1. A client with a new cardiac dysrhythmia reports b. Demonstrate decreased episodes of the dysrhythmia.
episodes of palpitations and lightheadedness and is
hypotensive. Which outcome is best for the client at
this time?
a. Express a positive attitude about living with the
dysrhythmia.
b. Demonstrate decreased episodes of the
dysrhythmia.
c. Describe the medication regimen and its
rationale.
d. Explain the dysrhythmia and its side effects.
1. After completing chest physiotherapy for a patient
with chronic obstructive pulmonary disease a. encourage deep breathing
(COPD), the nurse auscultates diminished breath
sounds in all lung fields. Which nursing action is
appropriate?
a. encourage deep breathing
b. apply nasal oxygen at 2L/min.
c. document the finding
d. repeat the treatment
,1. A patient who has chest tubes attached to a Pleur- d. maintain the patency of the chest tubes and keep the Pleur-evac below
evac water-seal drainage system is being the chest level
transported to X ray. Which is the most appropriate
action for the nurse to take during transit?
a. clamping the tubes during transport
b. clamping the tubes during transport
c. maintain the patency of the chest tubes and hang
the Pleur-evac from an IV pole
d. maintain the patency of the chest tubes and keep
the Pleur-evac below the chest level
1. A three-year-old child who has Hodgkin's disease c. there is sensitivity to the tuberculosis bacillus
is administered a Mantoux TB skin test. After 72 hrs,
a red raised area approximately 11 mm in diameter
develops at the test site. What is the nurse's best
interpretation of this result?
a. the presence of active tuberculosis has been
confirmed
b. the skin reaction is negative for tuberculosis
c. there is sensitivity to the tuberculosis bacillus
d. the patient is experiencing an allergic reaction
,1. During a community screening for coronary artery 55 year old African American male with a bp of 170/90
disease, the RN determines that which assessment
data indicates the participant that is at greatest risk?
a. 55 year old African American male with a bp of
170/90
b. 40 year old Caucasian male with a serum
cholesterol of 300 mg/dl
c. 55 year old Caucasian female whose step father
has a hx of myocardial infarction
d. 40 year old African American female with a bmi
of 24
1. Following the verbal hand off report, which b. The patient with palpitations, dizziness, and shortness of breath
patient should the rn assess first?
a. The patient that reports left shoulder discomfort
after the insertion of a permanent pacemaker
b. The patient with palpitations, dizziness, and
shortness of breath
c. The patient that reports soreness of the chest
after an elective cardioversion
d. The patient with a heart rate of 60 who is
prescribed metoprolol
, 1. The nurse assesses erratic electrical activity on the b. Check the client’s telemetry leads
telemetry reading while the client is talking to the
nurse over the intercom. Which task should the
nurse ask the UAP to implement?
a. Sit and watch the telemetry monitor
b. Check the client’s telemetry leads
c. Call for a rapid medical response
d. Turn of the telemetry monitor
1. The nurse is admitting a client with no previous c. Prepare for ablation of the atrioventricular node
cardiac history who has been in persistent atrial
fibrillation for more than two days. What medical
order would the nurse question?
a. Prepare for transesophageal echocardiogram
b. Administer heparin by continuous infusion
c. Prepare for ablation of the atrioventricular node
d. Administer diltiazem by continuous infusion.
episodes of palpitations and lightheadedness and is
hypotensive. Which outcome is best for the client at
this time?
a. Express a positive attitude about living with the
dysrhythmia.
b. Demonstrate decreased episodes of the
dysrhythmia.
c. Describe the medication regimen and its
rationale.
d. Explain the dysrhythmia and its side effects.
1. After completing chest physiotherapy for a patient
with chronic obstructive pulmonary disease a. encourage deep breathing
(COPD), the nurse auscultates diminished breath
sounds in all lung fields. Which nursing action is
appropriate?
a. encourage deep breathing
b. apply nasal oxygen at 2L/min.
c. document the finding
d. repeat the treatment
,1. A patient who has chest tubes attached to a Pleur- d. maintain the patency of the chest tubes and keep the Pleur-evac below
evac water-seal drainage system is being the chest level
transported to X ray. Which is the most appropriate
action for the nurse to take during transit?
a. clamping the tubes during transport
b. clamping the tubes during transport
c. maintain the patency of the chest tubes and hang
the Pleur-evac from an IV pole
d. maintain the patency of the chest tubes and keep
the Pleur-evac below the chest level
1. A three-year-old child who has Hodgkin's disease c. there is sensitivity to the tuberculosis bacillus
is administered a Mantoux TB skin test. After 72 hrs,
a red raised area approximately 11 mm in diameter
develops at the test site. What is the nurse's best
interpretation of this result?
a. the presence of active tuberculosis has been
confirmed
b. the skin reaction is negative for tuberculosis
c. there is sensitivity to the tuberculosis bacillus
d. the patient is experiencing an allergic reaction
,1. During a community screening for coronary artery 55 year old African American male with a bp of 170/90
disease, the RN determines that which assessment
data indicates the participant that is at greatest risk?
a. 55 year old African American male with a bp of
170/90
b. 40 year old Caucasian male with a serum
cholesterol of 300 mg/dl
c. 55 year old Caucasian female whose step father
has a hx of myocardial infarction
d. 40 year old African American female with a bmi
of 24
1. Following the verbal hand off report, which b. The patient with palpitations, dizziness, and shortness of breath
patient should the rn assess first?
a. The patient that reports left shoulder discomfort
after the insertion of a permanent pacemaker
b. The patient with palpitations, dizziness, and
shortness of breath
c. The patient that reports soreness of the chest
after an elective cardioversion
d. The patient with a heart rate of 60 who is
prescribed metoprolol
, 1. The nurse assesses erratic electrical activity on the b. Check the client’s telemetry leads
telemetry reading while the client is talking to the
nurse over the intercom. Which task should the
nurse ask the UAP to implement?
a. Sit and watch the telemetry monitor
b. Check the client’s telemetry leads
c. Call for a rapid medical response
d. Turn of the telemetry monitor
1. The nurse is admitting a client with no previous c. Prepare for ablation of the atrioventricular node
cardiac history who has been in persistent atrial
fibrillation for more than two days. What medical
order would the nurse question?
a. Prepare for transesophageal echocardiogram
b. Administer heparin by continuous infusion
c. Prepare for ablation of the atrioventricular node
d. Administer diltiazem by continuous infusion.
