Adult Health Cardiovascular
A client admitted to the hospital with chest pain and a history of type 2 diabetes mellitus is
scheduled for cardiac catheterization. Which medication would need to be withheld for 24 hours
before the procedure and for 48 hours after the procedure?
1. Regular insulin
2. Glipizide (Glucotrol)
3. Repaglinide (Prandin)
4. Metformin (Glucophage)
4. Metformin (Glucophage)
The nurse is reviewing an electrocardiogram rhythm strip. The P waves and QRS complexes are
regular. The PR interval is 0.16 second, and QRS complexes measure 0.06 second. The overall heart
rate is 64 beats/minute. Which would be a correct interpretation based on these characteristics?
1. Sinus bradycardia
2. Sick sinus syndrome
3. Normal sinus rhythm
4. First-degree heart block
3. Normal sinus rhythm
A client is wearing a continuous cardiac monitor, which begins to sound its alarm. A nurse sees no
electrocardiographic complexes on the screen. Which is the <strong>priority</strong> action of the
nurse?
1. Call a code.
2. Call the health care provider.
3. Check the client's status and lead placement.
4. Press the recorder button on the electrocardiogram console.
3. Check the client's status and lead placement.
A client is having frequent premature ventricular contractions. The nurse should
place <strong>priority</strong> on assessment of which item?
,1. Sensation of palpitations
2. Causative factors, such as caffeine
3. Precipitating factors, such as infection
4. Blood pressure and oxygen saturation
4. Blood pressure and oxygen saturation
The nurse is evaluating a client's response to cardioversion. Which observation would be of
<strong>highest priority</strong> to the nurse?
1. Blood pressure
2. Status of airway
3. Oxygen flow rate
4. Level of consciousness
2. Status of airway
The nurse is caring for a client who has just had implantation of an automatic internal cardioverter-
defibrillator. The nurse <strong>immediately</strong> would assess which item based
on <strong>priority?
</strong>1. Anxiety level of the client and family
2. Presence of a Medic-Alert card for the client to carry
3. Knowledge of restrictions of postdischarge physical activity
4. Activation status of the device, heart rate cutoff, and number of shocks it is programmed to
deliver
4. Activation status of the device, heart rate cutoff, and number of shocks it is programmed to
deliver
A client's electrocardiogram strip shows atrial and ventricular rates of 110 beats/minute. The PR
interval is 0.14 second, the QRS complex measures 0.08 second, and the PP and RR intervals are
regular. How should the nurse correctly interpret this rhythm?
1. Sinus dysrhythmia
2. Sinus tachycardia
,3. Sinus bradycardia
4. Normal sinus rhythm
2. Sinus tachycardia
The nurse is assessing the neurovascular status of a client who returned to the surgical nursing unit 4
hours ago after undergoing aortoiliac bypass graft. The affected leg is warm, and the nurse notes
redness and edema. The pedal pulse is palpable and unchanged from admission. How should the
nurse correctly interpret the client's neurovascular status?
1. The neurovascular status is normal because of increased blood flow through the leg.
2. The neurovascular status is moderately impaired, and the surgeon should be called.
3. The neurovascular status is slightly deteriorating and should be monitored for another hour.
4. The neurovascular status is adequate from an arterial approach, but venous complications are
arising.
1. The neurovascular status is normal because of increased blood flow through the leg.
The nurse is evaluating the condition of a client after pericardiocentesis performed to treat cardiac
tamponade. Which observation would indicate that the procedure was unsuccessful?
1. Rising blood pressure
2. Clearly audible heart sounds
3. Client expressions of relief
4. Rising central venous pressure
4. Rising central venous pressure
A client with angina complains that the anginal pain is prolonged and severe and occurs at the same
time each day, most often at rest in the absence of precipitating factors. How would the
nurse best describe this type of anginal pain?
1. Stable angina
2. Variant angina
3. Unstable angina
4. Nonanginal pain
, 2. Variant angina
The nurse is monitoring a client with acute pericarditis for signs of cardiac tamponade. Which
assessment finding indicates the presence of this complication?
1. Flat neck veins
2. A pulse rate of 60 beats/min
3. Muffled or distant heart sounds
4. Wheezing on auscultation of the lungs
3. Muffled or distant heart sounds
The home care nurse is providing instructions to a client with an arterial ischemic leg ulcer about
home care management and self-care management. Which statement, if made by the client,
indicates a <strong>need for further instruction?
</strong>1. "I need to be sure not to go barefoot around the house."
2. "If I cut my toenails, I need to be sure that I cut them straight across."
3. "It is all right to apply lanolin to my feet, but I shouldn't place it between my toes."
4. "I need to be sure that I elevate my leg above my heart level for at least an hour every day."
4. "I need to be sure that I elevate my leg above my heart level for at least an hour every day."
The nurse is providing instructions to a client with a diagnosis of hypertension regarding high-sodium
items to be avoided. The nurse instructs the client to avoid consuming which item?
1. Bananas
2. Broccoli
3. Antacids
4. Cantaloupe
3. Antacids
The nurse is preparing discharge instructions for a client with Raynaud's disease. The nurse should
plan to provide which instruction to the client?
A client admitted to the hospital with chest pain and a history of type 2 diabetes mellitus is
scheduled for cardiac catheterization. Which medication would need to be withheld for 24 hours
before the procedure and for 48 hours after the procedure?
1. Regular insulin
2. Glipizide (Glucotrol)
3. Repaglinide (Prandin)
4. Metformin (Glucophage)
4. Metformin (Glucophage)
The nurse is reviewing an electrocardiogram rhythm strip. The P waves and QRS complexes are
regular. The PR interval is 0.16 second, and QRS complexes measure 0.06 second. The overall heart
rate is 64 beats/minute. Which would be a correct interpretation based on these characteristics?
1. Sinus bradycardia
2. Sick sinus syndrome
3. Normal sinus rhythm
4. First-degree heart block
3. Normal sinus rhythm
A client is wearing a continuous cardiac monitor, which begins to sound its alarm. A nurse sees no
electrocardiographic complexes on the screen. Which is the <strong>priority</strong> action of the
nurse?
1. Call a code.
2. Call the health care provider.
3. Check the client's status and lead placement.
4. Press the recorder button on the electrocardiogram console.
3. Check the client's status and lead placement.
A client is having frequent premature ventricular contractions. The nurse should
place <strong>priority</strong> on assessment of which item?
,1. Sensation of palpitations
2. Causative factors, such as caffeine
3. Precipitating factors, such as infection
4. Blood pressure and oxygen saturation
4. Blood pressure and oxygen saturation
The nurse is evaluating a client's response to cardioversion. Which observation would be of
<strong>highest priority</strong> to the nurse?
1. Blood pressure
2. Status of airway
3. Oxygen flow rate
4. Level of consciousness
2. Status of airway
The nurse is caring for a client who has just had implantation of an automatic internal cardioverter-
defibrillator. The nurse <strong>immediately</strong> would assess which item based
on <strong>priority?
</strong>1. Anxiety level of the client and family
2. Presence of a Medic-Alert card for the client to carry
3. Knowledge of restrictions of postdischarge physical activity
4. Activation status of the device, heart rate cutoff, and number of shocks it is programmed to
deliver
4. Activation status of the device, heart rate cutoff, and number of shocks it is programmed to
deliver
A client's electrocardiogram strip shows atrial and ventricular rates of 110 beats/minute. The PR
interval is 0.14 second, the QRS complex measures 0.08 second, and the PP and RR intervals are
regular. How should the nurse correctly interpret this rhythm?
1. Sinus dysrhythmia
2. Sinus tachycardia
,3. Sinus bradycardia
4. Normal sinus rhythm
2. Sinus tachycardia
The nurse is assessing the neurovascular status of a client who returned to the surgical nursing unit 4
hours ago after undergoing aortoiliac bypass graft. The affected leg is warm, and the nurse notes
redness and edema. The pedal pulse is palpable and unchanged from admission. How should the
nurse correctly interpret the client's neurovascular status?
1. The neurovascular status is normal because of increased blood flow through the leg.
2. The neurovascular status is moderately impaired, and the surgeon should be called.
3. The neurovascular status is slightly deteriorating and should be monitored for another hour.
4. The neurovascular status is adequate from an arterial approach, but venous complications are
arising.
1. The neurovascular status is normal because of increased blood flow through the leg.
The nurse is evaluating the condition of a client after pericardiocentesis performed to treat cardiac
tamponade. Which observation would indicate that the procedure was unsuccessful?
1. Rising blood pressure
2. Clearly audible heart sounds
3. Client expressions of relief
4. Rising central venous pressure
4. Rising central venous pressure
A client with angina complains that the anginal pain is prolonged and severe and occurs at the same
time each day, most often at rest in the absence of precipitating factors. How would the
nurse best describe this type of anginal pain?
1. Stable angina
2. Variant angina
3. Unstable angina
4. Nonanginal pain
, 2. Variant angina
The nurse is monitoring a client with acute pericarditis for signs of cardiac tamponade. Which
assessment finding indicates the presence of this complication?
1. Flat neck veins
2. A pulse rate of 60 beats/min
3. Muffled or distant heart sounds
4. Wheezing on auscultation of the lungs
3. Muffled or distant heart sounds
The home care nurse is providing instructions to a client with an arterial ischemic leg ulcer about
home care management and self-care management. Which statement, if made by the client,
indicates a <strong>need for further instruction?
</strong>1. "I need to be sure not to go barefoot around the house."
2. "If I cut my toenails, I need to be sure that I cut them straight across."
3. "It is all right to apply lanolin to my feet, but I shouldn't place it between my toes."
4. "I need to be sure that I elevate my leg above my heart level for at least an hour every day."
4. "I need to be sure that I elevate my leg above my heart level for at least an hour every day."
The nurse is providing instructions to a client with a diagnosis of hypertension regarding high-sodium
items to be avoided. The nurse instructs the client to avoid consuming which item?
1. Bananas
2. Broccoli
3. Antacids
4. Cantaloupe
3. Antacids
The nurse is preparing discharge instructions for a client with Raynaud's disease. The nurse should
plan to provide which instruction to the client?
