Nursing Theory IIb Test Review with Complete
Solutions/ Correct-Verified Answers
A 57-year-old client with a history of asthma is prescribed propranolol (Inderal) to control
hypertension. Before administering propranolol, which of the following actions should
the nurse take first?
A. Monitor the apical pulse rate
B. Instruct the client to take medication with food
C. Question the physician about the order
D. Caution the client to rise slowly when standing - ANSWER C. Question the physician about
the order
One hour after administering IV furosemide (Lasix) to a client with heart failure, a short burst
of ventricular tachycardia appears on the cardiac monitor. Which of the following electrolyte
imbalances should the nurse suspect?
A. Hypocalcemia
B. Hypermagnesemia
C. Hypokalemia
D. Hypernatremia - ANSWER C. Hypokalemia
To evaluate a client's condition following cardiac catheterization, the nurse will palpate
the pulse:
A. In all extremities
B. At the insertion site
C. Distal to the catheter insertion
D. Above the catheter insertion - ANSWER C. Distal to the catheter insertion
,A client's physician orders nuclear cardiography and makes an appointment for a thallium scan.
The purpose of injecting radioisotope into the bloodstream is to detect:
A. Normal vs abnormal tissue
B. Damage in areas of the heart
C. Ventricular function
D. Myocardial scarring and perfusion - ANSWER D. Myocardial scarring and perfusion
A client is experiencing tachycardia. The nurse's understanding of the physiological basis for
this symptom is explained by which of the following statements?
A. The demand for oxygen is decreased because of pleural involvement
B. The inflammatory process causes the body to demand more oxygen to meet its needs
C. The heart has to pump faster to meet the demand for oxygen when there is lowered
arterial oxygen tension
D. Respirations are labored - ANSWER C. The heart has to pump faster to meet the demand
for oxygen when there is lowered arterial oxygen tension
A client enters the ER complaining of chest pressure and severe epigastric distress. His VS are
158/90, 94, 24 and 37.2C. The dr orders cardiac enzymes. If the client were diagnosed with
an MI, the nurse would expect which cardiac enzyme to rise within the next 3 to 8 hours?
A. Creatine kinase (CK or CPK)
B. Lactic dehydrogenase (LDH)
C. LDH-1
D. LDH-2 - ANSWER A. Creatine kinase (CK or CPK)
A 45-year-old male client with leg ulcers and arterial insufficiency is admitted to the hospital.
The nurse understands that leg ulcers of this nature are usually caused by:
A. Decreased arterial blood flow secondary to vasoconstriction
B. Decreased arterial blood flow leading to hyperemia
C. Atherosclerotic obstruction of the arteries
,D. Trauma to the lower extremities - ANSWER A. Decreased arterial blood flow secondary to
vasoconstriction
When teaching a patient why spironolactone (Aldactone) and furosemide (Lasix) are
prescribed together, the nurse bases teaching on the knowledge that:
A. Moderate doses of two different types of diuretics are more effective than a large dose
of one type
B. This combination promotes diuresis but decreases the risk of hypokalemia
C. This combination prevents dehydration and hypovolemia
D. Using two drugs increases osmolality of plasma and the glomerular filtration rate - ANSWER
B. This combination promotes diuresis but decreases the risk of hypokalemia
The most important factor in regulating the caliber of blood vessels, which
determines resistance to flow, is:
A. Hormonal secretion
B. Independent arterial wall activity
C. The influence of circulating chemicals
D. The sympathetic nervous system - ANSWER D. The sympathetic nervous system
With peripheral arterial insufficiency, leg pain during rest can be reduced by:
A. Elevating the limb above heart level
B. Lowering the limb so it is dependent
C. Massaging the limb after application of cold compresses
D. Placing the limb in a plane horizontal to the body - ANSWER B. Lowering the limb so it
is dependent
A significant cause of venous thrombosis is:
A. Altered blood coagulation
B. Stasis of blood
, C. Vessel wall injury
D. All of the above - ANSWER D. All of the above
When caring for a patient who has started anticoagulant therapy with warfarin (coumadin),
the nurse knows not to expect therapeutic benefits for:
A. At least 12 hours
B. The first 24 hours
C. 2-3 days
D. 1 week - ANSWER C. 2-3 days
A 24-year-old man seeks medical attention for complaints of claudication in the arch of the
foot. A nurse also notes superficial thrombophlebitis of the lower leg. The nurse would
next assess the client for:
A. Familial tendency toward peripheral vascular disease
B. Smoking history
C. Recent exposures to allergens
D. History of insect bites - ANSWER B. Smoking history
Intravenous heparin therapy is ordered for a client. While implementing this order, a nurse
ensures that which of the following medications is available on the nursing unit?
A. Vitamin K
B. Aminocaproic acid
C. Potassium chloride
D. Protamine sulfate - ANSWER D. Protamine sulfate
A client who has been receiving heparin therapy also is started on warfarin sodium
(coumadin). The client asks the nurse why both medications are being administered. In
formulating a response, the nurse incorporates the understanding that warfarin sodium:
Solutions/ Correct-Verified Answers
A 57-year-old client with a history of asthma is prescribed propranolol (Inderal) to control
hypertension. Before administering propranolol, which of the following actions should
the nurse take first?
A. Monitor the apical pulse rate
B. Instruct the client to take medication with food
C. Question the physician about the order
D. Caution the client to rise slowly when standing - ANSWER C. Question the physician about
the order
One hour after administering IV furosemide (Lasix) to a client with heart failure, a short burst
of ventricular tachycardia appears on the cardiac monitor. Which of the following electrolyte
imbalances should the nurse suspect?
A. Hypocalcemia
B. Hypermagnesemia
C. Hypokalemia
D. Hypernatremia - ANSWER C. Hypokalemia
To evaluate a client's condition following cardiac catheterization, the nurse will palpate
the pulse:
A. In all extremities
B. At the insertion site
C. Distal to the catheter insertion
D. Above the catheter insertion - ANSWER C. Distal to the catheter insertion
,A client's physician orders nuclear cardiography and makes an appointment for a thallium scan.
The purpose of injecting radioisotope into the bloodstream is to detect:
A. Normal vs abnormal tissue
B. Damage in areas of the heart
C. Ventricular function
D. Myocardial scarring and perfusion - ANSWER D. Myocardial scarring and perfusion
A client is experiencing tachycardia. The nurse's understanding of the physiological basis for
this symptom is explained by which of the following statements?
A. The demand for oxygen is decreased because of pleural involvement
B. The inflammatory process causes the body to demand more oxygen to meet its needs
C. The heart has to pump faster to meet the demand for oxygen when there is lowered
arterial oxygen tension
D. Respirations are labored - ANSWER C. The heart has to pump faster to meet the demand
for oxygen when there is lowered arterial oxygen tension
A client enters the ER complaining of chest pressure and severe epigastric distress. His VS are
158/90, 94, 24 and 37.2C. The dr orders cardiac enzymes. If the client were diagnosed with
an MI, the nurse would expect which cardiac enzyme to rise within the next 3 to 8 hours?
A. Creatine kinase (CK or CPK)
B. Lactic dehydrogenase (LDH)
C. LDH-1
D. LDH-2 - ANSWER A. Creatine kinase (CK or CPK)
A 45-year-old male client with leg ulcers and arterial insufficiency is admitted to the hospital.
The nurse understands that leg ulcers of this nature are usually caused by:
A. Decreased arterial blood flow secondary to vasoconstriction
B. Decreased arterial blood flow leading to hyperemia
C. Atherosclerotic obstruction of the arteries
,D. Trauma to the lower extremities - ANSWER A. Decreased arterial blood flow secondary to
vasoconstriction
When teaching a patient why spironolactone (Aldactone) and furosemide (Lasix) are
prescribed together, the nurse bases teaching on the knowledge that:
A. Moderate doses of two different types of diuretics are more effective than a large dose
of one type
B. This combination promotes diuresis but decreases the risk of hypokalemia
C. This combination prevents dehydration and hypovolemia
D. Using two drugs increases osmolality of plasma and the glomerular filtration rate - ANSWER
B. This combination promotes diuresis but decreases the risk of hypokalemia
The most important factor in regulating the caliber of blood vessels, which
determines resistance to flow, is:
A. Hormonal secretion
B. Independent arterial wall activity
C. The influence of circulating chemicals
D. The sympathetic nervous system - ANSWER D. The sympathetic nervous system
With peripheral arterial insufficiency, leg pain during rest can be reduced by:
A. Elevating the limb above heart level
B. Lowering the limb so it is dependent
C. Massaging the limb after application of cold compresses
D. Placing the limb in a plane horizontal to the body - ANSWER B. Lowering the limb so it
is dependent
A significant cause of venous thrombosis is:
A. Altered blood coagulation
B. Stasis of blood
, C. Vessel wall injury
D. All of the above - ANSWER D. All of the above
When caring for a patient who has started anticoagulant therapy with warfarin (coumadin),
the nurse knows not to expect therapeutic benefits for:
A. At least 12 hours
B. The first 24 hours
C. 2-3 days
D. 1 week - ANSWER C. 2-3 days
A 24-year-old man seeks medical attention for complaints of claudication in the arch of the
foot. A nurse also notes superficial thrombophlebitis of the lower leg. The nurse would
next assess the client for:
A. Familial tendency toward peripheral vascular disease
B. Smoking history
C. Recent exposures to allergens
D. History of insect bites - ANSWER B. Smoking history
Intravenous heparin therapy is ordered for a client. While implementing this order, a nurse
ensures that which of the following medications is available on the nursing unit?
A. Vitamin K
B. Aminocaproic acid
C. Potassium chloride
D. Protamine sulfate - ANSWER D. Protamine sulfate
A client who has been receiving heparin therapy also is started on warfarin sodium
(coumadin). The client asks the nurse why both medications are being administered. In
formulating a response, the nurse incorporates the understanding that warfarin sodium:
