NURS 4700 Exam 4 Graded A+ (Verified)
A patient is receiving a drug that decreases afterload. To evaluate the patient's
response to this drug, what is most important for the nurse to assess?
1) heart rate
2) lung sounds
3) blood pressure
4) jugular venous distention - ANSWER-3
a patient presents to the ED complaining of a pounding headache, nausea, chest pain,
and confusion. the nurse checks their vitals and notes them as 99.2, 110, 28, and
216/130. what orders does the nurse anticipate being prescribed for this patient? (select
all that apply)
1) adenosine
2) repeat BPs q2-3 minutes
3) oral metoprolol
4) 12 lead EKG
5) synchronized cardioversion
6) monitor I/O's
7) IV diltiazem - ANSWER-2, 4, 6, 7
a patient returns to their PCP office for a follow-up regarding their recently prescribed
diltiazem. the patient has been taking the medication for over a month now. the nurse
takes the patients vitals and notes the blood pressure to be 160/98. what is the nurse's
initial action?
1) contact the provider to discuss a different antihypertensive medication for this patient
2) assess the client for symptoms like dizziness
3) ask the patient how they have been taking their medication
4) prepare a dose of nitroglycerin - ANSWER-3
conduction system of the heart - ANSWER-SA node -> AV node -> Bundle of His -> L &
R bundle branches -> Purkinje fibers
differentiate a hypertensive crisis versus hypertensive urgency - ANSWER-hypertensive
crisis: SBP > 180mmHg DBP > 120 mmHg. Can cause target organ damage, requires
hospitalization, acute conditions like intracranial hemorrhage, MI, etc.
hypertensive urgency: no evidence of target organ damage, hospitalization not required,
associated with chronic, stable disorders
EKG strip interpretation - ANSWER-P wave- atrial depolarization
QRS- ventricular depolarization
T wave- ventricular repolarization
EKG time and voltage - ANSWER-
A patient is receiving a drug that decreases afterload. To evaluate the patient's
response to this drug, what is most important for the nurse to assess?
1) heart rate
2) lung sounds
3) blood pressure
4) jugular venous distention - ANSWER-3
a patient presents to the ED complaining of a pounding headache, nausea, chest pain,
and confusion. the nurse checks their vitals and notes them as 99.2, 110, 28, and
216/130. what orders does the nurse anticipate being prescribed for this patient? (select
all that apply)
1) adenosine
2) repeat BPs q2-3 minutes
3) oral metoprolol
4) 12 lead EKG
5) synchronized cardioversion
6) monitor I/O's
7) IV diltiazem - ANSWER-2, 4, 6, 7
a patient returns to their PCP office for a follow-up regarding their recently prescribed
diltiazem. the patient has been taking the medication for over a month now. the nurse
takes the patients vitals and notes the blood pressure to be 160/98. what is the nurse's
initial action?
1) contact the provider to discuss a different antihypertensive medication for this patient
2) assess the client for symptoms like dizziness
3) ask the patient how they have been taking their medication
4) prepare a dose of nitroglycerin - ANSWER-3
conduction system of the heart - ANSWER-SA node -> AV node -> Bundle of His -> L &
R bundle branches -> Purkinje fibers
differentiate a hypertensive crisis versus hypertensive urgency - ANSWER-hypertensive
crisis: SBP > 180mmHg DBP > 120 mmHg. Can cause target organ damage, requires
hospitalization, acute conditions like intracranial hemorrhage, MI, etc.
hypertensive urgency: no evidence of target organ damage, hospitalization not required,
associated with chronic, stable disorders
EKG strip interpretation - ANSWER-P wave- atrial depolarization
QRS- ventricular depolarization
T wave- ventricular repolarization
EKG time and voltage - ANSWER-
