A nurse is caring for a client who has hypotension. Which of the following factors should the
nurse identify as a contributing factor to the client's condition?
a) decrease in contractility
b) increase in blood viscosity
c) decrease in RR
d) increase in preload a) decrease in contractility
A nurse us caring for a client who asks about factors that could cause their pulse rate to
increase. Which of the following factors should the nurse include in their response?
a) hypothermia
b) smoking
c) sleeping
d) aging b) smoking
A nurse is reviewing documentation of vital signs by a newly licensed nurse for an assigned
client. Which of the following entries in the chart requires follow up by the nurse?
a) BP 130/82 mm Hg left arm, lying. Client reports experiencing post-op pain as 7 on a scale of
0-10. Prescribed analgesic administered and will re-evaluate BP in 30 min
b) Pulse rate 116/min, left radial, standing, immediately following 10 min of ambulating in the
hall
c) SaO2 93% left index finger, client sleeping, nasal O2 dislodged. Nasal O2 readjusted and SaO2
increased to 95%
d) RR 18/min via observation, client sitting in chair b) Pulse rate 116/min, left radial,
standing, immediately following 10 min of ambulating in the hall
A nurse is caring for a client who is experiencing tachypnea due to an exacerbation of asthma.
Which of the following medications should the nurse anticipate administering?
,a) nicotine product
b) opioid antagonist
c) antihypertensive
d) bronchodilator d) bronchodilator
A nurse on a pediatric unit is reviewing the medical records for a group of clients. Which of the
following clients has a vital sign outside the expected reference range and requires
intervention?
a) a 1 month old infant who has a RR of 58/min
b) a 3 year old preschooler who has an apical pulse of 144/min
c) an 8 year old child who has a RR of 25/min
d) an 18 month old toddler who has an apical pulse rate of 120/min b) a 3 year old
preschooler who has an apical pulse of 144/min
A nurse is evaluating the effectiveness of interventions provided to a client who was admitted
fr decreased circulation. Which of the following findings require further intervention by the
nurse?
a) pulse deficit of 0
b) left radial pulse is nonpalpable
c) peripheral pulse +2 bilateral
d) brachial pulses are symmetrical b) left radial pulse is nonpalpable
a nurse is caring for a recently admitted client and as a part of the plan of care, two nurses
obtained simultaneous pulse rates. the client's auscultated apical pulse was 106/min and the
palpated radial pulse was 93/min. The nurse should document the findings as which of the
following?
a) pulse deficit less than 10
b) radial pulse irregular
, c) apical pulse greater than radial
d) pulse deficit of 13/min d) pulse deficit of 13/min
A nurse is caring for a client who has an increase n cardiac output. Which of the following
findings should the nurse expect?
a) increase in BP
b) decrease in RR
c) decrease in HR
d) increase in stroke volume a) increase in BP
A nurse is evaluating the effectiveness of interventions used to address clients' vitals that were
outside of the expected reference ranges. Which of the following findings indicates the
intervention was effective?
a) an older adult client who has pneumonia and a RR of 26/min after a position change
b) an adolescent who is postoperative and has an SaO2 of 93% after receiving an opioid
analgesics
c) a young adult who is experiencing an asthma attack and has a BP of 116/72 mm Hg after
using an inhaler
d) an older adult client who has an infection and a pulse rate of 110/min after using relaxation
techniques c) a young adult who is experiencing an asthma attack and has a BP of 116/72
mm Hg after using an inhaler
A charge nurse is providing an in-service for a group of nurses about cardiac output. Which of
the following statements should the nurse include?
a) cardiac output is the amount of blood flow through the heart in 1 minute
b) cardiac output is the amount of blood ejected from the atria
c) cardiac output is the ability of the muscle fibers in the ventricles to stretch
d) cardiac output is the resistance of the ventricles to pump blood through the heart a)
cardiac output is the amount of blood flow through the heart in 1 minute