NURS 1202 (1) Bow Valley College - NURS1202/NURS 1202 Final Exam Review Questions With Complete Solutions

NURS 1202 Final Exam Review Questions
With Complete Solutions
. The nurse is administering medications to clients in the cardiac
critical care area. Which client should the nurse question
administering the medication?

1.The client receiving a calcium channel blocker who is drinking
a glass of grapefruit juice
2.The client receiving a beta-adrenergic blocker who has an
apical heart rate of 62 bpm
3.The client receiving nonsteroidal anti-inflammatory drugs
(NSAIDs) who has just finished eating breakfast
4.The client receiving an oral anticoagulant who has an
International Normalized Ratio (INR) of 2.8 Correct Answers 1

2. The nurse is caring for clients on a vascular disorder unit.
Which laboratory data warrant immediate intervention by the
nurse?

1. The PTT of 98 seconds for a client diagnosed with deep vein
thrombosis (DVT)

2. The hemoglobin of 14.4 for a client diagnosed with Raynaud's
phenomenon

3. The white blood cell (WBC) count of 11,000 for a client
diagnosed with a stasis venous ulcer

,4. The triglyceride level of 312 mmol/L in a client diagnosed
with hypertension (HTN) Correct Answers 1

20. Which laboratory data should the nurse in the long-term care
unit notify the health-care provider about?

1. The client receiving digoxin who has a digoxin level of 2.6

2. The client receiving enoxaparin who has a PT of 12.9 seconds

3. The client receiving ticlopidine who has a platelet count of
160,000

4. The client receiving furosemide who has a potassium level of
4.2 mEq/L Correct Answers 1

21. The RN staff nurse and the UAP enter the client's room and
discover that the client is unresponsive. Which action, according
to the American Heart Association (AHA) guidelines, should the
RN staff nurse assign to the UAP first?

1.Ask the UAP to check whether the client is asleep.
2.Tell the UAP to perform cardiac compressions.
3.Instruct the UAP to get the crash cart.
4.Request the UAP to put the client in a recumbent position
Correct Answers 3

53. The nurse is caring for clients on a cardiac unit. Which client
should the nurse assess first?

1. The client diagnosed with angina who is reporting chest pain

,2. The client diagnosed with CHF who has bilateral 4+
peripheral edema

3. The client diagnosed with endocarditis who has a temperature
of 100°F

4. The client diagnosed with aortic valve stenosis who has
syncope Correct Answers 1

58. The nurse is administering medications to clients on a
cardiac unit. Which medication should the nurse question
administering?

1. Furosemide to a client who had a 320-mL output in 4 hours

2. Enoxaparin to a client who had open-heart surgery

3. Ticlopidine to a client being prepared for surgery

4. Captopril to a client who has a BP of 100/68 Correct
Answers 3

59. The nurse is teaching the client diagnosed with arterial
occlusive disease. Which statement indicates the client needs
more teaching?

1. "I will wash my legs and feet daily in warm water."

2. "I should buy my shoes in the afternoon."

, 3. "I must wear knee-high stockings."

4. "I should not elevate my legs." Correct Answers 3

59. The RN intensive care unit nurse and a UAP are caring for a
client who has had a coronary artery bypass graft (CABG).
Which nursing tasks should the RN staff nurse assign to the
UAP? Select all that apply.

1. Monitor the client's arterial blood gases.

2. Re-infuse the client's blood using the cell saver.

3. Assist the client to take a sponge bath.

4. Change the client's saturated leg dressing.

5. Empty the urinary catheter drainage Correct Answers 3,5

9. The elderly client diagnosed with deep vein thrombosis is
reporting chest pain during inhalation. Which intervention
should the nurse implement first?

1. Ask the HCP to order a STAT lung scan.

2. Place oxygen on the client via nasal cannula.

3. Prepare to administer intravenous heparin.

4. Tell the client not to ambulate and remain in bed. Correct
Answers 2