ACTUAL COMPLETE REAL EXAM QUESTIONS AND CORRECT
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After reviewing information shown in the accompanying figure rom the
medical records of a 43-year-old, which risk factor modification for
coronary artery disease should the nurse include in client teaching?
a. Ongoing cardiac risk associated with the history of tobacco use
b. Importance of daily physical activity
c. Dietary changes to improve lipid levels
d. Effect of weight loss on blood pressure
c
A client is ordered Simvastatin (Zocor) for the management of
dyslipidemia. The client is instructed by the nurse to have which serum
level monitored by the health care provider while on this drug?
a. Cardiac enzymes
b. Liver enzymes
c. Electrolyte level
d. Blood urea nitrogen
b
,A nurse is assessing clients on a medical-surgical unit. Which client should
the nurse identify as being at greatest risk for atrial fibrillation?
a. A 45-year-old who takes an aspirin daily
b. An 80-year-old with chronic obstructive pulmonary disease
c. A 78-year-old who had a carotid endarterectomy
d. A 50-year-old who is post coronary artery bypass graft surgery
d
A nurse teaches a client with a new permanent pacemaker. Which instructions
should the nurse include in this client's teaching? (Select all that apply)
a. "Report any pulse rates lower than your pacemaker settings"
b. "Have your pacemaker turned off before having magnetic resonance
imaging (MRI)"
c. "Do not lift your left arm above the level of your shoulder for 8 weeks"
d. "If you feel weak, apply pressure over your generator"
e. "Until your incision is healed, do not submerge your pacemaker.
Only take showers."
a, c, e
,The client is newly prescribed apixaban (Eliquis) for treatment of atrial
fibrillation. The nurse evaluates teaching was effective when the client states
which one of the following?
a. "I will need to get monthly INR levels drawn while on this medication"
b. "If I start bleeding, I must get Vitamin K injections"
c. "If I miss my morning dose, I can double up on my evening dose"
d. "I will not need to have routine laboratory testing while on this medication"
d
A 74 y/o client with recurring stable angina is experiencing chest pain while
out for a walk. What action should he take first?
a. Stop and rest for a few minutes before continuing
b. Take an aspirin
c. Call 911
d. Take nitroglycerin sublingual as ordered
a
, The client with heart failure has been prescribed intravenous
Nitroglycerin and Furosemide (Lasix) for pulmonary edema. Which is a
priority nursing intervention?
a. Monitor the client's blood pressure
b. Insert a foley catheter
c. Monitor the client's serum glucose level
d. Place a nitroglycerin tablet under the client's tongue
a
Which nursing action is essential for the client experiencing severe
pitting edema secondary to heart failure?
a. Place in Sim's position for meals
b. Maintain strict bed rest
c. Turn the client frequently to prevent skin breakdown
d. Administer oxygen at 6 L/min via nasal cannula
c