Nsg 430 Exam 2 - Complete Questions And Detailed Solutions Latest Update Just Released

NSG 430 EXAM 2 - COMPLETE QUESTIONS
AND DETAILED SOLUTIONS LATEST UPDATE JUST
RELEASED


Question 1: A patient with acute coronary syndrome has returned
to the coronary care unit after having
angioplasty with stent placement. Which assessment data indicate
the need for immediate
action by the nurse?
A. Report of chest pain
B. Heart rate 102 beats/min
C. Pedal pulses 1+ bilaterally
Answer:
A


Question 2: A patient admitted to the coronary care unit (CCU) with
an ST-segment-elevation myocardial infarction (STEMI) is restless
and anxious. The blood pressure is 86/40 mm Hg, and heart rate is
132 beats/min. Based on this information, which patient problem is
the priority?
A. Acute pain
B. Deficient knowledge
C. Impaired cardiac function
Answer:
C


Question 3: When admitting a patient with a
non-ST-segment-elevation myocardial infarction (NSTEMI)
to the intensive care unit, which action would the nurse perform

,first?
A. Attach the heart monitor.
B. Obtain the blood pressure.
C. Assess the peripheral pulses.
Answer:
A


Question 4: Which information about a patient receiving
thrombolytic therapy for an acute myocardial infarction is most
important for the nurse to communicate to the health care
provider?
A. An increase in troponin levels from baseline
B. A large bruise at the patient's IV insertion site
C. No change in the patient's reported level of chest pain
Answer:
C


Question 5: The nurse obtains the following data when assessing a
patient who experienced an ST-segment-elevation myocardial
infarction (STEMI) 2 days previously. Which information is most
important to report to the health care provider?
A. The troponin level is elevated.
B. The patient denies having a heart attack.
C. Bilateral crackles in the mid-lower lobes.
Answer:
C


Question 6: A patient had a non-ST-segment-elevation myocardial
infarction (NSTEMI) 3 days ago. Which nursing intervention is

,appropriate for the registered nurse (RN) to delegate to an
experienced licensed practical/vocational nurse (LPN/VN)?
A. Reinforcement of teaching about the prescribed medications
B. Evaluation of the patient's response to walking in the hallway
C. Completion of the referral form for a home health nurse follow-up
Answer:
A


Question 7: A patient who has chest pain is admitted to the
emergency department (ED), and all of the
following items are prescribed. Which one would the nurse arrange
to be completed first?
A. Chest x-ray
B. Troponin level
C. Electrocardiogram (ECG)
Answer:
C


Question 8: After receiving change-of-shift report about the
following four patients on the cardiac care
unit, which patient would the nurse assess first?
C. A 65-year-old patient who had a myocardial infarction (MI) 4 days
ago and is anxious about today's planned discharge
D. A 59-year-old patient with unstable angina who has just returned
after a percutaneous coronary intervention (PCI)
Answer:
D

, Question 9: To improve the physical activity level for a 68-year-old
patient who is mildly obese, which action would the nurse plan to
take?
A. Stress that weight loss is a major benefit of increased exercise.
B. Determine what kind of physical activities the patient usually
enjoys.
Answer:
B


Question 10: Which patient at the cardiovascular clinic requires the
most immediate action by the nurse?
A. Patient with type 2 diabetes whose current blood glucose level is
145 mg/dL
B. Patient with stable angina whose chest pain has recently increased
in frequency
C. Patient with familial hypercholesterolemia and a total cholesterol of
465 mg/dL
Answer:
B


Question 11: What would the nurse measure to determine whether
there is a delay in electrical impulse
conduction through the patient's ventricles?
A. P wave
B. Q wave
C. PR interval
D. QRS complex
Answer:
D