Cardiovascular Exam 2
Questions with Accurate
Answers
A. "I will increase my intake of fluid and foods high in fiber."
C. "I will call my healthcare provider if I notice swelling in my ankles."
correct answer The nurse is teaching a patient with essential
hypertension who has a new prescription for verapamil [Calan]. Which
statements by the patient indicate that the teaching was effective?
(Select all that apply.)
A. "I will increase my intake of fluid and foods high in fiber."
B. "I should stay out of direct sunlight to prevent exposing my skin to
the sun."
C. "I will call my healthcare provider if I notice swelling in my ankles."
D. "I need to avoid salt substitutes and potassium supplements."
E. "I may notice easy bruising and bleeding with this drug."
A. 1.0 correct answer The nurse is reviewing the laboratory test results
for a 68-year-old patient whose warfarin (Coumadin) therapy was
terminated during the preoperative period. The nurse concludes that
the patient is in the most stable condition for surgery after noting
which INR (international normalized ratio) result?
A. 1.0
B. 8
C. 2.7
,D. 3.4
A. A 70-year-old male, with high cholesterol and hypertension correct
answer Which person should the nurse identify as having the highest
risk for abdominal aortic aneurysm?
A. A 70-year-old male, with high cholesterol and hypertension
B. A 40-year-old female with obesity and metabolic syndrome
C. A 60-year-old male with renal insufficiency who is physically inactive
D. A 65-year-old female with hyperhomocysteinemia and substance
abuse
A. Analyze heart rate and rhythm.
Before giving digoxin, the nurse will assess the heart rate and rhythm.
The dosage will be held and the prescriber notified if the heart rate is
below 60 beats per minute or if the cardiac rhythm has changed.
Digoxin can cause bradycardia and electrical changes in the heart.
correct answer The nurse is preparing to administer a daily dose of
digoxin [Lanoxin]. What is the priority nursing intervention?
A. Analyze heart rate and rhythm.
B. Assess for Homans' sign.
C. Check blood pressure.
D. Palpate the pedal pulses.
,A. Buerger's disease correct answer A 40-year-old man tells the nurse
he has a diagnosis for the color and temperature changes of his limbs
but can't remember the name of it. He says he must stop smoking and
avoid trauma and exposure of his limbs to cold temperatures to get
better. This description should allow the nurse to ask the patient if he
has which diagnosis?
A. Buerger's disease
B. Venous thrombosis
C. Acute arterial ischemia
D. Raynaud's phenomenon
A. Cleansing and maintenance of extracellular fluid volume correct
answer The nurse knows that diuretics mostly affect which function of
the kidneys?
A. Cleansing and maintenance of extracellular fluid volume
B. Maintenance of acid-base balance
C. Excretion of metabolic waste
D. Elimination of foreign substances
A. Digoxin toxicity correct answer The nurse should monitor for which
adverse effect after administering hydrochlorothiazide [HydroDIURIL]
and digoxin [Lanoxin] to a patient?
A. Digoxin toxicity
B. Decreased diuretic effect
C. Dehydration
, D. Heart failure
A. Duplex ultrasound correct answer When the patient is being
examined for venous thromboembolism (VTE) in the calf, what
diagnostic test should the nurse expect to teach the patient about first?
A. Duplex ultrasound
B. Contrast venography
C. Magnetic resonance venography
D. Computed tomography venography
A. Fatigue
B. Vomiting
D. Blurred vision
Fatigue, vomiting, and blurred vision are common noncardiac
symptoms that can provide advance warning of digoxin toxicity. Muscle
weakness is an early sign of hypokalemia. Dizziness is not a symptom of
digoxin toxicity. correct answer Which patient symptoms should cause
the nurse to be concerned about digoxin [Lanoxin] toxicity? (Select all
that apply.)
A. Fatigue
B. Vomiting
C. Dizziness
D. Blurred vision
Questions with Accurate
Answers
A. "I will increase my intake of fluid and foods high in fiber."
C. "I will call my healthcare provider if I notice swelling in my ankles."
correct answer The nurse is teaching a patient with essential
hypertension who has a new prescription for verapamil [Calan]. Which
statements by the patient indicate that the teaching was effective?
(Select all that apply.)
A. "I will increase my intake of fluid and foods high in fiber."
B. "I should stay out of direct sunlight to prevent exposing my skin to
the sun."
C. "I will call my healthcare provider if I notice swelling in my ankles."
D. "I need to avoid salt substitutes and potassium supplements."
E. "I may notice easy bruising and bleeding with this drug."
A. 1.0 correct answer The nurse is reviewing the laboratory test results
for a 68-year-old patient whose warfarin (Coumadin) therapy was
terminated during the preoperative period. The nurse concludes that
the patient is in the most stable condition for surgery after noting
which INR (international normalized ratio) result?
A. 1.0
B. 8
C. 2.7
,D. 3.4
A. A 70-year-old male, with high cholesterol and hypertension correct
answer Which person should the nurse identify as having the highest
risk for abdominal aortic aneurysm?
A. A 70-year-old male, with high cholesterol and hypertension
B. A 40-year-old female with obesity and metabolic syndrome
C. A 60-year-old male with renal insufficiency who is physically inactive
D. A 65-year-old female with hyperhomocysteinemia and substance
abuse
A. Analyze heart rate and rhythm.
Before giving digoxin, the nurse will assess the heart rate and rhythm.
The dosage will be held and the prescriber notified if the heart rate is
below 60 beats per minute or if the cardiac rhythm has changed.
Digoxin can cause bradycardia and electrical changes in the heart.
correct answer The nurse is preparing to administer a daily dose of
digoxin [Lanoxin]. What is the priority nursing intervention?
A. Analyze heart rate and rhythm.
B. Assess for Homans' sign.
C. Check blood pressure.
D. Palpate the pedal pulses.
,A. Buerger's disease correct answer A 40-year-old man tells the nurse
he has a diagnosis for the color and temperature changes of his limbs
but can't remember the name of it. He says he must stop smoking and
avoid trauma and exposure of his limbs to cold temperatures to get
better. This description should allow the nurse to ask the patient if he
has which diagnosis?
A. Buerger's disease
B. Venous thrombosis
C. Acute arterial ischemia
D. Raynaud's phenomenon
A. Cleansing and maintenance of extracellular fluid volume correct
answer The nurse knows that diuretics mostly affect which function of
the kidneys?
A. Cleansing and maintenance of extracellular fluid volume
B. Maintenance of acid-base balance
C. Excretion of metabolic waste
D. Elimination of foreign substances
A. Digoxin toxicity correct answer The nurse should monitor for which
adverse effect after administering hydrochlorothiazide [HydroDIURIL]
and digoxin [Lanoxin] to a patient?
A. Digoxin toxicity
B. Decreased diuretic effect
C. Dehydration
, D. Heart failure
A. Duplex ultrasound correct answer When the patient is being
examined for venous thromboembolism (VTE) in the calf, what
diagnostic test should the nurse expect to teach the patient about first?
A. Duplex ultrasound
B. Contrast venography
C. Magnetic resonance venography
D. Computed tomography venography
A. Fatigue
B. Vomiting
D. Blurred vision
Fatigue, vomiting, and blurred vision are common noncardiac
symptoms that can provide advance warning of digoxin toxicity. Muscle
weakness is an early sign of hypokalemia. Dizziness is not a symptom of
digoxin toxicity. correct answer Which patient symptoms should cause
the nurse to be concerned about digoxin [Lanoxin] toxicity? (Select all
that apply.)
A. Fatigue
B. Vomiting
C. Dizziness
D. Blurred vision
