NUR 265 Exam 1 Questions with
Complete Solutions
A. 20ml/hr B. 5ml/hr C. 15ml/hr D. 10ml/hr - Answer-The nurse has received a
prescription to increase a clients dopamine drip from 3mcg/kg/min to 5mcg/kg/min. The
concentration of dopamine is 400mg/250ml D5W and the client weighs 235lbs. What
would the nurse increase the clients infusion pump
BUN of 26mg/dl - Answer-The nurse working in the tele step down unit is caring for a
client who is scheduled for a cardiac catheterization and an angioplasty. Which of the
following lab findings is most important for the nurse to report to the PCP
This test is performed to help detect problems with my heart valves and chambers -
Answer-The nurse has instructed a client who is scheduled to have a cardiac
catheterization. Which of the following client statements would indicate a correct
understanding of the teaching
Had CABG surgery 24 hrs ago and has developed distant muffled heart sounds -
Answer-The nurse has been made aware of the following client situation. The nurse
should initially plan to assess the client
Sharp pain in the anterior chest
A right sternal border heart murmur - Answer-The nurse is assessing a client who has a
suspected aortic dissection. Which of the following findings should the nurse anticipate
the client to have
Has a suspected thoracic aortic aneurysm and is reporting the development of back
pain - Answer-The nurse is caring for assigned clients. It would be priority for the nurse
to follow up with the PCP of a client who
Jugular venous distention with clear lung sounds - Answer-The nurse is assessing a
client who has developed cardiac tamponade. Which of the following findings should the
nurse expect to observe
Has HF and is receiving a continuous infusion of NS and the IV pump is infusing at rate
of 250ml/hr - Answer-The nurse has been made aware of the following client situations.
The nurse should initially assess the client who
Nurse assessment of the client reveals muffled heart sound sand reported fatigue by
the client - Answer-The nurse is caring for a client who was recently diagnosed with
pericarditis. It would require follow up by the nurse if
, The client takes a daily dose of levothyroxine - Answer-The nurse working in the med
surg unit is caring for a client who reports a racing heart and feeling anxious. The client
is placed on a heart monitor and displays a heart rhythm indicated below. Which of the
following findings should the nurse correlate to this assignment
A. administer prescribed adenosine
B. prepare the client for synchronized cardioversion
C. place the client with the HOB lower than the foot of the bed
D. administer prescribed nitroprusside sodium at a rate of 0.3mcg/kg/min - Answer-The
nurse is caring for a client who reports dizziness and has a bp of 80/49mmhg and has a
cardiac rhythm indicated below. Which of the following actions should the nurse take
Irregular apical pulse - Answer-The nurse came for a client who develops the following
dysrhythmia. The nurse should assess which of the following manifestations in the client
Ask the client if their experiencing palpitations - Answer-The nurse is caring for a client
who develops the cardiac rhythm indicated below. Which of the following actions should
the nurse take
A. 80ml/hr B. 3ml/hr C. 45ml/hr D. 30ml/hr - Answer-The nurse is caring for a client who
has received a prescription to administer a continuous infusion of lidocaine 2g/5ml D5W
at a rate of 3mg/min the client weighs 175lbs. At what rate should the nurse set the
clients infusion rate
I will notify the airline when I make flight reservations that I have a pacemaker - Answer-
The nurse has provided discharge teaching to a client following the insertion of a
permanent pacemaker to the left chest area. Which of the following client statements
would indicate a correct understanding of the teaching
I should avoid having invasive dental work performed for 6 months - Answer-The nurse
has provided discharge teaching to a client who had a mitral valve replacement with a
mechanical prosthetic valve. Which of the following statements by the client would
indicate a correct understanding of the teaching
I will keep my arm in a sling for 2 wks while the incision heals - Answer-The nurse is
providing discharge instructions to a client who had a mitral valve replaced with a
biologic porcine valve. Which of the following client statements indicates a need for
further teaching
I will need to take a lipid lowering agent to help control my symptoms - Answer-The
nurse has developed a teaching plan for a client who has dilated cardiomyopathy.
Which of the following client statements indicates a need for further teaching
42yrs old, is single with 2 teenage children, works as a cashier, and has dilated
cardiomyopathy - Answer-The nurse is caring for the following clients. It would be
necessary to schedule an interdisciplinary conference for the client who is
Complete Solutions
A. 20ml/hr B. 5ml/hr C. 15ml/hr D. 10ml/hr - Answer-The nurse has received a
prescription to increase a clients dopamine drip from 3mcg/kg/min to 5mcg/kg/min. The
concentration of dopamine is 400mg/250ml D5W and the client weighs 235lbs. What
would the nurse increase the clients infusion pump
BUN of 26mg/dl - Answer-The nurse working in the tele step down unit is caring for a
client who is scheduled for a cardiac catheterization and an angioplasty. Which of the
following lab findings is most important for the nurse to report to the PCP
This test is performed to help detect problems with my heart valves and chambers -
Answer-The nurse has instructed a client who is scheduled to have a cardiac
catheterization. Which of the following client statements would indicate a correct
understanding of the teaching
Had CABG surgery 24 hrs ago and has developed distant muffled heart sounds -
Answer-The nurse has been made aware of the following client situation. The nurse
should initially plan to assess the client
Sharp pain in the anterior chest
A right sternal border heart murmur - Answer-The nurse is assessing a client who has a
suspected aortic dissection. Which of the following findings should the nurse anticipate
the client to have
Has a suspected thoracic aortic aneurysm and is reporting the development of back
pain - Answer-The nurse is caring for assigned clients. It would be priority for the nurse
to follow up with the PCP of a client who
Jugular venous distention with clear lung sounds - Answer-The nurse is assessing a
client who has developed cardiac tamponade. Which of the following findings should the
nurse expect to observe
Has HF and is receiving a continuous infusion of NS and the IV pump is infusing at rate
of 250ml/hr - Answer-The nurse has been made aware of the following client situations.
The nurse should initially assess the client who
Nurse assessment of the client reveals muffled heart sound sand reported fatigue by
the client - Answer-The nurse is caring for a client who was recently diagnosed with
pericarditis. It would require follow up by the nurse if
, The client takes a daily dose of levothyroxine - Answer-The nurse working in the med
surg unit is caring for a client who reports a racing heart and feeling anxious. The client
is placed on a heart monitor and displays a heart rhythm indicated below. Which of the
following findings should the nurse correlate to this assignment
A. administer prescribed adenosine
B. prepare the client for synchronized cardioversion
C. place the client with the HOB lower than the foot of the bed
D. administer prescribed nitroprusside sodium at a rate of 0.3mcg/kg/min - Answer-The
nurse is caring for a client who reports dizziness and has a bp of 80/49mmhg and has a
cardiac rhythm indicated below. Which of the following actions should the nurse take
Irregular apical pulse - Answer-The nurse came for a client who develops the following
dysrhythmia. The nurse should assess which of the following manifestations in the client
Ask the client if their experiencing palpitations - Answer-The nurse is caring for a client
who develops the cardiac rhythm indicated below. Which of the following actions should
the nurse take
A. 80ml/hr B. 3ml/hr C. 45ml/hr D. 30ml/hr - Answer-The nurse is caring for a client who
has received a prescription to administer a continuous infusion of lidocaine 2g/5ml D5W
at a rate of 3mg/min the client weighs 175lbs. At what rate should the nurse set the
clients infusion rate
I will notify the airline when I make flight reservations that I have a pacemaker - Answer-
The nurse has provided discharge teaching to a client following the insertion of a
permanent pacemaker to the left chest area. Which of the following client statements
would indicate a correct understanding of the teaching
I should avoid having invasive dental work performed for 6 months - Answer-The nurse
has provided discharge teaching to a client who had a mitral valve replacement with a
mechanical prosthetic valve. Which of the following statements by the client would
indicate a correct understanding of the teaching
I will keep my arm in a sling for 2 wks while the incision heals - Answer-The nurse is
providing discharge instructions to a client who had a mitral valve replaced with a
biologic porcine valve. Which of the following client statements indicates a need for
further teaching
I will need to take a lipid lowering agent to help control my symptoms - Answer-The
nurse has developed a teaching plan for a client who has dilated cardiomyopathy.
Which of the following client statements indicates a need for further teaching
42yrs old, is single with 2 teenage children, works as a cashier, and has dilated
cardiomyopathy - Answer-The nurse is caring for the following clients. It would be
necessary to schedule an interdisciplinary conference for the client who is
