon auscultation. Suspecting an impending asthma
C. MI attack, a nurse should:
D. Atherosclerosis
A. Prepare to administer a nebulized beta-2
93.The nurse expects that calcium excretion is one of adrenergic agonist.
the interventions in order to eliminate the calcium in B. Have the client lay on his or her right side.
the body. Which of the following diuretics the nurse C. Prepare to intubate the client.
will expect to administer? D. Have the client cough and deep breathe
A. Potassium wasting diuretics 99.A client is scheduled to undergo a diagnostic
B. Loop diuretics procedure. The purpose of the procedure is to
C. Thiazide diuretics obliterate the pleural space and to prevent the re-
D. Potassium sparing diuretic accumulation of the fluids. The kind of diagnostic
procedure to be performed to a client is?
94.This is a type of hyponatremia where water in the
body increases but sodium stays the same. A. Paracentesis
B. Pleurodosis
A. Hypervolemic Hyponatremia
C. Thoracentesis
B. All of the above
D. Bronchospcopy
C. Hypovolemic Hyponatremia
D. Eudemic Hyponatremia 100.An adult client is admitted to the ED with chest
pain. The client states that he had unrelieved chest
95.In which cellular compartment from the ECF do the
pain for approximately 20 minutes before coming to
cerebrospinal fluids, pleural fluids and peritoneal
the hospital. To minimize cardiac damage, the nurse
fluids be found?
should expect to administer which of the following
A. Intracellular Fluid Compartment interventions?
B. Transcellular Fluid Compartment
A. Bed rest, albuterol nebulizer treatments, and
C. Intravascular Fluid Compartment
oxygen
D. Interstitial Fluid Compartment
B. Thrombolytics (fibrinolytics), oxygen
96.A nurse is reading the results of a Mantoux skin administration, and nonsteroidal anti-
test on a client with no documented health problems. inflammatories
The site has no induration and a 1-mm area of C. Morphine, oxygen, and bed rest
ecchymosis. The nurse interprets that the result is: D. Oxygen and beta-adrenergic blockers

A. Uncertain
B. Positive
C. Borderline
D. Negative
97.A pt's blood gases show a pH greater of 7.53 &
bicarbonate level of 36 mEq/L. The nurse realizes that