Hesi on Cardio HTN, PAD, CAD, HF,
Anemia Exam 2025 QUESTIONS AND
DETAILED ANSWERS | 100% VERIFIED
CORRECT | GRADE A+
1. Which symptom requires the most rapid action by the nurse when caring for a
client with known peripheral arterial disease who calls the clinic and tells the
nurse about experiencing several symptoms?
A. Anxiety
B. Chest pain
C. Weak pulse quaity
D. Cool and pale lower legs
B. Chest pain
Rationale
Because atherosclerosis is a systenic disease, dlients with peripheral arterial
disease are likely to have Corona
artery disease as well. The client's chest pain may indicate acute coronary
syndrome, and the nurse should notify the health care provider or have the client
activate the emergency response system immediately. Anxiety can have many
causes, and the nurse could further assess the client or assist the client to
schedule an appointment. Weak pulse quality is expected with peripheral arterial
disease; the client's disease may be progressing, but no rapid action is needed.
Cool and pale lower extremities are expected with peripheral arterial disease; the
client may need further evaluation for progression of disease but this is not
urgent.
,2. Which information will the nurse include when teaching a client with
hypertension about metoprolol?
A. Do not abruptly discontinue the medication.
B. Consume alcoholic beverages in moderation.
C. Report a heart rate of less than 70 beats per minute.
D. Increase the medication dosage if chest pain occurs.
A. Do not abruptly discontinue the medication.
Rationale
Abrupt discontinuation of metoprolol may cause rebound hypertension and an
acute myocardial infarction.
Alcohol is contraindicated for clients taking beta-adrenergic blockers such as
metoprolol. The pulse rate can go lower than 70 beats per minute as long as the
client is asymptomatic. Clients should never increase medications without medical
direction.
3. Which instruction would the nurse give an unlicensed assistive personnel
(UAP) to perform while caring for a client prescribed captopril? Select all that
apply. One, some, or all responses may be correct.
A. Obtain blood pressure.
B. Measure intake and output.
C. Weigh the client every morning.
D. Notify the nurse if the client has a dry cough.
E. Assist the client to change positions slowly.
A. Obtain blood pressure.
B. Measure intake and output.
C. Weigh the client every morning.
D. Notify the nurse if the client has a dry cough.
E. Assist the client to change positions slowly.
, Rationale
ACE inhibitors such as captopril are prescribed for the management of
hypertension, heart failure, and diabetic nephropathy. The nurse would ask the
UAP caring for a client taking captopril to perform several tasks. The UAP would
obtain the client's blood pressure. The UAP would also measure the client's intake
and output as well as obtain a daily weight in the morning. This data would help
the nurse determine the client's fluid volume status and is an important
component of heart failure management. The UAP would be aware that a dry
cough is a common side effect of ACE inhibitors. Because of the blood pressure-
lowering effects of this medication, the nurse would instruct the UAP to assist the
client to make sure the client changes positions slowly.
4. Which finding would the nurse expect when assessing a client with peripheral
arterial disease? Select all that apply. One, some, or all responses may be
correct.
A. Pallor of feet
B. Warm extremities
C. Ulcers on the toes
D. Thick, hardened skin
E. Delayed capillary refill
A. Pallor of feet
C. Ulcers on the toes
E. Delayed capillary refill
Rationale
Peripheral arterial disease affects arterial circulation and results in delayed and
impaired circulation to the extremities. As a result, the extremities exhibit pallor,
ulcers on the feet and toes, cool skin, and capillary refill longer than 3 seconds.
Warm extremities occur with venous disease. Venous disease leads to thick,
hardened skin on the legs.
Anemia Exam 2025 QUESTIONS AND
DETAILED ANSWERS | 100% VERIFIED
CORRECT | GRADE A+
1. Which symptom requires the most rapid action by the nurse when caring for a
client with known peripheral arterial disease who calls the clinic and tells the
nurse about experiencing several symptoms?
A. Anxiety
B. Chest pain
C. Weak pulse quaity
D. Cool and pale lower legs
B. Chest pain
Rationale
Because atherosclerosis is a systenic disease, dlients with peripheral arterial
disease are likely to have Corona
artery disease as well. The client's chest pain may indicate acute coronary
syndrome, and the nurse should notify the health care provider or have the client
activate the emergency response system immediately. Anxiety can have many
causes, and the nurse could further assess the client or assist the client to
schedule an appointment. Weak pulse quality is expected with peripheral arterial
disease; the client's disease may be progressing, but no rapid action is needed.
Cool and pale lower extremities are expected with peripheral arterial disease; the
client may need further evaluation for progression of disease but this is not
urgent.
,2. Which information will the nurse include when teaching a client with
hypertension about metoprolol?
A. Do not abruptly discontinue the medication.
B. Consume alcoholic beverages in moderation.
C. Report a heart rate of less than 70 beats per minute.
D. Increase the medication dosage if chest pain occurs.
A. Do not abruptly discontinue the medication.
Rationale
Abrupt discontinuation of metoprolol may cause rebound hypertension and an
acute myocardial infarction.
Alcohol is contraindicated for clients taking beta-adrenergic blockers such as
metoprolol. The pulse rate can go lower than 70 beats per minute as long as the
client is asymptomatic. Clients should never increase medications without medical
direction.
3. Which instruction would the nurse give an unlicensed assistive personnel
(UAP) to perform while caring for a client prescribed captopril? Select all that
apply. One, some, or all responses may be correct.
A. Obtain blood pressure.
B. Measure intake and output.
C. Weigh the client every morning.
D. Notify the nurse if the client has a dry cough.
E. Assist the client to change positions slowly.
A. Obtain blood pressure.
B. Measure intake and output.
C. Weigh the client every morning.
D. Notify the nurse if the client has a dry cough.
E. Assist the client to change positions slowly.
, Rationale
ACE inhibitors such as captopril are prescribed for the management of
hypertension, heart failure, and diabetic nephropathy. The nurse would ask the
UAP caring for a client taking captopril to perform several tasks. The UAP would
obtain the client's blood pressure. The UAP would also measure the client's intake
and output as well as obtain a daily weight in the morning. This data would help
the nurse determine the client's fluid volume status and is an important
component of heart failure management. The UAP would be aware that a dry
cough is a common side effect of ACE inhibitors. Because of the blood pressure-
lowering effects of this medication, the nurse would instruct the UAP to assist the
client to make sure the client changes positions slowly.
4. Which finding would the nurse expect when assessing a client with peripheral
arterial disease? Select all that apply. One, some, or all responses may be
correct.
A. Pallor of feet
B. Warm extremities
C. Ulcers on the toes
D. Thick, hardened skin
E. Delayed capillary refill
A. Pallor of feet
C. Ulcers on the toes
E. Delayed capillary refill
Rationale
Peripheral arterial disease affects arterial circulation and results in delayed and
impaired circulation to the extremities. As a result, the extremities exhibit pallor,
ulcers on the feet and toes, cool skin, and capillary refill longer than 3 seconds.
Warm extremities occur with venous disease. Venous disease leads to thick,
hardened skin on the legs.
