NUR 211 – Cardiac Exam Questions and
Answers 100% Pass
A client with a history of type 2 diabetes is admitted to the hospital with
chest pain. The client is scheduled for a cardiac catheterization. Which
medication would need to be withheld for 24 hours before the procedure
and for 48 hours after the procedure?
1. Glipizide
2. Metformin
3. Repaglinide
4. Regular insulin - ✔✔Metformin - because of the injection of contrast
medium during procseure. Puts patient at risk for kidney damage/ lactic
acidosis.
1
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,A client in sinus bradycardia, with a heart rate of 45 beats/minute,
complains of dizziness and has a blood pressure of 82/60 mm Hg. Which
intervention should the nurse anticipate will be prescribed?
1.Administer digoxin.
2.Defibrillate the client.
3.Continue to monitor the client.
4.Prepare for transcutaneous pacing. - ✔✔4 - prepare for transcutaneous
pacing. Sinus Brady is HR <60 bpm. This rhythm becomes a concern when
the patient becomes symptomatic.
Hypotension / dizziness is a sign of decreased cardiac output.
The nurse in a medical unit is caring for a client with heart failure. The
client suddenly develops extreme dyspnea, tachycardia, and lung crackles.
The nurse immediately asks another nurse to contact the primary health
care provider and prepares to implement which priority interventions?
Select all that apply:
1. Administer oxygen
2
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, 2. Insert Foley catheter
3. Administer furosemide
4. Administer morphine sulfate IV
5. Transporting the client to coronary care unit
6. Placing the client in a low-Fowler's side-lying - ✔✔1,2,3,4
Extreme dyspnea, tachycardia, and lung crackles in a client with HF
indicate pulmonary edema, a life threatening event. The left ventricle fails
to eject sufficient blood, and pressure increases in the lungs because of
accumulation of blood.
Oxygen is supplied and patient should be in high-Fowler's to alleviate
pressure. Pushing furosemide pulls off that extra fluid. A foley is inserted
to measure output accurately. IV morphine reduces venous return,
decreases anxiety, and helps with breathing. (Morphine + Furosemide =
positive inotrope)
A client with myocardial infarction suddenly becomes tachycardic, shows
signs of air hunger, and begins coughing frothy, pink-tinged sputum.
3
100% Pass Guarantee Katelyn Whitman, All Rights
Answers 100% Pass
A client with a history of type 2 diabetes is admitted to the hospital with
chest pain. The client is scheduled for a cardiac catheterization. Which
medication would need to be withheld for 24 hours before the procedure
and for 48 hours after the procedure?
1. Glipizide
2. Metformin
3. Repaglinide
4. Regular insulin - ✔✔Metformin - because of the injection of contrast
medium during procseure. Puts patient at risk for kidney damage/ lactic
acidosis.
1
100% Pass Guarantee Katelyn Whitman, All Rights
,A client in sinus bradycardia, with a heart rate of 45 beats/minute,
complains of dizziness and has a blood pressure of 82/60 mm Hg. Which
intervention should the nurse anticipate will be prescribed?
1.Administer digoxin.
2.Defibrillate the client.
3.Continue to monitor the client.
4.Prepare for transcutaneous pacing. - ✔✔4 - prepare for transcutaneous
pacing. Sinus Brady is HR <60 bpm. This rhythm becomes a concern when
the patient becomes symptomatic.
Hypotension / dizziness is a sign of decreased cardiac output.
The nurse in a medical unit is caring for a client with heart failure. The
client suddenly develops extreme dyspnea, tachycardia, and lung crackles.
The nurse immediately asks another nurse to contact the primary health
care provider and prepares to implement which priority interventions?
Select all that apply:
1. Administer oxygen
2
100% Pass Guarantee Katelyn Whitman, All Rights
, 2. Insert Foley catheter
3. Administer furosemide
4. Administer morphine sulfate IV
5. Transporting the client to coronary care unit
6. Placing the client in a low-Fowler's side-lying - ✔✔1,2,3,4
Extreme dyspnea, tachycardia, and lung crackles in a client with HF
indicate pulmonary edema, a life threatening event. The left ventricle fails
to eject sufficient blood, and pressure increases in the lungs because of
accumulation of blood.
Oxygen is supplied and patient should be in high-Fowler's to alleviate
pressure. Pushing furosemide pulls off that extra fluid. A foley is inserted
to measure output accurately. IV morphine reduces venous return,
decreases anxiety, and helps with breathing. (Morphine + Furosemide =
positive inotrope)
A client with myocardial infarction suddenly becomes tachycardic, shows
signs of air hunger, and begins coughing frothy, pink-tinged sputum.
3
100% Pass Guarantee Katelyn Whitman, All Rights
