DVT/PVD/PE/HTN/ED-TESTBANK EXAM
QUESTIONS WITH 100% CORRECT
ANSWERS LATEST VERSION 2025/2026.
1) What will the nurse most likely assess in a client with right heart failure?
A) Leg cramps
B) Indigestion
C) Reduced circulation to the pulmonary structures
D) Reduced urine output - ANS C) Reduced circulation to the pulmonary structures
Circulation to the pulmonary structures begins with the right side of the heart. The client with
right heart failure will have reduced circulation to these structures. There is no evidence to
suggest that right heart failure will cause indigestion or reduced urine output. Not all clients
with right heart failure experience leg cramps.
The nurse is concerned that a client with an alteration in perfusion is at risk for inadequate
oxygenation. What should the nurse consider when planning for this client's potential health
problem?
A) Cluster activities.
B) Instruct on deep breathing.
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,C) Medications appropriate to increase heart rate
D) Positioning to increase blood return - ANS B) Instruct on deep breathing.
The client is at risk for inadequate oxygenation.
The nurse should consider teaching the client the importance of deep breathing to increase the
amount of oxygen in the body tissues. Clustering activities would negatively impact
oxygenation. Periods of rest should occur between activities. The client with oxygenation issues
will have tachycardia. The nurse should consider medications that would reduce instead of
increase the heart rate. The client should be in the high-Fowler position to improve
oxygenation. Positions to increase blood flow to the heart would include Trendelenburg, which
would negatively impact oxygenation.
3) An older client is diagnosed with cardiomyopathy and a cardiac dysrhythmia. What would the
nurse expect to be indicated for this client?
A) Beta blocker
B) Digoxin
C) Nitrate medications
D) Fluids - ANS A) Beta blocker
Treatment for cardiomyopathy includes calcium channel blockers, beta blockers, and
antiarrhythmics. Nitrates should be avoided because they increase blood pressure. Digoxin
should be avoided because it increases the force of contractions. The client should be on a
sodium and fluid restriction and not be encouraged to drink fluids.
A client is admitted with complaints of lower extremity edema and occasional shortness of
breath. Which electrocardiogram finding supports that the client is at risk for an alteration in
perfusion?
A) P wave smooth and round
B) Absent U wave
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,C) PR interval 0.30 seconds
D) ST segment isoelectric - ANS C) PR interval 0.30 seconds
The PR interval is normally 0.12-0.20 seconds. Intervals greater than 0.20 seconds indicate a
delay in conduction from the SA node to the ventricles. A P wave should be smooth and round.
The ST segment should be isoelectric. The U wave is not normally seen.
The nurse is instructing a client on lifestyle changes to prevent the onset of heart disease. What
should be included in this teaching?
Select all that apply.
A) Limit exercise to 15 minutes a day.
B) Reduce saturated fats in the diet.
C) Avoid cigarette smoking.
D) Wear elastic hose.
E) Limit fluid intake. - ANS B) Reduce saturated fats in the diet.
C) Avoid cigarette smoking.
Interventions that would help the client prevent the onset of cardiovascular disease would be to
avoid cigarette smoking and reduce saturated fats in the diet. Limiting fluids and wearing elastic
hose are not known to prevent the onset of cardiovascular disease. Fifteen minutes of exercise a
day may not be enough exercise to prevent the onset of cardiovascular disease.
6) An elderly female client complains of fatigue, nausea, intermittent chest discomfort, and not
sleeping well. What should the nurse suspect this client is experiencing?
A) Pancreatic disease
B) Cardiac disease
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, C) Normal changes of aging
D) Signs of anemia - ANS B) Cardiac disease
B) Many elderly women complain of vague symptoms when having a myocardial infarction
including fatigue, epigastric pain, and sleep disturbances. Pancreatic disease would present pain
in the abdominal region. These symptoms are not considered normal changes of aging. Anemia
would present with fatigue but not with nausea or chest discomfort.
7) A client is prescribed metoprolol for a heart disorder. What should the nurse teach the client
about this medication?
A) Expect a rapid heart rate.
B) Change positions slowly.
C) Reduce protein intake.
D) Increase fluids. - ANS B) Change positions slowly.
Metoprolol is a beta blocker. The client should be instructed to use care when ambulating and
to change positions slowly since this medication causes orthostatic hypotension. This
medication does not cause a rapid heart rate. The client should not be instructed to increase
fluids. Protein restriction is not indicated with this medication.
The nurse instructor is teaching a group of student nurses regarding the various layers of the
heart. Which statements will the nurse include?
Select all that apply.
A) "The endocardium covers the entire heart and great vessels."
B) "The endocardium is the muscular layer of the heart that contracts during each heartbeat."
C) "The outermost layer of the heart is the epicardium."
D) "The myocardium consists of myofibril cells."
E) "The myocardium has four layers." - ANS C) "The outermost layer of the heart is the
epicardium."
4 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
QUESTIONS WITH 100% CORRECT
ANSWERS LATEST VERSION 2025/2026.
1) What will the nurse most likely assess in a client with right heart failure?
A) Leg cramps
B) Indigestion
C) Reduced circulation to the pulmonary structures
D) Reduced urine output - ANS C) Reduced circulation to the pulmonary structures
Circulation to the pulmonary structures begins with the right side of the heart. The client with
right heart failure will have reduced circulation to these structures. There is no evidence to
suggest that right heart failure will cause indigestion or reduced urine output. Not all clients
with right heart failure experience leg cramps.
The nurse is concerned that a client with an alteration in perfusion is at risk for inadequate
oxygenation. What should the nurse consider when planning for this client's potential health
problem?
A) Cluster activities.
B) Instruct on deep breathing.
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,C) Medications appropriate to increase heart rate
D) Positioning to increase blood return - ANS B) Instruct on deep breathing.
The client is at risk for inadequate oxygenation.
The nurse should consider teaching the client the importance of deep breathing to increase the
amount of oxygen in the body tissues. Clustering activities would negatively impact
oxygenation. Periods of rest should occur between activities. The client with oxygenation issues
will have tachycardia. The nurse should consider medications that would reduce instead of
increase the heart rate. The client should be in the high-Fowler position to improve
oxygenation. Positions to increase blood flow to the heart would include Trendelenburg, which
would negatively impact oxygenation.
3) An older client is diagnosed with cardiomyopathy and a cardiac dysrhythmia. What would the
nurse expect to be indicated for this client?
A) Beta blocker
B) Digoxin
C) Nitrate medications
D) Fluids - ANS A) Beta blocker
Treatment for cardiomyopathy includes calcium channel blockers, beta blockers, and
antiarrhythmics. Nitrates should be avoided because they increase blood pressure. Digoxin
should be avoided because it increases the force of contractions. The client should be on a
sodium and fluid restriction and not be encouraged to drink fluids.
A client is admitted with complaints of lower extremity edema and occasional shortness of
breath. Which electrocardiogram finding supports that the client is at risk for an alteration in
perfusion?
A) P wave smooth and round
B) Absent U wave
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,C) PR interval 0.30 seconds
D) ST segment isoelectric - ANS C) PR interval 0.30 seconds
The PR interval is normally 0.12-0.20 seconds. Intervals greater than 0.20 seconds indicate a
delay in conduction from the SA node to the ventricles. A P wave should be smooth and round.
The ST segment should be isoelectric. The U wave is not normally seen.
The nurse is instructing a client on lifestyle changes to prevent the onset of heart disease. What
should be included in this teaching?
Select all that apply.
A) Limit exercise to 15 minutes a day.
B) Reduce saturated fats in the diet.
C) Avoid cigarette smoking.
D) Wear elastic hose.
E) Limit fluid intake. - ANS B) Reduce saturated fats in the diet.
C) Avoid cigarette smoking.
Interventions that would help the client prevent the onset of cardiovascular disease would be to
avoid cigarette smoking and reduce saturated fats in the diet. Limiting fluids and wearing elastic
hose are not known to prevent the onset of cardiovascular disease. Fifteen minutes of exercise a
day may not be enough exercise to prevent the onset of cardiovascular disease.
6) An elderly female client complains of fatigue, nausea, intermittent chest discomfort, and not
sleeping well. What should the nurse suspect this client is experiencing?
A) Pancreatic disease
B) Cardiac disease
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, C) Normal changes of aging
D) Signs of anemia - ANS B) Cardiac disease
B) Many elderly women complain of vague symptoms when having a myocardial infarction
including fatigue, epigastric pain, and sleep disturbances. Pancreatic disease would present pain
in the abdominal region. These symptoms are not considered normal changes of aging. Anemia
would present with fatigue but not with nausea or chest discomfort.
7) A client is prescribed metoprolol for a heart disorder. What should the nurse teach the client
about this medication?
A) Expect a rapid heart rate.
B) Change positions slowly.
C) Reduce protein intake.
D) Increase fluids. - ANS B) Change positions slowly.
Metoprolol is a beta blocker. The client should be instructed to use care when ambulating and
to change positions slowly since this medication causes orthostatic hypotension. This
medication does not cause a rapid heart rate. The client should not be instructed to increase
fluids. Protein restriction is not indicated with this medication.
The nurse instructor is teaching a group of student nurses regarding the various layers of the
heart. Which statements will the nurse include?
Select all that apply.
A) "The endocardium covers the entire heart and great vessels."
B) "The endocardium is the muscular layer of the heart that contracts during each heartbeat."
C) "The outermost layer of the heart is the epicardium."
D) "The myocardium consists of myofibril cells."
E) "The myocardium has four layers." - ANS C) "The outermost layer of the heart is the
epicardium."
4 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
