NUR 213 Test 2 Questions With Complete
Solutions 2024
A knurse kassesses ka kclient kwho khad ka kmyocardial kinfarction kand kis
khypotensive. kWhich kadditional kassessment kfinding kshould kthe knurse
kexpect?
a. kHeart krate kof k120 kbeats/min
b. kCool, kclammy kskin
c. kOxygen ksaturation kof k90%
d. kRespiratory krate kof k8 kbreaths/min k- kANS✓✓-a. kHeart krate kof k120
kbeats/min
When ka kclient kexperiences khypotension, kbaroreceptors kin kthe kaortic karch
ksense ka kpressure kdecrease kin kthe kvessels. kThe kparasympathetic ksystem
kresponds kby klessening kthe kinhibitory keffect kon kthe ksinoatrial knode. kThis
kresults kin kan kincrease kin kheart krate kand krespiratory krate. kThis ktachycardia
kis kan kearly kresponse kand kis kseen keven kwhen kblood kpressure kis knot
kcritically klow. kAn kincreased kheart krate kand krespiratory krate kwill kcompensate
kfor kthe klow kblood kpressure kand kmaintain koxygen ksaturations kand kperfusion.
kThe kclient kmay knot kbe kable kto kcompensate kfor klong, kand kdecreased
koxygenation kand kcool, kclammy kskin kwill koccur klater.
A knurse kassesses ka kclient kafter kadministering ka kprescribed kbeta kblocker.
kWhich kassessment kshould kthe knurse kexpect kto kfind?
a. kBlood kpressure kincreased kfrom k98/42 kmm kHg kto k132/60 kmm kHg
b. kRespiratory krate kdecreased kfrom k25 kbreaths/min kto k14 kbreaths/min
c. kOxygen ksaturation kincreased kfrom k88% kto k96%
d. kPulse kdecreased kfrom k100 kbeats/min kto k80 kbeats/min k- kANS✓✓-d. kPulse
kdecreased kfrom k100 kbeats/min kto k80 kbeats/min
Beta kblockers kblock kthe kstimulation kof kbeta1-adrenergic kreceptors. kThey
kblock kthe ksympathetic k(fight-or-flight) kresponse kand kdecrease kthe kheart krate
k(HR). kThe kbeta kblocker kwill kdecrease kHR kand kblood kpressure, kincreasing
kventricular kfilling ktime. kIt kusually kdoes knot khave keffects kon kbeta2-adrenergic
kreceptor ksites. kCardiac koutput kwill kdrop kbecause kof kdecreased kHR.
A knurse kassesses kclients kon ka kmedical-surgical kunit. kWhich kclient kshould
kthe knurse kidentify kas khaving kthe kgreatest krisk kfor kcardiovascular kdisease?
a. kAn k86-year-old kman kwith ka khistory kof kasthma
,b. kA k32-year-old kAsian-American kman kwith kcolorectal kcancer
c. kA k45-year-old kAmerican kIndian kwoman kwith kdiabetes kmellitus
d. kA k53-year-old kpostmenopausal kwoman kwho kis kon khormone ktherapy k-
kANS✓✓-c. kA k45-year-old kAmerican kIndian kwoman kwith kdiabetes kmellitus
The kincidence kof kcoronary kartery kdisease kand khypertension kis khigher kin
kAmerican kIndians kthan kin kwhites kor kAsian kAmericans. kDiabetes kmellitus
kincreases kthe krisk kfor khypertension kand kcoronary kartery kdisease kin kpeople
kof kany krace kor kethnicity. kAsthma, kcolorectal kcancer, kand khormone ktherapy
kdo knot kincrease krisk kfor kcardiovascular kdisease.
A knurse kassesses kan kolder kadult kclient kwho khas kmultiple kchronic kdiseases.
kThe kclient's kheart krate kis k48 kbeats/min. kWhich kaction kshould kthe knurse ktake
kfirst?
a. kDocument kthe kfinding kin kthe kchart.
b. kInitiate kexternal kpacing.
c. kAssess kthe kclient's kmedications.
d. kAdminister k1 kmg kof katropine. k- kANS✓✓-c. kAssess kthe kclient's
kmedications.
Pacemaker kcells kin kthe kconduction ksystem kdecrease kin knumber kas ka kperson
kages, kresulting kin kbradycardia. kThe knurse kshould kcheck kthe kmedication
kreconciliation kfor kmedications kthat kmight kcause ksuch ka kdrop kin kheart krate,
kthen kshould kinform kthe khealth kcare kprovider. kDocumentation kis kimportant,
kbut kit kis knot kthe kpriority kaction. kThe kheart krate kis knot klow kenough kfor
katropine kor kan kexternal kpacemaker kto kbe kneeded.
An kemergency kroom knurse kobtains kthe khealth khistory kof ka kclient. kWhich
kstatement kby kthe kclient kshould kalert kthe knurse kto kthe koccurrence kof kheart
kfailure?
a. k"I kget kshort kof kbreath kwhen kI kclimb kstairs."
b. k"I ksee khalos kfloating karound kmy khead."
c. k"I khave ktrouble kremembering kthings."
d. k"I khave klost kweight kover kthe kpast kmonth." k- kANS✓✓-a. k"I kget kshort kof
kbreath kwhen kI kclimb kstairs."
Dyspnea kon kexertion kis kan kearly kmanifestation kof kheart kfailure kand kis
kassociated kwith kan kactivity ksuch kas kstair kclimbing. kThe kother kfindings kare
knot kspecific kto kearly koccurrence kof kheart kfailure.
A knurse kobtains kthe khealth khistory kof ka kclient kwho kis knewly kadmitted kto kthe
kmedical kunit. kWhich kstatement kby kthe kclient kshould kalert kthe knurse kto kthe
kpresence kof kedema?
a. k"I kwake kup kto kgo kto kthe kbathroom kat knight."
b. k"My kshoes kfit ktighter kby kthe kend kof kthe kday."
c. k"I kseem kto kbe kfeeling kmore kanxious klately."
,d. k"I kdrink kat kleast keight kglasses kof kwater ka kday." k- kANS✓✓-b. k"My kshoes
kfit ktighter kby kthe kend kof kthe kday."
Weight kgain kcan kresult kfrom kfluid kaccumulation kin kthe kinterstitial kspaces.
kThis kis kknown kas kedema. kThe knurse kshould knote kwhether kthe kclient kfeels
kthat khis kor kher kshoes kor krings kare ktight, kand kshould kobserve, kwhen
kpresent, kan kindentation karound kthe kleg kwhere kthe ksocks kend. kThe kother
kanswers kdo knot kdescribe kedema.
A knurse kassesses kan kolder kadult kclient kwho kis kexperiencing ka kmyocardial
kinfarction. kWhich kclinical kmanifestation kshould kthe knurse kexpect?
a. kExcruciating kpain kon kinspiration
b. kLeft klateral kchest kwall kpain
c. kDisorientation kand kconfusion
d. kNumbness kand ktingling kof kthe karm k- kANS✓✓-c. kDisorientation kand
kconfusion
In kolder kadults, kdisorientation kor kconfusion kmay kbe kthe kmajor kmanifestation
kof kmyocardial kinfarction kcaused kby kpoor kcardiac koutput. kPain
kmanifestations kand knumbness kand ktingling kof kthe karm kcould kalso kbe
krelated kto kthe kmyocardial kinfarction. kHowever, kthe knurse kshould kbe kmore
kconcerned kabout kthe knew konset kof kdisorientation kor kconfusion kcaused kby
kdecreased kperfusion.
A knurse kassesses ka kclient k2 khours kafter ka kcardiac kangiography kvia kthe kleft
kfemoral kartery. kThe knurse knotes kthat kthe kleft kpedal kpulse kis kweak. kWhich
kaction kshould kthe knurse ktake?
a. kElevate kthe kleg kand kapply ka ksandbag kto kthe kentrance ksite.
b. kIncrease kthe kflow krate kof kintravenous kfluids.
c. kAssess kthe kcolor kand ktemperature kof kthe kleft kleg.
d. kDocument kthe kfinding kas k"left kpedal kpulse kof k+1/4." k- kANS✓✓-c. kAssess
kthe kcolor kand ktemperature kof kthe kleft kleg.
Loss kof ka kpulse kdistal kto kan kangiography kentry ksite kis kserious, kindicating ka
kpossible karterial kobstruction. kThe kpulse kmay kbe kfaint kbecause kof kedema.
kThe kleft kpulse kshould kbe kcompared kwith kthe kright, kand kpulses kshould kbe
kcompared kwith kprevious kassessments, kespecially kbefore kthe kprocedure.
kAssessing kcolor k(pale, kcyanosis) kand ktemperature k(cool, kcold) kwill kidentify ka
kdecrease kin kcirculation. kOnce kall kperipheral kand kvascular kassessment kdata
kare kacquired, kthe kprimary khealth kcare kprovider kshould kbe knotified. kSimply
kdocumenting kthe kfindings kis kinappropriate. kThe kleg kshould kbe kpositioned
kbelow kthe klevel kof kthe kheart kor kdangling kto kincrease kblood kflow kto kthe
kdistal kportion kof kthe kleg. kIncreasing kintravenous kfluids kwill knot kaddress kthe
kclient's kproblem.
, A knurse kassesses ka kclient kwho kis krecovering kafter ka kleft-sided kcardiac
kcatheterization. kWhich kassessment kfinding krequires kimmediate kintervention?
a. kUrinary koutput kless kthan kintake
b. kBruising kat kthe kinsertion ksite
c. kSlurred kspeech kand kconfusion
d. kDiscomfort kin kthe kleft kleg k- kANS✓✓-c. kSlurred kspeech kand kconfusion
A kleft-sided kcardiac kcatheterization kspecifically kincreases kthe krisk kfor ka
kcerebral kvascular kaccident. kA kchange kin kneurologic kstatus kneeds kto kbe
kacted kon kimmediately. kDiscomfort kand kbruising kare kexpected kat kthe ksite. kIf
kintake kdecreases, ka kclient kcan kbecome kdehydrated kbecause kof kdye
kexcretion. kThe ksecond kintervention kwould kbe kto kincrease kthe kclient's kfluid
kstatus. kNeurologic kchanges kwould ktake kpriority.
A knurse kassesses ka kclient kwho kis kscheduled kfor ka kcardiac kcatheterization.
kWhich kassessment kshould kthe knurse kcomplete kprior kto kthis kprocedure?
a. kClient's klevel kof kanxiety
b. kAbility kto kturn kself kin kbed
c. kCardiac krhythm kand kheart krate
d. kAllergies kto kiodine-based kagents k- kANS✓✓-d. kAllergies kto kiodine-based
kagents
Before kthe kprocedure, kthe knurse kshould kascertain kwhether kthe kclient khas kan
kallergy kto kiodine-containing kpreparations, ksuch kas kseafood kor klocal
kanesthetics. kThe kcontrast kmedium kused kduring kthe kprocedure kis kiodine
kbased. kThis kallergy kcan kcause ka klife-threatening kreaction, kso kit kis ka khigh
kpriority. kSecond, kit kis kimportant kfor kthe knurse kto kassess kanxiety, kmobility,
kand kbaseline kcardiac kstatus.
A knurse kcares kfor ka kclient kwho kis kprescribed kmagnetic kresonance kimaging
k(MRI) kof kthe kheart. kThe kclient's khealth khistory kincludes ka kprevious
kmyocardial kinfarction kand kpacemaker kimplantation. kWhich kaction kshould kthe
knurse ktake?
a. kSchedule kan kelectrocardiogram kjust kbefore kthe kMRI.
b. kNotify kthe khealth kcare kprovider kbefore kscheduling kthe kMRI.
c. kCall kthe kphysician kand krequest ka klaboratory kdraw kfor kcardiac kenzymes.
d. kInstruct kthe kclient kto kincrease kfluid kintake kthe kday kbefore kthe kMRI. k-
kANS✓✓-b. kNotify kthe khealth kcare kprovider kbefore kscheduling kthe kMRI.
The kmagnetic kfields kof kthe kMRI kcan kdeactivate kthe kpacemaker. kThe knurse
kshould kcall kthe khealth kcare kprovider kand kreport kthat kthe kclient khas ka
kpacemaker kso kthe kprovider kcan korder kother kdiagnostic ktests. kThe kclient
kdoes knot kneed kan kelectrocardiogram, kcardiac kenzymes, kor kincreased kfluids.
Solutions 2024
A knurse kassesses ka kclient kwho khad ka kmyocardial kinfarction kand kis
khypotensive. kWhich kadditional kassessment kfinding kshould kthe knurse
kexpect?
a. kHeart krate kof k120 kbeats/min
b. kCool, kclammy kskin
c. kOxygen ksaturation kof k90%
d. kRespiratory krate kof k8 kbreaths/min k- kANS✓✓-a. kHeart krate kof k120
kbeats/min
When ka kclient kexperiences khypotension, kbaroreceptors kin kthe kaortic karch
ksense ka kpressure kdecrease kin kthe kvessels. kThe kparasympathetic ksystem
kresponds kby klessening kthe kinhibitory keffect kon kthe ksinoatrial knode. kThis
kresults kin kan kincrease kin kheart krate kand krespiratory krate. kThis ktachycardia
kis kan kearly kresponse kand kis kseen keven kwhen kblood kpressure kis knot
kcritically klow. kAn kincreased kheart krate kand krespiratory krate kwill kcompensate
kfor kthe klow kblood kpressure kand kmaintain koxygen ksaturations kand kperfusion.
kThe kclient kmay knot kbe kable kto kcompensate kfor klong, kand kdecreased
koxygenation kand kcool, kclammy kskin kwill koccur klater.
A knurse kassesses ka kclient kafter kadministering ka kprescribed kbeta kblocker.
kWhich kassessment kshould kthe knurse kexpect kto kfind?
a. kBlood kpressure kincreased kfrom k98/42 kmm kHg kto k132/60 kmm kHg
b. kRespiratory krate kdecreased kfrom k25 kbreaths/min kto k14 kbreaths/min
c. kOxygen ksaturation kincreased kfrom k88% kto k96%
d. kPulse kdecreased kfrom k100 kbeats/min kto k80 kbeats/min k- kANS✓✓-d. kPulse
kdecreased kfrom k100 kbeats/min kto k80 kbeats/min
Beta kblockers kblock kthe kstimulation kof kbeta1-adrenergic kreceptors. kThey
kblock kthe ksympathetic k(fight-or-flight) kresponse kand kdecrease kthe kheart krate
k(HR). kThe kbeta kblocker kwill kdecrease kHR kand kblood kpressure, kincreasing
kventricular kfilling ktime. kIt kusually kdoes knot khave keffects kon kbeta2-adrenergic
kreceptor ksites. kCardiac koutput kwill kdrop kbecause kof kdecreased kHR.
A knurse kassesses kclients kon ka kmedical-surgical kunit. kWhich kclient kshould
kthe knurse kidentify kas khaving kthe kgreatest krisk kfor kcardiovascular kdisease?
a. kAn k86-year-old kman kwith ka khistory kof kasthma
,b. kA k32-year-old kAsian-American kman kwith kcolorectal kcancer
c. kA k45-year-old kAmerican kIndian kwoman kwith kdiabetes kmellitus
d. kA k53-year-old kpostmenopausal kwoman kwho kis kon khormone ktherapy k-
kANS✓✓-c. kA k45-year-old kAmerican kIndian kwoman kwith kdiabetes kmellitus
The kincidence kof kcoronary kartery kdisease kand khypertension kis khigher kin
kAmerican kIndians kthan kin kwhites kor kAsian kAmericans. kDiabetes kmellitus
kincreases kthe krisk kfor khypertension kand kcoronary kartery kdisease kin kpeople
kof kany krace kor kethnicity. kAsthma, kcolorectal kcancer, kand khormone ktherapy
kdo knot kincrease krisk kfor kcardiovascular kdisease.
A knurse kassesses kan kolder kadult kclient kwho khas kmultiple kchronic kdiseases.
kThe kclient's kheart krate kis k48 kbeats/min. kWhich kaction kshould kthe knurse ktake
kfirst?
a. kDocument kthe kfinding kin kthe kchart.
b. kInitiate kexternal kpacing.
c. kAssess kthe kclient's kmedications.
d. kAdminister k1 kmg kof katropine. k- kANS✓✓-c. kAssess kthe kclient's
kmedications.
Pacemaker kcells kin kthe kconduction ksystem kdecrease kin knumber kas ka kperson
kages, kresulting kin kbradycardia. kThe knurse kshould kcheck kthe kmedication
kreconciliation kfor kmedications kthat kmight kcause ksuch ka kdrop kin kheart krate,
kthen kshould kinform kthe khealth kcare kprovider. kDocumentation kis kimportant,
kbut kit kis knot kthe kpriority kaction. kThe kheart krate kis knot klow kenough kfor
katropine kor kan kexternal kpacemaker kto kbe kneeded.
An kemergency kroom knurse kobtains kthe khealth khistory kof ka kclient. kWhich
kstatement kby kthe kclient kshould kalert kthe knurse kto kthe koccurrence kof kheart
kfailure?
a. k"I kget kshort kof kbreath kwhen kI kclimb kstairs."
b. k"I ksee khalos kfloating karound kmy khead."
c. k"I khave ktrouble kremembering kthings."
d. k"I khave klost kweight kover kthe kpast kmonth." k- kANS✓✓-a. k"I kget kshort kof
kbreath kwhen kI kclimb kstairs."
Dyspnea kon kexertion kis kan kearly kmanifestation kof kheart kfailure kand kis
kassociated kwith kan kactivity ksuch kas kstair kclimbing. kThe kother kfindings kare
knot kspecific kto kearly koccurrence kof kheart kfailure.
A knurse kobtains kthe khealth khistory kof ka kclient kwho kis knewly kadmitted kto kthe
kmedical kunit. kWhich kstatement kby kthe kclient kshould kalert kthe knurse kto kthe
kpresence kof kedema?
a. k"I kwake kup kto kgo kto kthe kbathroom kat knight."
b. k"My kshoes kfit ktighter kby kthe kend kof kthe kday."
c. k"I kseem kto kbe kfeeling kmore kanxious klately."
,d. k"I kdrink kat kleast keight kglasses kof kwater ka kday." k- kANS✓✓-b. k"My kshoes
kfit ktighter kby kthe kend kof kthe kday."
Weight kgain kcan kresult kfrom kfluid kaccumulation kin kthe kinterstitial kspaces.
kThis kis kknown kas kedema. kThe knurse kshould knote kwhether kthe kclient kfeels
kthat khis kor kher kshoes kor krings kare ktight, kand kshould kobserve, kwhen
kpresent, kan kindentation karound kthe kleg kwhere kthe ksocks kend. kThe kother
kanswers kdo knot kdescribe kedema.
A knurse kassesses kan kolder kadult kclient kwho kis kexperiencing ka kmyocardial
kinfarction. kWhich kclinical kmanifestation kshould kthe knurse kexpect?
a. kExcruciating kpain kon kinspiration
b. kLeft klateral kchest kwall kpain
c. kDisorientation kand kconfusion
d. kNumbness kand ktingling kof kthe karm k- kANS✓✓-c. kDisorientation kand
kconfusion
In kolder kadults, kdisorientation kor kconfusion kmay kbe kthe kmajor kmanifestation
kof kmyocardial kinfarction kcaused kby kpoor kcardiac koutput. kPain
kmanifestations kand knumbness kand ktingling kof kthe karm kcould kalso kbe
krelated kto kthe kmyocardial kinfarction. kHowever, kthe knurse kshould kbe kmore
kconcerned kabout kthe knew konset kof kdisorientation kor kconfusion kcaused kby
kdecreased kperfusion.
A knurse kassesses ka kclient k2 khours kafter ka kcardiac kangiography kvia kthe kleft
kfemoral kartery. kThe knurse knotes kthat kthe kleft kpedal kpulse kis kweak. kWhich
kaction kshould kthe knurse ktake?
a. kElevate kthe kleg kand kapply ka ksandbag kto kthe kentrance ksite.
b. kIncrease kthe kflow krate kof kintravenous kfluids.
c. kAssess kthe kcolor kand ktemperature kof kthe kleft kleg.
d. kDocument kthe kfinding kas k"left kpedal kpulse kof k+1/4." k- kANS✓✓-c. kAssess
kthe kcolor kand ktemperature kof kthe kleft kleg.
Loss kof ka kpulse kdistal kto kan kangiography kentry ksite kis kserious, kindicating ka
kpossible karterial kobstruction. kThe kpulse kmay kbe kfaint kbecause kof kedema.
kThe kleft kpulse kshould kbe kcompared kwith kthe kright, kand kpulses kshould kbe
kcompared kwith kprevious kassessments, kespecially kbefore kthe kprocedure.
kAssessing kcolor k(pale, kcyanosis) kand ktemperature k(cool, kcold) kwill kidentify ka
kdecrease kin kcirculation. kOnce kall kperipheral kand kvascular kassessment kdata
kare kacquired, kthe kprimary khealth kcare kprovider kshould kbe knotified. kSimply
kdocumenting kthe kfindings kis kinappropriate. kThe kleg kshould kbe kpositioned
kbelow kthe klevel kof kthe kheart kor kdangling kto kincrease kblood kflow kto kthe
kdistal kportion kof kthe kleg. kIncreasing kintravenous kfluids kwill knot kaddress kthe
kclient's kproblem.
, A knurse kassesses ka kclient kwho kis krecovering kafter ka kleft-sided kcardiac
kcatheterization. kWhich kassessment kfinding krequires kimmediate kintervention?
a. kUrinary koutput kless kthan kintake
b. kBruising kat kthe kinsertion ksite
c. kSlurred kspeech kand kconfusion
d. kDiscomfort kin kthe kleft kleg k- kANS✓✓-c. kSlurred kspeech kand kconfusion
A kleft-sided kcardiac kcatheterization kspecifically kincreases kthe krisk kfor ka
kcerebral kvascular kaccident. kA kchange kin kneurologic kstatus kneeds kto kbe
kacted kon kimmediately. kDiscomfort kand kbruising kare kexpected kat kthe ksite. kIf
kintake kdecreases, ka kclient kcan kbecome kdehydrated kbecause kof kdye
kexcretion. kThe ksecond kintervention kwould kbe kto kincrease kthe kclient's kfluid
kstatus. kNeurologic kchanges kwould ktake kpriority.
A knurse kassesses ka kclient kwho kis kscheduled kfor ka kcardiac kcatheterization.
kWhich kassessment kshould kthe knurse kcomplete kprior kto kthis kprocedure?
a. kClient's klevel kof kanxiety
b. kAbility kto kturn kself kin kbed
c. kCardiac krhythm kand kheart krate
d. kAllergies kto kiodine-based kagents k- kANS✓✓-d. kAllergies kto kiodine-based
kagents
Before kthe kprocedure, kthe knurse kshould kascertain kwhether kthe kclient khas kan
kallergy kto kiodine-containing kpreparations, ksuch kas kseafood kor klocal
kanesthetics. kThe kcontrast kmedium kused kduring kthe kprocedure kis kiodine
kbased. kThis kallergy kcan kcause ka klife-threatening kreaction, kso kit kis ka khigh
kpriority. kSecond, kit kis kimportant kfor kthe knurse kto kassess kanxiety, kmobility,
kand kbaseline kcardiac kstatus.
A knurse kcares kfor ka kclient kwho kis kprescribed kmagnetic kresonance kimaging
k(MRI) kof kthe kheart. kThe kclient's khealth khistory kincludes ka kprevious
kmyocardial kinfarction kand kpacemaker kimplantation. kWhich kaction kshould kthe
knurse ktake?
a. kSchedule kan kelectrocardiogram kjust kbefore kthe kMRI.
b. kNotify kthe khealth kcare kprovider kbefore kscheduling kthe kMRI.
c. kCall kthe kphysician kand krequest ka klaboratory kdraw kfor kcardiac kenzymes.
d. kInstruct kthe kclient kto kincrease kfluid kintake kthe kday kbefore kthe kMRI. k-
kANS✓✓-b. kNotify kthe khealth kcare kprovider kbefore kscheduling kthe kMRI.
The kmagnetic kfields kof kthe kMRI kcan kdeactivate kthe kpacemaker. kThe knurse
kshould kcall kthe khealth kcare kprovider kand kreport kthat kthe kclient khas ka
kpacemaker kso kthe kprovider kcan korder kother kdiagnostic ktests. kThe kclient
kdoes knot kneed kan kelectrocardiogram, kcardiac kenzymes, kor kincreased kfluids.
