Cardiovascular Exam Questions and answers

Cardiovascular Exam Questions and answers 1. A nurse is reviewing the EKG strip of a client who has prolonged vomiting. Which of the following abnormalities on the clients EKG should the nurse interpret as a sign of hypokalemia? A. Abnormally prominent U wave B. Elevated ST segment C. Wide QRS D. Inverted P wave 2. A nurse is teaching the partner of a client who had an acute MI about the reason blood was drawn from the client. Which of the following statements should the nurse make regarding cardiac enzyme studies? A. “These tests help determine the degree of damage to the heart tissues.” B. “Cardiac enzymes will identify the location of the MI.” C. “These tests will enable the provider to determine the heart structure and mobility of the heart waves.” D. “Cardiac enzymes assist in diagnosing the presence of pulmonary congestion.” 3. Identify the P-wave 4. A nurse is caring for a client who has pericarditis and reports feeling a new onset of palpitations and shortness of breath. Which of the following assessments should indicate to the nurse that the client may have developed atrial fibrillation? A. Different blood pressure in the upper arms B. Different apical and radial pulses C. Differences between oral and axillary temperatures D. Differences in upper and lower lung sounds 5. A nurse is admitting a client who has acute heart failure following MI. The nurse recognizes that which of the following prescriptions by the provider requires clarification? A. Morphine sulfate 2 mg IV bolus every 2 hr PRN pain B. Laboratory testing of serum potassium upon admission C. 0.9% normal saline IV at 50mL/hr continuous. D. Bumetanide 1 mg IV bolus every 12 hr