NSG 229 EXAM 1: CARDIAC: QUESTIONS WITH ACCURATE SOLUTIONS

NSG 229 EXAM 1: CARDIAC: QUESTIONS WITH
ACCURATE SOLUTIONS

,NSG 229 EXAM 1: CARDIAC: QUESTIONS WITH ACCURATE
SOLUTIONS




1) Which action by a client with peripheral arterial disease indicates that more teaching
about how to manage the disease is needed?
A) Applying a hot water bottle to the abdomen
B) Using a heating pad to warm the extremities
C) Drinking a warm cup of tea when feeling chilly
D) Turning the room thermostat above 72F -- Correct Answer ✔✔ B) Using a
heating pad to warm the extremities



2) Which statement indicates that further teaching is needed after the nurse completes
teaching for a client with foot pain who has peripheral arterial disease?
A) I will wear socks
B) I will elevate my feet
C) I will increase fluid intake
D) I will drink a moderate amount of alcohol -- Correct Answer ✔✔ B) I will
elevate my feet



3) Which intervention is the priority for the unconscious client in ventricular
fibrillation?
A) Defibrillation
B) Start intravenous (IV) access
C) Bag Mask ventilation
D) High Quality chest compression -- Correct Answer ✔✔ A) Defibrillation

,4) Which action would a nurse perform when a patient is in Ventricular Fibrillation?
(select all)
A) Initiating CPR
B) Assessing the EKG
C) Using a defibrillator
D) Obtaining Electrolytes
E) Administering epinephrine -- Correct Answer ✔✔ A, B, C, D, E



5) Which intervention is the priority when the nurse in the coronary care unit identifies
ventricular fibrillation on a clients cardiac monitor?
A) Defibrillate the client
B) Notify the rapid response team
C) Administer intravenous epinephrine
D) Initiate cardiopulmonary resuscitation -- Correct Answer ✔✔ A) Defibrillate
the client



6) Which priority nursing action would the nurse implement first when caring for a
client receiving nitroglycerin for the treatment of angina
A) Instruct the client to sit or stand slowly
B) Monitor the clients urine output frequently
C) Advise the clients to report when experiencing a headache
D) Instruct client to notify the healthcare provider if pain does not subside after
5 minutes -- Correct Answer ✔✔ A) Instruct the client to sit or stand slowly



7) Which potential effect will the nurse teach to a client receiving metoprolol?
A) Dizziness with strenuous activity
B) Acceleration of the heart rate after eating a heavy meal
C) Flushing sensations after taking the medication
D) Pounding of the heart -- Correct Answer ✔✔ A) Dizziness with strenuous
Activity

, 8) A client with paroxysmal supraventricular tachycardia reports a mild "fluttering
feeling" in their chest and has a blood pressure of 110/55 mm HG. Which potential
treatment by the health care provider would the nurse question?



A) Intravenous adenosine
B) Intravenous metoprolol
C) Carotid Sinus Massage
D) Synchronized Cardioversion -- Correct Answer ✔✔ D) Synchronized
Cardioversion



9) Which adverse effect would a nurse monitor for when caring for a client with
hypertension who is prescribed metoprolol?
A) Hirsutism
B) Bradycardia
C) Restlessness
D) Angina -- Correct Answer ✔✔ B) Bradycardia



10) Which topic would be included when teaching a client with heart failure who will be
discharged with a new prescription for digoxin?
A) Take Your radial pulse daily and write it down
B) Avoid foods that are high in potassium such as bananas and potatoes
C) Notify the healthcare provider if you develop any vision changes
D) Call the healthcare provider if your pulse is irregular or less than 60
beats/minute.
E) Eat at least 1 serving of green leafy vegetables daily. -- Correct Answer ✔✔ A,
C, D