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Cardiovascular Nursing Practice Questions: A Comprehensive Review, Exams of Medicine

University of WestminsterMedicine

A series of multiple-choice questions covering various aspects of cardiovascular nursing. It provides a valuable resource for students and professionals seeking to enhance their knowledge and understanding of cardiovascular care. The questions address key concepts such as endocarditis, pacemaker complications, warfarin therapy, heart failure, coronary artery bypass graft (cabg), ecg interpretation, and hypertension management.

Typology: Exams

2024/2025

Available from 03/05/2025

NurseTakshif
NurseTakshif 🇬🇧

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RN Targeted Medical Surgical Cardiovascular Online Practice 2019
1. A nurse is caring for a client who has endocarditis.Which of the following
findings should the nurse recognize as a potential complication Correct
Answer valvular disease
valvular disease or damage often occurs as a result of inflammation or infection of the
endocardium
2. A nurse is caring for a client following insertion of a permanent pacemaker.
Which of the following client statements indicates a potential complication of
the insertion procedure Correct Answer "I can't get rid of these hiccups"
hiccups can indicate that the pacemaker is stimulating the chest wall or diaphragm,
which can occur as a result of a lead wire perforation
3. A nurse is assessing a client who has a history of DVT and is receiving
warfarin.Which of the following findings should indicate to the nurse that the
medication is effective Correct Answer INR 2.0
the nurse should identify that an INR of 2.0 is within the desired reference range of
2.0-3.0 for a client who has a DVT and is receiving warfarin to reduce the risk of a
new clot formation and stroke
4. A nurse is caring for a client who is being treated for heart failure and has a
prescription for furosemide. The nurse should plan to monitor for which of the
following adverse effects of the medication Correct Answer lightheadedness
furosemide can cause a substantial drop in BP, resulting in lightheadedness or
dizziness
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RN Targeted Medical Surgical Cardiovascular Online Practice 2019

  1. A nurse is caring for a client who has endocarditis. Which of the following findings should the nurse recognize as a potential complication Correct Answer valvular disease valvular disease or damage often occurs as a result of inflammation or infection of the endocardium
  2. A nurse is caring for a client following insertion of a permanent pacemaker. Which of the following client statements indicates a potential complication of the insertion procedure Correct Answer "I can't get rid of these hiccups" hiccups can indicate that the pacemaker is stimulating the chest wall or diaphragm, which can occur as a result of a lead wire perforation
  3. A nurse is assessing a client who has a history of DVT and is receiving warfarin.Which of the following findings should indicate to the nurse that the medication is effective Correct Answer INR 2. the nurse should identify that an INR of 2.0 is within the desired reference range of 2.0-3.0 for a client who has a DVT and is receiving warfarin to reduce the risk of a new clot formation and stroke
  4. A nurse is caring for a client who is being treated for heart failure and has a prescription for furosemide. The nurse should plan to monitor for which of the following adverse effects of the medication Correct Answer lightheadedness furosemide can cause a substantial drop in BP, resulting in lightheadedness or dizziness

2 /

  1. A nurse is caring for a client who is scheduled for a coronary artery bypass graft (CABG) in 2 hr. Which of the following client statements indicates a need for further clarification by the nurse Correct Answer "I took my warfarin last night according to my usual schedule" clients who are scheduled for a CABG should not take anticoagulants, such as warfarin, for several days prior to the surgery to prevent excessive bleeding
  2. A nurse is reviewing the ECG rhythm strip of a client who is receiving telemetry.Which of the following areas of the strip should the nurse examine to observe for atrial depolarization Correct Answer A
  3. A nurse is reviewing the laboratory results of several male clients who have peripheral arterial disease.The nurse should plan to provide dietary teaching for the client who has which of the following laboratory values Correct Answer cholesterol 190 mg/dL, HDL 25 mg/dL, LDL 160 mg/dL

4 /

  1. A nurse is assessing a client who has left-sided heart failure. Which of the following manifestations should the nurse expect to find Correct Answer weak peripheral pulses weak peripheral pulses are related to decreased cardiac output resulting from left-sided heart failure
  2. A nurse in an emergency department is caring for a client who had an anterior myocardial infarction.The client's history reveals that they are 1 week postoperative following an open cholecystectomy.The nurse should identify that which of the following interventions in contraindicated Correct Answer assisting with thrombolytic therapy

5 / the nurse should recognize that major surgery within the previous 3 weeks is a contraindication for thrombolytic therapy

  1. A nurse is preparing a client for coronary angiography. Which of the following findings should the nurse report to the provider prior to the proce- dure Correct Answer previous allergy to shellfish the contrast medium used for coronary angiography is iodine-based. clients who have a history of allergic reaction to shellfish often react to iodine and might need a steroid or antihistamine prior to the procedure
  2. A nurse is caring for a client who has heart failure and is experiencing atrial fibrillation. Which of the following findings should the nurse plan to monitor for and report to the provider immediately Correct Answer slurred speech the greatest risk to this client is injury for an embolus caused by the pooling of blood that can occur with atrial fibrillation. slurred speech can indicate inadequate circulation to the brain because of an embolus. therefore, the nurse should report this finding to the provider immediately
  3. A nurse is an emergency department is caring for a client who has a BP of 254/139 mm Hg. The nurse recognizes that the client is in a hypertensive crisis. Which of the following actions should the nurse take first Correct Answer elevate the head of the client's bed the greatest risk to this client is organ injury due to severe hypertension. therefore, the first action the nurse should take is to elevate the head of the client's bed to reduce blood pressure and promote oxygenation
  4. A nurse is caring for a client who is receiving heparin therapy and develops

7 / a persistent cough is an adverse effect of ACE inhibitors. the client should report this finding to the provider and discontinue the medication

  1. A nurse is planning a presentation for a group of client who have hy- pertension.Which of the following lifestyle modifications should the nurse include Correct Answer limited alcohol intake regular exercise program tobacco cessation
  2. A nurse is caring for a client who is 8 hr postoperative following a coronary artery bypass graft (CABG). Which of the following findings should the nurse report Correct Answer BP 160/80 mm Hg the nurse should report an elevated BP following a CABG because increased vascular pressure can cause bleeding at the incision sites
  3. A nurse in an emergency department is assessing a client who has a bradydysrhythmia. Which of the following findings should the nurse monitor for Correct Answer confusion bradydysrhythmia can cause decreased systemic perfusion, which can lead to confusion. therefore, the nurse should monitor the client's mental status
  4. A nurse is providing discharge teaching to a client who has heart failure. The nurse should instruct the client to report which of the following findings immediately to the provider 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 1.1-2 lb in 1 day. this weight gain is an indication of fluid retention resulting from worsening heart failure. the client

8 / should report this finding immediately

  1. A nurse is caring for a client who was admitted for treatment of left-sided heart failure and is receiving intravenous loop diuretics and digitalis therapy. The client is experiencing weakness and an irregular heart rate. Which of the following actions should the nurse take first Correct Answer review serum electrolyte values weakness and irregular heart rate indicate that the client is at the greatest risk for electrolyte imbalance, an adverse effect of loop diuretics. the first action the nurse should take is to review the client's electrolyte values, particularly the potassium level, because the client is at risk for dysrhythmias from hypokalemia
  2. 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 resched-

10 / have venous ulcers do not

  1. A nurse is caring for a client who is 1 hr postoperative following an aortic aneurysm repair. Which of the following findings can indicate shock and should be reported to the provider Correct Answer urine output of 20 mL/hr urine output less than 30 mL/hr is a manifestation of shock.Urine output is decreased due to a compensatory decreased blood flow to the kidneys, hypovolemia, or graft thrombosis or rupture
  2. A nurse is caring for a client who had an onset of chest pain 24 hr ago. The nurse should identify that an increase in which of the following values is diagnostic of a myocardial infarction Correct Answer creatine kinase-MB creatine kinase-MB is the isoenzyme specific to the myocardium. elevated creatine kinase-MB indicates myocardial muscle injury

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  1. A nurse is performing a cardiac assessment on a client. Identify the area the nurse should inspect when evaluating the PMI.: D inspection of this location allows the nurse to assess for pulsations of the apex area of the heart, which is considered the apical pulse or PMI. the PMI is located at the left fifth intercostal space in the midclavicular line
  2. A nurse is assessing a client who has dilated cardiomyopathy.Which of the following findings should the nurse expect Correct Answer dyspnea on exertion the nurse should identify dyspnea on exertion as an expected manifestation of dilated cardiomyopathy. dyspnea of exertion due to ventricular compromise and reduced cardiac output