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1. A patient who is hemorrhaging has decreased preload. What physiological effects should the nurse
expect to occur with this patient?
a. Increased afterload
b. Decreased cardiac output
c. Decreased action potential
d. Increased ejection fraction ✔Correct Answer-b. Decreased cardiac output
The nurse is preparing to assess a patient who is experiencing chest pain. Which question should the
nurse asked to learn more information about the intensity of the pain?
a. "Did the pain move into your left arm?"
b. "Was the pain a pressure, burning, or tightness?"
c. "Was your pain relieved by resting or worse when you were busy?"
d. "On a scale of zero (no pain) to 10 (worst pain) what number is your pain?" ✔Correct Answer-d.
"On a scale of zero (no pain) to 10 (worst pain) what number is your pain?"
The nurse is preparing to assess a patient's apical impulse. Which anatomical location should the
nurse use to make this assessment?
a. Right nipple line, any intercostal space
b. Left substernal line, sixth intercostal space
c. Left midclavicular line, fifth intercostal space
d. Right midaxillary line, second intercostal space ✔Correct Answer-c. Left midclavicular line, fifth
intercostal space
The nurse assess a patient's heart rate as being 50 beats per minute. How should the nurse
document this finding?
a. Bradycardia
b. Tachycardia
c. Hypotension
d. Hypertension ✔Correct Answer-a. Bradycardia
A patient's laboratory value indicates a low red blood cell count. What subjective data should the
nurse expect to assess that is consistent with this data?
a. Fatigue
b. Nausea
c. Chest pain
d. Sore throat ✔Correct Answer-a. Fatigue
A patient is being admitted for a low platelet count. Which finding should the nurse expect when
conducting a physical assessment of this patient?
a. Varicose veins
b. Excessive bruising
c. Enlarged lymph nodes
d. Changes in pulse pressure ✔Correct Answer-b. Excessive bruising
, The nurse determines that an older patient would benefit from interventions to address peripheral
vascular resistance. What manifestations did the nurse assess in this patient? SATA
a. Joint pain
b. Sunken eyeballs
c. Distant bowel sounds
d. Elevated blood pressure
e. Lower extremity fatigue ✔Correct Answer-b. Sunken eyeballs
d. Elevated blood pressure
The nurse is preparing to assess a patient's carotid arteries. Which techniques should the nurse use
for this assessment? (Select all that apply)
a. Palpate for pulse rate
b. Inspect for pulsations
c. Auscultate for rhythm
d. Percuss for arterial wall density
e. Palpate deeply for arterial wall integrity ✔Correct Answer-a. Palpate for pulse rate
b. Inspect for pulsations
c. Auscultate for rhythm
During the physical examination of the patient's abdomen, the nurse auscultates a blowing sound
over the aorta. How should the nurse document this finding?
a. Bruit
b. Dysrhythmia
c. Bigeminal pulse
d. Hypokinetic pulse ✔Correct Answer-a. Bruit
A patient has been admitted with severe leg pain. The limb is cyanotic, cool to the touch, and
peripheral pulses are absent. What should the nurse do first after this assessment.
a. Document the findings
b. Teach relaxation techniques
c. Notify the physician immediately
d. Ask how long the limb has been hurting ✔Correct Answer-c. Notify the physician immediately
The nurse instructs a patient about modifiable risk factors for coronary artery disease. Which
statements indicate that teaching has been effective? (Select all that apply)
a. "I should stop smoking to reduce my risk of heart disease."
b. "Restricting my activity reduces the onset of heart disease."
c. "I should drink alcohol because this prevents heart disease."
d. "There is not much that can be done to prevent heart disease."
e. "Obesity is a risk factor that I can change to reduce the onset of heart disease." ✔Correct
Answer-a. "I should stop smoking to reduce my risk of heart disease."
e. "Obesity is a risk factor that I can change to reduce the onset of heart disease."
A patient is prescribed lovastatin (Mevacor) for hyperlipidemia. What should the nurse instruct the
patient about this medication?
a. Abstain from alcohol use while taking this drug
b. Take the drug with meals to minimize gastric distress
c. Promptly report muscle pain or tenderness to the physician
d. Consume a diet that includes no more than 20& of calories from standard saturated fat
✔Correct Answer-c. Promptly report muscle pain or tenderness to the physician