Cardiovascular Test Bank
Questions with Accurate
Answers
A client arrives in the emergency department after being in a car crash
with fatalities. The client has a nearly amputated leg that is bleeding
profusely. What action by the nurse takes priority?
a. Apply direct pressure to the bleeding.
b. Ensure the client has a patent airway.
c. Obtain consent for emergency surgery.
d. Start two large-bore IV catheters. correct answer ANS: B
Airway is the priority, followed by breathing and circulation (IVs and
direct pressure). Obtaining consent is done by the physician.
A client had a femoropopliteal bypass graft with a synthetic graft. What
action by the nurse is most important to prevent wound infection?
a. Appropriate hand hygiene before giving care
,b. Assessing the clients temperature every 4 hours
c. Clean technique when changing dressings
d. Monitoring the clients daily white blood cell count correct answer
ANS: A
Hand hygiene is the best way to prevent infections in hospitalized
clients. Dressing changes should be done with sterile technique.
Assessing vital signs and white blood cell count will not prevent
infection.
A client had a percutaneous transluminal coronary angioplasty for
peripheral arterial disease. What assessment finding by the nurse
indicates a priority outcome for this client has been met?
a. Pain rated as 2/10 after medication
b. Distal pulse on affected extremity 2+/4+
c. Remains on bedrest as directed
d. Verbalizes understanding of procedure correct answer ANS: B
,Assessing circulation distal to the puncture site is a critical nursing
action. A pulse of 2+/4+ indicates good perfusion. Pain control,
remaining on bedrest as directed after the procedure, and
understanding are all important, but do not take priority over
perfusion.
A client had an acute myocardial infarction. What assessment finding
indicates to the nurse that a significant complication has occurred?
a. Blood pressure that is 20 mm Hg below baseline
b. Oxygen saturation of 94% on room air
c. Poor peripheral pulses and cool skin
d. Urine output of 1.2 mL/kg/hr for 4 hours correct answer ANS: C
Poor peripheral pulses and cool skin may be signs of impending
cardiogenic shock and should be reported immediately. A blood
pressure drop of 20 mm Hg is not worrisome. An oxygen saturation of
94% is just slightly below normal. A urine output of 1.2 mL/kg/hr for 4
hours is normal.
, A client has a deep vein thrombosis (DVT). What comfort measure does
the nurse delegate to the unlicensed assistive personnel (UAP)?
a. Ambulate the client.
b. Apply a warm moist pack.
c. Massage the clients leg.
d. Provide an ice pack. correct answer ANS: B
Warm moist packs will help with the pain of a DVT. Ambulation is not a
comfort measure. Massaging the clients legs is contraindicated to
prevent complications such as pulmonary embolism. Ice packs are not
recommended for DVT.
A client has an intra-arterial blood pressure monitoring line. The nurse
notes bright red blood on the clients sheets. What action should the
nurse perform first?
a. Assess the insertion site.
b. Change the clients sheets.
Questions with Accurate
Answers
A client arrives in the emergency department after being in a car crash
with fatalities. The client has a nearly amputated leg that is bleeding
profusely. What action by the nurse takes priority?
a. Apply direct pressure to the bleeding.
b. Ensure the client has a patent airway.
c. Obtain consent for emergency surgery.
d. Start two large-bore IV catheters. correct answer ANS: B
Airway is the priority, followed by breathing and circulation (IVs and
direct pressure). Obtaining consent is done by the physician.
A client had a femoropopliteal bypass graft with a synthetic graft. What
action by the nurse is most important to prevent wound infection?
a. Appropriate hand hygiene before giving care
,b. Assessing the clients temperature every 4 hours
c. Clean technique when changing dressings
d. Monitoring the clients daily white blood cell count correct answer
ANS: A
Hand hygiene is the best way to prevent infections in hospitalized
clients. Dressing changes should be done with sterile technique.
Assessing vital signs and white blood cell count will not prevent
infection.
A client had a percutaneous transluminal coronary angioplasty for
peripheral arterial disease. What assessment finding by the nurse
indicates a priority outcome for this client has been met?
a. Pain rated as 2/10 after medication
b. Distal pulse on affected extremity 2+/4+
c. Remains on bedrest as directed
d. Verbalizes understanding of procedure correct answer ANS: B
,Assessing circulation distal to the puncture site is a critical nursing
action. A pulse of 2+/4+ indicates good perfusion. Pain control,
remaining on bedrest as directed after the procedure, and
understanding are all important, but do not take priority over
perfusion.
A client had an acute myocardial infarction. What assessment finding
indicates to the nurse that a significant complication has occurred?
a. Blood pressure that is 20 mm Hg below baseline
b. Oxygen saturation of 94% on room air
c. Poor peripheral pulses and cool skin
d. Urine output of 1.2 mL/kg/hr for 4 hours correct answer ANS: C
Poor peripheral pulses and cool skin may be signs of impending
cardiogenic shock and should be reported immediately. A blood
pressure drop of 20 mm Hg is not worrisome. An oxygen saturation of
94% is just slightly below normal. A urine output of 1.2 mL/kg/hr for 4
hours is normal.
, A client has a deep vein thrombosis (DVT). What comfort measure does
the nurse delegate to the unlicensed assistive personnel (UAP)?
a. Ambulate the client.
b. Apply a warm moist pack.
c. Massage the clients leg.
d. Provide an ice pack. correct answer ANS: B
Warm moist packs will help with the pain of a DVT. Ambulation is not a
comfort measure. Massaging the clients legs is contraindicated to
prevent complications such as pulmonary embolism. Ice packs are not
recommended for DVT.
A client has an intra-arterial blood pressure monitoring line. The nurse
notes bright red blood on the clients sheets. What action should the
nurse perform first?
a. Assess the insertion site.
b. Change the clients sheets.
