The LPN/LVN is preparing to ambulate a postoperative client after cardiac surgery. The
nurse plans to do which to enable the client to best tolerate the ambulation? -
ANSWER Premedicate the client with an analgesic before ambulating.
A client is wearing a continuous cardiac monitor, which begins to alarm at the nurse's
station. The nurse sees no electrocardiographic complexes on the screen. The nurse
should do which first? - ANSWER Check the client status and lead placement.
The LPN/LVN in a medical unit is caring for a client with heart failure. The client
suddenly develops extreme dyspnea, tachycardia, and lung crackles, and the nurse
suspects pulmonary edema. The nurse immediately notifies the registered nurse and
expects which interventions to be prescribed? Select all that apply. - ANSWER 1.
Administering oxygen
2. Inserting a Foley catheter
3. Administering furosemide (Lasix)
The nurse is monitoring a client following cardioversion. Which observations should be
of highest priority to the nurse? - ANSWER Status of airway
,The nurse is assisting in caring for the client immediately after insertion of a permanent
demand pacemaker via the right subclavian vein. The nurse prevents dislodgement of
the pacing catheter by implementing which intervention? - ANSWER Limiting
movement and abduction of the right arm
A client diagnosed with thrombophlebitis 1 day ago suddenly complains of chest pain
and shortness of breath, and the client is visibly anxious. The LPN/LVN understands
that a life-threatening complication of this condition is which? - ANSWER Pulmonary
embolism
A 24-year-old man seeks medical attention for complaints of claudication in the arch of
the foot. The nurse also notes superficial thrombophlebitis of the lower leg. The nurse
should check the client for which next? - ANSWER Smoking history
The nurse has reinforced instructions to the client with Raynaud's disease about self-
management of the disease process. The nurse determines that the client needs further
teaching if the client states which? - ANSWER "Moving to a warmer climate should
help."
A client with myocardial infarction suddenly becomes tachycardic, shows signs of air
hunger, and begins coughing frothy, pink-tinged sputum. The nurse listens to breath
sounds, expecting to hear which breath sounds bilaterally? - ANSWER Crackles
The LPN/LVN is collecting data on a client with a diagnosis of right-
sided heart failure. The nurse should expect to note which specific characteristic of this
condition? - ANSWER Dependent edema
The LPN/LVN is checking the neurovascular status of a client who returned to the
surgical nursing unit 4 hours ago after undergoing an aortoiliac bypass graft. The
affected leg is warm, and the nurse notes redness and edema. The pedal pulse is
palpable and unchanged from admission. The nurse interprets that the neurovascular
status is which? - ANSWER Normal, caused by increased blood flow through the leg
A client with a diagnosis of rapid rate atrial fibrillation asks the nurse why the health care
provider is going to perform carotid massage. The LPN/LVN responds that this
procedure may stimulate which? - ANSWER Vagus nerve to slow the heart rate
A client is admitted to the hospital with possible rheumatic endocarditis. The LPN/LVN
should check for a history of which type of infection? - ANSWER Staphylococcal
infection
client has an Unna boot applied for treatment of a venous stasis leg ulcer. The
LPN/LVN notes that the client's toes are mottled, and cool and the client verbalizes
some numbness and tingling of the foot. Which interpretation should the nurse make of
these findings? - ANSWER The boot has been applied too tightly
,A client with angina complains that the anginal pain is prolonged and severe and occurs
at the same time each day, most often in the morning. On further data collection, the
nurse notes that the pain occurs in the absence of precipitating factors. How should the
LPN/LVN best describe this type of anginal pain? - ANSWER Variant angina
The LPN/LVN is monitoring a client with an abdominal aortic aneurysm (AAA). Which
finding is probably unrelated to the AAA? - ANSWER Hyperactive bowel sounds in the
area
An emergency department client who complains of slightly improved but unrelieved
chest pain for 2 days is reluctant to take a nitroglycerin sublingual tablet offered by the
nurse. The client states, "I don't need that—my dad takes that for his heart. There's
nothing wrong with my heart." Which description best describes the client's response? -
ANSWER Denial
A client is scheduled for a cardiac catheterization using a radiopaque dye. The
LPN/LVN checks which most critical item before the procedure? - ANSWER Prior
reaction to contrast media
A client is scheduled for a dipyridamole thallium scan. The LPN/ LVN should check to
make sure that the client has not consumed which substance before the procedure? -
ANSWER Caffeine
An ambulatory clinic nurse is interviewing a client who is complaining of flulike
symptoms. The client suddenly develops chest pain. Which question best assists the
nurse to discriminate pain caused by a non cardiac problem? - ANSWER "Does the
pain get worse when you breathe in?"
A client with myocardial infarction (MI) has been transferred from the coronary care unit
(CCU) to the general medical unit with cardiac monitoring via telemetry. The nurse
assisting in caring for the client expects to note which type of activity prescribed? -
ANSWER Bathroom privileges and self-care activities
The LPN/LVN is preparing to care for a client who will be arriving from the recovery
room after an above-the-knee amputation. The nurse ensures that which priority item is
available for emergency use? - ANSWER Surgical tourniquet
A client is diagnosed with thrombophlebitis. The nurse should tell the client that which
prescription is indicated? - ANSWER Bed rest, with elevation of the affected extremity
A client returns to the nursing unit after an above knee amputation of the right leg. In
which position should the nurse place the client? - ANSWER With the foot of the bed
elevated
The LPN/LVN is collecting data from a client about medications being taken, and the
client tells the nurse that he is taking herbal supplements for the treatment of varicose
, veins. The nurse understands that the client is most likely taking which? - ANSWER
Bilberry
The LPN/LVN is planning to reinforce instructions to a client with peripheral arterial
disease about measures to limit disease progression. The nurse should include which
items on a list of suggestions to be given to the client? Select all that apply. - ANSWER
2. Be careful not to injure the legs or feet.
4. Walk each day to increase circulation to the legs.
5. Cut down on the amount of fats consumed in the diet.
A client is at risk for developing disseminated intravascular coagulopathy (DIC). The
LPN/LVN should become concerned with which fibrinogen level? - ANSWER 90 mg/dL
A hospitalized client with a history of angina pectoris is ambulating in the corridor. The
client suddenly complains of severe substernal chest pain. The LPN/LVN should take
which action first? - ANSWER Assist the client to sit or lie down.
The LPN/LVN notes bilateral 2+ edema in the lower extremities of a client with known
coronary artery disease who was admitted to the hospital 2 days ago. Based on this
finding, the nurse should implement which action? - ANSWER Reviews the intake and
output records for the last 2 days
A client brings the following medications to the clinic for a yearly physical. The LPN/LVN
realizes which medication has been prescribed to treat heart failure? - ANSWER
Digoxin (Lanoxin)
1. A student nurse is assigned to assist in caring for a client with acute pulmonary
edema who is receiving digoxin (Lanoxin) and heparin therapy. The nursing instructor
reviews the plan of care formulated by the student and tells the student that which
intervention is unsafe? - ANSWER Restricting the client's potassium intake
A client has an inoperable abdominal aortic aneurysm (AAA). Which measure should
the nurse anticipate reinforcing when teaching the client? - ANSWER Antihypertensives
The LPN/LVN finds a client tensing while lying in bed staring at the cardiac monitor.
Which is the nurse's best response when the client states, "There sure are a lot of wires
around there. I sure hope we don't get hit by lightning!"? - ANSWER "Yes, this
equipment is a little scary. Can we talk about how the cardiac monitor works?"
The LPN/LVN is asked to assist another health care member in providing care to a
client who is placed in a modified Trendelenburg's position. The nurse interprets that the
client is likely being treated for which condition? - ANSWER Shock
A client is seen in the health care provider's office for a physical examination after
experiencing unusual fatigue over the last several weeks. Height is 5 feet, 8 inches, with
a weight of 220 pounds. Vital signs are temperature 98.6° F oral, pulse 86 beats per
nurse plans to do which to enable the client to best tolerate the ambulation? -
ANSWER Premedicate the client with an analgesic before ambulating.
A client is wearing a continuous cardiac monitor, which begins to alarm at the nurse's
station. The nurse sees no electrocardiographic complexes on the screen. The nurse
should do which first? - ANSWER Check the client status and lead placement.
The LPN/LVN in a medical unit is caring for a client with heart failure. The client
suddenly develops extreme dyspnea, tachycardia, and lung crackles, and the nurse
suspects pulmonary edema. The nurse immediately notifies the registered nurse and
expects which interventions to be prescribed? Select all that apply. - ANSWER 1.
Administering oxygen
2. Inserting a Foley catheter
3. Administering furosemide (Lasix)
The nurse is monitoring a client following cardioversion. Which observations should be
of highest priority to the nurse? - ANSWER Status of airway
,The nurse is assisting in caring for the client immediately after insertion of a permanent
demand pacemaker via the right subclavian vein. The nurse prevents dislodgement of
the pacing catheter by implementing which intervention? - ANSWER Limiting
movement and abduction of the right arm
A client diagnosed with thrombophlebitis 1 day ago suddenly complains of chest pain
and shortness of breath, and the client is visibly anxious. The LPN/LVN understands
that a life-threatening complication of this condition is which? - ANSWER Pulmonary
embolism
A 24-year-old man seeks medical attention for complaints of claudication in the arch of
the foot. The nurse also notes superficial thrombophlebitis of the lower leg. The nurse
should check the client for which next? - ANSWER Smoking history
The nurse has reinforced instructions to the client with Raynaud's disease about self-
management of the disease process. The nurse determines that the client needs further
teaching if the client states which? - ANSWER "Moving to a warmer climate should
help."
A client with myocardial infarction suddenly becomes tachycardic, shows signs of air
hunger, and begins coughing frothy, pink-tinged sputum. The nurse listens to breath
sounds, expecting to hear which breath sounds bilaterally? - ANSWER Crackles
The LPN/LVN is collecting data on a client with a diagnosis of right-
sided heart failure. The nurse should expect to note which specific characteristic of this
condition? - ANSWER Dependent edema
The LPN/LVN is checking the neurovascular status of a client who returned to the
surgical nursing unit 4 hours ago after undergoing an aortoiliac bypass graft. The
affected leg is warm, and the nurse notes redness and edema. The pedal pulse is
palpable and unchanged from admission. The nurse interprets that the neurovascular
status is which? - ANSWER Normal, caused by increased blood flow through the leg
A client with a diagnosis of rapid rate atrial fibrillation asks the nurse why the health care
provider is going to perform carotid massage. The LPN/LVN responds that this
procedure may stimulate which? - ANSWER Vagus nerve to slow the heart rate
A client is admitted to the hospital with possible rheumatic endocarditis. The LPN/LVN
should check for a history of which type of infection? - ANSWER Staphylococcal
infection
client has an Unna boot applied for treatment of a venous stasis leg ulcer. The
LPN/LVN notes that the client's toes are mottled, and cool and the client verbalizes
some numbness and tingling of the foot. Which interpretation should the nurse make of
these findings? - ANSWER The boot has been applied too tightly
,A client with angina complains that the anginal pain is prolonged and severe and occurs
at the same time each day, most often in the morning. On further data collection, the
nurse notes that the pain occurs in the absence of precipitating factors. How should the
LPN/LVN best describe this type of anginal pain? - ANSWER Variant angina
The LPN/LVN is monitoring a client with an abdominal aortic aneurysm (AAA). Which
finding is probably unrelated to the AAA? - ANSWER Hyperactive bowel sounds in the
area
An emergency department client who complains of slightly improved but unrelieved
chest pain for 2 days is reluctant to take a nitroglycerin sublingual tablet offered by the
nurse. The client states, "I don't need that—my dad takes that for his heart. There's
nothing wrong with my heart." Which description best describes the client's response? -
ANSWER Denial
A client is scheduled for a cardiac catheterization using a radiopaque dye. The
LPN/LVN checks which most critical item before the procedure? - ANSWER Prior
reaction to contrast media
A client is scheduled for a dipyridamole thallium scan. The LPN/ LVN should check to
make sure that the client has not consumed which substance before the procedure? -
ANSWER Caffeine
An ambulatory clinic nurse is interviewing a client who is complaining of flulike
symptoms. The client suddenly develops chest pain. Which question best assists the
nurse to discriminate pain caused by a non cardiac problem? - ANSWER "Does the
pain get worse when you breathe in?"
A client with myocardial infarction (MI) has been transferred from the coronary care unit
(CCU) to the general medical unit with cardiac monitoring via telemetry. The nurse
assisting in caring for the client expects to note which type of activity prescribed? -
ANSWER Bathroom privileges and self-care activities
The LPN/LVN is preparing to care for a client who will be arriving from the recovery
room after an above-the-knee amputation. The nurse ensures that which priority item is
available for emergency use? - ANSWER Surgical tourniquet
A client is diagnosed with thrombophlebitis. The nurse should tell the client that which
prescription is indicated? - ANSWER Bed rest, with elevation of the affected extremity
A client returns to the nursing unit after an above knee amputation of the right leg. In
which position should the nurse place the client? - ANSWER With the foot of the bed
elevated
The LPN/LVN is collecting data from a client about medications being taken, and the
client tells the nurse that he is taking herbal supplements for the treatment of varicose
, veins. The nurse understands that the client is most likely taking which? - ANSWER
Bilberry
The LPN/LVN is planning to reinforce instructions to a client with peripheral arterial
disease about measures to limit disease progression. The nurse should include which
items on a list of suggestions to be given to the client? Select all that apply. - ANSWER
2. Be careful not to injure the legs or feet.
4. Walk each day to increase circulation to the legs.
5. Cut down on the amount of fats consumed in the diet.
A client is at risk for developing disseminated intravascular coagulopathy (DIC). The
LPN/LVN should become concerned with which fibrinogen level? - ANSWER 90 mg/dL
A hospitalized client with a history of angina pectoris is ambulating in the corridor. The
client suddenly complains of severe substernal chest pain. The LPN/LVN should take
which action first? - ANSWER Assist the client to sit or lie down.
The LPN/LVN notes bilateral 2+ edema in the lower extremities of a client with known
coronary artery disease who was admitted to the hospital 2 days ago. Based on this
finding, the nurse should implement which action? - ANSWER Reviews the intake and
output records for the last 2 days
A client brings the following medications to the clinic for a yearly physical. The LPN/LVN
realizes which medication has been prescribed to treat heart failure? - ANSWER
Digoxin (Lanoxin)
1. A student nurse is assigned to assist in caring for a client with acute pulmonary
edema who is receiving digoxin (Lanoxin) and heparin therapy. The nursing instructor
reviews the plan of care formulated by the student and tells the student that which
intervention is unsafe? - ANSWER Restricting the client's potassium intake
A client has an inoperable abdominal aortic aneurysm (AAA). Which measure should
the nurse anticipate reinforcing when teaching the client? - ANSWER Antihypertensives
The LPN/LVN finds a client tensing while lying in bed staring at the cardiac monitor.
Which is the nurse's best response when the client states, "There sure are a lot of wires
around there. I sure hope we don't get hit by lightning!"? - ANSWER "Yes, this
equipment is a little scary. Can we talk about how the cardiac monitor works?"
The LPN/LVN is asked to assist another health care member in providing care to a
client who is placed in a modified Trendelenburg's position. The nurse interprets that the
client is likely being treated for which condition? - ANSWER Shock
A client is seen in the health care provider's office for a physical examination after
experiencing unusual fatigue over the last several weeks. Height is 5 feet, 8 inches, with
a weight of 220 pounds. Vital signs are temperature 98.6° F oral, pulse 86 beats per
