Cardio Exam Study(8
Which information from a patient helps the nurse confirm the previous diagnosis of chronic
stable angina? - ANSWERSa. "The pain goes away after a nitroglycerin tablet."
A patient recovering from heart surgery develops pericarditis and reports level 6 (0 to 10 scale)
chest pain with deep breathing. Which prescribed PRN medication will be the most appropriate
for the nurse to give? - ANSWERSOral ibuprofen (Motrin) 600 mg
A patient develops sinus bradycardia at a rate of 32 beats/minute, has a blood pressure (BP) of
80/42 mm Hg, and reports feeling faint. Which action should the nurse take? - ANSWERSa.
Apply the transcutaneous pacemaker (TCP) pads.
A patient who has chronic heart failure tells the nurse, "I was fine when I went to bed, but I
woke up in the middle of the night feeling like I was suffocating!" How should the nurse
document this finding? - ANSWERSa. Paroxysmal nocturnal dyspnea.
The RN notes the following rhythm on a patient's telemetry and charts it as: (THIS IS ECG STRIP)
- ANSWERSa. Atrial fibrillation
A patient who has chest pain is admitted to the emergency department (ED), and all the
following items are prescribed. Which one should the nurse arrange to be completed first? -
ANSWERSElectrocardiogram (ECG)
The nurse is caring for a patient who has just arrived on the telemetry unit after having cardiac
catheterization. What task should the nurse delegate to a licensed practical/vocational nurse?
(LPN/LVN) - ANSWERSa. Give the scheduled aspirin and lipid-lowering medication.
, Which action will the nurse include in the plan of care for a patient who was admitted with
syncopal episodes of unknown origin? - ANSWERSInstruct the patient to call for assistance
before getting out of bed.
The nurse is teaching a client how to apply nitroglycerin topical ointment. Which statement
indicates that the client needs further education on applying nitroglycerin topical ointment? -
ANSWERSa. "I should remove any remaining old ointment with a tissue before applying a new
dose."
A charge nurse makes assignments for the shift. Which client is best assigned to the novice
nurse? - ANSWERSa. A client with anemia who reports shortness of breath.
A patient who has pain due to acute pericarditis. What is an appropriate nursing intervention
for this problem? - ANSWERSa. Place the patient in Fowler's position, leaning forward on the
table
Which assessment data collected by the nurse who is admitting a patient with chest pain
suggest that the pain is caused by an acute myocardial infarction (AMI)?
A. The pain increases with deep breathing
B. The pain has lasted longer than 30 minutes.
C. The pain is relieved after the patient takes nitroglycerin.
D. The pain is reproducible when the patient raises the arms. - ANSWERSb. The pain has lasted
longer than 30 minutes.
An older adult patient who had a mitral valve replacement with a mechanical valve is taking
warfarin. What should the nurse include in discharge teaching? - ANSWERSneed for frequent
laboratory blood testing.
Which question or finding indicates to the nurse that a patient with infective endocarditis had a
prior risk factor? - ANSWERSa. "Is there a family history of endocarditis.
Which information from a patient helps the nurse confirm the previous diagnosis of chronic
stable angina? - ANSWERSa. "The pain goes away after a nitroglycerin tablet."
A patient recovering from heart surgery develops pericarditis and reports level 6 (0 to 10 scale)
chest pain with deep breathing. Which prescribed PRN medication will be the most appropriate
for the nurse to give? - ANSWERSOral ibuprofen (Motrin) 600 mg
A patient develops sinus bradycardia at a rate of 32 beats/minute, has a blood pressure (BP) of
80/42 mm Hg, and reports feeling faint. Which action should the nurse take? - ANSWERSa.
Apply the transcutaneous pacemaker (TCP) pads.
A patient who has chronic heart failure tells the nurse, "I was fine when I went to bed, but I
woke up in the middle of the night feeling like I was suffocating!" How should the nurse
document this finding? - ANSWERSa. Paroxysmal nocturnal dyspnea.
The RN notes the following rhythm on a patient's telemetry and charts it as: (THIS IS ECG STRIP)
- ANSWERSa. Atrial fibrillation
A patient who has chest pain is admitted to the emergency department (ED), and all the
following items are prescribed. Which one should the nurse arrange to be completed first? -
ANSWERSElectrocardiogram (ECG)
The nurse is caring for a patient who has just arrived on the telemetry unit after having cardiac
catheterization. What task should the nurse delegate to a licensed practical/vocational nurse?
(LPN/LVN) - ANSWERSa. Give the scheduled aspirin and lipid-lowering medication.
, Which action will the nurse include in the plan of care for a patient who was admitted with
syncopal episodes of unknown origin? - ANSWERSInstruct the patient to call for assistance
before getting out of bed.
The nurse is teaching a client how to apply nitroglycerin topical ointment. Which statement
indicates that the client needs further education on applying nitroglycerin topical ointment? -
ANSWERSa. "I should remove any remaining old ointment with a tissue before applying a new
dose."
A charge nurse makes assignments for the shift. Which client is best assigned to the novice
nurse? - ANSWERSa. A client with anemia who reports shortness of breath.
A patient who has pain due to acute pericarditis. What is an appropriate nursing intervention
for this problem? - ANSWERSa. Place the patient in Fowler's position, leaning forward on the
table
Which assessment data collected by the nurse who is admitting a patient with chest pain
suggest that the pain is caused by an acute myocardial infarction (AMI)?
A. The pain increases with deep breathing
B. The pain has lasted longer than 30 minutes.
C. The pain is relieved after the patient takes nitroglycerin.
D. The pain is reproducible when the patient raises the arms. - ANSWERSb. The pain has lasted
longer than 30 minutes.
An older adult patient who had a mitral valve replacement with a mechanical valve is taking
warfarin. What should the nurse include in discharge teaching? - ANSWERSneed for frequent
laboratory blood testing.
Which question or finding indicates to the nurse that a patient with infective endocarditis had a
prior risk factor? - ANSWERSa. "Is there a family history of endocarditis.
