MDC 3 Final Exam Questions with 100%
Verified Correct Answers
The right groin was used for catheter access after a left heart catheterization. To
evaluate distal blood flow, the nurse should palpate the pulse at which location?
Dorsal surface on the right foot
A client is to have a treadmill stress test, prior to the stress test, the nurse should report
which elevated level to the HCP
Troponin
A client with chest pain is prescribed IV nitroglycerin. Which finding is of greatest
concern for the nurse before administering nitroglycerin drip?
Low blood pressure- 88/46
A client with acute chest pain is receiving IV morphine sulfate. Which effects of
morphine would be expected
reduces myocardial oxygen consumption
reduces blood pressure and heart rate
reduces anxiety and fear
An older adult has chest pain and shortness of breath. The HCP prescribes
nitroglycerin tablet. What should the nurse instruct the client to do
Place the tablet under the tongue until it is absorbed
The nurse is preparing a client for a cardiac angiogram. what actions should the nurse
take?
,Determine if the client has an allergy to liquid contrast material.
Inform the client that an IV infusion will be started before the procedure.
Remind the client to have nothing to eat or drink 8 hours before the procedure.
Instruct the client to remain still during the procedure
An adult comes to the emergency room with crushing substernal chest pain that
radiates to the shoulder and left arm. The diagnosis is acute MI. prescriptions include
oxygen by nasal canula at 4L, a CBC, a chest radiography, a 12 lead ECG, and 2mg of
morphine sulfate given IV. What should the nurse do first
Administer the morphine
A client is admitted with for an MI develops cardiogenic shock. What prescription from
the HCP should the nurse question
metoprolol
The HCP prescribes continuous IV nitroglycerin infusion for a client. What should the
nurse do to ensure safe administration of this drug
Use an infusion pump for the medication
A client is scheduled for insertion of a coronary stent with right groin access. What
teaching points should the nurse include in the clients preoperative teaching plan?
" If you have chest pain, please tell the staff"
" You will need to remain flat during this procedure and for 3-6 hours after the procedure"
While caring for a client who has had a MI, the nurse notes eight PVC's in one minute
on the cardiac monitor. What should the nurse do first
Notify the HCP
,The nurse is administering furosemide to a client. what is the expected outcome?
Increased urine output
The nurse is assisting the client during the acute phase of MI in making a meal plan.
What is the most appropriate diet for this client
Small, easily digested meals
The nurse is caring for a client that has started clopidogrel. The nurse develops a
teaching plan that includes which points
to report unexpected bleeding or bleeding that lasts a long time
to understand that the client may bruise more easily or experience bleeding gums
to know that clopidogrel works by preventing platelets from sticking together and forming a
clot
the client has been managing angina episodes with nitroglycerin. What finding indicates
that the therapeutic effect of this drug has been achieved
reduced chest pain
What is the expected outcome of tissue plasminogen activator
revascularize the blocked coronary artery
the nurse is monitoring a client who is receiving tissue plasminogen activator. the nurse
should assess the client for which changes?
cardiac arrythmias
. Following diagnosis of angina pectoris, a client reports being unable to walk up
two flights of stairs without pain. Which of the following measures would most likely
help the client prevent this problem?
, 1. Climb the steps early in the day.
2. Rest for at least an hour before climbing the stairs.
3. Take a nitroglycerin tablet before climbing the stairs.
4. Lie down after climbing the stairs.
take a nitroglycerin tablet before climbing the stairs
A client has a throbbing headache when nitroglycerin is taken for angina. what should
the nurse instruct the client to do
take acetaminophen or ibuprofen
A client with angina is taking nifedipine. what instructions should the nurse give the
client
inspect the gums daily
The nurse is preparing a client who had an MI for discharge being sent home on
simvastatin. what instructions should the nurse provide
if you miss a dose take it when you remember it
report muscle pain or tenderness to your HCP
continue to follow a diet that is low is saturated fats
The nurse is conducting a focused assessment for a client with left sided heart failure.
Which of the following findings would be of concern
dyspnea, crackles, oliguria, decreased o2 sats
which findings would indicate that a client with a history of left sided heart failure is
developing pulmonary edema
course crackles, tachycardia
Verified Correct Answers
The right groin was used for catheter access after a left heart catheterization. To
evaluate distal blood flow, the nurse should palpate the pulse at which location?
Dorsal surface on the right foot
A client is to have a treadmill stress test, prior to the stress test, the nurse should report
which elevated level to the HCP
Troponin
A client with chest pain is prescribed IV nitroglycerin. Which finding is of greatest
concern for the nurse before administering nitroglycerin drip?
Low blood pressure- 88/46
A client with acute chest pain is receiving IV morphine sulfate. Which effects of
morphine would be expected
reduces myocardial oxygen consumption
reduces blood pressure and heart rate
reduces anxiety and fear
An older adult has chest pain and shortness of breath. The HCP prescribes
nitroglycerin tablet. What should the nurse instruct the client to do
Place the tablet under the tongue until it is absorbed
The nurse is preparing a client for a cardiac angiogram. what actions should the nurse
take?
,Determine if the client has an allergy to liquid contrast material.
Inform the client that an IV infusion will be started before the procedure.
Remind the client to have nothing to eat or drink 8 hours before the procedure.
Instruct the client to remain still during the procedure
An adult comes to the emergency room with crushing substernal chest pain that
radiates to the shoulder and left arm. The diagnosis is acute MI. prescriptions include
oxygen by nasal canula at 4L, a CBC, a chest radiography, a 12 lead ECG, and 2mg of
morphine sulfate given IV. What should the nurse do first
Administer the morphine
A client is admitted with for an MI develops cardiogenic shock. What prescription from
the HCP should the nurse question
metoprolol
The HCP prescribes continuous IV nitroglycerin infusion for a client. What should the
nurse do to ensure safe administration of this drug
Use an infusion pump for the medication
A client is scheduled for insertion of a coronary stent with right groin access. What
teaching points should the nurse include in the clients preoperative teaching plan?
" If you have chest pain, please tell the staff"
" You will need to remain flat during this procedure and for 3-6 hours after the procedure"
While caring for a client who has had a MI, the nurse notes eight PVC's in one minute
on the cardiac monitor. What should the nurse do first
Notify the HCP
,The nurse is administering furosemide to a client. what is the expected outcome?
Increased urine output
The nurse is assisting the client during the acute phase of MI in making a meal plan.
What is the most appropriate diet for this client
Small, easily digested meals
The nurse is caring for a client that has started clopidogrel. The nurse develops a
teaching plan that includes which points
to report unexpected bleeding or bleeding that lasts a long time
to understand that the client may bruise more easily or experience bleeding gums
to know that clopidogrel works by preventing platelets from sticking together and forming a
clot
the client has been managing angina episodes with nitroglycerin. What finding indicates
that the therapeutic effect of this drug has been achieved
reduced chest pain
What is the expected outcome of tissue plasminogen activator
revascularize the blocked coronary artery
the nurse is monitoring a client who is receiving tissue plasminogen activator. the nurse
should assess the client for which changes?
cardiac arrythmias
. Following diagnosis of angina pectoris, a client reports being unable to walk up
two flights of stairs without pain. Which of the following measures would most likely
help the client prevent this problem?
, 1. Climb the steps early in the day.
2. Rest for at least an hour before climbing the stairs.
3. Take a nitroglycerin tablet before climbing the stairs.
4. Lie down after climbing the stairs.
take a nitroglycerin tablet before climbing the stairs
A client has a throbbing headache when nitroglycerin is taken for angina. what should
the nurse instruct the client to do
take acetaminophen or ibuprofen
A client with angina is taking nifedipine. what instructions should the nurse give the
client
inspect the gums daily
The nurse is preparing a client who had an MI for discharge being sent home on
simvastatin. what instructions should the nurse provide
if you miss a dose take it when you remember it
report muscle pain or tenderness to your HCP
continue to follow a diet that is low is saturated fats
The nurse is conducting a focused assessment for a client with left sided heart failure.
Which of the following findings would be of concern
dyspnea, crackles, oliguria, decreased o2 sats
which findings would indicate that a client with a history of left sided heart failure is
developing pulmonary edema
course crackles, tachycardia
