NUR 2502 MULTIDIMENSIONAL CARE
III
MDC 3 FINAL EXAM (Rasmussen)
CARDIOVASCULAR AND HEMATOLOGY
INSTRUCTIONS: Choose the best answer for each question.
QUESTIONS
1. A nurse in the ICU notes a client has ventricular fibrillation and is unresponsive. What is
the priority action?
a. Administer epinephrine
b. Prepare for intubation
c. Begin cardiopulmonary resuscitation
d. Provide synchronized cardioversion
2. A client reports sharp chest pain that worsens when lying down and improves when
leaning forward. What condition is most likely?
a. Myocardial infarction
b. Pericarditis
c. Heart failure
d. Angina
3. Which lab value is most indicative of myocardial infarction?
a. Hemoglobin
b. Troponin
c. Platelets
d. Sodium
4. A nurse is caring for a client with heart failure. Which finding indicates fluid overload?
a. Weight loss
b. Crackles in lungs
c. Dry mucous membranes
d. Hypotension
5. A client with anemia is most likely to report which symptom?
a. Bradycardia
b. Fatigue
c. Hypertension
d. Weight gain
6. Which action is appropriate for a client with deep vein thrombosis (DVT)?
a. Massage the leg
, b. Apply heat
c. Encourage ambulation without support
d. Elevate the affected limb
7. What is the priority intervention for a client with suspected pulmonary embolism?
a. Administer oxygen
b. Encourage fluids
c. Provide high-fiber diet
d. Ambulate the client
8. Which medication is commonly used to treat hypertension?
a. Insulin
b. Lisinopril
c. Morphine
d. Diazepam
9. A client with atrial fibrillation is at risk for which complication?
a. Stroke
b. Fracture
c. Infection
d. Ulcer
10. Which finding indicates effective treatment of anemia?
a. Increased fatigue
b. Improved hemoglobin levels
c. Decreased appetite
d. Pale skin
11. A client with left-sided heart failure is most likely to exhibit which symptom?
a. Peripheral edema
b. Jugular vein distention
c. Pulmonary crackles
d. Ascites
12. Which electrolyte imbalance is most associated with cardiac arrhythmias?
a. Calcium
b. Potassium
c. Magnesium
d. Phosphate
13. A nurse is caring for a client post-cardiac catheterization. Which finding requires
immediate action?
a. Mild bruising at site
b. Weak distal pulses
c. Slight discomfort
d. Stable vital signs
14. Which condition is characterized by decreased red blood cells?
a. Leukemia
b. Anemia
c. Thrombocytopenia
d. Polycythemia
,15. What is the first sign of hypovolemic shock?
a. Hypotension
b. Tachycardia
c. Bradycardia
d. Cyanosis
16. Which position improves oxygenation in heart failure?
a. Supine
b. Trendelenburg
c. High Fowler’s
d. Prone
17. A client on warfarin should have which lab monitored?
a. INR
b. Hemoglobin
c. WBC
d. Platelets
18. Which food should be limited in a client taking warfarin?
a. Apples
b. Spinach
c. Rice
d. Chicken
19. Which sign indicates deep vein thrombosis?
a. Cool limb
b. Red, swollen leg
c. Pale skin
d. Weak pulse
20. A client with myocardial infarction may present with:
a. Sharp chest pain relieved by rest
b. Crushing chest pain radiating to arm
c. Abdominal pain only
d. No symptoms
21. Which condition causes decreased platelet count?
a. Thrombocytopenia
b. Leukocytosis
c. Polycythemia
d. Anemia
22. A nurse suspects cardiac tamponade. What is a key sign?
a. Hypertension
b. Muffled heart sounds
c. Bradycardia
d. Fever
23. Which medication is used to dissolve clots?
a. Heparin
b. Aspirin
c. Alteplase
d. Metoprolol
, 24. A client with anemia should increase intake of:
a. Vitamin C
b. Iron-rich foods
c. Sodium
d. Fats
25. Which rhythm requires immediate defibrillation?
a. Atrial fibrillation
b. Ventricular fibrillation
c. Sinus bradycardia
d. First-degree block
26. A client with right-sided heart failure is most likely to have:
a. Pulmonary edema
b. Hepatomegaly
c. Crackles
d. Cyanosis only
27. Which lab value indicates effective anticoagulation with heparin?
a. INR 1.0
b. aPTT 60–80 seconds
c. Platelets 150,000
d. Hemoglobin 12 g/dL
28. A client develops chest pain unrelieved by nitroglycerin. What is the priority?
a. Reassure
b. Call provider/activate emergency response
c. Give food
d. Encourage rest only
29. Which sign suggests infective endocarditis?
a. Petechiae
b. Jaundice
c. Edema only
d. Hair loss
30. A client with sickle cell crisis should receive:
a. Dehydration
b. Oxygen and hydration
c. Cold therapy
d. High-fat diet
31. Which ECG change indicates myocardial ischemia?
a. ST elevation
b. ST depression
c. Tall P waves
d. Wide QRS only
32. Which drug class lowers heart rate and BP?
a. Beta-blockers
b. Antibiotics
c. Antifungals
d. Diuretics only
III
MDC 3 FINAL EXAM (Rasmussen)
CARDIOVASCULAR AND HEMATOLOGY
INSTRUCTIONS: Choose the best answer for each question.
QUESTIONS
1. A nurse in the ICU notes a client has ventricular fibrillation and is unresponsive. What is
the priority action?
a. Administer epinephrine
b. Prepare for intubation
c. Begin cardiopulmonary resuscitation
d. Provide synchronized cardioversion
2. A client reports sharp chest pain that worsens when lying down and improves when
leaning forward. What condition is most likely?
a. Myocardial infarction
b. Pericarditis
c. Heart failure
d. Angina
3. Which lab value is most indicative of myocardial infarction?
a. Hemoglobin
b. Troponin
c. Platelets
d. Sodium
4. A nurse is caring for a client with heart failure. Which finding indicates fluid overload?
a. Weight loss
b. Crackles in lungs
c. Dry mucous membranes
d. Hypotension
5. A client with anemia is most likely to report which symptom?
a. Bradycardia
b. Fatigue
c. Hypertension
d. Weight gain
6. Which action is appropriate for a client with deep vein thrombosis (DVT)?
a. Massage the leg
, b. Apply heat
c. Encourage ambulation without support
d. Elevate the affected limb
7. What is the priority intervention for a client with suspected pulmonary embolism?
a. Administer oxygen
b. Encourage fluids
c. Provide high-fiber diet
d. Ambulate the client
8. Which medication is commonly used to treat hypertension?
a. Insulin
b. Lisinopril
c. Morphine
d. Diazepam
9. A client with atrial fibrillation is at risk for which complication?
a. Stroke
b. Fracture
c. Infection
d. Ulcer
10. Which finding indicates effective treatment of anemia?
a. Increased fatigue
b. Improved hemoglobin levels
c. Decreased appetite
d. Pale skin
11. A client with left-sided heart failure is most likely to exhibit which symptom?
a. Peripheral edema
b. Jugular vein distention
c. Pulmonary crackles
d. Ascites
12. Which electrolyte imbalance is most associated with cardiac arrhythmias?
a. Calcium
b. Potassium
c. Magnesium
d. Phosphate
13. A nurse is caring for a client post-cardiac catheterization. Which finding requires
immediate action?
a. Mild bruising at site
b. Weak distal pulses
c. Slight discomfort
d. Stable vital signs
14. Which condition is characterized by decreased red blood cells?
a. Leukemia
b. Anemia
c. Thrombocytopenia
d. Polycythemia
,15. What is the first sign of hypovolemic shock?
a. Hypotension
b. Tachycardia
c. Bradycardia
d. Cyanosis
16. Which position improves oxygenation in heart failure?
a. Supine
b. Trendelenburg
c. High Fowler’s
d. Prone
17. A client on warfarin should have which lab monitored?
a. INR
b. Hemoglobin
c. WBC
d. Platelets
18. Which food should be limited in a client taking warfarin?
a. Apples
b. Spinach
c. Rice
d. Chicken
19. Which sign indicates deep vein thrombosis?
a. Cool limb
b. Red, swollen leg
c. Pale skin
d. Weak pulse
20. A client with myocardial infarction may present with:
a. Sharp chest pain relieved by rest
b. Crushing chest pain radiating to arm
c. Abdominal pain only
d. No symptoms
21. Which condition causes decreased platelet count?
a. Thrombocytopenia
b. Leukocytosis
c. Polycythemia
d. Anemia
22. A nurse suspects cardiac tamponade. What is a key sign?
a. Hypertension
b. Muffled heart sounds
c. Bradycardia
d. Fever
23. Which medication is used to dissolve clots?
a. Heparin
b. Aspirin
c. Alteplase
d. Metoprolol
, 24. A client with anemia should increase intake of:
a. Vitamin C
b. Iron-rich foods
c. Sodium
d. Fats
25. Which rhythm requires immediate defibrillation?
a. Atrial fibrillation
b. Ventricular fibrillation
c. Sinus bradycardia
d. First-degree block
26. A client with right-sided heart failure is most likely to have:
a. Pulmonary edema
b. Hepatomegaly
c. Crackles
d. Cyanosis only
27. Which lab value indicates effective anticoagulation with heparin?
a. INR 1.0
b. aPTT 60–80 seconds
c. Platelets 150,000
d. Hemoglobin 12 g/dL
28. A client develops chest pain unrelieved by nitroglycerin. What is the priority?
a. Reassure
b. Call provider/activate emergency response
c. Give food
d. Encourage rest only
29. Which sign suggests infective endocarditis?
a. Petechiae
b. Jaundice
c. Edema only
d. Hair loss
30. A client with sickle cell crisis should receive:
a. Dehydration
b. Oxygen and hydration
c. Cold therapy
d. High-fat diet
31. Which ECG change indicates myocardial ischemia?
a. ST elevation
b. ST depression
c. Tall P waves
d. Wide QRS only
32. Which drug class lowers heart rate and BP?
a. Beta-blockers
b. Antibiotics
c. Antifungals
d. Diuretics only
