2024-2025 ACTUAL EXAM 300 QUESTIONS AND
CORRECT DETAILED ANSWERS
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,1) A client is scheduled for 4. Allergy to iodine or shellfish
a cardiac catherization
using a radiopaque dye. This procedure requires an informed consent because
Which of the following it involves injection of a radiopaque dye into the
assessments is most blood vessel. The risk of allergic reaction and possible
critical before the anaphylaxis is serious and must be assessed before
procedure? the procedure.
1.Intake and output
2.Baseline peripheral
pulse rates
3.Height and weight
4.Allergy to iodine or
shellfish
2) A client with no history 3."Does the pain get worse when you breathe in?"
of cardiovascular disease
comes into the ambulatory Chest pain is assessed by using the standard pain
clinic with flulike assessment parameters. Options 1, 2, and 4 may or
symptoms. The client may not help discriminate the origin of pain. Pain of
suddenly complains of pleuropulmonary origin usually worsens on
chest pain. Which of the inspiration.
following questions would
best help a nurse to
discriminate pain caused
by a non-cardiac
problem?
1."Have you ever had this
pain before?"
2."Can you describe the
pain to me?"
3."Does the pain get
worse when you breathe
in?"
4."Can you rate the pain
on a scale of 1-10, with 10
being the worst?"
,3) A client with myocardial 2. Bathroom privileges and self-care activities
infarction has been
transferred from a On transfer from the CCU, the client is allowed self-
coronary care unit to a care activities and bathroom privileges. Supervised
general medical unit with ambulation for brief distances are encouraged, with
cardiac monitoring via distances gradually increased (50, 100, 200 feet).
telemetry. A nurse plans to
allow for which of the
following client activities?
1.Strict bed rest for 24
hours after transfer
2.Bathroom privileges and
self-care activities
3.Unsupervised hallway
ambulation with distances
under 200 feet
4.Ad lib activities because
the client is monitored.
, 6) A nurse is assessing the 4.Taking a blood pressure within 15 minutes after
blood pressure of a client nicotine or caffeine ingestion
diagnosed with primary
hypertension. The nurse BP should be taken with the client seated with the arm
ensures accurate bared, positioned with support and at heart level. The
measurement by avoiding client should sit with the legs on the floor, feet
which of the following? uncrossed, and not speak during the recording. The
1.Seating the client with client should not have smoked tobacco or taken in
arm bared, supported, caffeine in the 30 minutes preceding the
and at heart level. measurement. The client should rest quietly for 5
2.Measuring the blood minutes before the reading is taken. The cuff bladder
pressure after the client should encircle at least 80% of the limb being
has been seated quietly measured. Gauges other than a mercury
for 5 minutes. sphygmomanometer should be calibrated every 6
3.Using a cuff with a months to ensure accuracy
rubber bladder that
encircles at least 80% of
the limb.
4.Taking a blood pressure
within 15 minutes after
nicotine or caffeine
ingestion.
7) IV heparin therapy is 4. Protamine sulfate
ordered for a client. While
implementing this order, a The antidote to heparin is protamine sulfate and
nurse ensures that which should be readily available for use if excessive
of the following bleeding or hemorrhage should occur. Vitamin K is an
medications is available on antidote for warfarin.
the nursing unit?
1.Vitamin K
2.Aminocaporic acid
3.Potassium chloride
4.Protamine sulfate