NUR.213 - Test 2 Saunders Perfusion
Questions with correct Answers
1. A client has experienced an episode of pulmonary edema. The nurse determines
that the client's respiratory status is improving after this episode if which breath
sounds are noted?
A: Rhonchi
B: Wheezes
C: Crackles in the bases
D: Crackles throughout the lung fields
Answer: C
2. A client is scheduled for a cardiac catheterization to diagnose the extent of
coronary artery disease. The nurse places highest priority on telling the client to
report which sensation during the procedure?
A: Chest pain
B: Urge to cough
C: Warm, flushed feeling
D: Pressure at the insertion site
Answer: A
3. A client is scheduled for a cardiac catheterization using an iodine agent. Which
assessment is most critical before the procedure?
A: Intake and output
B: Height and weight
C: Baseline peripheral pulse rates
D: Previous allergy to contrast agents
Answer: D
,4. A client is scheduled to undergo cardiac catheterization for the first time, and the
nurse provides instructions to the client. Which client statement indicates an
understanding of the instructions?
A: "It will really hurt when the catheter is first put in."
B: "I will receive general anesthesia for the procedure."
C: "I will have to go to the operating room for this procedure."
D: "I probably will feel tired after the test from lying on a hard x-ray table for a few
hours."
Answer: D
5. A client is seen in the emergency department for complaints of chest pain that
began 3 hours ago. The nurse should suspect myocardial injury or infarction if which
laboratory value comes back elevated?
A: Myoglobin
B: Troponin
C: C-reactive protein
D: Creatine kinase (CK)
Answer: B
6. A client recovering from an exacerbation of left-sided heart failure is experiencing
activity intolerance. Which change in vital signs during activity would be the best
indicator that the client is tolerating mild exercise?
A: Oxygen saturation decreased from 96% to 91%.
B: Pulse rate increased from 80 to 104 beats per minute.
C: Blood pressure decreased from 140/86 to 112/72 mm Hg.
D: Respiratory rate increased from 16 to 19 breaths per minute.
Answer: D
7. A client who had coronary artery bypass surgery states to the home health nurse,
"I get so frustrated. I can't even do my gardening." The nurse then assesses the
client for activity level since the surgery. Which client statement indicates a need for
further teaching?
,A: "I pace my activities throughout the day."
B: "I plan regular rest periods during the day."
C: "I avoid outdoor physical activity during the heat of the day."
D: "I try to walk immediately after lunch, after I've finished my morning
housecleaning."
Answer: D
8. A client who has had a myocardial infarction asks the nurse why she should not
bear down or strain to ensure having a bowel movement. The nurse provides
education to the client based on which physiological concept?
A: Vagus nerve stimulation causes a decrease in heart rate and cardiac contractility.
B: Vagus nerve stimulation causes an increase in heart rate and cardiac contractility.
C: Sympathetic nerve stimulation causes a decrease in heart rate and cardiac
contractility.
D: Sympathetic nerve stimulation causes an increase in heart rate and cardiac
contractility.
Answer: A
9. A client with myocardial infarction (MI) has been transferred from the coronary
care unit (CCU) to the general medical unit. What activity level should the nurse
encourage for the client immediately after transfer?
A: Ad lib activities as tolerated
B: Strict bed rest for 24 hours after transfer
C: Bathroom privileges and self-care activities
D: Unsupervised hallway ambulation for distances up to 200 feet (60 meters)
Answer: C
10. A client with myocardial infarction is experiencing new, multiform premature
ventricular contractions and short runs of ventricular tachycardia. The nurse plans to
have which medication available for immediate use to treat the ventricular
tachycardia?
A: Digoxin
, B: Verapamil
C: Acebutolol
D: Amiodarone
Answer: D
11. A client with no history of heart disease has experienced acute myocardial
infarction and has been given thrombolytic therapy with tissue plasminogen activator.
What assessment finding should the nurse identify as an indicator that the client is
experiencing complications of this therapy?
A: Tarry stools
B: Nausea and vomiting
C: Orange-colored urine
D: Decreased urine output
Answer: A
12. A nursing instructor asks a nursing student to describe the structure and function
of the coronary arteries. Which response by the student indicates a need for further
teaching on the anatomy and physiology of the heart?
A: "The coronary arteries branch from the aorta."
B: "The coronary arteries supply the heart muscle with blood."
C: "The left coronary artery provides blood for the left atrium and the left ventricle."
D: "The left coronary artery supplies the right atrium and right ventricle with blood."
Answer: D
13. The health care provider (HCP) has written a prescription for a client to have an
echocardiogram. Which action should the nurse take to prepare the client for the
procedure?
A: Questions the client about allergies to iodine or shellfish
B: Has the client sign an informed consent form for an invasive procedure
C: Tells the client that the procedure is painless and takes 30 to 60 minutes
Questions with correct Answers
1. A client has experienced an episode of pulmonary edema. The nurse determines
that the client's respiratory status is improving after this episode if which breath
sounds are noted?
A: Rhonchi
B: Wheezes
C: Crackles in the bases
D: Crackles throughout the lung fields
Answer: C
2. A client is scheduled for a cardiac catheterization to diagnose the extent of
coronary artery disease. The nurse places highest priority on telling the client to
report which sensation during the procedure?
A: Chest pain
B: Urge to cough
C: Warm, flushed feeling
D: Pressure at the insertion site
Answer: A
3. A client is scheduled for a cardiac catheterization using an iodine agent. Which
assessment is most critical before the procedure?
A: Intake and output
B: Height and weight
C: Baseline peripheral pulse rates
D: Previous allergy to contrast agents
Answer: D
,4. A client is scheduled to undergo cardiac catheterization for the first time, and the
nurse provides instructions to the client. Which client statement indicates an
understanding of the instructions?
A: "It will really hurt when the catheter is first put in."
B: "I will receive general anesthesia for the procedure."
C: "I will have to go to the operating room for this procedure."
D: "I probably will feel tired after the test from lying on a hard x-ray table for a few
hours."
Answer: D
5. A client is seen in the emergency department for complaints of chest pain that
began 3 hours ago. The nurse should suspect myocardial injury or infarction if which
laboratory value comes back elevated?
A: Myoglobin
B: Troponin
C: C-reactive protein
D: Creatine kinase (CK)
Answer: B
6. A client recovering from an exacerbation of left-sided heart failure is experiencing
activity intolerance. Which change in vital signs during activity would be the best
indicator that the client is tolerating mild exercise?
A: Oxygen saturation decreased from 96% to 91%.
B: Pulse rate increased from 80 to 104 beats per minute.
C: Blood pressure decreased from 140/86 to 112/72 mm Hg.
D: Respiratory rate increased from 16 to 19 breaths per minute.
Answer: D
7. A client who had coronary artery bypass surgery states to the home health nurse,
"I get so frustrated. I can't even do my gardening." The nurse then assesses the
client for activity level since the surgery. Which client statement indicates a need for
further teaching?
,A: "I pace my activities throughout the day."
B: "I plan regular rest periods during the day."
C: "I avoid outdoor physical activity during the heat of the day."
D: "I try to walk immediately after lunch, after I've finished my morning
housecleaning."
Answer: D
8. A client who has had a myocardial infarction asks the nurse why she should not
bear down or strain to ensure having a bowel movement. The nurse provides
education to the client based on which physiological concept?
A: Vagus nerve stimulation causes a decrease in heart rate and cardiac contractility.
B: Vagus nerve stimulation causes an increase in heart rate and cardiac contractility.
C: Sympathetic nerve stimulation causes a decrease in heart rate and cardiac
contractility.
D: Sympathetic nerve stimulation causes an increase in heart rate and cardiac
contractility.
Answer: A
9. A client with myocardial infarction (MI) has been transferred from the coronary
care unit (CCU) to the general medical unit. What activity level should the nurse
encourage for the client immediately after transfer?
A: Ad lib activities as tolerated
B: Strict bed rest for 24 hours after transfer
C: Bathroom privileges and self-care activities
D: Unsupervised hallway ambulation for distances up to 200 feet (60 meters)
Answer: C
10. A client with myocardial infarction is experiencing new, multiform premature
ventricular contractions and short runs of ventricular tachycardia. The nurse plans to
have which medication available for immediate use to treat the ventricular
tachycardia?
A: Digoxin
, B: Verapamil
C: Acebutolol
D: Amiodarone
Answer: D
11. A client with no history of heart disease has experienced acute myocardial
infarction and has been given thrombolytic therapy with tissue plasminogen activator.
What assessment finding should the nurse identify as an indicator that the client is
experiencing complications of this therapy?
A: Tarry stools
B: Nausea and vomiting
C: Orange-colored urine
D: Decreased urine output
Answer: A
12. A nursing instructor asks a nursing student to describe the structure and function
of the coronary arteries. Which response by the student indicates a need for further
teaching on the anatomy and physiology of the heart?
A: "The coronary arteries branch from the aorta."
B: "The coronary arteries supply the heart muscle with blood."
C: "The left coronary artery provides blood for the left atrium and the left ventricle."
D: "The left coronary artery supplies the right atrium and right ventricle with blood."
Answer: D
13. The health care provider (HCP) has written a prescription for a client to have an
echocardiogram. Which action should the nurse take to prepare the client for the
procedure?
A: Questions the client about allergies to iodine or shellfish
B: Has the client sign an informed consent form for an invasive procedure
C: Tells the client that the procedure is painless and takes 30 to 60 minutes
