AHN 447 Exam #1 (Multiple Choice)
A nurse assesses a client who had a myocardial infarction and is hypotensive. Which additional
assessment
finding should the nurse expect?
a. Heart rate of 120 beats/min
b. Cool, clammy skin
c. Oxygen saturation of 90%
d. Respiratory rate of 8 breaths/min - correct answer A
A nurse assesses a client after administering a prescribed beta blocker. Which assessment
should the nurse expect to find?
a. Blood pressure increased from 98/42 mm Hg to 132/60 mm Hg
b. Respiratory rate decreased from 25 breaths/min to 14 breaths/min
c. Oxygen saturation increased from 88% to 96%
d. Pulse decreased from 100 beats/min to 80 beats/min - correct answer D
A nurse assesses clients on a medical-surgical unit. Which client should the nurse identify as
having the
greatest risk for cardiovascular disease?
a. An 86-year-old man with a history of asthma
b. A 32-year-old Asian-American man with colorectal cancer
c. A 45-year-old American Indian woman with diabetes mellitus
d. A 53-year-old postmenopausal woman who is on hormone therapy - correct answer C
A nurse assesses an older adult client who has multiple chronic diseases. The clients heart rate
is 48
beats/min. Which action should the nurse take first?
a. Document the finding in the chart.
b. Initiate external pacing.
,AHN 447 Exam #1 (Multiple Choice)
c. Assess the clients medications.
d. Administer 1 mg of atropine. - correct answer C
An emergency room nurse obtains the health history of a client. Which statement by the client
should alert
the nurse to the occurrence of heart failure?
a. I get short of breath when I climb stairs.
b. I see halos floating around my head.
c. I have trouble remembering things.
d. I have lost weight over the past month. - correct answer A
A nurse obtains the health history of a client who is newly admitted to the medical unit. Which
statement by
the client should alert the nurse to the presence of edema?
a. I wake up to go to the bathroom at night.
b. My shoes fit tighter by the end of the day.
c. I seem to be feeling more anxious lately.
d. I drink at least eight glasses of water a day. - correct answer B
A nurse assesses an older adult client who is experiencing a myocardial infarction. Which
clinical
manifestation should the nurse expect?
a. Excruciating pain on inspiration
b. Left lateral chest wall pain
c. Disorientation and confusion
d. Numbness and tingling of the arm - correct answer C
A nurse assesses a client 2 hours after a cardiac angiography via the left femoral artery. The
nurse notes that the left pedal pulse is weak. Which action should the nurse take?
,AHN 447 Exam #1 (Multiple Choice)
a. Elevate the leg and apply a sandbag to the entrance site.
b. Increase the flow rate of intravenous fluids.
c. Assess the color and temperature of the left leg.
d. Document the finding as left pedal pulse of +1/4. - correct answer C
A nurse assesses a client who is recovering after a left-sided cardiac catheterization. Which
assessment
finding requires immediate intervention?
a. Urinary output less than intake
b. Bruising at the insertion site
c. Slurred speech and confusion
d. Discomfort in the left leg - correct answer C
A nurse assesses a client who is scheduled for a cardiac catheterization. Which assessment
should the nurse
complete prior to this procedure?
a. Clients level of anxiety
b. Ability to turn self in bed
c. Cardiac rhythm and heart rate
d. Allergies to iodine-based agents - correct answer D
A nurse cares for a client who is prescribed magnetic resonance imaging (MRI) of the heart. The
clients
health history includes a previous myocardial infarction and pacemaker implantation. Which
action should the
nurse take?
a. Schedule an electrocardiogram just before the MRI.
, AHN 447 Exam #1 (Multiple Choice)
b. Notify the health care provider before scheduling the MRI.
c. Call the physician and request a laboratory draw for cardiac enzymes.
d. Instruct the client to increase fluid intake the day before the MRI. - correct answer B
A nurse assesses a client who is recovering from a myocardial infarction. The clients pulmonary
artery
pressure reading is 25/12 mm Hg. Which action should the nurse take first?
a. Compare the results with previous pulmonary artery pressure readings.
b. Increase the intravenous fluid rate because these readings are low.
c. Immediately notify the health care provider of the elevated pressures.
d. Document the finding in the clients chart as the only action. - correct answer A
A nurse cares for a client who has an 80% blockage of the right coronary artery (RCA) and is
scheduled for
bypass surgery. Which intervention should the nurse be prepared to implement while this client
waits for
surgery?
a. Administration of IV furosemide (Lasix)
b. Initiation of an external pacemaker
c. Assistance with endotracheal intubation
d. Placement of central venous access - correct answer B
A nurse teaches a client with diabetes mellitus and a body mass index of 42 who is at high risk
for coronary
artery disease. Which statement related to nutrition should the nurse include in this clients
teaching?
a. The best way to lose weight is a high-protein, low-carbohydrate diet.
b. You should balance weight loss with consuming necessary nutrients.
c. A nutritionist will provide you with information about your new diet.
A nurse assesses a client who had a myocardial infarction and is hypotensive. Which additional
assessment
finding should the nurse expect?
a. Heart rate of 120 beats/min
b. Cool, clammy skin
c. Oxygen saturation of 90%
d. Respiratory rate of 8 breaths/min - correct answer A
A nurse assesses a client after administering a prescribed beta blocker. Which assessment
should the nurse expect to find?
a. Blood pressure increased from 98/42 mm Hg to 132/60 mm Hg
b. Respiratory rate decreased from 25 breaths/min to 14 breaths/min
c. Oxygen saturation increased from 88% to 96%
d. Pulse decreased from 100 beats/min to 80 beats/min - correct answer D
A nurse assesses clients on a medical-surgical unit. Which client should the nurse identify as
having the
greatest risk for cardiovascular disease?
a. An 86-year-old man with a history of asthma
b. A 32-year-old Asian-American man with colorectal cancer
c. A 45-year-old American Indian woman with diabetes mellitus
d. A 53-year-old postmenopausal woman who is on hormone therapy - correct answer C
A nurse assesses an older adult client who has multiple chronic diseases. The clients heart rate
is 48
beats/min. Which action should the nurse take first?
a. Document the finding in the chart.
b. Initiate external pacing.
,AHN 447 Exam #1 (Multiple Choice)
c. Assess the clients medications.
d. Administer 1 mg of atropine. - correct answer C
An emergency room nurse obtains the health history of a client. Which statement by the client
should alert
the nurse to the occurrence of heart failure?
a. I get short of breath when I climb stairs.
b. I see halos floating around my head.
c. I have trouble remembering things.
d. I have lost weight over the past month. - correct answer A
A nurse obtains the health history of a client who is newly admitted to the medical unit. Which
statement by
the client should alert the nurse to the presence of edema?
a. I wake up to go to the bathroom at night.
b. My shoes fit tighter by the end of the day.
c. I seem to be feeling more anxious lately.
d. I drink at least eight glasses of water a day. - correct answer B
A nurse assesses an older adult client who is experiencing a myocardial infarction. Which
clinical
manifestation should the nurse expect?
a. Excruciating pain on inspiration
b. Left lateral chest wall pain
c. Disorientation and confusion
d. Numbness and tingling of the arm - correct answer C
A nurse assesses a client 2 hours after a cardiac angiography via the left femoral artery. The
nurse notes that the left pedal pulse is weak. Which action should the nurse take?
,AHN 447 Exam #1 (Multiple Choice)
a. Elevate the leg and apply a sandbag to the entrance site.
b. Increase the flow rate of intravenous fluids.
c. Assess the color and temperature of the left leg.
d. Document the finding as left pedal pulse of +1/4. - correct answer C
A nurse assesses a client who is recovering after a left-sided cardiac catheterization. Which
assessment
finding requires immediate intervention?
a. Urinary output less than intake
b. Bruising at the insertion site
c. Slurred speech and confusion
d. Discomfort in the left leg - correct answer C
A nurse assesses a client who is scheduled for a cardiac catheterization. Which assessment
should the nurse
complete prior to this procedure?
a. Clients level of anxiety
b. Ability to turn self in bed
c. Cardiac rhythm and heart rate
d. Allergies to iodine-based agents - correct answer D
A nurse cares for a client who is prescribed magnetic resonance imaging (MRI) of the heart. The
clients
health history includes a previous myocardial infarction and pacemaker implantation. Which
action should the
nurse take?
a. Schedule an electrocardiogram just before the MRI.
, AHN 447 Exam #1 (Multiple Choice)
b. Notify the health care provider before scheduling the MRI.
c. Call the physician and request a laboratory draw for cardiac enzymes.
d. Instruct the client to increase fluid intake the day before the MRI. - correct answer B
A nurse assesses a client who is recovering from a myocardial infarction. The clients pulmonary
artery
pressure reading is 25/12 mm Hg. Which action should the nurse take first?
a. Compare the results with previous pulmonary artery pressure readings.
b. Increase the intravenous fluid rate because these readings are low.
c. Immediately notify the health care provider of the elevated pressures.
d. Document the finding in the clients chart as the only action. - correct answer A
A nurse cares for a client who has an 80% blockage of the right coronary artery (RCA) and is
scheduled for
bypass surgery. Which intervention should the nurse be prepared to implement while this client
waits for
surgery?
a. Administration of IV furosemide (Lasix)
b. Initiation of an external pacemaker
c. Assistance with endotracheal intubation
d. Placement of central venous access - correct answer B
A nurse teaches a client with diabetes mellitus and a body mass index of 42 who is at high risk
for coronary
artery disease. Which statement related to nutrition should the nurse include in this clients
teaching?
a. The best way to lose weight is a high-protein, low-carbohydrate diet.
b. You should balance weight loss with consuming necessary nutrients.
c. A nutritionist will provide you with information about your new diet.
