NRSG 357 Cardiology
A client is scheduled for a cardiac catheterization using a radiopaque dye. Which of the
following assessments is most critical before the procedure?
A) Intake and output
B) Baseline peripheral pulse rates
C) Height and weight
D) Allergy to iodine or shellfish - ANS D
\A common arrhythmia found in some older clients is chronic atrial fibrillation. Based on
the nurse's knowledge of the disease pathology, which of the following prescriptions
should the nurse expect to be ordered?
Aspirin (acetylsalicylic acid)
Warfarin sodium (Coumadin)
Simvastatin (Zocor)
Vinorelbine tartrate (Navelbine) - ANS B
\A nurse checks a patient's vital signs in the hospital and notes a blood pressure of
146/98 mmHg. What will the nurse do?
Instruct the patient to consume a low-sodium diet.
Prepare the patient for an electrocardiogram and blood tests.
Recheck the patient's blood pressure in the other arm.
Request an order for a thiazide diuretic - ANS C
\A patient admitted with heart failure appears very anxious and complains of shortness of
breath. Which nursing actions would not be appropriate to alleviate this patient's
anxiety?
A. Administer ordered morphine sulfate.
B. Position patient in a semi-Fowler's position.
C. Position patient on left side with head of bed flat.
D. Instruct patient on the use of relaxation techniques.
E. Use a calm, reassuring approach while talking to patient. - ANS C
\A patient is experiencing heparin overdose. Which medication would the nurse prepare
to administer?
a) vitamin K
, b) factor VIII
c) antihistamine
d) protamine sulfate - ANS d
\A patient with a history of chronic heart failure is admitted to the emergency department
with severe dyspnea and a dry, hacking cough. Which action should the nurse do first?
Auscultate the abdomen
Check the capillary refill
Auscultate the breath sounds
Assess the level of orientation - ANS C
\A patient with malaise has been taking daptomycin (Cubicin) for an infection and is
concurrently taking simvastatin (Zocor). The nurse should be concerned if the patient
complains of:
a. nausea.
b. tiredness
.
c. muscle pain
.
d. headache. - ANS C
\A stable patient has a regular R-R interval with a heart rate of 72 bpm. The P-R interval is
0.24 seconds. The most appropriate intervention by the nurse would be to
Notify the health care provider immediately.
Give atropine per agency dysrhythmia protocol.
Prepare the patient for temporary pacemaker insertion.
Document the finding and continue to monitor the patient. - ANS D
\A stable patient with acute decompensated heart failure (ADHF) suddenly becomes
dyspneic. Before positioning the patient on the bedside, what should the nurse assess
first?
A. Urine output
B. Heart rhythm
C. Breath sounds
D. Blood pressure - ANS D
\After receiving change-of-shift report on a heart failure unit, which patient should the
nurse assess first?
A patient who is cool and clammy, with new-onset confusion and restlessness
A client is scheduled for a cardiac catheterization using a radiopaque dye. Which of the
following assessments is most critical before the procedure?
A) Intake and output
B) Baseline peripheral pulse rates
C) Height and weight
D) Allergy to iodine or shellfish - ANS D
\A common arrhythmia found in some older clients is chronic atrial fibrillation. Based on
the nurse's knowledge of the disease pathology, which of the following prescriptions
should the nurse expect to be ordered?
Aspirin (acetylsalicylic acid)
Warfarin sodium (Coumadin)
Simvastatin (Zocor)
Vinorelbine tartrate (Navelbine) - ANS B
\A nurse checks a patient's vital signs in the hospital and notes a blood pressure of
146/98 mmHg. What will the nurse do?
Instruct the patient to consume a low-sodium diet.
Prepare the patient for an electrocardiogram and blood tests.
Recheck the patient's blood pressure in the other arm.
Request an order for a thiazide diuretic - ANS C
\A patient admitted with heart failure appears very anxious and complains of shortness of
breath. Which nursing actions would not be appropriate to alleviate this patient's
anxiety?
A. Administer ordered morphine sulfate.
B. Position patient in a semi-Fowler's position.
C. Position patient on left side with head of bed flat.
D. Instruct patient on the use of relaxation techniques.
E. Use a calm, reassuring approach while talking to patient. - ANS C
\A patient is experiencing heparin overdose. Which medication would the nurse prepare
to administer?
a) vitamin K
, b) factor VIII
c) antihistamine
d) protamine sulfate - ANS d
\A patient with a history of chronic heart failure is admitted to the emergency department
with severe dyspnea and a dry, hacking cough. Which action should the nurse do first?
Auscultate the abdomen
Check the capillary refill
Auscultate the breath sounds
Assess the level of orientation - ANS C
\A patient with malaise has been taking daptomycin (Cubicin) for an infection and is
concurrently taking simvastatin (Zocor). The nurse should be concerned if the patient
complains of:
a. nausea.
b. tiredness
.
c. muscle pain
.
d. headache. - ANS C
\A stable patient has a regular R-R interval with a heart rate of 72 bpm. The P-R interval is
0.24 seconds. The most appropriate intervention by the nurse would be to
Notify the health care provider immediately.
Give atropine per agency dysrhythmia protocol.
Prepare the patient for temporary pacemaker insertion.
Document the finding and continue to monitor the patient. - ANS D
\A stable patient with acute decompensated heart failure (ADHF) suddenly becomes
dyspneic. Before positioning the patient on the bedside, what should the nurse assess
first?
A. Urine output
B. Heart rhythm
C. Breath sounds
D. Blood pressure - ANS D
\After receiving change-of-shift report on a heart failure unit, which patient should the
nurse assess first?
A patient who is cool and clammy, with new-onset confusion and restlessness
