MED SURG CARDIOVASCULAR
UPDATED ACTUAL Exam Questions and
CORECT Answers
An electrocardiogram is prescribed for a client complaining of chest pain. The nurse recognizes
which as an early finding of an infarcted area of the heart? - CORRECT ANSWER -
Elevated ST segments
An African-American woman is diagnosed with primary hypertension. She asks, "Is
hypertension a disease of African-American people?" What is the nurse's best response? -
CORRECT ANSWER -"The higher-risk population is composed of African-American
men and women."
One week after admission to the cardiac care unit, a client displays an outburst of anger and tells
the nurse to get out of the room. Which is the most appropriate nursing action? - CORRECT
ANSWER -Return when the client has calmed down.
A client is receiving whole-body radiation for Hodgkin disease. Which side effect should the
nurse expect as a result of this therapy? - CORRECT ANSWER -Decreased number of
erythrocytes
A hospitalized client puts the call light on and reports a sudden onset of chest pain that feels like
a pressure or weight on the chest. The client also states, "I feel nauseated and very weak." Which
action should the nurse take? - CORRECT ANSWER -Call the rapid response team.
The nurse observes a client collapse while walking down the hallway and establishes
unresponsiveness. What should the nurse do first? - CORRECT ANSWER -Check for a
carotid pulse
A child has been diagnosed with hemophilia type A after experiencing excessive bleeding from a
minor trauma. The mother shares that she is 4 weeks pregnant and questions as to whether this
pregnancy will result in a child with hemophilia. What is the best response by the nurse? -
, CORRECT ANSWER -With each pregnancy, there is a 50% chance of a carrier
transmitting the condition or being a carrier, depending on the gender of the child.
A nurse is developing a health teaching plan for clients with pacemakers. Which activity should
the nurse teach these clients to avoid? - CORRECT ANSWER -Touring a power plant
A client sustains multiple internal injuries in a motor vehicle accident. While performing the
client's initial assessment, the nurse identifies that the client's blood pressure suddenly drops
from 134/90 to 80/60 mm Hg. What most likely has caused this drop in blood pressure? -
CORRECT ANSWER -Reduction in the circulating blood volume
A nurse is caring for a client with first degree atrioventricular (AV) block. Which information
will the nurse consider when planning care? - CORRECT ANSWER -Every P wave is
conducted to the ventricles.
A nurse is caring for a client with a myocardial infarction. What is most important for the nurse
to assess that has a direct relationship to the action potential of the heart? - CORRECT
ANSWER -Strength of contractions
A client in the emergency department is diagnosed with atrial fibrillation. Initially the primary
healthcare provider instructs the client to perform the Valsalva maneuver by holding the breath
and bearing down. What should the nurse include in an explanation of how this may convert
atrial fibrillation to a normal sinus rhythm? - CORRECT ANSWER -The vagus nerve is
stimulated.
A client had a total knee replacement several days ago and has been receiving warfarin sodium
therapy. An international normalized ratio (INR) is performed each afternoon, and the evening
warfarin sodium dose is prescribed by the healthcare provider on a daily basis. The nurse
identifies that the afternoon INR is 4.6. Which is the next action the nurse should take? -
CORRECT ANSWER -Maintain the client on bed rest until the healthcare provider
reviews the laboratory results
After flushing a client's left forearm saline lock (SL) with normal saline, the client begins to
report a painful and burning sensation at the insertion site. Which is the most appropriate action
UPDATED ACTUAL Exam Questions and
CORECT Answers
An electrocardiogram is prescribed for a client complaining of chest pain. The nurse recognizes
which as an early finding of an infarcted area of the heart? - CORRECT ANSWER -
Elevated ST segments
An African-American woman is diagnosed with primary hypertension. She asks, "Is
hypertension a disease of African-American people?" What is the nurse's best response? -
CORRECT ANSWER -"The higher-risk population is composed of African-American
men and women."
One week after admission to the cardiac care unit, a client displays an outburst of anger and tells
the nurse to get out of the room. Which is the most appropriate nursing action? - CORRECT
ANSWER -Return when the client has calmed down.
A client is receiving whole-body radiation for Hodgkin disease. Which side effect should the
nurse expect as a result of this therapy? - CORRECT ANSWER -Decreased number of
erythrocytes
A hospitalized client puts the call light on and reports a sudden onset of chest pain that feels like
a pressure or weight on the chest. The client also states, "I feel nauseated and very weak." Which
action should the nurse take? - CORRECT ANSWER -Call the rapid response team.
The nurse observes a client collapse while walking down the hallway and establishes
unresponsiveness. What should the nurse do first? - CORRECT ANSWER -Check for a
carotid pulse
A child has been diagnosed with hemophilia type A after experiencing excessive bleeding from a
minor trauma. The mother shares that she is 4 weeks pregnant and questions as to whether this
pregnancy will result in a child with hemophilia. What is the best response by the nurse? -
, CORRECT ANSWER -With each pregnancy, there is a 50% chance of a carrier
transmitting the condition or being a carrier, depending on the gender of the child.
A nurse is developing a health teaching plan for clients with pacemakers. Which activity should
the nurse teach these clients to avoid? - CORRECT ANSWER -Touring a power plant
A client sustains multiple internal injuries in a motor vehicle accident. While performing the
client's initial assessment, the nurse identifies that the client's blood pressure suddenly drops
from 134/90 to 80/60 mm Hg. What most likely has caused this drop in blood pressure? -
CORRECT ANSWER -Reduction in the circulating blood volume
A nurse is caring for a client with first degree atrioventricular (AV) block. Which information
will the nurse consider when planning care? - CORRECT ANSWER -Every P wave is
conducted to the ventricles.
A nurse is caring for a client with a myocardial infarction. What is most important for the nurse
to assess that has a direct relationship to the action potential of the heart? - CORRECT
ANSWER -Strength of contractions
A client in the emergency department is diagnosed with atrial fibrillation. Initially the primary
healthcare provider instructs the client to perform the Valsalva maneuver by holding the breath
and bearing down. What should the nurse include in an explanation of how this may convert
atrial fibrillation to a normal sinus rhythm? - CORRECT ANSWER -The vagus nerve is
stimulated.
A client had a total knee replacement several days ago and has been receiving warfarin sodium
therapy. An international normalized ratio (INR) is performed each afternoon, and the evening
warfarin sodium dose is prescribed by the healthcare provider on a daily basis. The nurse
identifies that the afternoon INR is 4.6. Which is the next action the nurse should take? -
CORRECT ANSWER -Maintain the client on bed rest until the healthcare provider
reviews the laboratory results
After flushing a client's left forearm saline lock (SL) with normal saline, the client begins to
report a painful and burning sensation at the insertion site. Which is the most appropriate action
