Medical-Surgical Nursing: Concepts for Interprofessional
Collaborative Care Test Bank – MCQs with Answers
1.A nurse in relalering teaching with a client who is scheduled for an echocardiogram.
Which of the following statements should the nurse include in the teaching?
A. "You may experience a warm feeling when the dye is injected.
B. "The test will require 2 hours to complete -
C. "You will be placed onto your right side during the procedure."
D. The test allows us to see how your heart valves work." - Correct answer D. The test allows us
to see how tour heart valves work
2.A nurse is reinforcing teach ing with a client who is scheduled for a stress test. Which of the
following statements should the nurse include in the teaching?
A. "You should not have anything to eat or drink for 8 hours prior to the test."
B. You will exercise your heart by walking on a treadmill."
C. A chest x-ray will be obtained following the test."
D.The test will be delayed if your troponin |level is less than 0.5 ng/mL. - Correct answer B. You
will exercise your heart by walking on a treadmill
,3.A nurse is reinforcing teaching with a client who is scheduled for coronary angiography. Which
of the following statements should the nurse include?
A. "You should have nothing to eat or drink for 4 hours prior to the procedure.
B. "You will be given general anesthesia during the procedure."
C. "You should not have this procedure done if you are allergic to eggs."
D.You will need to keep your affected leg straight following the procedure." - Correct answer D.
You will need to keep your affected leg straight following the procedure
4.A nurse at a provider's office is reviewing the laboratory test results for a group of clients. The
nurse should identify that which of the following results indicates the client is at risk for heart
disease? (Select all that apply.)
A. Cholesterol (total) 245 mg/dL
B. HDL 90 mg/dL
C. LDL 140 mg/dL
D.Triglycerides 125 mg/dL
E. Troponin 1 0.02 ng/mL - Correct answer A. Cholesterol (total) 245 mg/dL
C. LDL 140 mg/dL
5. A nurse is assisting in the care of a client who began having chest pain 2 hr ago. Which of the
following laboratory findings should the nurse identify as an indication the client has sustained
injury to the heart?
A.Troponin T 0.8 ng/mL
B. Creatine kinase (MB) 100 units/L
C. Myoglobin 80 mcg/L
D. Triglycerides 120 mg/dL - Correct answer A. Troponin T 0.8 ng/mL
6.A nurse is assisting with dhe care of a group or Arents. The nurse should recrisk it which of,
dillowing clients as beine at thatar the denie. of a dysrhythmia? (Select all that apply)
A client who has metabolic alkalosis
B. A client who has a blood potassium level of 4.3 mEg/L
C. A client who has an SaO2 of 96%
,D.A client who has alcohol use disorder
E. A client who underwent stent placement in a coronary artery - Correct answer A. Client who
has metabolic alkalosis
7.A nurse is caring for a client who experienced defibrillation. Which of the following should be
included in the documentation of this procedure? (Select all that apply.)
A.Follow-up ECG
B.Energy settings used
C.IV fluid intake
D. Urinary output
E.Skin condition under electrodes - Correct answer A. Follow up ecg
B. Energy setting used
E. Skin condition under electrodes
A nurse is caring for a client who is on telemetry.
8.The nurse recognizes the client's heart rate is 46/min and notifies the provider. Which of the
following prescriptions might be appropriate for this client?
A. Defibrillation
B.Pacemaker insertion
C. Synchronized cardioversion
D. Administration of IV lidocaine - Correct answer B. Pacemaker insertion
9.A nurse is reinforcing teaching with a client who is scheduled for synchronized cardioversion
for treatment of atrial fibrillation. The client asks why it is necessary that an anticoagulant be
taken for several weeks prior to the procedure. Which of the following responses should the
nurse make?
A. "The medication will improve the effectiveness of the cardioversion."
B. "The medication may cause the heart to resume a normal rhythm so the procedure wouldn't
be necessary."
C. "The medication will prevent infection."
, "D. The medication will decrease the risk of blood clots causing further complications"" -
Correct answer "D. The medication will decrease the risk of blood clots causing further
complications""
10.A nurse is contriatino to the plan of care for a client who has transferred from the coronary
care unit following coronary artery bypass graft surgery. Which of the following interventions
should the nurse include?
A. Provide percussion chest physiotherapy to loosen pulmonary secretions.
B. Report urinary output less than 300 mL in 8 hr.
c. Limit administration of opioid analgesics for pain ratings greater than 7 out of 10
D. Instruct the client to splint chest when deep breathing. - Correct answer D. Instruct the client
to splint chest when deep breathing
11. A nurse is caring for a client following peripheral bypass graft surgery of the left lower
extremity.
Which of the following findings pose an immediate concern? (Select all that apply.)
A. Trace of bloody drainage on dressing
B.Capillary refill of affected limb of 6 seconds
C.Mottled appearance of the limb
D. Throbbing pain of affected limb that is decreased following IV bolus analgesic
E. Pulse of 2+ in the affected limb - Correct answer B. Cap refill to affect limb of 6 seconds
C. Mottle appearance of the limb
12.A nurse is reinforcing discharge teaching with a client following an atherectomy using the
right femoral artery as an access. Which of the following client statements indicates an
understanding of the information?
A. "I should expect moderate swelling of the insertion site on my right groin."
B. "I will limit fluid intake for the first 24 hours following the procedure."
C. should restrict lifting to 5 pounds."
"D. I can resume high-impact aerobic exercises right away." - Correct answer C. I should restrict
lifting to 5 lbs
Collaborative Care Test Bank – MCQs with Answers
1.A nurse in relalering teaching with a client who is scheduled for an echocardiogram.
Which of the following statements should the nurse include in the teaching?
A. "You may experience a warm feeling when the dye is injected.
B. "The test will require 2 hours to complete -
C. "You will be placed onto your right side during the procedure."
D. The test allows us to see how your heart valves work." - Correct answer D. The test allows us
to see how tour heart valves work
2.A nurse is reinforcing teach ing with a client who is scheduled for a stress test. Which of the
following statements should the nurse include in the teaching?
A. "You should not have anything to eat or drink for 8 hours prior to the test."
B. You will exercise your heart by walking on a treadmill."
C. A chest x-ray will be obtained following the test."
D.The test will be delayed if your troponin |level is less than 0.5 ng/mL. - Correct answer B. You
will exercise your heart by walking on a treadmill
,3.A nurse is reinforcing teaching with a client who is scheduled for coronary angiography. Which
of the following statements should the nurse include?
A. "You should have nothing to eat or drink for 4 hours prior to the procedure.
B. "You will be given general anesthesia during the procedure."
C. "You should not have this procedure done if you are allergic to eggs."
D.You will need to keep your affected leg straight following the procedure." - Correct answer D.
You will need to keep your affected leg straight following the procedure
4.A nurse at a provider's office is reviewing the laboratory test results for a group of clients. The
nurse should identify that which of the following results indicates the client is at risk for heart
disease? (Select all that apply.)
A. Cholesterol (total) 245 mg/dL
B. HDL 90 mg/dL
C. LDL 140 mg/dL
D.Triglycerides 125 mg/dL
E. Troponin 1 0.02 ng/mL - Correct answer A. Cholesterol (total) 245 mg/dL
C. LDL 140 mg/dL
5. A nurse is assisting in the care of a client who began having chest pain 2 hr ago. Which of the
following laboratory findings should the nurse identify as an indication the client has sustained
injury to the heart?
A.Troponin T 0.8 ng/mL
B. Creatine kinase (MB) 100 units/L
C. Myoglobin 80 mcg/L
D. Triglycerides 120 mg/dL - Correct answer A. Troponin T 0.8 ng/mL
6.A nurse is assisting with dhe care of a group or Arents. The nurse should recrisk it which of,
dillowing clients as beine at thatar the denie. of a dysrhythmia? (Select all that apply)
A client who has metabolic alkalosis
B. A client who has a blood potassium level of 4.3 mEg/L
C. A client who has an SaO2 of 96%
,D.A client who has alcohol use disorder
E. A client who underwent stent placement in a coronary artery - Correct answer A. Client who
has metabolic alkalosis
7.A nurse is caring for a client who experienced defibrillation. Which of the following should be
included in the documentation of this procedure? (Select all that apply.)
A.Follow-up ECG
B.Energy settings used
C.IV fluid intake
D. Urinary output
E.Skin condition under electrodes - Correct answer A. Follow up ecg
B. Energy setting used
E. Skin condition under electrodes
A nurse is caring for a client who is on telemetry.
8.The nurse recognizes the client's heart rate is 46/min and notifies the provider. Which of the
following prescriptions might be appropriate for this client?
A. Defibrillation
B.Pacemaker insertion
C. Synchronized cardioversion
D. Administration of IV lidocaine - Correct answer B. Pacemaker insertion
9.A nurse is reinforcing teaching with a client who is scheduled for synchronized cardioversion
for treatment of atrial fibrillation. The client asks why it is necessary that an anticoagulant be
taken for several weeks prior to the procedure. Which of the following responses should the
nurse make?
A. "The medication will improve the effectiveness of the cardioversion."
B. "The medication may cause the heart to resume a normal rhythm so the procedure wouldn't
be necessary."
C. "The medication will prevent infection."
, "D. The medication will decrease the risk of blood clots causing further complications"" -
Correct answer "D. The medication will decrease the risk of blood clots causing further
complications""
10.A nurse is contriatino to the plan of care for a client who has transferred from the coronary
care unit following coronary artery bypass graft surgery. Which of the following interventions
should the nurse include?
A. Provide percussion chest physiotherapy to loosen pulmonary secretions.
B. Report urinary output less than 300 mL in 8 hr.
c. Limit administration of opioid analgesics for pain ratings greater than 7 out of 10
D. Instruct the client to splint chest when deep breathing. - Correct answer D. Instruct the client
to splint chest when deep breathing
11. A nurse is caring for a client following peripheral bypass graft surgery of the left lower
extremity.
Which of the following findings pose an immediate concern? (Select all that apply.)
A. Trace of bloody drainage on dressing
B.Capillary refill of affected limb of 6 seconds
C.Mottled appearance of the limb
D. Throbbing pain of affected limb that is decreased following IV bolus analgesic
E. Pulse of 2+ in the affected limb - Correct answer B. Cap refill to affect limb of 6 seconds
C. Mottle appearance of the limb
12.A nurse is reinforcing discharge teaching with a client following an atherectomy using the
right femoral artery as an access. Which of the following client statements indicates an
understanding of the information?
A. "I should expect moderate swelling of the insertion site on my right groin."
B. "I will limit fluid intake for the first 24 hours following the procedure."
C. should restrict lifting to 5 pounds."
"D. I can resume high-impact aerobic exercises right away." - Correct answer C. I should restrict
lifting to 5 lbs
