Exam 1 NURS 404 – Fox Questions With Complete
Solutions
_____ is an "old school" way of checking fluid status.
a. MAP
b. CVP
c. BP
d. CO Correct Answers b. CVP
_______ _______is the most common U.S. cardiac rhythm
disturbance. Correct Answers atrial fibrillation
_______ can form if blood is administered in a line with other
drugs. Correct Answers clots
_______ is the movement of fluid through a semi-permeable
membrane. Correct Answers Osmosis
_______ is the movement of solutes/particles from an area of
higher to lesser concentration. Correct Answers Diffusion
_________ is the amount of resistance on the ventricles during
systole. Correct Answers afterload
___________ is the primary component of ventricular preload.
Correct Answers venous return
1. A nurse is orienting a newly licensed nurse on the care of a
client who is receiving hemodynamic
monitoring. Which of the following statements by the newly
licensed nurse indicates the teaching
,was effective?
A."Air should be instilled into the monitoring system."
B."The client should be in the prone position."
C."The transducer should be level with the 2nd intercostal
space."
D."A chest x-ray is needed to verify placement." Correct
Answers D."A chest x-ray is needed to verify placement."
1. A nurse is preparing to administer an infusion of 300 mL of
platelet concentrate. The nurse should plan
to administer the infusion over which of the following time
frames?
A.Within 30 min/unit
B. Within 60 min/unit
C. Within 2 hr/unit
D. Within 4 hr/unit Correct Answers A.Within 30 min/unit
1. The client with unstable angina has received education about
the acute coronary syndrome. Which of the following indicates
that he understood the teaching?
a. "This is a big warning, I must modify my lifestyle or risk
having a heart attack in the next year."
b. "Angina is just a temporary interruption of blood flow to my
heart."
c. "I need to tell my wife I've had a heart attack."
d. "Because this was temporary, I will not need to take any
medications for my heart." Correct Answers a. "This is a big
warning, I must modify my lifestyle or risk having a heart attack
in the next year."
,1. The nurse is providing community education about prevention
of atherosclerosis-related diseases. Which risk factors should the
nurse include in the presentation? Select all that apply.
a. LDL cholesterol of 160 mg
b. Smoking
c. Aspirin (ASA) consumption
d. Type 2 diabetes
e. Vegetarian diet Correct Answers A, B, D
1. The nurse prepares to administer digoxin to a client with heart
failure and notes the following information:
Temperature: 99.8
Pulse: 48 and irregular
Respirations: 20
Potassium level: 3.2 mEq/L
What action does the nurse take?
a. Give digoxin; reassess the heart rate in 30 minutes.
b. Give the digoxin; document assessment findings in the
medical record.
c. Hold the digoxin, and obtain a prescription for an additional
dose of furosemide.
d. Hold the digoxin, and obtain a prescription for a potassium
supplement. Correct Answers d. Hold the digoxin, and obtain a
prescription for a potassium supplement.
10. After thrombolytic therapy, the nurse working in the cardiac
catheterization laboratory would be alarmed to notice which
sign?
a. 1 inch backup of blood in the IV tubing
b. Facial drooping
, c. Partial thromboplastin time (PTT) 68 seconds
d. Report of chest pressure during dye injection Correct
Answers b. Facial drooping
10. The client undergoing femoral popliteal bypass states that he
is fearful he will lose the limb in the near future. Which
response by the nurse is most therapeutic?
a. "Are you afraid you will not be able to work?"
b. "If you control your diabetes, you can avoid amputation."
c. "Your concerns are valid; we can review some steps to limit
disease progression."
d. "What about the situation concerns you most?" Correct
Answers c. "Your concerns are valid; we can review some steps
to limit disease progression."
10. The nurse recognizes that which medication when given in
heart failure may improve morbidity and mortality?
a. Dobutamine (Dobutrex)
b. Carvedilol (Coreg)
c. Digoxin (Lanoxin)
d. Bumetamide (Bumex) Correct Answers b. Carvedilol
(Coreg)
11. How does the nurse in the cardiac clinic recognize that the
client with heart failure has demonstrated a positive outcome
related to the addition of metoprolol (Lopressor) to the
medication regimen?
a. Ejection fraction is 25%.
b. Client states that she is able to sleep on one pillow.
c. Client was hospitalized five times last year with pulmonary
edema.
Solutions
_____ is an "old school" way of checking fluid status.
a. MAP
b. CVP
c. BP
d. CO Correct Answers b. CVP
_______ _______is the most common U.S. cardiac rhythm
disturbance. Correct Answers atrial fibrillation
_______ can form if blood is administered in a line with other
drugs. Correct Answers clots
_______ is the movement of fluid through a semi-permeable
membrane. Correct Answers Osmosis
_______ is the movement of solutes/particles from an area of
higher to lesser concentration. Correct Answers Diffusion
_________ is the amount of resistance on the ventricles during
systole. Correct Answers afterload
___________ is the primary component of ventricular preload.
Correct Answers venous return
1. A nurse is orienting a newly licensed nurse on the care of a
client who is receiving hemodynamic
monitoring. Which of the following statements by the newly
licensed nurse indicates the teaching
,was effective?
A."Air should be instilled into the monitoring system."
B."The client should be in the prone position."
C."The transducer should be level with the 2nd intercostal
space."
D."A chest x-ray is needed to verify placement." Correct
Answers D."A chest x-ray is needed to verify placement."
1. A nurse is preparing to administer an infusion of 300 mL of
platelet concentrate. The nurse should plan
to administer the infusion over which of the following time
frames?
A.Within 30 min/unit
B. Within 60 min/unit
C. Within 2 hr/unit
D. Within 4 hr/unit Correct Answers A.Within 30 min/unit
1. The client with unstable angina has received education about
the acute coronary syndrome. Which of the following indicates
that he understood the teaching?
a. "This is a big warning, I must modify my lifestyle or risk
having a heart attack in the next year."
b. "Angina is just a temporary interruption of blood flow to my
heart."
c. "I need to tell my wife I've had a heart attack."
d. "Because this was temporary, I will not need to take any
medications for my heart." Correct Answers a. "This is a big
warning, I must modify my lifestyle or risk having a heart attack
in the next year."
,1. The nurse is providing community education about prevention
of atherosclerosis-related diseases. Which risk factors should the
nurse include in the presentation? Select all that apply.
a. LDL cholesterol of 160 mg
b. Smoking
c. Aspirin (ASA) consumption
d. Type 2 diabetes
e. Vegetarian diet Correct Answers A, B, D
1. The nurse prepares to administer digoxin to a client with heart
failure and notes the following information:
Temperature: 99.8
Pulse: 48 and irregular
Respirations: 20
Potassium level: 3.2 mEq/L
What action does the nurse take?
a. Give digoxin; reassess the heart rate in 30 minutes.
b. Give the digoxin; document assessment findings in the
medical record.
c. Hold the digoxin, and obtain a prescription for an additional
dose of furosemide.
d. Hold the digoxin, and obtain a prescription for a potassium
supplement. Correct Answers d. Hold the digoxin, and obtain a
prescription for a potassium supplement.
10. After thrombolytic therapy, the nurse working in the cardiac
catheterization laboratory would be alarmed to notice which
sign?
a. 1 inch backup of blood in the IV tubing
b. Facial drooping
, c. Partial thromboplastin time (PTT) 68 seconds
d. Report of chest pressure during dye injection Correct
Answers b. Facial drooping
10. The client undergoing femoral popliteal bypass states that he
is fearful he will lose the limb in the near future. Which
response by the nurse is most therapeutic?
a. "Are you afraid you will not be able to work?"
b. "If you control your diabetes, you can avoid amputation."
c. "Your concerns are valid; we can review some steps to limit
disease progression."
d. "What about the situation concerns you most?" Correct
Answers c. "Your concerns are valid; we can review some steps
to limit disease progression."
10. The nurse recognizes that which medication when given in
heart failure may improve morbidity and mortality?
a. Dobutamine (Dobutrex)
b. Carvedilol (Coreg)
c. Digoxin (Lanoxin)
d. Bumetamide (Bumex) Correct Answers b. Carvedilol
(Coreg)
11. How does the nurse in the cardiac clinic recognize that the
client with heart failure has demonstrated a positive outcome
related to the addition of metoprolol (Lopressor) to the
medication regimen?
a. Ejection fraction is 25%.
b. Client states that she is able to sleep on one pillow.
c. Client was hospitalized five times last year with pulmonary
edema.
