Complex Perfusion NCLEX practice questions with complete solutions

A nurse is teaching a student nurse about the care of a client who is to have a line placed for hemodynamic monitoring. Which of the following statements by the student indicates an understanding of the teaching? a) "Air should be instilled into the monitoring system prior to the procedure" b) " The client should be positioned on the left side during the procedure" c) "The transducer should be level with the second intercoastal space after the line is placed" d) "A chest x-ray is needed to verify placement after the procedure" a) INCORRECT: the nurse should purge air from the monitoring system b) INCORRECT: the nurse should place the pt in supine or Trendelenburg c) INCORRECT: the nurse should place the transducer level with the 4th intercoastal space, at the base of the right atrium d) CORRECT: The nurse should insure that the chest x-ray is obtained to confirm proper placement of lines A nurse on a cardiac unit is caring for a group of clients. The nurse should recognize which of the following clients as being at risk for the development of a dysrhythmia? (Select all that apply.) A. A client who has metabolic alkalosis B. A client who has a serum potassium level of 4.3 mEq/L C. A client who has an SaO2 of 96% D. A client who has COPD E. A client who underwent stent placement in a coronary artery a) CORRECT: a client who has an acid base imbalance is at risk for dysthymias b) INCORRECT: potassium is within normal range c) INCORRECT: SaO2 is within range and does not increase the risk of dysrhythmia d) CORRECT: a client who has lung disease such as COPD is at risk for dysrhythmias e) CORRECT: a client who has cardiac disease and underwent a stent placement is at risk for dysrhythmias 00:02 01:36 A nurse on a cardiac unit is reviewing the lab findings of a client who has a diagnosis of myocardial infarction (MI) and reports that dyspnea began two weeks ago. Which of the following cardiac enzymes would confirm that MI occurred 14 days ago? a) CK-MB b)Troponin I c) Troponin T d)Myoglobin a) INCORRECT: the creatinine kinase MB levels are no longer evident after 3 days b) INCORRECT: Troponin I levels are no longer evident after 7-10 days c) CORRECT: The troponin T levels will still be evident for 10-14 days following a MI event d) INCORRECT: Myoglobin levels are no longer evident after 24hrs