NURS 434 Exam 2 Questions With Complete Solutions
A CABG was performed on a patient. The receiving nurse
knows to perform which of the following after the procedure
related to clamping of the aorta due to heart-lung bypass.
a. Neuro check
b. Pain assessment
c. Passive ROM
d. Assess ability to cough Correct Answers a. Neuro check
Releasing the clamp can cause a clot to travel to the brain
resulting in a stroke.
A normal ejection fraction (EF) is
a. 50-60%
b. 60-70%
c. 70-80%
d. 80-90% Correct Answers b. 60-70%
A nurse is caring for a patient who just returned from a PTCA
with stent through femoral access. Which interventions should
the nurse expect? (Select all that apply)
,a. Restrict patient movement
b. HOB no >30 degrees
c. Allow the patient to ambulate immediately
d. q15 min vitals for 1 hr post procedure Correct Answers a.
Restrict patient movement
b. HOB no >30 degrees
d. q15 min vitals for 1 hr post procedure
A patient had a valve replacement and received a prosthetic
valve. Which statement from the patient requires further
education?
a. "I can stop taking my Coumadin once the doctor approves it."
b. "I will adopt healthy eating habits."
c. "I will need to take my Coumadin as prescribed for life to
prevent clots."
d. "I will continue taking my other medications as prescribed by
my doctor." Correct Answers a. "I can stop taking my
Coumadin once the doctor approves it."
A patient has been diagnosed with infective endocarditis. Upon
assessment, the nurse recognizes they will most likely hear:
, a. a murmur.
b. a friction rub.
c. a clicking sound.
d. no abnormal sounds. Correct Answers a. a murmur.
A patient has just had a permanent pacemaker implanted. What
should the nurse anticipate in the orders immediately following
this procedure?
a. Labs drawn
b. Chest x-ray
c. Monitor UOP
d. MRI Correct Answers b. Chest x-ray
To verify lead placement and rule out pneumothorax.
A patient in the ED develops a cardiac tamponade. It is
determined that there is a large decrease in SBP during
inspiration. This is known as:
a. Pericardial effusion
b. Dressler syndrome
c. Pulsus paradoxus
A CABG was performed on a patient. The receiving nurse
knows to perform which of the following after the procedure
related to clamping of the aorta due to heart-lung bypass.
a. Neuro check
b. Pain assessment
c. Passive ROM
d. Assess ability to cough Correct Answers a. Neuro check
Releasing the clamp can cause a clot to travel to the brain
resulting in a stroke.
A normal ejection fraction (EF) is
a. 50-60%
b. 60-70%
c. 70-80%
d. 80-90% Correct Answers b. 60-70%
A nurse is caring for a patient who just returned from a PTCA
with stent through femoral access. Which interventions should
the nurse expect? (Select all that apply)
,a. Restrict patient movement
b. HOB no >30 degrees
c. Allow the patient to ambulate immediately
d. q15 min vitals for 1 hr post procedure Correct Answers a.
Restrict patient movement
b. HOB no >30 degrees
d. q15 min vitals for 1 hr post procedure
A patient had a valve replacement and received a prosthetic
valve. Which statement from the patient requires further
education?
a. "I can stop taking my Coumadin once the doctor approves it."
b. "I will adopt healthy eating habits."
c. "I will need to take my Coumadin as prescribed for life to
prevent clots."
d. "I will continue taking my other medications as prescribed by
my doctor." Correct Answers a. "I can stop taking my
Coumadin once the doctor approves it."
A patient has been diagnosed with infective endocarditis. Upon
assessment, the nurse recognizes they will most likely hear:
, a. a murmur.
b. a friction rub.
c. a clicking sound.
d. no abnormal sounds. Correct Answers a. a murmur.
A patient has just had a permanent pacemaker implanted. What
should the nurse anticipate in the orders immediately following
this procedure?
a. Labs drawn
b. Chest x-ray
c. Monitor UOP
d. MRI Correct Answers b. Chest x-ray
To verify lead placement and rule out pneumothorax.
A patient in the ED develops a cardiac tamponade. It is
determined that there is a large decrease in SBP during
inspiration. This is known as:
a. Pericardial effusion
b. Dressler syndrome
c. Pulsus paradoxus
