NUR 304 Exam 2 Cardiac Questions with
Verified Correct Answers
A nurse is preparing to administer a transfusion of red blood cells (RBCs) to a client
who has heart failure. Which manifestations should the nurse monitor as indicators of
fluid volume overload?
dyspnea
JVD
crackles in bases of lungs
A client with heart failure is referred to a cardiac rehabilitation center. During the first
visit to the center, the client states that they don't understand why they need to be there.
What is the best nursing response?
cardiac rehab is not a cure but it can help restore some of your former activity
What diagnostic finding is an indicator of the severity of a client's heart failure?
a. BUN 25
b. WBC 6
c. BNP 450
d. HR 60
BNP 450
The nurse is teaching the client to manage leg pain due to peripheral arterial disease.
Which intervention is included?
lower the limb so it is dependent
The nurse assesses a client who had chronic peripheral artery disease (PAD). Which of
the following findings should the nurse expect?
,pallor on elevation of the limbs, and rubor when limbs are dependent
The nurse assesses a leg ulcer and notes brown pigmentation with drainage. How will
the nurse document this finding?
a. arterial ulcer
b. diabetic ulcer
c. cellulitis
d. venous stasis ulcer
d. venous stasis ulcer
A nurse is assessing a client with a suspected pulmonary embolism with complaints of
pain 8/10 and vital signs of temperature 99.1 degrees F, HR 112, RR 26, BP 142/94, O2
sat 88% on room air. Which of the following interventions should the nurse implement
as a priority?
administer oxygen therapy
A nurse is caring for a client who has chronic venous insufficiency and a prescription
for thigh-high compression stockings. Which of the following action should the nurse
take?
apply the stockings in the morning upon awakening and before getting out of bed
The nurse has instructed a client with coronary artery disease in the foods that are best
to consume on a low-fat diet. The nurse determines that the client understands this diet
if the client indicates which food item is lowest in fat?
a. cheese omelette
b. toast with jelly
, c. bran muffin
d. bacon
b. toast with jelly
A client with coronary artery disease is scheduled to have a diagnostic exercise stress
test. Which instruction would the nurse plan to provide to the client about this
procedure?
wear loose clothing with shirt that buttons in front (needed for EKG)
What side effect does the nurse anticipate for the client experiencing blood loss after
trauma?
shortness of breath and tachycardia
A nurse is preparing to initiate a transfusion of packed RBC for a client who has
anemia. Which of the following actions should the nurse plan to take?
check vital signs every hour after transfusion has started
The nurse is conducting an admission assessment on a female client. Which of the
following assessment data would the nurse identify as a risk factor for cardiovascular
disease? Select all that apply.
A. BMI of 28
B. BP of 120/66 mm Hg
C. Triglycerides 128 mg/dL
D. Exposure to secondhand cigarette smoke
E. Moderate exercise for 20 to 30 minutes weekly
A,D,E
Verified Correct Answers
A nurse is preparing to administer a transfusion of red blood cells (RBCs) to a client
who has heart failure. Which manifestations should the nurse monitor as indicators of
fluid volume overload?
dyspnea
JVD
crackles in bases of lungs
A client with heart failure is referred to a cardiac rehabilitation center. During the first
visit to the center, the client states that they don't understand why they need to be there.
What is the best nursing response?
cardiac rehab is not a cure but it can help restore some of your former activity
What diagnostic finding is an indicator of the severity of a client's heart failure?
a. BUN 25
b. WBC 6
c. BNP 450
d. HR 60
BNP 450
The nurse is teaching the client to manage leg pain due to peripheral arterial disease.
Which intervention is included?
lower the limb so it is dependent
The nurse assesses a client who had chronic peripheral artery disease (PAD). Which of
the following findings should the nurse expect?
,pallor on elevation of the limbs, and rubor when limbs are dependent
The nurse assesses a leg ulcer and notes brown pigmentation with drainage. How will
the nurse document this finding?
a. arterial ulcer
b. diabetic ulcer
c. cellulitis
d. venous stasis ulcer
d. venous stasis ulcer
A nurse is assessing a client with a suspected pulmonary embolism with complaints of
pain 8/10 and vital signs of temperature 99.1 degrees F, HR 112, RR 26, BP 142/94, O2
sat 88% on room air. Which of the following interventions should the nurse implement
as a priority?
administer oxygen therapy
A nurse is caring for a client who has chronic venous insufficiency and a prescription
for thigh-high compression stockings. Which of the following action should the nurse
take?
apply the stockings in the morning upon awakening and before getting out of bed
The nurse has instructed a client with coronary artery disease in the foods that are best
to consume on a low-fat diet. The nurse determines that the client understands this diet
if the client indicates which food item is lowest in fat?
a. cheese omelette
b. toast with jelly
, c. bran muffin
d. bacon
b. toast with jelly
A client with coronary artery disease is scheduled to have a diagnostic exercise stress
test. Which instruction would the nurse plan to provide to the client about this
procedure?
wear loose clothing with shirt that buttons in front (needed for EKG)
What side effect does the nurse anticipate for the client experiencing blood loss after
trauma?
shortness of breath and tachycardia
A nurse is preparing to initiate a transfusion of packed RBC for a client who has
anemia. Which of the following actions should the nurse plan to take?
check vital signs every hour after transfusion has started
The nurse is conducting an admission assessment on a female client. Which of the
following assessment data would the nurse identify as a risk factor for cardiovascular
disease? Select all that apply.
A. BMI of 28
B. BP of 120/66 mm Hg
C. Triglycerides 128 mg/dL
D. Exposure to secondhand cigarette smoke
E. Moderate exercise for 20 to 30 minutes weekly
A,D,E
