NSG 320 EXAM 2
An RN is admitting a patient to the cardiac unit who has stable angina and a history
of type 2 diabetes mellitus. The patient is scheduled for a cardiac catheterization the
next day. Which medication would need to be withheld for 24 hours before the
procedure and for 48 hours after the procedure?
1. Glucophage
2. Glimepiride
3. Pravastatin
4. Vitamin C
The clinic nurse is evaluating a patient who had coronary artery stenting through the
right femoral artery a week previously and is taking metoprolol, clopidogrel, and
aspirin. Which information reported by the patient is most important to report to the
health care provider?
1. Patient is experiencing shortness of breath and fatigue.
2. Bruising is present at the right groin.
3. Home blood pressure today was 104/52 mm Hg.
4. Home radial pulse rate has been 55 to 60 beats/min.
Which topics will the nurse plan to include in discharge teaching for a patient who
has been admitted with heart failure? Select all that apply.
,1. How to monitor and record daily weight
2. Importance of stopping exercise if heart rate increases
3. Symptoms of worsening heart failure
4. Purpose of chronic antibiotic therapy
5. How to read food labels for sodium content
6. Date and time for follow-up appointments
The nurse is reviewing the laboratory results for a patient with an elevated
cholesterol level who is taking atorvastatin. Which result is most important to
discuss with the health care provider?
1. Serum potassium is 3.4 mEq/L (3.4 mmol/L).
2. Blood urea nitrogen (BUN) is 9 mg/dL (3.2 mmol/L).
3. Aspartate aminotransferase (AST) is 30 units/L (0.5 μkat/L).
4. Low-density lipoprotein (LDL) cholesterol is 170 mg/dL (4.4 mmol/L).
Which finding in a patient with aortic stenosis will be most important for the nurse to
report to the health care provider?
1. Temperature of 102.1°F (38.9°C)
2. Loud systolic murmur over sternum
3. Blood pressure of 110/88 mm Hg
4. Weak radial and pedal pulses to palpation
,A patient who has just arrived in the emergency department reports substernal and
left arm discomfort that has been going on for about 3 hours. Which laboratory test
will be most useful in determining whether the nurse should anticipate implementing
the acute coronary syndrome standard protocol?
1. Creatine kinase MB level
2. Troponin I level
3. Myoglobin level
4. C-reactive protein lev
When the nurse is monitoring a 53-year-old patient who is undergoing a treadmill
stress test, which finding will require the most immediate action?
1. Blood pressure of 152/88 mm Hg
2. Heart rate of 134 beats/min
3. Oxygen saturation of 91%
4. Three premature ventricular contractions (PVCs) in a row
The health care provider prescribes these actions for a patient who was admitted
with acute substernal chest pain. Which actions are appropriate to assign to an
experienced LPN/LVN who is working in the emergency department? Select all that
apply.
, 1. Attaching cardiac monitor leads
2. Giving heparin 5000 units IV push
3. Administering morphine sulfate 4 mg IV
4. Obtaining a 12-lead electrocardiogram (ECG)
5. Asking the patient about pertinent medical history
6. Having the patient chew and swallow aspirin 162 mg
The nurse makes a home visit to evaluate a hypertensive patient who has been taking
enalapril. Which finding is most important to report to the health care provider?
1. Patient reports frequent urination.
2. Patient's blood pressure is 138/86 mm Hg.
3. Patient complains about a frequent dry cough.
4. Patient says, "I get dizzy sometimes if I stand up fast."
Which patient is for the coronary care charge nurse to assign to a float RN who has
come for the day from the general medical-surgical unit?
1. Patient requiring discharge teaching about coro-nary artery stenting before going
home today
2. Patient receiving IV furosemide to treat acute left ventricular failure
An RN is admitting a patient to the cardiac unit who has stable angina and a history
of type 2 diabetes mellitus. The patient is scheduled for a cardiac catheterization the
next day. Which medication would need to be withheld for 24 hours before the
procedure and for 48 hours after the procedure?
1. Glucophage
2. Glimepiride
3. Pravastatin
4. Vitamin C
The clinic nurse is evaluating a patient who had coronary artery stenting through the
right femoral artery a week previously and is taking metoprolol, clopidogrel, and
aspirin. Which information reported by the patient is most important to report to the
health care provider?
1. Patient is experiencing shortness of breath and fatigue.
2. Bruising is present at the right groin.
3. Home blood pressure today was 104/52 mm Hg.
4. Home radial pulse rate has been 55 to 60 beats/min.
Which topics will the nurse plan to include in discharge teaching for a patient who
has been admitted with heart failure? Select all that apply.
,1. How to monitor and record daily weight
2. Importance of stopping exercise if heart rate increases
3. Symptoms of worsening heart failure
4. Purpose of chronic antibiotic therapy
5. How to read food labels for sodium content
6. Date and time for follow-up appointments
The nurse is reviewing the laboratory results for a patient with an elevated
cholesterol level who is taking atorvastatin. Which result is most important to
discuss with the health care provider?
1. Serum potassium is 3.4 mEq/L (3.4 mmol/L).
2. Blood urea nitrogen (BUN) is 9 mg/dL (3.2 mmol/L).
3. Aspartate aminotransferase (AST) is 30 units/L (0.5 μkat/L).
4. Low-density lipoprotein (LDL) cholesterol is 170 mg/dL (4.4 mmol/L).
Which finding in a patient with aortic stenosis will be most important for the nurse to
report to the health care provider?
1. Temperature of 102.1°F (38.9°C)
2. Loud systolic murmur over sternum
3. Blood pressure of 110/88 mm Hg
4. Weak radial and pedal pulses to palpation
,A patient who has just arrived in the emergency department reports substernal and
left arm discomfort that has been going on for about 3 hours. Which laboratory test
will be most useful in determining whether the nurse should anticipate implementing
the acute coronary syndrome standard protocol?
1. Creatine kinase MB level
2. Troponin I level
3. Myoglobin level
4. C-reactive protein lev
When the nurse is monitoring a 53-year-old patient who is undergoing a treadmill
stress test, which finding will require the most immediate action?
1. Blood pressure of 152/88 mm Hg
2. Heart rate of 134 beats/min
3. Oxygen saturation of 91%
4. Three premature ventricular contractions (PVCs) in a row
The health care provider prescribes these actions for a patient who was admitted
with acute substernal chest pain. Which actions are appropriate to assign to an
experienced LPN/LVN who is working in the emergency department? Select all that
apply.
, 1. Attaching cardiac monitor leads
2. Giving heparin 5000 units IV push
3. Administering morphine sulfate 4 mg IV
4. Obtaining a 12-lead electrocardiogram (ECG)
5. Asking the patient about pertinent medical history
6. Having the patient chew and swallow aspirin 162 mg
The nurse makes a home visit to evaluate a hypertensive patient who has been taking
enalapril. Which finding is most important to report to the health care provider?
1. Patient reports frequent urination.
2. Patient's blood pressure is 138/86 mm Hg.
3. Patient complains about a frequent dry cough.
4. Patient says, "I get dizzy sometimes if I stand up fast."
Which patient is for the coronary care charge nurse to assign to a float RN who has
come for the day from the general medical-surgical unit?
1. Patient requiring discharge teaching about coro-nary artery stenting before going
home today
2. Patient receiving IV furosemide to treat acute left ventricular failure
