Cardiovascular Priority
Questions with Accurate
Answers
Ms. Teresa is completing discharge teaching for the client diagnosed
with angina. Which statement indicates the client needs more
teaching?
"I must keep my nitroglycerin tablets in a dark bottle at all times."
"I should walk at least 30 minutes at least three times a week."
"I will decrease the number of cigarettes I smoke daily."
"I am going to take one baby aspirin every day." correct answer "I will
decrease the number of cigarettes I smoke daily."
Ms. Teresa is looking over the morning laboratory results. Which client
warrants Ms. Teresa notifying the healthcare provider (HCP)?
The client receiving IMP digoxin who has a digoxin level of 2.4 mg/dL.
The client receiving Coumadin (warfarin) who has an INR of 1.2.
The client receiving furosemide who has a potassium level of 3.5
mEq/L. The client receiving nystatin who has a cholesterol level of 205.
correct answer The client receiving IMP digoxin who has a digoxin level
of 2.4 mg/dL.
,Ms. Teresa is transcribing the healthcare provider's admissions orders
for a client being admitted for R/O myocardial infarction. Which ACP's
order should Ms. Teresa question?
Draw cardiac isoenzymes every 6 hours.
Provide low-fat, low-cholesterol diet.
Administer morphine IVI) 2 mg every 5 minutes for chest pain.
Schedule client for endoscopy in a.m. correct answer Schedule client
for endoscopy in a.m.
The cardiac clinic nurse has told the female unlicensed assistive
personnel (UAP) twice to change the sharps container in the
examination room, but it has not been changed. Which action should
the nurse implement first?
1. Tell the UAP to change it immediately.
2. Ask the UAP why the sharps container has not been changed.
3. Change the sharps container as per clinic policy.
4. Document the situation and place a copy of the documentation in
the employee file. correct answer 3. Change the sharps container as per
clinic policy.
The cardiac clinic nurse hears the UAP tell the client, "You have gained
over 15 pounds since your last visit." The scale is located in the office
area. Which action should the clinic nurse implement?
,1. Tell the UAP in front of the client to not comment on the weight.
2. Ask the UAP to put the client in the room and take no action.
3. Explain to the UAP, in private, that this is an inappropriate comment
and violates HIPAA.
4. Report the UAP to the director of nurses of the clinic. correct answer
3. Explain to the UAP, in private, that this is an inappropriate comment
and violates HIPAA.
The cardiac nurse is preparing to administer one unit of blood to a
client. Which interventions should the nurse implement? Rank in order
of priority.
1. Infuse the unit of blood at 20 gtts/min the first 15 minutes.
2. Check the unit of blood and the client's blood band with another
nurse.
3. Initiate Y-tubing with normal saline via an 18-gauge angio catheter.
4. Assess the client's vital signs and lung sounds, and assess for a rash.
5. Obtain informed consent for the unit of blood from the client.
correct answer 5,4,3,2,1
The cardiac nurse is teaching the client diagnosed with congestive heart
failure. Which teaching interventions should the nurse discuss with the
client? Select all that apply.
, 1. Notify the healthcare provider (HCP) if the client gains more than 2
1b in one day.
2. Keep the head of the bed elevated when sleeping.
3. Take the loop diuretic once a day before going to sleep.
4. Teach the client which foods are high in sodium and should be
avoided.
5. Perform isotonic exercises at least once a day. correct answer 1,2,4,5
The cardiac nurse received laboratory results on the following clients.
Which client warrants immediate intervention from the nurse?
1. The client who has an INR of 2.8.
2. The client who has a serum potassium level of 3.8 mEq/L.
3. The client who has a serum digoxin level of 2.6 mg/dL.
4. The client who has a glycosylated hemoglobin of 6%. correct answer
3. The client who has a serum digoxin level of 2.6 mg/dL.
The charge nurse in the cardiac critical care unit is making rounds.
Which client should the nurse see first?
1. The client with coronary artery disease who is complaining that the
nurses are being rude and won't answer the call lights.
2. The client diagnosed with an acute myocardial infarction w has an
elevated creatinine phosphokinase-cardiac muscle (CPR-MB) level.
Questions with Accurate
Answers
Ms. Teresa is completing discharge teaching for the client diagnosed
with angina. Which statement indicates the client needs more
teaching?
"I must keep my nitroglycerin tablets in a dark bottle at all times."
"I should walk at least 30 minutes at least three times a week."
"I will decrease the number of cigarettes I smoke daily."
"I am going to take one baby aspirin every day." correct answer "I will
decrease the number of cigarettes I smoke daily."
Ms. Teresa is looking over the morning laboratory results. Which client
warrants Ms. Teresa notifying the healthcare provider (HCP)?
The client receiving IMP digoxin who has a digoxin level of 2.4 mg/dL.
The client receiving Coumadin (warfarin) who has an INR of 1.2.
The client receiving furosemide who has a potassium level of 3.5
mEq/L. The client receiving nystatin who has a cholesterol level of 205.
correct answer The client receiving IMP digoxin who has a digoxin level
of 2.4 mg/dL.
,Ms. Teresa is transcribing the healthcare provider's admissions orders
for a client being admitted for R/O myocardial infarction. Which ACP's
order should Ms. Teresa question?
Draw cardiac isoenzymes every 6 hours.
Provide low-fat, low-cholesterol diet.
Administer morphine IVI) 2 mg every 5 minutes for chest pain.
Schedule client for endoscopy in a.m. correct answer Schedule client
for endoscopy in a.m.
The cardiac clinic nurse has told the female unlicensed assistive
personnel (UAP) twice to change the sharps container in the
examination room, but it has not been changed. Which action should
the nurse implement first?
1. Tell the UAP to change it immediately.
2. Ask the UAP why the sharps container has not been changed.
3. Change the sharps container as per clinic policy.
4. Document the situation and place a copy of the documentation in
the employee file. correct answer 3. Change the sharps container as per
clinic policy.
The cardiac clinic nurse hears the UAP tell the client, "You have gained
over 15 pounds since your last visit." The scale is located in the office
area. Which action should the clinic nurse implement?
,1. Tell the UAP in front of the client to not comment on the weight.
2. Ask the UAP to put the client in the room and take no action.
3. Explain to the UAP, in private, that this is an inappropriate comment
and violates HIPAA.
4. Report the UAP to the director of nurses of the clinic. correct answer
3. Explain to the UAP, in private, that this is an inappropriate comment
and violates HIPAA.
The cardiac nurse is preparing to administer one unit of blood to a
client. Which interventions should the nurse implement? Rank in order
of priority.
1. Infuse the unit of blood at 20 gtts/min the first 15 minutes.
2. Check the unit of blood and the client's blood band with another
nurse.
3. Initiate Y-tubing with normal saline via an 18-gauge angio catheter.
4. Assess the client's vital signs and lung sounds, and assess for a rash.
5. Obtain informed consent for the unit of blood from the client.
correct answer 5,4,3,2,1
The cardiac nurse is teaching the client diagnosed with congestive heart
failure. Which teaching interventions should the nurse discuss with the
client? Select all that apply.
, 1. Notify the healthcare provider (HCP) if the client gains more than 2
1b in one day.
2. Keep the head of the bed elevated when sleeping.
3. Take the loop diuretic once a day before going to sleep.
4. Teach the client which foods are high in sodium and should be
avoided.
5. Perform isotonic exercises at least once a day. correct answer 1,2,4,5
The cardiac nurse received laboratory results on the following clients.
Which client warrants immediate intervention from the nurse?
1. The client who has an INR of 2.8.
2. The client who has a serum potassium level of 3.8 mEq/L.
3. The client who has a serum digoxin level of 2.6 mg/dL.
4. The client who has a glycosylated hemoglobin of 6%. correct answer
3. The client who has a serum digoxin level of 2.6 mg/dL.
The charge nurse in the cardiac critical care unit is making rounds.
Which client should the nurse see first?
1. The client with coronary artery disease who is complaining that the
nurses are being rude and won't answer the call lights.
2. The client diagnosed with an acute myocardial infarction w has an
elevated creatinine phosphokinase-cardiac muscle (CPR-MB) level.
