EXAM) LATEST ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH EXPLANATIONS
|ALREADY GRADED A+/ATI
CARDIOVASCULAR EXAM LATEST
UPDATE
A nurse is providing health teaching for a group of clients. Which of the following
clients is at risk for developing peripheral arterial disease?
-A client who has hypothyroidism
-A client who has diabetes mellitus
-A client whose daily caloric intake consists of 25% fat
-A client who consumes two 12-oz bottles of beer a day - CORRECT ANSWER
✔✔- A client who has diabetes mellitus
Diabetes mellitus places the client at risk for microvascular damage and
progressive peripheral arterial disease.
A nurse is assessing a client who has dilated cardiomyopathy. Which of the
following findings should the nurse expect?
-Dyspnea on exertion
-Tracheal deviation
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,-Pericardial rub
-Weight loss - CORRECT ANSWER ✔✔- Dyspnea on exertion
The nurse should identify dyspnea on exertion as an expected manifestation of
dilated cardiomyopathy. Dyspnea on exertion is due to ventricular
compromise and reduced cardiac output.
A nurse is providing discharge teaching for a client who has heart failure. The
nurse should instruct the client to report which of the following findings
immediately to the provider?
-Weight gain of 0.9kg (2 lb) in 24 hr
-Increase of 10 mm Hg in systolic blood pressure
-Dyspnea with exertion
-Dizziness when rising quickly - CORRECT ANSWER ✔✔- Weight gain of 0.9
kg (2 lb) in 24 hr
When using the urgent vs. nonurgent approach to client care, the nurse
should determine that the priority finding is a weight gain of 0.5 to 0.9 kg (1 to
2 lb) in 1 day. This weight gain is an indication of fluid retention resulting
from worsening heart failure. The client should report this finding
immediately.
A nurse is caring for a client who has a history of angina and is scheduled for
exercise electrocardiography at 1100. Which of the following statements by the
client requires the nurse to contact the provider for possible rescheduling?
-"I'm still hungry after the bowl of cereal I ate at 7 a.m."
-"I didn't take my heart pills this morning because the doctor told me not to."
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, -"I have had chest pain a couple times since I saw my doctor in the office last
week."
-"I smoked a cigarette this morning to calm my nerves about having this
procedure." - CORRECT ANSWER ✔✔- "I smoked a cigarette this morning to
calm my nerves about having this procedure."
Smoking prior to this test can change the outcome and places the client at
additional risk. The procedure should be rescheduled if the client has smoked
before the test.
A nurse is monitoring a client's ECG monitor and notes the client's rhythm has
changed from normal sinus rhythm to supraventricular tachycardia. The nurse
should prepare to assist with which of the following interventions?
-Delivery of a percordial thump
-Vagal stimulation
-Administration of atropine IV
-Defibrillation - CORRECT ANSWER ✔✔- Vagal stimulation.
The nurse should identify that vagal stimulation might temporarily convert
the client's heart rate to normal sinus rhythm. The nurse should have a
defibrillator and resuscitation equipment at the client's bedside because vagal
stimulation can cause bradydysrhythmias, ventricular dysrhythmias, or
asystole.
A nurse is planning a presentation for a group of clients who have hypertension.
Which of the following lifestyle modifications should the nurse include? (select all
that apply.)
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