Question 1 See full question
Which statement would lead the nurse to determine that a client lacks understanding of her acute
cardiac illness and the ability to make changes in her lifestyle?
You Selected:
"I talked with my husband yesterday about working on a new budget together."
Correct response:
"I already have my airline ticket, so I will not miss my meeting tomorrow."
Explanation:
Question 2 See full question
What is the expected outcome of thrombolytic drug therapy for stroke?
You Selected:
dissolved emboli
Correct response:
dissolved emboli
Explanation:
Remediation:
Question 3 See full question
The client with peripheral vascular disease has been prescribed diltiazem. The nurse should determine
the effectiveness of this medication by assessing the client for:
You Selected:
vasodilation.
Correct response:
vasodilation.
Explanation:
Remediation:
Question 4 See full question
Alteplase recombinant, or tissue plasminogen activator (t-PA), a thrombolytic enzyme, is administered
during the first 6 hours after onset of myocardial infarction (MI) to:
You Selected:
reduce coronary artery vasospasm.
,Correct response:
revascularize the blocked coronary artery.
Explanation:
Remediation:
Question 5 See full question
A nurse is caring for a client with first-degree atrioventricular (AV) block. When instructing the spouse
using a diagram, identify the area in the conduction cycle where this block occurs.
You Selected:
Your selection and the correct area, market by the green box.
Explanation:
,Question 6 See full question
A postoperative client is receiving heparin after developing thrombophlebitis. The nurse monitors the
client carefully for bleeding and other adverse effects of heparin. If the client starts to exhibit signs of
excessive bleeding, the nurse should expect to administer an antidote that is specific to heparin. Which
agent fits this description?
You Selected:
Protamine sulfate
Correct response:
Protamine sulfate
Explanation:
Remediation:
Question 7 See full question
Following a percutaneous transluminal coronary angioplasty, a client is monitored in the postprocedure
unit. The client's heparin infusion was stopped 2 hours earlier. There is no evidence of bleeding or
hematoma at the insertion site, and the pressure device is removed. The nurse should plan to safely
remove the femoral sheath when the partial thromboplastin time (PTT) is:
You Selected:
75 seconds or less.
Correct response:
50 seconds or less.
Explanation:
Question 8 See full question
Prior to administering tissue plasminogen activator (t-PA), the nurse should assess the client for which
contradiction to administering the drug?
You Selected:
history of heart failure
Correct response:
history of cerebral hemorrhage
Explanation:
Remediation:
Question 9 See full question
, The nurse is concerned about the risks of hypoxemia and metabolic acidosis in a client who is in shock.
What finding should the analyze for evidence of hypoxemia and metabolic acidosis in a client with
shock?
You Selected:
Arterial blood gas (ABG) findings
Correct response:
Arterial blood gas (ABG) findings
Explanation:
Remediation:
Question 10 See full question
Which assessment findings would the nurse expect to find in the postoperative client experiencing fat
embolism syndrome?
You Selected:
Column C
Correct response:
Column B
Question 1 See full question
A nurse is preparing to administer cardiac medications to two clients with the same last name. She
checks the medication three times before entering the room to administer medications to the first
client. While leaving the room, the nurse realizes she didn't check the client's identification before
administering the medication. Which action should the nurse take first?
You Selected:
Document the medication error and completion of the variance report in the client's chart and
notify the physician.
Correct response:
Return to the room, check the client's identification against the medication administration
record, and complete a variance report if needed.
Explanation:
Remediation:
Question 2 See full question
Which statement would lead the nurse to determine that a client lacks understanding of her acute
cardiac illness and the ability to make changes in her lifestyle?
You Selected:
"I talked with my husband yesterday about working on a new budget together."
Correct response:
"I already have my airline ticket, so I will not miss my meeting tomorrow."
Explanation:
Question 2 See full question
What is the expected outcome of thrombolytic drug therapy for stroke?
You Selected:
dissolved emboli
Correct response:
dissolved emboli
Explanation:
Remediation:
Question 3 See full question
The client with peripheral vascular disease has been prescribed diltiazem. The nurse should determine
the effectiveness of this medication by assessing the client for:
You Selected:
vasodilation.
Correct response:
vasodilation.
Explanation:
Remediation:
Question 4 See full question
Alteplase recombinant, or tissue plasminogen activator (t-PA), a thrombolytic enzyme, is administered
during the first 6 hours after onset of myocardial infarction (MI) to:
You Selected:
reduce coronary artery vasospasm.
,Correct response:
revascularize the blocked coronary artery.
Explanation:
Remediation:
Question 5 See full question
A nurse is caring for a client with first-degree atrioventricular (AV) block. When instructing the spouse
using a diagram, identify the area in the conduction cycle where this block occurs.
You Selected:
Your selection and the correct area, market by the green box.
Explanation:
,Question 6 See full question
A postoperative client is receiving heparin after developing thrombophlebitis. The nurse monitors the
client carefully for bleeding and other adverse effects of heparin. If the client starts to exhibit signs of
excessive bleeding, the nurse should expect to administer an antidote that is specific to heparin. Which
agent fits this description?
You Selected:
Protamine sulfate
Correct response:
Protamine sulfate
Explanation:
Remediation:
Question 7 See full question
Following a percutaneous transluminal coronary angioplasty, a client is monitored in the postprocedure
unit. The client's heparin infusion was stopped 2 hours earlier. There is no evidence of bleeding or
hematoma at the insertion site, and the pressure device is removed. The nurse should plan to safely
remove the femoral sheath when the partial thromboplastin time (PTT) is:
You Selected:
75 seconds or less.
Correct response:
50 seconds or less.
Explanation:
Question 8 See full question
Prior to administering tissue plasminogen activator (t-PA), the nurse should assess the client for which
contradiction to administering the drug?
You Selected:
history of heart failure
Correct response:
history of cerebral hemorrhage
Explanation:
Remediation:
Question 9 See full question
, The nurse is concerned about the risks of hypoxemia and metabolic acidosis in a client who is in shock.
What finding should the analyze for evidence of hypoxemia and metabolic acidosis in a client with
shock?
You Selected:
Arterial blood gas (ABG) findings
Correct response:
Arterial blood gas (ABG) findings
Explanation:
Remediation:
Question 10 See full question
Which assessment findings would the nurse expect to find in the postoperative client experiencing fat
embolism syndrome?
You Selected:
Column C
Correct response:
Column B
Question 1 See full question
A nurse is preparing to administer cardiac medications to two clients with the same last name. She
checks the medication three times before entering the room to administer medications to the first
client. While leaving the room, the nurse realizes she didn't check the client's identification before
administering the medication. Which action should the nurse take first?
You Selected:
Document the medication error and completion of the variance report in the client's chart and
notify the physician.
Correct response:
Return to the room, check the client's identification against the medication administration
record, and complete a variance report if needed.
Explanation:
Remediation:
Question 2 See full question
