CardioVascular Med Surg Exam 2024 |
Cardio Vascular Med Surge Exam Update
2024 Questions and Correct Answers
Rated A+
A client with a history of heart failure and atrial fibrillation reports a
nine-pound weight gain in the last two weeks. The nurse interprets
that the most likely cause of this sudden weight gain is:
1
Fluid retention
2
Urinary retention
3
Renal insufficiency
4
Abdominal distention -ANSWER-Fluid retention
A male client with aortic stenosis is scheduled for a valve replacement
in two days. He tells the nurse, "I told my wife all she needs to know if
I don't make it." What response is most therapeutic?
1
"Men your age do very well."
2
"You are worried about dying."
3
"I know you are concerned, but your surgeon is excellent."
4
"I'll get you a sleeping pill tonight because I know you will need it." -
ANSWER-You are worried about dying
A client with a tentative diagnosis of pernicious anemia is scheduled
for a Schilling test. Which body process associated with vitamin B12 is
assessed with the Shilling test?
1
Storage
,2
Digestion
3
Production
4
Absorption -ANSWER-Absorption
An African American woman is diagnosed with primary hypertension.
She asks, "Is hypertension a disease of African American people?"
What is the nurse's best response?
1
"The prevalence of hypertension is about equal for women of all
races."
2
"The higher-risk population is composed of African American men and
women."
3
"The highest-risk population consists of older Caucasian American
men and women."
4
"The prevalence of hypertension is greater for African American
women than for African American men." -ANSWER-The higher-risk
population is composed of African American men and women.
A nurse in the post-anesthesia care unit is caring for a client who
received a general anesthetic. Which finding should the nurse report
to the health care provider?
1
Client pushes the airway out.
2
Client has snoring respirations.
3
Respirations of 16 breaths/min are shallow.
4
Systolic blood pressure drops from 130 to 90 mm Hg -ANSWER-
Systolic blood pressure drops from 130 to 90 mm Hg
,During a yearly physical examination a complete blood count (CBC) is
performed to determine a client's hematological status. The nurse
recalls that the CBC is composed of several tests, one of which is the
level of:
1
Blood glucose
2
Hemoglobin (Hb)
3
C-reactive protein
4
Blood urea nitrogen (BUN) -ANSWER-Hemoglobin (Hb)
A client who is receiving multiple medications for a myocardial
infarction complains of severe nausea, and the client's heartbeat is
irregular and slow. The nurse determines that these signs and
symptoms are toxic effects of:
1
Digoxin (Lanoxin)
2
Captopril (Capoten)
3
Morphine sulfate (MS Contin)
4
Furosemide (Lasix ) -ANSWER-Digoxin (Lanoxin)
The nurse evaluates that the client understands the teaching
regarding the use of vitamin B12 injections to treat pernicious anemia
when the client states, "I must take the drug:
1
When feeling fatigued."
2
Until my symptoms subside."
3
Monthly, for the rest of my life."
4
, During exacerbations of anemia. -ANSWER-Monthly, for the rest of
my life."
A client is admitted to the emergency department with crushing chest
pain. A diagnosis of acute coronary syndrome is suspected. The nurse
expects that the client's initial treatment will include which medication?
1
Gabapentin (Neurontin)
2
Midazolam HCI (Versed)
3
Alprazolam (Xanax)
4
Aspirin (ASA) -ANSWER-Aspirin (ASA)
While caring for a client who had an open reduction and internal
fixation of the hip, the nurse encourages active leg and foot exercises
of the unaffected leg every two hours. The nurse explains that these
exercises will help:
1
Prevent clot formation
2
Reduce leg discomfort
3
Maintain muscle strength
4
Limit venous inflammation -ANSWER-Prevent clot formation
Knee-length elastic support stockings are prescribed for a client with
varicose veins. What should the nurse teach the client about the
elastic stockings?
1
Support hose should reach the middle of the knee.
2
The stockings should be applied before getting out of bed.
3
The stockings should be applied at the first sign of discomfort.
Cardio Vascular Med Surge Exam Update
2024 Questions and Correct Answers
Rated A+
A client with a history of heart failure and atrial fibrillation reports a
nine-pound weight gain in the last two weeks. The nurse interprets
that the most likely cause of this sudden weight gain is:
1
Fluid retention
2
Urinary retention
3
Renal insufficiency
4
Abdominal distention -ANSWER-Fluid retention
A male client with aortic stenosis is scheduled for a valve replacement
in two days. He tells the nurse, "I told my wife all she needs to know if
I don't make it." What response is most therapeutic?
1
"Men your age do very well."
2
"You are worried about dying."
3
"I know you are concerned, but your surgeon is excellent."
4
"I'll get you a sleeping pill tonight because I know you will need it." -
ANSWER-You are worried about dying
A client with a tentative diagnosis of pernicious anemia is scheduled
for a Schilling test. Which body process associated with vitamin B12 is
assessed with the Shilling test?
1
Storage
,2
Digestion
3
Production
4
Absorption -ANSWER-Absorption
An African American woman is diagnosed with primary hypertension.
She asks, "Is hypertension a disease of African American people?"
What is the nurse's best response?
1
"The prevalence of hypertension is about equal for women of all
races."
2
"The higher-risk population is composed of African American men and
women."
3
"The highest-risk population consists of older Caucasian American
men and women."
4
"The prevalence of hypertension is greater for African American
women than for African American men." -ANSWER-The higher-risk
population is composed of African American men and women.
A nurse in the post-anesthesia care unit is caring for a client who
received a general anesthetic. Which finding should the nurse report
to the health care provider?
1
Client pushes the airway out.
2
Client has snoring respirations.
3
Respirations of 16 breaths/min are shallow.
4
Systolic blood pressure drops from 130 to 90 mm Hg -ANSWER-
Systolic blood pressure drops from 130 to 90 mm Hg
,During a yearly physical examination a complete blood count (CBC) is
performed to determine a client's hematological status. The nurse
recalls that the CBC is composed of several tests, one of which is the
level of:
1
Blood glucose
2
Hemoglobin (Hb)
3
C-reactive protein
4
Blood urea nitrogen (BUN) -ANSWER-Hemoglobin (Hb)
A client who is receiving multiple medications for a myocardial
infarction complains of severe nausea, and the client's heartbeat is
irregular and slow. The nurse determines that these signs and
symptoms are toxic effects of:
1
Digoxin (Lanoxin)
2
Captopril (Capoten)
3
Morphine sulfate (MS Contin)
4
Furosemide (Lasix ) -ANSWER-Digoxin (Lanoxin)
The nurse evaluates that the client understands the teaching
regarding the use of vitamin B12 injections to treat pernicious anemia
when the client states, "I must take the drug:
1
When feeling fatigued."
2
Until my symptoms subside."
3
Monthly, for the rest of my life."
4
, During exacerbations of anemia. -ANSWER-Monthly, for the rest of
my life."
A client is admitted to the emergency department with crushing chest
pain. A diagnosis of acute coronary syndrome is suspected. The nurse
expects that the client's initial treatment will include which medication?
1
Gabapentin (Neurontin)
2
Midazolam HCI (Versed)
3
Alprazolam (Xanax)
4
Aspirin (ASA) -ANSWER-Aspirin (ASA)
While caring for a client who had an open reduction and internal
fixation of the hip, the nurse encourages active leg and foot exercises
of the unaffected leg every two hours. The nurse explains that these
exercises will help:
1
Prevent clot formation
2
Reduce leg discomfort
3
Maintain muscle strength
4
Limit venous inflammation -ANSWER-Prevent clot formation
Knee-length elastic support stockings are prescribed for a client with
varicose veins. What should the nurse teach the client about the
elastic stockings?
1
Support hose should reach the middle of the knee.
2
The stockings should be applied before getting out of bed.
3
The stockings should be applied at the first sign of discomfort.
