AH3 TEST 1 QUESTIONS AND ANSWERS
1. A nurse cares for a client with atrial fibrillation who reports fatigue when completing
activities of daily living. What interventions should the nurse implement to address this
client's concerns?
a. Administer oxygen therapy at 2 liters per nasal cannula.
b. Provide the client with a sleeping pill to stimulate rest.
c. Schedule periods of exercise and rest during the day.
d. Ask unlicensed assistive personnel to help bathe the client. - Answers :Schedule
periods of exercise and rest during the day.
1. A patient with Ventricular Tachycardia has which problem as the frequently most
concerning?
a. Produces increased cardiac output leading to ischemia
b. Uncomfortable sensation of impending doom
c. Other choices - Answers :Uncomfortable sensation of impending doom
1. Propranolol potential serious complication?
a. Complains of wheezing
b. Other complications - Answers :Complains of wheezing
1. A client had an acute myocardial infarction. What assessment finding indicates to the
nurse that a significant complication has occurred?
a. Blood pressure that is 20 mm Hg below baseline
b. Oxygen saturation of 94% on room air
c. Poor peripheral pulses and cool skin
d. Urine output of 1.2 mL/kg/hr for 4 hours - Answers :Poor peripheral pulses and cool
skin
1. Mitral stenosis patient teaching completed effectively if pt say, "___."
a. Left atrium to the left ventricle has narrowing which leads to decreased blood flow
b. Other choices - Answers :Left atrium to the left ventricle has narrowing which leads to
decreased blood flow
1. A client in the cardiac stepdown unit reports severe, crushing chest pain
accompanied by nausea and vomiting. What action by the nurse takes priority?
a. Administer an aspirin.
b. Call for an electrocardiogram (ECG).
c. Maintain airway patency.
d. Notify the provider. - Answers :Maintain airway patency.
1. Jugular vein distention, 2+ edema in feet and ankles, crackles in lungs, swollen
hands/fingers, distended abdomen, pink sputum coughed up. What problem does pt
have?
a. Right sided HF
b. Lt sided HF
, c. Class IV HF
d. Both L & R sided HF - Answers :Both L & R sided HF
1. A pt who already has cardiac disease has developed AFIB. His ventricular HR is 150
bpm. What's the next assessment finding will be?
a. Digoxin toxicity
b. Increased cardiac enzymes
c. Decreased blood pressure (Decreased cardiac output)
d. Jugular vein distention - Answers :Decreased blood pressure (Decreased cardiac
output)
1. A client is in the hospital after suffering a myocardial infarction and has bathroom
privileges. The nurse assists the client to the bathroom and notes the clients O2
saturation to be 95%, pulse 88 beats/min, and respiratory rate 16 breaths/min after
returning to bed. What action by the nurse is best?
a. Administer oxygen at 2 L/min.
b. Allow continued bathroom privileges.
c. Obtain a bedside commode.
d. Suggest the client use a bedpan. - Answers :Allow continued bathroom privileges
1. A client is in the preoperative holding area prior to an emergency coronary artery
bypass graft (CABG). The client is yelling at family members and tells the doctor to just
get this over with when asked to sign the consent form. What action by the nurse is
best?
a. Ask the family members to wait in the waiting area.
b. Inform the client that this behavior is unacceptable.
c. Stay out of the room to decrease the clients stress levels.
d. Tell the client that anxiety is common and that you can help. - Answers :Tell the client
that anxiety is common and that you can help.
1. HTN patient on enalapril x 3 weeks needs to call HCP if
a. Coughs a lot
b. Complains of occasional dizziness
c. Other choices - Answers :Coughs a lot
1. A nurse assesses a client with tachycardia. Which clinical manifestation requires
immediate intervention by the nurse?
a. Mid-sternal chest pain
b. Increased urine output
c. Mild orthostatic hypotension
d. P wave touching the T wave - Answers :Mid-sternal chest pain
1. Cardiogenic shock symptoms; select all that apply.
ü Increased HR
ü Cold, clammy skin
ü Decreased BP
1. A nurse cares for a client with atrial fibrillation who reports fatigue when completing
activities of daily living. What interventions should the nurse implement to address this
client's concerns?
a. Administer oxygen therapy at 2 liters per nasal cannula.
b. Provide the client with a sleeping pill to stimulate rest.
c. Schedule periods of exercise and rest during the day.
d. Ask unlicensed assistive personnel to help bathe the client. - Answers :Schedule
periods of exercise and rest during the day.
1. A patient with Ventricular Tachycardia has which problem as the frequently most
concerning?
a. Produces increased cardiac output leading to ischemia
b. Uncomfortable sensation of impending doom
c. Other choices - Answers :Uncomfortable sensation of impending doom
1. Propranolol potential serious complication?
a. Complains of wheezing
b. Other complications - Answers :Complains of wheezing
1. A client had an acute myocardial infarction. What assessment finding indicates to the
nurse that a significant complication has occurred?
a. Blood pressure that is 20 mm Hg below baseline
b. Oxygen saturation of 94% on room air
c. Poor peripheral pulses and cool skin
d. Urine output of 1.2 mL/kg/hr for 4 hours - Answers :Poor peripheral pulses and cool
skin
1. Mitral stenosis patient teaching completed effectively if pt say, "___."
a. Left atrium to the left ventricle has narrowing which leads to decreased blood flow
b. Other choices - Answers :Left atrium to the left ventricle has narrowing which leads to
decreased blood flow
1. A client in the cardiac stepdown unit reports severe, crushing chest pain
accompanied by nausea and vomiting. What action by the nurse takes priority?
a. Administer an aspirin.
b. Call for an electrocardiogram (ECG).
c. Maintain airway patency.
d. Notify the provider. - Answers :Maintain airway patency.
1. Jugular vein distention, 2+ edema in feet and ankles, crackles in lungs, swollen
hands/fingers, distended abdomen, pink sputum coughed up. What problem does pt
have?
a. Right sided HF
b. Lt sided HF
, c. Class IV HF
d. Both L & R sided HF - Answers :Both L & R sided HF
1. A pt who already has cardiac disease has developed AFIB. His ventricular HR is 150
bpm. What's the next assessment finding will be?
a. Digoxin toxicity
b. Increased cardiac enzymes
c. Decreased blood pressure (Decreased cardiac output)
d. Jugular vein distention - Answers :Decreased blood pressure (Decreased cardiac
output)
1. A client is in the hospital after suffering a myocardial infarction and has bathroom
privileges. The nurse assists the client to the bathroom and notes the clients O2
saturation to be 95%, pulse 88 beats/min, and respiratory rate 16 breaths/min after
returning to bed. What action by the nurse is best?
a. Administer oxygen at 2 L/min.
b. Allow continued bathroom privileges.
c. Obtain a bedside commode.
d. Suggest the client use a bedpan. - Answers :Allow continued bathroom privileges
1. A client is in the preoperative holding area prior to an emergency coronary artery
bypass graft (CABG). The client is yelling at family members and tells the doctor to just
get this over with when asked to sign the consent form. What action by the nurse is
best?
a. Ask the family members to wait in the waiting area.
b. Inform the client that this behavior is unacceptable.
c. Stay out of the room to decrease the clients stress levels.
d. Tell the client that anxiety is common and that you can help. - Answers :Tell the client
that anxiety is common and that you can help.
1. HTN patient on enalapril x 3 weeks needs to call HCP if
a. Coughs a lot
b. Complains of occasional dizziness
c. Other choices - Answers :Coughs a lot
1. A nurse assesses a client with tachycardia. Which clinical manifestation requires
immediate intervention by the nurse?
a. Mid-sternal chest pain
b. Increased urine output
c. Mild orthostatic hypotension
d. P wave touching the T wave - Answers :Mid-sternal chest pain
1. Cardiogenic shock symptoms; select all that apply.
ü Increased HR
ü Cold, clammy skin
ü Decreased BP
