Nursing Care 1
Midterm Exam Questions and Answers_26.
1. A nurse and a nursing student are performing a physical assessment of a client with pericarditis.
The client has an audible pericardial friction rub on auscultation. When leaving the room, the
student asks the nurse what causes the sound. The nurse's best response is which of the
following?
a. "The pericardial surfaces lose their lubricating fluid because of inflammation and
rub against each other."
b. "The layers of the heart become loose from each other and rub together with each
heart beat."
c. "The great vessels rub against the pericardium with each heart beat."
d. "The lung surfaces lose their lubrication and rub against the myocardium with
each heart beat."
2. A patient has been admitted with endocarditis. The patient asks the nurse how the physician
knows what medicines to order to kill the bacteria. The nurse knows that to find the most
appropriate antibiotic treatment what test would be the most helpful?
a. Ultrasound of the heart
b. Blood cultures
c. ABG
d. CBC
3. You are caring for a client with myocarditis. The physician has ordered the client to be placed on
bed rest. The client asks you why they have to be on bed rest. What is your best answer?
a. “You are sick and sick people need to stay in bed.”
b. “It is the physician's decision; I can't tell you why he ordered bed rest.”
c. “When you are on bed rest the workload of your heart is reduced and you will heal
faster.”
d. “The physician feels that you do not rest enough, so we are going to keep you in
bed for a few days.”
4. A nurse is caring for a client who's had gastric bypass surgery. The physician encourages the
client to increase mobility as soon as possible. The nurse notes edema to the right leg with skin
color changes to the right lower extremity. The client reports pain at the incision site as 3 on a 0- to
10-point scale and pain to the right calf as 7 on a 0- to 10-point scale. The nurse reports the
findings to the physician. She suspects that the client has:
a. Allergic reaction to the anesthesia.
b. Deep vein thrombosis.
c. Physiologic indicators of pain.
d. Postoperative dehiscence.
5. The nurse is providing an educational event to a local community group. The nurse is talking
about coronary artery disease (CAD) and its risk factors. The nurse explains to the community
, group that CAD has many risk factors, some that can be controlled and some that can't. What risk
factors would the nurse list that can be controlled or modified?
a. Gender, obesity, family history, and smoking.
b. Inactivity, stress, gender, and smoking.
c. Obesity, inactivity, diet, and smoking.
d. Stress, family history, and obesity.
6. The nursing instructor is discussing thrombophlebitis and venous stasis. What would the
instructor tell the students is the best nursing intervention to help prevent venous stasis and
thrombophlebitis for at-risk clients?
a. Apply knee- or thigh-high elastic stockings.
b. Use a pneumatic venous compression device.
c. Promote ankle-pumping exercises.
d. Promote activity and exercise.
7. A patient with a history of rheumatic fever is at risk for bacterial endocarditis. Which of the
following instructions should a nurse provide prior to any type of dental work?
a. Take steroids
b. Take aspirin
c. Take prophylactic antibiotics
d. Avoid any kind of activities
8. A Community Health nurse is providing an educational event at the local high school. The topic
the nurse is speaking about is varicose veins. What would the nurse suggest as a proactive
preventative measure for varicose veins?
a. Sitting with crossed legs to promote relaxation.
b. Walking for several minutes every hour to promote circulation.
c. Lowering the legs when tired.
d. Wearing tight ankle socks to decrease edema.
9. A patient complains to the nurse about chest pain and palpitations during and after his morning
jogs. The patient's family history reveals a history of coronary artery disease (CAD). What should
the nurse recommend to minimize cardiac risk?
a. Protein-rich diet
b. Liquid diet
c. Smoking cessation
d. Mild meals
10. When assessing a client diagnosed with angina pectoris it is important for the nurse to gather
what information?
a. The patient's activities after the attacks
b. The patient's symptoms and activities that precipitate attacks
Midterm Exam Questions and Answers_26.
1. A nurse and a nursing student are performing a physical assessment of a client with pericarditis.
The client has an audible pericardial friction rub on auscultation. When leaving the room, the
student asks the nurse what causes the sound. The nurse's best response is which of the
following?
a. "The pericardial surfaces lose their lubricating fluid because of inflammation and
rub against each other."
b. "The layers of the heart become loose from each other and rub together with each
heart beat."
c. "The great vessels rub against the pericardium with each heart beat."
d. "The lung surfaces lose their lubrication and rub against the myocardium with
each heart beat."
2. A patient has been admitted with endocarditis. The patient asks the nurse how the physician
knows what medicines to order to kill the bacteria. The nurse knows that to find the most
appropriate antibiotic treatment what test would be the most helpful?
a. Ultrasound of the heart
b. Blood cultures
c. ABG
d. CBC
3. You are caring for a client with myocarditis. The physician has ordered the client to be placed on
bed rest. The client asks you why they have to be on bed rest. What is your best answer?
a. “You are sick and sick people need to stay in bed.”
b. “It is the physician's decision; I can't tell you why he ordered bed rest.”
c. “When you are on bed rest the workload of your heart is reduced and you will heal
faster.”
d. “The physician feels that you do not rest enough, so we are going to keep you in
bed for a few days.”
4. A nurse is caring for a client who's had gastric bypass surgery. The physician encourages the
client to increase mobility as soon as possible. The nurse notes edema to the right leg with skin
color changes to the right lower extremity. The client reports pain at the incision site as 3 on a 0- to
10-point scale and pain to the right calf as 7 on a 0- to 10-point scale. The nurse reports the
findings to the physician. She suspects that the client has:
a. Allergic reaction to the anesthesia.
b. Deep vein thrombosis.
c. Physiologic indicators of pain.
d. Postoperative dehiscence.
5. The nurse is providing an educational event to a local community group. The nurse is talking
about coronary artery disease (CAD) and its risk factors. The nurse explains to the community
, group that CAD has many risk factors, some that can be controlled and some that can't. What risk
factors would the nurse list that can be controlled or modified?
a. Gender, obesity, family history, and smoking.
b. Inactivity, stress, gender, and smoking.
c. Obesity, inactivity, diet, and smoking.
d. Stress, family history, and obesity.
6. The nursing instructor is discussing thrombophlebitis and venous stasis. What would the
instructor tell the students is the best nursing intervention to help prevent venous stasis and
thrombophlebitis for at-risk clients?
a. Apply knee- or thigh-high elastic stockings.
b. Use a pneumatic venous compression device.
c. Promote ankle-pumping exercises.
d. Promote activity and exercise.
7. A patient with a history of rheumatic fever is at risk for bacterial endocarditis. Which of the
following instructions should a nurse provide prior to any type of dental work?
a. Take steroids
b. Take aspirin
c. Take prophylactic antibiotics
d. Avoid any kind of activities
8. A Community Health nurse is providing an educational event at the local high school. The topic
the nurse is speaking about is varicose veins. What would the nurse suggest as a proactive
preventative measure for varicose veins?
a. Sitting with crossed legs to promote relaxation.
b. Walking for several minutes every hour to promote circulation.
c. Lowering the legs when tired.
d. Wearing tight ankle socks to decrease edema.
9. A patient complains to the nurse about chest pain and palpitations during and after his morning
jogs. The patient's family history reveals a history of coronary artery disease (CAD). What should
the nurse recommend to minimize cardiac risk?
a. Protein-rich diet
b. Liquid diet
c. Smoking cessation
d. Mild meals
10. When assessing a client diagnosed with angina pectoris it is important for the nurse to gather
what information?
a. The patient's activities after the attacks
b. The patient's symptoms and activities that precipitate attacks
