COTAC EXAM 2 EXAM
QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+
1. A nurse is providing discharge teaching for a client who has a
prescription for the transdermal nitroglycerin patch. Which of the following
instructions should the nurse include in the teaching?: Place the patch on an
area of skin away from skin folds and joints.
2. A nurse in an emergency room is assessing a client who has a
bradydysrhythmia. Which of the following findings should the nurse monitor
for?: Confusion
3. A nurse is admitting a client who has a leg ulcer and a history of
diabetes mellitus. The nurse should use which of the following focused
assessments to help differentiate between an arterial ulcer and a venous
stasis ulcer?: Inquire about the presence or absence of claudication
4. A nurse is providing teaching for a client who has 2 days postoperative
following a heart transplant. Which of the following statements should the
nurse include in the teaching?: "You might no longer be able to feel chest pain."
5. A nurse is caring for a client who was admitting for treatment of left-sided
, .
heart failure with intravenous loop diuretics and digitalis therapy. The client
is experiencing weakness and an irregular heart rate. Which of the following
actions should the nurse take first?: Review serum electrolyte values.
6. A nurse is assessing a client who has left-sided heart failure. Which of
the following manifestations should the nurse expect to find?: Weak
peripheral pulses
7. A nurse is performing a cardiac assessment on a client. Identify the area
the nurse should inspect when evaluating the point of maximal impulse.: Apex
area, also known as the apical pulse, left fifth intercostal space in the midclavicular
line.
8. A nurse is assessing a client who has a history of deep-vein thrombosis
and is receiving warfarin. The nurse should identify that which of the
following findings indicate the medication is effective?: INR 2.0
9. A nurse is preparing a client for a coronary angiography. The nurse
should report which of the following findings to the provider prior to the
procedure?-
: Previous allergic reaction to shellfish
10. A nurse in an emergency department is caring for a client who has a
blood pressure of 254/139 mm Hg. The nurse recognizes that the client is in
, .
a hypertensive crisis. Which of the following actions should she take first?:
Elevate the head of the client's bed
11. A nurse is reviewing the laboratory results of several male clients who
have peripheral arterial disease. The nurse should plan to provide dietary
teaching for the client who has which of the following laboratory values?:
Cholesterol 190 mg/dL, HDL 25 mg/dL, LDL 160 mg/dL.
12 A nurse is caring for a client who is scheduled for a coronary artery bypass
graft (CABG) in 2 hours. Which of the following client statements indicates a
need for further clarification by the nurse?: "I took my warfarin last night
according to my usual schedule."
13. A nurse is caring for a client following insertion of a permanent
pacemaker. Which of the following client statements indicates a potential
complication of the insertion procedure.: "I can't get rid of these hiccups."
14. A nurse is assessing a client who has pulmonary edema related to
heart failure. Which of the following findings indicates effective treatment of
the client's condition?: Absence of adventitious breath sounds.
15. A nurse is caring for a client who is receiving heparin therapy and
develops hematuria. Which of the following actions should the nurse take if
the client's aPTT is 96 seconds?: Stop the heparin infusion.
QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+
1. A nurse is providing discharge teaching for a client who has a
prescription for the transdermal nitroglycerin patch. Which of the following
instructions should the nurse include in the teaching?: Place the patch on an
area of skin away from skin folds and joints.
2. A nurse in an emergency room is assessing a client who has a
bradydysrhythmia. Which of the following findings should the nurse monitor
for?: Confusion
3. A nurse is admitting a client who has a leg ulcer and a history of
diabetes mellitus. The nurse should use which of the following focused
assessments to help differentiate between an arterial ulcer and a venous
stasis ulcer?: Inquire about the presence or absence of claudication
4. A nurse is providing teaching for a client who has 2 days postoperative
following a heart transplant. Which of the following statements should the
nurse include in the teaching?: "You might no longer be able to feel chest pain."
5. A nurse is caring for a client who was admitting for treatment of left-sided
, .
heart failure with intravenous loop diuretics and digitalis therapy. The client
is experiencing weakness and an irregular heart rate. Which of the following
actions should the nurse take first?: Review serum electrolyte values.
6. A nurse is assessing a client who has left-sided heart failure. Which of
the following manifestations should the nurse expect to find?: Weak
peripheral pulses
7. A nurse is performing a cardiac assessment on a client. Identify the area
the nurse should inspect when evaluating the point of maximal impulse.: Apex
area, also known as the apical pulse, left fifth intercostal space in the midclavicular
line.
8. A nurse is assessing a client who has a history of deep-vein thrombosis
and is receiving warfarin. The nurse should identify that which of the
following findings indicate the medication is effective?: INR 2.0
9. A nurse is preparing a client for a coronary angiography. The nurse
should report which of the following findings to the provider prior to the
procedure?-
: Previous allergic reaction to shellfish
10. A nurse in an emergency department is caring for a client who has a
blood pressure of 254/139 mm Hg. The nurse recognizes that the client is in
, .
a hypertensive crisis. Which of the following actions should she take first?:
Elevate the head of the client's bed
11. A nurse is reviewing the laboratory results of several male clients who
have peripheral arterial disease. The nurse should plan to provide dietary
teaching for the client who has which of the following laboratory values?:
Cholesterol 190 mg/dL, HDL 25 mg/dL, LDL 160 mg/dL.
12 A nurse is caring for a client who is scheduled for a coronary artery bypass
graft (CABG) in 2 hours. Which of the following client statements indicates a
need for further clarification by the nurse?: "I took my warfarin last night
according to my usual schedule."
13. A nurse is caring for a client following insertion of a permanent
pacemaker. Which of the following client statements indicates a potential
complication of the insertion procedure.: "I can't get rid of these hiccups."
14. A nurse is assessing a client who has pulmonary edema related to
heart failure. Which of the following findings indicates effective treatment of
the client's condition?: Absence of adventitious breath sounds.
15. A nurse is caring for a client who is receiving heparin therapy and
develops hematuria. Which of the following actions should the nurse take if
the client's aPTT is 96 seconds?: Stop the heparin infusion.
