1. A nurse is assessing a client who is receiving dopamine IV to
treat left ventricular failure. Which of the following findings
should indicate to the nurse that the medication is having a
therapeutic effect?
a. Urine output is reduced
b. Systolic blood pressure is increased
c. Cardiac output is reduced
d. Apical heart rate is increased
2. A nurse is suctioning the endotracheal tube of a client who is
on a ventilator. The client’s heart rate increases from 86/min
to 110/min and the rhythm becomes irregular. The nurse
should know that the client requires
a. An antidysrhythmic medication
b. Pre-oxygenation prior to suctioning
c. A cardiology consult
d. Less frequent suctioning
3. A client has the following abg values: pH 7.52, PaO2 50
mmhg, HCO3 24 mEq/L, PaCO2 28. Based upon the
client’s results which of the following conclusions would be
accurate?
a. The client’s PaO2 level is within normal range
b. The oxygen level is low but poses no risk for
the client c. The client is severely hypoxic
d. The client requires oxygen therapy with very low oxygen
concentrations
,4. The nurse is caring for a patient receiving a continuous
norepinephrine IV infusion. Which patient assessment
finding indicates that the infusion rate may need to be
adjusted?
a. Pulmonary artery wedge pressure (PAWP) is low
b. Mean arterial pressure is 62 mmHG
c. Heart rate is 58 bpm
d. Elevated systemic vascular resistance (SVR)
5. A recently admitted 36 yr old patient who has sustained
multiple trauma develops a low CVP pressure. Which of the
following interpretations will alert the nurse of this change?
a. Intracardiac shunt
B. Fluid overload High CVP
C. Left ventricular failure
d. Hypovolemia
6. After receiving change of shift report on a telemetry unit, which patient
should
, the new graduate nurse assess first?
a. A 66 yr old patient with septicemia who has
intercostal and suprasternal retractions
b. A 44 yr old patient with pneumonia who has crackles bilaterally
in the lung bases c. A 28 yr old patient with cystic fibrosis who has
thick, green colored sputum
d. A 56 yr old patient who pneumonia who has crackles bilaterally
in the lung bases
7. A 28 yr old trauma patient in the ICU has a respiratory arrest event,
and resuscitation is started. Family members are present in the
room during the event. Which action by the nurse is best?
a. Tell the family members that watching the resuscitations
will be very stressful
b. Assign a staff member to wait with family members just
outside the patient room
c. Ask family members if they wish to remain in the room
during the resuscitation
d. Take the family members quickly out of the patient room and
remain with them
8. An intubated client’s oxygen saturation has dropped to 86%.
What action by the nurse takes priority?
a. Ensure all connections are patent
b. Suction the endotracheal tube
c. Determine if the tube is kinked to coiled
D. Listen to all the client’s lung sounds Always assess first
9. A 65 yr female patient has ST segment changes that suggest
an acute inferior wall myocardial infarction. Which lead would
be best for monitoring the patient?
, a. Lead II
b. Lead V6
c. Lead V2
d. Lead I
10. After noting a pulse deficit when assessing a 74 yr old male
patient who has just arrived in the emergency department, the
nurse will anticipate that the patient may require
a. Emergent cardioversion
b. Cardiac catheterization
c. Hourly blood pressure (BP) checks
d. Electrocardiographic (ECG) monitoring
11. A nurse is assessing a client who had left femoral cardiac angiography.
Identify