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LPN Nursing School · Med-Surg · 118 questions

Cardiovascular Disorders practice questions

Every question below is free to read with its full rationale. For timed sets, the rest of the bank and progress tracking on Cardiovascular Disorders, practise in the app.

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  1. 1A nurse is collecting data from a client who has atrial fibrillation. When documenting the quality of the client's pulse, which of the following terms should the nurse use?Answer →
  2. 2A client arrives to the ED with fatigue, shortness of breath, nausea, mild pressure in the upper back and neck, HR 112 bpm, BP 104/64 mmHg, and SpO₂ 91% on room air. Which provider order should the nurse implement first?Answer →
  3. 3A nurse is caring for a client who has sickle cell anemia. The client asks, 'Why do I feel so tired and fatigued all of the time?' Which of the following information should the nurse provide?Answer →
  4. 4A nurse is providing care for a client who has hemophilia and is bleeding from a small laceration on his arm. After applying a sterile dressing, which of the following actions should the nurse take next?Answer →
  5. 5A nurse is assisting with the care of a client who had a cardiac catheterization via the right femoral artery. Which of the following actions should the nurse take to prevent postprocedure complications? (Select all that apply.)Answer →
  6. 6A nurse is assisting in the care of a male client who has a new prescription for furosemide. Which of the following client findings should the nurse identify as a contraindication to the administration of furosemide? Select the 3 findings the nurse should identify as a contraindication.Answer →
  7. 7A nurse is monitoring a client's peripheral circulation. Identify where the nurse should palpate to check the posterior tibial pulse. (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.)Answer →
  8. 8A nurse is caring for a client who is recovering from a pericardiocentesis. Which of the following findings should be reported to the provider immediately?Answer →
  9. 9Complete the following sentence by using the lists of options. The nurse should reinforce teaching that the client is experiencing ______ and should advise the client that ______ can increase this effect.Answer →
  10. 10A nurse is reinforcing dietary teaching with an older adult client who has an increased LDL level. Which of the following foods should the nurse encourage the client to limit?Answer →
  11. 11A nurse is caring for a client who has atrial fibrillation and is receiving heparin. Which of the following findings is the nurse's priority?Answer →
  12. 12Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.Answer →
  13. 13A nurse is reviewing the laboratory results of a client during a routine health check-up. The client has elevated total cholesterol, LDL, and triglycerides, and decreased HDL. Which of the following SMART goals is most appropriate for the nurse to recommend?Answer →
  14. 14A nurse is collecting data on a client who is experiencing anxiety. Which of the following findings should the nurse expect?Answer →
  15. 15A nurse is preparing to apply antiembolic stockings for a client who is at risk for deep-vein thrombosis. Which of the following actions should the nurse take?Answer →
  16. 16A nurse is caring for a client who has experienced a myocardial infarction. Which life-threatening dysrhythmia is this client most at risk for?Answer →
  17. 17A nurse is preparing to administer digoxin 0.25 mg PO to a client. The amount available is digoxin 0.125 mg tablets. How many tablets should the nurse administer to the client? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)Answer →
  18. 18A nurse is reinforcing teaching about saturated fats with a client who is at risk for cardiovascular disease. Which of the following cooking fats should the nurse recommend the client use?Answer →
  19. 19A client weighing 44.5 kg is prescribed heparin 60 units/kg IV bolus for suspected acute myocardial infarction. How many units of heparin should the nurse administer for the IV bolus?Answer →
  20. 20The nurse is reinforcing teaching regarding diet to a client who has had a myocardial infarction. Which of the following diet choices by the client indicates an understanding of the teaching?Answer →
  21. 21A nurse is assisting with the care of a client in the emergency department and reports severe radiating chest pain and shortness of breath. The client appears restless, frightened, and slightly cyanotic. The provider prescribes oxygen by nasal cannula at 4 L/min stat, cardiac enzyme levels, IV fluids, and a 12-lead ECG. Which of the following actions should the nurse take first?Answer →
  22. 22The client with fluid volume overload has Torsemide (Demadex) 20 milligrams (mg) orally ordered daily. The medication label states Torsemide 10 mg per 2 mL. How many milliliters (mL) will the nurse administer with each dose? Write the numerical value only.Answer →
  23. 23A nurse is caring for a client who asks why she is being prescribed aspirin 325 mg daily following a myocardial infarction. The nurse should instruct the client that aspirin is prescribed for clients who have coronary artery disease for which of the following effects?Answer →
  24. 24A nurse is caring for a patient diagnosed with Buerger's disease who reports increased pain and a cold, numb extremity with diminished pulses. The patient is a smoker with a history of peripheral vascular disease. Which nursing intervention should the nurse prioritize to manage this patient's condition?Answer →
  25. 25A nurse is caring for a client. After reviewing the findings above, which of the following actions should the nurse take? For each potential provider's prescription, click to specify if the prescription is anticipated, nonessential, or contraindicated for the client.Answer →
  26. 26A nurse is reviewing the client's medical record. Which of the following findings places the client at risk for heart disease?Answer →
  27. 27A nurse and a newly licensed nurse are providing care for a client who has distributive shock. How should the nurse explain the pathophysiology of distributive shock to the newly licensed nurse?Answer →
  28. 28A nurse is reinforcing teaching about meal planning with a client who has hypertension. Which of the following statements by the client indicates an understanding of the teaching?Answer →
  29. 29To effectively monitor a post-CABG client at risk for infection, the nurse should prioritize assessing the client's Target 1, Target 2, and Target 3. Drag the words from the choices below to fill in each blank in the following sentence related to CABG.Answer →
  30. 30A nurse is obtaining a medication history from a client who is to start taking nitroglycerin for chest discomfort with activity. Which of the following medications should the nurse instruct the client to avoid taking within 24 hr of using nitroglycerin?Answer →
  31. 31A 65-year-old patient in the emergency department suddenly becomes unresponsive and shows no pulse. The cardiac monitor displays asystole. As a nurse, what is the most appropriate initial action to take in this scenario?Answer →
  32. 32For each of the following findings in the client's medical record, click to specify if they are consistent with angina or a myocardial infarction (MI). Each finding may support more than one disease process.Answer →
  33. 33A nurse is collecting data from a client who has an acute myocardial infarction (MI). Which of the following clinical manifestations should the nurse expect to find? (Select all that apply.)Answer →
  34. 34A nurse is caring for a client who has just undergone a pericardiocentesis for cardiac tamponade. Which of the following assessments is the priority for the nurse to monitor?Answer →
  35. 35A nurse is reinforcing teaching with a client who is scheduled for a cardiac catheterization. Which of the following should the nurse tell the client to expect during injection of the contrast medium?Answer →
  36. 36A nurse is assessing clients for risk factors of valvular heart disease. Which of the following clients is at highest risk?Answer →
  37. 37The nurse is explaining how oxygenated and deoxygenated blood move through the heart and lungs. Which statement indicate correct understanding (Select All that Apply.)Answer →
  38. 38A nurse is reviewing the medication record of a client who is taking digoxin. Which of the following medications should the nurse identify as increasing the risk for the client to develop digoxin toxicity?Answer →
  39. 39A nurse is reinforcing teaching with a client who has heart failure and a new prescription for furosemide. The nurse should instruct the client to monitor for which of the following adverse effects?Answer →
  40. 40A female client denies classic chest pain but reports indigestion, nausea, and lightheadedness. Which nursing action is most appropriate?Answer →
  41. 41A client with pericarditis is experiencing jugular venous distention and mild peripheral edema. Which nursing intervention should the nurse implement first?Answer →
  42. 42The client with suspected myocardial infarction has oxygen saturation of 95% on room air. Which action is most appropriate?Answer →
  43. 43A nurse is reviewing the laboratory results for a male adult client who is at risk for peripheral arterial disease from atherosclerosis. The nurse should identify that which of the following results places the client at risk?Answer →
  44. 44A nurse in a telemetry unit is collecting data from a client who has a newly inserted permanent pacemaker. Which of the following findings should the nurse report to the provider?Answer →
  45. 45A nurse is reinforcing teaching with a client who has anemia and has a prescription for ferrous sulfate. Which of the following foods should the nurse recommend that the client consume to increase the absorption of this medication?Answer →
  46. 46A nurse is reinforcing teaching about lowering fat and cholesterol in the diet with a client who has atherosclerosis. Which of the following responses by the client indicates an understanding of the teaching?Answer →
  47. 47A nurse is collecting data from a client who is receiving continuous cardiac monitoring that is indicating premature ventricular contractions (PVCs). Which of the following findings should the nurse expect when assessing the client?Answer →
  48. 48Complete the following sentence by using the lists of options. The nurse suspects the client is experiencing Select... evidenced by Select...Answer →
  49. 49A nurse is reinforcing teaching with a client who is to undergo a bone marrow aspiration. Which of the following statements should the nurse include in the teaching?Answer →
  50. 50A client with infective endocarditis develops peripheral edema. Which nursing intervention is most appropriate?Answer →
  51. 51The nurse should clarify the prescription for Select... to the client's Select... dueAnswer →
  52. 52A nurse is reinforcing teaching about warfarin with a client who has a new onset of atrial fibrillation. Which of the following statements should the nurse include in the teaching?Answer →
  53. 53A nurse is contributing to the plan of care for a client who has peripheral arterial disease of the lower extremities. Which of the following interventions should the nurse include?Answer →
  54. 54A nurse is preparing to administer warfarin to a client who has chronic atrial fibrillation. Which of the following laboratory values should the nurse monitor prior to administering the medication?Answer →
  55. 55Observe the EKG strip shown in the image. Based on the waveform patterns, identify the dysrhythmia represented.Answer →
  56. 56A nurse is reinforcing teaching with a client about following a low-cholesterol diet after coronary artery bypass grafting. Which of the following food choices reflects the client's understanding of these dietary instructions?Answer →
  57. 57A nurse is reinforcing teaching with a client who has peripheral vascular disease. Which of the following instructions should the nurse include in the teaching?Answer →
  58. 58The provider orders 200 mg of amiodarone for a client with a cardiac dysrhythmia. The pharmacy has amiodarone 0.1 g tablets on hand. How many tablets will the nurse administer?Answer →
  59. 59A nurse is discussing the risks associated with of untreated disruptive disorders with a client and their family. Which of the following are potential risks of untreated disruptive behavioral disorders? (Select All that Apply.)Answer →
  60. 60A nurse is providing discharge teaching to a client who has heart failure. Which of the following lifestyle modifications should the nurse include in the discharge teaching?Answer →
  61. 61A nurse is assisting with the care of a client who was admitted to the telemetry unit after he experienced chest pain, dyspnea and diaphoresis. Which of the following ECG findings is a manifestation of acute myocardial infarction?Answer →
  62. 62The nurse is reviewing a client's chart. Which of the following should the nurse recognize as risk factors of developing valvular heart disease?Answer →
  63. 63A nurse is caring for a client who has deep vein thrombosis (DVT) of their right lower leg. Which of the following manifestations should the nurse expect? (Select All that Apply.)Answer →
  64. 64The nurse is reviewing the health history of four patients during annual checkups. Which patient is at highest risk for developing carotid artery disease?Answer →
  65. 65A nurse is reinforcing teaching with a client about how to prevent the onset of manifestations of Raynaud's phenomenon. Which of the following statements should the nurse identify as an indication that the client needs further teaching?Answer →
  66. 66A nurse is caring for a client who has suspected compromised blood flow to a limb. Which of the following factors contribute to poor circulation to the limb? (Select All that Apply.)Answer →
  67. 67A nurse is assisting with the care of a postoperative client who is receiving a unit of packed RBCs. Which of the following manifestations should the nurse recognize as an indication of a septic reaction to the blood transfusion?Answer →
  68. 68Lisa is a 45-year-old client who has a history of prolonged standing due to her occupation as a retail worker and recently reported swelling and aching in her lower legs. Based on her history and symptoms, which of the following factors should the nurse identify as increasing Lisa's risk for developing varicose veins? (Select all that apply)Answer →
  69. 69A nurse is teaching a group of clients about risk factors for developing atrial fibrillation. Which of the following should be included in the teaching?Answer →
  70. 70A nurse is reinforcing discharge teaching for a client who is postoperative following the insertion of a permanent pacemaker. Which of the following instructions should the nurse include?Answer →
  71. 71A client with infective endocarditis is receiving multiple antibiotics and is at risk for hepatotoxicity. Which intervention should the nurse prioritize?Answer →
  72. 72A female client presents with unusual fatigue, nausea, shortness of breath with minimal exertion, and pain between her shoulder blades. Which symptom should the nurse prioritize for immediate follow-up?Answer →
  73. 73A nurse caring for a client who has a new prescription for atenolol. For which of the following adverse effects should the nurse monitor the client?Answer →
  74. 74A nurse is reinforcing teaching with a client who is scheduled for an ECG. Which of the following instructions should the nurse include?Answer →
  75. 75A patient being treated for infective endocarditis reports sharp, radiating abdominal pain that extends to the left shoulder and back. The nurse recognizes that the patient's symptoms may indicate a(n):Answer →
  76. 76The provider orders a nitroglycerin IV drip at 5–10 mcg/min. Which parameter is most important to monitor before and during infusion?Answer →
  77. 77A nurse is reviewing the laboratory findings of a client who experienced an acute myocardial infarction 6 days ago. Which of the following laboratory values should the nurse expect to remain elevated at this time?Answer →
  78. 78A nurse is collecting data from a client who has heart failure. Which of the following findings should the nurse report to the provider? (Click on the "Exhibit" button for additional information about the client. There are three tabs that contain separate categories of data.)Answer →
  79. 79A nurse is reinforcing teaching with a newly licensed nurse about reading a client's ECG tracing. The nurse should include in the teaching that which of the following ECG components represent the time it takes for ventricular depolarization and repolarization?Answer →
  80. 80A nurse is preparing to administer 400 mL of 0.9% sodium chloride IV over 8 hr. The drop factor of the manual IV tubing is 60 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)Answer →
  81. 81Which structure carries deoxygenated blood from the heart to the lungs?Answer →
  82. 82A nurse is caring for a client presenting to the emergency department with complaints of fatigue, nausea, and mild chest tightness. The client's condition is deteriorating, and an ST-elevation myocardial infarction (STEMI) is now suspected. Which interventions should the nurse anticipate?Answer →
  83. 83A nurse is giving a presentation to a community group about preventing atherosclerosis. Which of the following should the nurse include as a modifiable risk factor for this disorder? (Select all that apply.)Answer →
  84. 84A nurse is assessing a female client who presents with unusual symptoms. Which two symptoms should the nurse prioritize for immediate follow-up in this client?Answer →
  85. 85A nurse is reinforcing teaching with a newly licensed nurse about reading a client's ECG tracing. The nurse should include in the teaching that the P wave represents which of the following cardiac electrical activities?Answer →
  86. 86A nurse is caring for a postoperative client following a total knee replacement. Which of the following medications should the nurse anticipate the provider to prescribe to prevent the formulation of a deep vein thrombosis (DVT)?Answer →
  87. 87A nurse is collecting data about a client's circulatory system. Which of the following pulse sites should the nurse avoid checking bilaterally at the same time?Answer →
  88. 88A nurse is reinforcing teaching for a client who is postoperative following the insertion of a permanent pacemaker. Which of the following instructions should the nurse include? (Select all that apply.)Answer →
  89. 89A nurse is collecting data from a client prior to administering atenolol. For which of the following findings should the nurse withhold the medication?Answer →
  90. 90A nurse is reinforcing teaching with a client who will be wearing a Holter monitor for the next 24 hr. Which of the following information should the nurse include?Answer →
  91. 91The nurse is teaching a client with a history of valvular heart disease about preventing infective endocarditis. Complete the sentence using the dropdowns. ___ is responsible for many cases of infective endocarditis, clients at risk should practice good oral hygiene and receive ___ dental care to reduce the risk of infection.Answer →
  92. 92A nurse is preparing to administer 0.9% sodium chloride (NS) 100 mL IV to infuse over 4 hr. The drip factor of the manual IV tubing is 60 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number.)Answer →
  93. 93A nurse is assisting with teaching a class about pulmonary circulation. The nurse should include that blood flows from the heart to the lungs from the right ventricle to which of the following locations next?Answer →
  94. 94A nurse is reinforcing teaching with a client who has peripheral vascular disease (PVD). The nurse should recognize that which of the following statements by the client indicates a need for further teaching?Answer →
  95. 95A nurse is reinforcing discharge teaching with an older adult client who has peripheral artery disease (PAD). Which of the following instructions should the nurse include in the teaching?Answer →
  96. 96Which of the following client findings should the nurse identify as a contraindication to the administration of spironolactone? Select the 3 findings the nurse should identify as a contraindication.Answer →
  97. 97A nurse is caring for a client who has returned to the unit following a cardiac catheterization using a femoral approach. Which of the following methods should the nurse use to monitor for complications?Answer →
  98. 98A nurse is preparing to administer phytonadione 7 mg subcutaneously to a client who has an INR of 4. Available is phytonadione 10 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)Answer →
  99. 99A nurse is collecting data on a client who has chronic stable angina. Which of the following findings should the nurse expect?Answer →
  100. 100A nurse is reinforcing teaching with a client who has peripheral arterial disease. Which of the following instructions should the nurse include?Answer →
  101. 101A nurse is caring for a client who has a new prescription for simvastatin. Which of the following client findings should the nurse identify as a contraindication to the administration of simvastatin? Select all that apply.Answer →
  102. 102Which vital sign finding in this client may indicate increased cardiovascular risk?Answer →
  103. 103A client with a history of valvular heart disease asks the nurse, "Why do I need to take antibiotics before my dental procedures?" Which explanation should the nurse provide?Answer →
  104. 104A nurse is collecting data from a client who is taking enoxaparin. The client reports starting the use of dietary supplements. The nurse should report the use of which of the following supplements to the provider?Answer →
  105. 105A nurse is collecting data from a client who reports a sudden onset of shortness of breath, fatigue, and dizziness. Electrocardiography indicates the client is experiencing atrial fibrillation. Which of the following medications should the nurse expect to administer?Answer →
  106. 106A nurse is assisting with collecting data on a client who is on a continuous ECG monitor. The client's ECG tracing shows no identifiable P waves and an irregular ventricular rate. The nurse should recognize the client is experiencing which of the following cardiac dysrhythmias?Answer →
  107. 107A client with pericarditis reports abdominal bloating and mild nausea from fluid accumulation. Which intervention should the nurse implement?Answer →
  108. 108A nurse is reinforcing teaching with a client who has a new prescription for sublingual nitroglycerine. Which of the following instructions should the nurse include in the teaching?Answer →
  109. 109A nurse is reviewing the medical record of a client who has been taking simvastatin for 9 months. The client has an alanine aminotransferase (ALT) 120 units/L and aspartate aminotransferase (AST) 100 units/L. Which of the following data from the client's dietary history should the nurse report to the provider?Answer →
  110. 110Which nursing action is not appropriate for a client with suspected myocardial infarction?Answer →
  111. 111A nurse is caring for a client who is postoperative. For which of the following findings should the nurse suspect the client is experiencing a deep-vein thrombosis?Answer →
  112. 112A nurse is caring for a client who has a new prescription for amitriptyline. Which of the following client findings should the nurse identify as a contraindication to the administration of amitriptyline? Select the 4 findings the nurse should identify as a contraindication.Answer →
  113. 113A nurse is assisting in the care of a male client who has a new prescription for furosemide. Which of the following client findings should the nurse identify as a contraindication to the administration of furosemide? Select the 3 findings the nurse should identify as a contraindication.Answer →
  114. 114A 70-year-old male patient with a known 4.5 cm abdominal aortic aneurysm (AAA) is admitted for routine monitoring. During your assessment, the patient reports new onset of abdominal pain radiating to the back and you note a palpable pulsatile mass near the umbilicus. His blood pressure is 140/90 mm Hg and heart rate is 98 beats per minute. What is the most appropriate initial nursing action?Answer →
  115. 115A nurse is reinforcing discharge teaching with a client who had a mechanical mitral valve replacement. Which of the following statements by the client indicates an understanding of the teaching?Answer →
  116. 116Which explanation by the nurse best describes why heart failure may develop after a myocardial infarction?Answer →
  117. 117A client with suspected myocardial infarction has a heart rate of 104 bpm and reports chest discomfort. Which intervention is most appropriate?Answer →
  118. 118A nurse is reinforcing teaching with a client who has a new prescription for sublingual nitroglycerin to treat angina pectoris. The client asks the nurse how long he has to take the medication before his condition is cured. Which of the following actions should the nurse take first?Answer →