How would anxiety affect outcomes for a client with heart failure?
2
Interferes with usual respirations
35Q G
Produces an elevation in temperature
4
A client with type 1 diabetes asks what causes several brown spots on the skin.
What would be the best response by the nurse?
1
"The brown spots reflect the accumulation of blood fats in the skin; they should
disappear."
2
"Those spots indicate a high glucose content in the skin that may get infected if left
untreated."
3
The nurse is assessing the needs of a client who just learned that a tumor is
malignant and has metastasized to several organs and that the illness is
terminal. Which behavior would the nurse expect the client to exhibit during the
initial stage of grieving?
1
Crying uncontrollably
2
Criticizing medical care
3
Refusing to receive visitors
,unjust often is characteristic of the stage of anger. Refusing to receive visitors is most
common during the depression experienced as one moves toward acceptance or during
the acceptance stage.
Test-Taking Tip: Study wisely, not hard. Use study strategies to save time and be able
to get a good night’s sleep the night before your exam. Cramming is not smart, and it is
hard work that increases stress while reducing learning. When you cram, your mind is
more likely to go blank during a test. When you cram, the information is in your short-
term memory so you will need to relearn it before a comprehensive exam. Relearning
takes more time. The stress caused by cramming may interfere with your sleep. Your
brain needs sleep to function at its best.
A client who recently was diagnosed as having myelocytic leukemia discusses
the diagnosis by referring to statistics, facts, and figures. The nurse determines
that the client is using which defense mechanism?
1
Projection
2
Correct4
The nurse is assessing an electrocardiogram (ECG) rhythm strip. Which
component of the tracing will the nurse observe to determine ventricular
depolarization?
1
P wave
2
T wave
3
PR interval
Which action will the nurse take to determine a client’s pulse pressure?
1
Multiply the heart rate by the stroke volume.
Correct2
Subtract the diastolic from the systolic reading.
3
, During auscultation of the heart, where would the nurse expect the first heart
sound (S1) to be the loudest?
Correct2
Apex of the heart
3
Left lateral border
4
After measuring a client’s PR interval at 0.08 seconds, how would the nurse
interpret the finding?
Incorrect1
Normal conduction in the atrioventricular (AV) node
2
Slowing of sinoatrial node conduction
3
Delayed conduction in the AV node
Correct4
How can the nurse describe heart failure to a client?
Incorrect1
A cardiac condition caused by inadequate circulating blood volume
2
An acute state in which the pulmonary circulation pressure decreases
Correct3
An inability of the heart to pump blood in proportion to metabolic needs
4
2
Interferes with usual respirations
35Q G
Produces an elevation in temperature
4
A client with type 1 diabetes asks what causes several brown spots on the skin.
What would be the best response by the nurse?
1
"The brown spots reflect the accumulation of blood fats in the skin; they should
disappear."
2
"Those spots indicate a high glucose content in the skin that may get infected if left
untreated."
3
The nurse is assessing the needs of a client who just learned that a tumor is
malignant and has metastasized to several organs and that the illness is
terminal. Which behavior would the nurse expect the client to exhibit during the
initial stage of grieving?
1
Crying uncontrollably
2
Criticizing medical care
3
Refusing to receive visitors
,unjust often is characteristic of the stage of anger. Refusing to receive visitors is most
common during the depression experienced as one moves toward acceptance or during
the acceptance stage.
Test-Taking Tip: Study wisely, not hard. Use study strategies to save time and be able
to get a good night’s sleep the night before your exam. Cramming is not smart, and it is
hard work that increases stress while reducing learning. When you cram, your mind is
more likely to go blank during a test. When you cram, the information is in your short-
term memory so you will need to relearn it before a comprehensive exam. Relearning
takes more time. The stress caused by cramming may interfere with your sleep. Your
brain needs sleep to function at its best.
A client who recently was diagnosed as having myelocytic leukemia discusses
the diagnosis by referring to statistics, facts, and figures. The nurse determines
that the client is using which defense mechanism?
1
Projection
2
Correct4
The nurse is assessing an electrocardiogram (ECG) rhythm strip. Which
component of the tracing will the nurse observe to determine ventricular
depolarization?
1
P wave
2
T wave
3
PR interval
Which action will the nurse take to determine a client’s pulse pressure?
1
Multiply the heart rate by the stroke volume.
Correct2
Subtract the diastolic from the systolic reading.
3
, During auscultation of the heart, where would the nurse expect the first heart
sound (S1) to be the loudest?
Correct2
Apex of the heart
3
Left lateral border
4
After measuring a client’s PR interval at 0.08 seconds, how would the nurse
interpret the finding?
Incorrect1
Normal conduction in the atrioventricular (AV) node
2
Slowing of sinoatrial node conduction
3
Delayed conduction in the AV node
Correct4
How can the nurse describe heart failure to a client?
Incorrect1
A cardiac condition caused by inadequate circulating blood volume
2
An acute state in which the pulmonary circulation pressure decreases
Correct3
An inability of the heart to pump blood in proportion to metabolic needs
4
