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NR341 Complex Adult Quiz 2
Adult complex care (Chamberlain University)
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Complex Adult Health
1) A client with a tricuspid valve disorder has impaired blood flow. Which part of the heart is
experiencing circulatory problems?
Right atrium and right ventricle
2) 2) In which part of the vascular system does disruption initiate the coagulation cascade,
forming a blood clot?
Endothelial layer of the arteries
3) 3) During a cardiovascular assessment, which health history finding is most significant?
Frequent use of cocaine
4) A client presents to the emergency department with chest pain and shortness of breath.
Which subjective data related to the cardiovascular system should be obtained from the client?
Select all that apply.
Smoking history
Dizziness when moving from lying to standing
Number of pillows required for sleep
5) A nurse is discussing the dangers of a sedentary lifestyle with a client who has risk factors for
coronary artery disease (CAD). Increasing physical activity will directly contribute to reducing
which risk factor?
Hyperlipidemia and obesity
6) A nurse in a provider’s office is teaching a female client about the risks and incidence of heart
disease. Which information should be included?
Heart disease is the leading cause of death for women in the United States.
7) Drag and drop each finding from the “History & Physical” tab into these categories:
“Modifiable”, “Nonmodifiable”, or “Not Concerning” for altered perfusion.
Modifiable Nonmodifiable Not Concerning
Smokes 45 packs of Father died after
Weight has
Findings cigarettes per year myocardial
decreased by 8
infarction at age 44
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BMI 29 pounds in the past
Mother died during two months
Drinks beer daily coronary artery
bypass graft (CABG) Cholecystitis
Sedentary surgery at age 68
Brother died of
Age 65 esophageal cancer
at age 52
Diets have been low
in salt and saturated
fats for the past
month
8) Consider Mr. Carter’s history and presenting symptoms. Select three priority nursing actions.
Administer sublingual nitroglycerin
Initiate continuous electrocardiogram monitoring
Administer oxygen 4 L/min per nasal cannula
9) The nurse determines the client understands education related to reducing cardiac risk
factors when the client says they will make which change immediately?
Smoking cessation
10) A client is prescribed aspirin 81 mg PO daily after experiencing a myocardial infraction (MI).
The client asks why the medication is needed. Which is the best response by the nurse?
Aspirin reduces the formation of blood clots that cause a heart attack
11) A nurse is teaching a client with coronary artery disease. Which statement made
by the nurse will help the client distinguish between stable angina and unstable
angina?
Stable angina is relieved with rest and nitroglycerin.
12) A 70-year-old client presents to the emergency department with chest pain.
Which clinical manifestations indicate acute coronary syndrome (ACS)? Select one
answer for each finding.
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NR341 Complex Adult Quiz 2
Adult complex care (Chamberlain University)
Scan to open on Studocu
Studocu is not sponsored or endorsed by any college or university
Downloaded by NELSON KIIRU ()
, lOMoARcPSD|26582732
Complex Adult Health
1) A client with a tricuspid valve disorder has impaired blood flow. Which part of the heart is
experiencing circulatory problems?
Right atrium and right ventricle
2) 2) In which part of the vascular system does disruption initiate the coagulation cascade,
forming a blood clot?
Endothelial layer of the arteries
3) 3) During a cardiovascular assessment, which health history finding is most significant?
Frequent use of cocaine
4) A client presents to the emergency department with chest pain and shortness of breath.
Which subjective data related to the cardiovascular system should be obtained from the client?
Select all that apply.
Smoking history
Dizziness when moving from lying to standing
Number of pillows required for sleep
5) A nurse is discussing the dangers of a sedentary lifestyle with a client who has risk factors for
coronary artery disease (CAD). Increasing physical activity will directly contribute to reducing
which risk factor?
Hyperlipidemia and obesity
6) A nurse in a provider’s office is teaching a female client about the risks and incidence of heart
disease. Which information should be included?
Heart disease is the leading cause of death for women in the United States.
7) Drag and drop each finding from the “History & Physical” tab into these categories:
“Modifiable”, “Nonmodifiable”, or “Not Concerning” for altered perfusion.
Modifiable Nonmodifiable Not Concerning
Smokes 45 packs of Father died after
Weight has
Findings cigarettes per year myocardial
decreased by 8
infarction at age 44
Downloaded by NELSON KIIRU ()
, lOMoARcPSD|26582732
BMI 29 pounds in the past
Mother died during two months
Drinks beer daily coronary artery
bypass graft (CABG) Cholecystitis
Sedentary surgery at age 68
Brother died of
Age 65 esophageal cancer
at age 52
Diets have been low
in salt and saturated
fats for the past
month
8) Consider Mr. Carter’s history and presenting symptoms. Select three priority nursing actions.
Administer sublingual nitroglycerin
Initiate continuous electrocardiogram monitoring
Administer oxygen 4 L/min per nasal cannula
9) The nurse determines the client understands education related to reducing cardiac risk
factors when the client says they will make which change immediately?
Smoking cessation
10) A client is prescribed aspirin 81 mg PO daily after experiencing a myocardial infraction (MI).
The client asks why the medication is needed. Which is the best response by the nurse?
Aspirin reduces the formation of blood clots that cause a heart attack
11) A nurse is teaching a client with coronary artery disease. Which statement made
by the nurse will help the client distinguish between stable angina and unstable
angina?
Stable angina is relieved with rest and nitroglycerin.
12) A 70-year-old client presents to the emergency department with chest pain.
Which clinical manifestations indicate acute coronary syndrome (ACS)? Select one
answer for each finding.
Downloaded by NELSON KIIRU ()
