NMNC 4410 Exam 1(57
Lisinopril has been recently prescribed for an anemic patient newly diagnosed with
hypertension. What should the nurse instruct the client about this medication?
Rise slowly from a reclining to a sitting position.
Discontinue the medication if nausea occurs.
Expect to note a full therapeutic effect immediately.
Take the medication with food only. - ANSWERSRise slowly from a reclining to a sitting position.
The nurse is assessing a client newly diagnosed with Stage 1 Hypertension. Which assessment
finding should the nurse expect?
Visual disturbances
Shortness of breath
Frequent nosebleeds
Asymptomatic - ANSWERSAsymptomatic
A client taking an angiotensin-converting enzyme (ACE) inhibitor to treat hypertension calls the
clinic nurse and reports that he has a dry, nonproductive cough that is very bothersome. The
nurse should respond by making which statement?
"The cough must be the start of a respiratory infection."
"When this happens typically your PCP will change your medication to an ARB".
"The medication needs to be taken with large amounts of water to prevent the cough."
"This sometimes happens, and you will need to take a cough medication with each dose of
medication." - ANSWERS"When this happens typically your PCP will change your medication to
an ARB".
,The provider orders an antihypertensive medication for a client whose blood pressure is
205/110 mm Hg. What assessment findings does the student nurse expect for this patient?
Select All That Apply.
Chest Pain
Diminished pulses
Pale Cool Skin
Blurred Vision
Severe Headache - ANSWERSChest Pain
Blurred Vision
Severe Headache
How do anti-hypertensive medications alter cardiac output?
Increase Heart Rate
Increase Stroke Volume
Decrease Ejection Fraction
Reduce Systemic Vascular Resistance - ANSWERSReduce Systemic Vascular Resistance
The nurse is monitoring a client for adverse effects of medications. Which findings are
characteristic of adverse effects of hydrochlorothiazide? Select all that apply.
Hypokalemia
Hypouricemia
Hyperglycemia
Sulfa allergy
Osteoporosis
Hypercalcemia - ANSWERSHypokalemia
Hyperglycemia
Sulfa allergy
,Hypercalcemia
A 68-yr-old male patient presents to the emergency department with a BP 210/of 118 and
reports a severe headache and vomiting. You know that his BP is dangerously high and must be
lowered. - ANSWERS149
The nurse is assessing a client admitted to the telemetry unit from the Emergency Department
with complaints of increasing shortness of breath, and is coughing pink-tinged frothy sputum.
During the history assessment, the nurse documents a history of left-sided heart failure. The
nurse recognizes the presenting signs and symptoms of which heart failure complication?
Acute pulmonary edema
Right-sided heart failure
Myocardial infarction
Bacterial pneumonia - ANSWERSAcute pulmonary edema
The nurse is caring for a hospitalized client with admitting diagnosis of right-sided heart failure
(HF). What assessment finding is most consistent with the client's diagnosis?
Distended neck veins
Pulmonary edema
Dry hacking cough
Orthopnea - ANSWERSDistended neck veins
The nurse is caring for a 76-year-old male who was admitted for extreme weakness, dizziness,
and orthopnea. A diagnosis of heart failure is confirmed by the cardiologist observing JVD and
reading is Echo Cardiogram. Which of the following tests was most helpful in determining the
diagnosis of heart failure?
Brain natriuretic peptide (BNP)
Renal Function Panel
12-lead EKG
, Complete Metabolic Panel (CMP) - ANSWERSBrain natriuretic peptide (BNP)
A patient with left-sided heart failure is prescribed oxygen at 4 L/min per nasal cannula,
furosemide (Lasix), spironolactone (Aldactone), and enalapril (Vasotec). Which assessment
should the nurse complete to best evaluate the patient's response to these drugs?
Auscultate lung sounds.
Observe skin turgor.
Measure blood pressure.
Review intake and output. - ANSWERSAuscultate lung sounds.
The nurse is caring for a client who has +3 pitting edema in the legs and a potassium level of 2.3
mEq/L. The nurse expects which of the following diuretics to be ordered?
Spironolactone (Aldactone)
Furosemide (Lasix)
Lisinopril
Hydrochorithiazide - ANSWERSSpironolactone (Aldactone)
A client with heart disease has developed pulmonary edema and is having difficulties breathing.
The nurse notes that the client is breathing at a rate of 28/min and has an oxygen saturation of
90% on room air. Which best describes the first response of the nurse?
Administer oxygen through a face mask to correct saturation levels
Gather supplies to assist with intubation
Prepare the client for a thoracentesis
Administer pain medication to slow the client's breathing - ANSWERSAdminister oxygen through
a face mask to correct saturation levels
The nurse is monitoring a client with heart failure who takes digoxin and whose morning lab
level = 2.5. What patient presentation should the nurse assess for?
Lisinopril has been recently prescribed for an anemic patient newly diagnosed with
hypertension. What should the nurse instruct the client about this medication?
Rise slowly from a reclining to a sitting position.
Discontinue the medication if nausea occurs.
Expect to note a full therapeutic effect immediately.
Take the medication with food only. - ANSWERSRise slowly from a reclining to a sitting position.
The nurse is assessing a client newly diagnosed with Stage 1 Hypertension. Which assessment
finding should the nurse expect?
Visual disturbances
Shortness of breath
Frequent nosebleeds
Asymptomatic - ANSWERSAsymptomatic
A client taking an angiotensin-converting enzyme (ACE) inhibitor to treat hypertension calls the
clinic nurse and reports that he has a dry, nonproductive cough that is very bothersome. The
nurse should respond by making which statement?
"The cough must be the start of a respiratory infection."
"When this happens typically your PCP will change your medication to an ARB".
"The medication needs to be taken with large amounts of water to prevent the cough."
"This sometimes happens, and you will need to take a cough medication with each dose of
medication." - ANSWERS"When this happens typically your PCP will change your medication to
an ARB".
,The provider orders an antihypertensive medication for a client whose blood pressure is
205/110 mm Hg. What assessment findings does the student nurse expect for this patient?
Select All That Apply.
Chest Pain
Diminished pulses
Pale Cool Skin
Blurred Vision
Severe Headache - ANSWERSChest Pain
Blurred Vision
Severe Headache
How do anti-hypertensive medications alter cardiac output?
Increase Heart Rate
Increase Stroke Volume
Decrease Ejection Fraction
Reduce Systemic Vascular Resistance - ANSWERSReduce Systemic Vascular Resistance
The nurse is monitoring a client for adverse effects of medications. Which findings are
characteristic of adverse effects of hydrochlorothiazide? Select all that apply.
Hypokalemia
Hypouricemia
Hyperglycemia
Sulfa allergy
Osteoporosis
Hypercalcemia - ANSWERSHypokalemia
Hyperglycemia
Sulfa allergy
,Hypercalcemia
A 68-yr-old male patient presents to the emergency department with a BP 210/of 118 and
reports a severe headache and vomiting. You know that his BP is dangerously high and must be
lowered. - ANSWERS149
The nurse is assessing a client admitted to the telemetry unit from the Emergency Department
with complaints of increasing shortness of breath, and is coughing pink-tinged frothy sputum.
During the history assessment, the nurse documents a history of left-sided heart failure. The
nurse recognizes the presenting signs and symptoms of which heart failure complication?
Acute pulmonary edema
Right-sided heart failure
Myocardial infarction
Bacterial pneumonia - ANSWERSAcute pulmonary edema
The nurse is caring for a hospitalized client with admitting diagnosis of right-sided heart failure
(HF). What assessment finding is most consistent with the client's diagnosis?
Distended neck veins
Pulmonary edema
Dry hacking cough
Orthopnea - ANSWERSDistended neck veins
The nurse is caring for a 76-year-old male who was admitted for extreme weakness, dizziness,
and orthopnea. A diagnosis of heart failure is confirmed by the cardiologist observing JVD and
reading is Echo Cardiogram. Which of the following tests was most helpful in determining the
diagnosis of heart failure?
Brain natriuretic peptide (BNP)
Renal Function Panel
12-lead EKG
, Complete Metabolic Panel (CMP) - ANSWERSBrain natriuretic peptide (BNP)
A patient with left-sided heart failure is prescribed oxygen at 4 L/min per nasal cannula,
furosemide (Lasix), spironolactone (Aldactone), and enalapril (Vasotec). Which assessment
should the nurse complete to best evaluate the patient's response to these drugs?
Auscultate lung sounds.
Observe skin turgor.
Measure blood pressure.
Review intake and output. - ANSWERSAuscultate lung sounds.
The nurse is caring for a client who has +3 pitting edema in the legs and a potassium level of 2.3
mEq/L. The nurse expects which of the following diuretics to be ordered?
Spironolactone (Aldactone)
Furosemide (Lasix)
Lisinopril
Hydrochorithiazide - ANSWERSSpironolactone (Aldactone)
A client with heart disease has developed pulmonary edema and is having difficulties breathing.
The nurse notes that the client is breathing at a rate of 28/min and has an oxygen saturation of
90% on room air. Which best describes the first response of the nurse?
Administer oxygen through a face mask to correct saturation levels
Gather supplies to assist with intubation
Prepare the client for a thoracentesis
Administer pain medication to slow the client's breathing - ANSWERSAdminister oxygen through
a face mask to correct saturation levels
The nurse is monitoring a client with heart failure who takes digoxin and whose morning lab
level = 2.5. What patient presentation should the nurse assess for?
