NUR 209 EXAM 2 (CARDIOVASCULAR) EXAM COMPLETE QUESTIONS AND ANSWERS | ALREADY PASSED | 2026 LATEST!!

NUR 209 EXAM 2 (CARDIOVASCULAR) EXAM COMPLETE QUESTIONS AND ANSWERS | ALREADY PASSED | 2026 LATEST!! Prep U maintenance of adequate comfort A nurse is assigned to care for a client with a terminal Rationale: The realistic outcome for a client with terminal cardiovascular disease is cardiovascular illness. When developing the client's plan maintenance of adequate comfort and acceptance of impending death.Realistic of care, which outcome would the nurse identify as most outcomes for the client with chronic cardiovascular disease focus on helping the realistic for this client? client to live within limitations imposed by the disease and to improve acceptance of changes in lifestyle and self-concept. Outcomes pertinent to the client who is adaptation to living with limitations admitted with an acute problem focus on recovery from the cardiovascular problem without residual complications. maintenance of adequate comfort acceptance of changes in lifestyle recovery from the cardiovascular problem Prep U Sitting Upon entering a client's room, the client tells the nurse, "I'm having some really strong pain in my chest." The Explanation:The nurse should make the client comfortable in a sitting position. A nurse intervenes immediately, placing the client in which supine position inhibits full chest expansion and limits gas exchange in the lung, position? so this position should be avoided. Since the heart works harder in the supine position than in the upright position, the supine position is not recommended. The Sitting hypotensive client is positioned with legs elevated 20 to 30 degrees. Standing upright Flat with legs raised 20 to 30 degrees Supine Prep U Electrocardiography Which of the following is a noninvasive procedure Explanation:Noninvasive heart monitoring involves electrocardiography and assisting the nurse in cardiovascular care? cardiac monitoring. Invasive techniques, such as pulmonary artery monitoring, Swan-Ganz catheterization, cardiac output determination, and cardiac support via Electrocardiography an intraaortic balloon pump (IABP), typically are used by trained critical care personnel to provide additional monitoring and support. Pulmonary artery monitoring Swan-Ganz catheterization Cardiac output determination Prep U "I should stop exercising if my pulse is below my target zone." A nurse is teaching a client with heart disease about exercising and signs of overexertion. The nurse Explanation:For the client, the goal of the exercise program is to achieve the determines that additional education is needed if the target heart rate. The client should stop exercising if his pulse rate exceeds his client states: target zone. "I should wait at least an hour after eating before exercising." "I need to call the doctor if it feels like my heart is racing." "I need to start my routine with my warm-up exercises." "I should stop exercising if my pulse is below my target zone." Prep U Chest pain A nursing instructor is developing a class presentation about reasons people with cardiovascular problems seek Explanation:Although a person with cardiovascular dysfunction may have medical care. Which of the following would the instructor hypertension, lower extremity swelling, or cough, pain or discomfort in the chest include as the most common reason? is the most common reason people with cardiovascular dysfunction seek medical care. Lower extremity swelling Persistent cough Chest pain Hypertension Prep U Heparin A nurse is preparing to administer a prescribed medication as prophylactic therapy for deep vein Explanation:Heparin is an anticoagulant that may be ordered as prophylaxis for thrombosis. What would the nurse most likely give? deep vein thrombosis. Digoxin is a cardiac glycoside used to increase cardiac contractility and decrease heart rate. Nitroglycerine is a drug used to relieve Amiodarone angina pain. Amiodarone is a drug used to regulate heart rhythm. Digoxin Heparin Nitroglycerin Prep U Ventricles eject blood. When describing the normal cardiac cycle, which of the following would a nursing instructor describe as occurring during systole? Ventricles eject blood. Chambers fill with blood. Heart muscle relaxes. Impulse is generated. Prep U Cold medication- because they have decongestants which makes your blood A 43-year-old woman was admitted to the hospital status vessels constrict and thus makes blood pressure and heart rate go up post chest pain and cardiac ischemia. The nurse is reviewing her list of daily medications. What might Diuretic actually increase the client's risk for cardiovascular Oral contraceptives problems? Select all that apply. Cold medication Diuretic Statin Oral contraceptives Prep U 98 beats per minute A nurse is assessing the heart rate of a newborn. Which Explanation: normal infant heart rate is 130-160 BPM finding would the nurse immediately report to the physician? 145 beats per minute 160 beats per minute 98 beats per minute 132 beats per minute Prep U 76.5 kg A nurse is providing care to a client with heart failure with because if you are in fluid overload, you gain 1 kg or more every day a nursing diagnosis of Fluid Volume Excess. As part of the nursing plan of care, the nurse weighs the client every morning before breakfast. The client's weight yesterday was 75 kg. Which weight, if obtained today, would the nurse report to the health care provider? 74.0 kg 76.5 kg 74.8 kg 75.7 kg Prep U 2 years A nurse has received certification in basic life support. The nurse would plan to be recertified in: 3 years 4 years 1 year 2 years Prep U "The powder helps to make sure your legs are dry for easier application." The nurse is applying antiembolism stockings on a client. The client asks, "Why are you putting powder on my legs?" Which response by the nurse would be most appropriate? "The powder helps to make sure your legs are dry for easier application." "The powder helps to ensure that the stockings fit properly." "It helps to keep the legs warmer when wearing the stockings." "It helps to prevent any pressure areas from developing." Prep U - "I can store the medicine on my counter in a clear glass container." A client with angina is prescribed sublingual nitroglycerin. Rationale: In clients with a history of pain, nitroglycerin should always be available After teaching the client about this medication, the nurse so that it can be quickly administered if chest pain occurs. determines that additional education is needed when the client states: "I should feel a tingling under my tongue when I use it." "I should carry the medicine with me at all times." "I can store the medicine on my counter in a clear glass container." "I need to check the expiration date so I refill the medicine on time." Prep U Fluid Volume Excess A client with cardiovascular dysfunction is prescribed a diuretic. Which nursing diagnosis would most likely apply? Decreased Cardiac Output Activity Intolerance Pain Fluid Volume Excess Prep U "Your blood pressure is slightly elevated. This is known as prehypertension." The nurse is reviewing the medical record of a client who has returned to the clinic for a follow-up visit. On several Rationale: The patient's blood pressure readings fall within the prehypertension previous visits, the client's blood pressure readings were category, with a systolic blood pressure between 120 to 139 mm Hg and a as follows: 124/80 mm Hg; 132/86 mm Hg; 130/88 mm Hg. diastolic blood pressure between 80 to 89 mm Hg. The client's blood pressure today is 128/82 mm Hg. Which statement by the nurse best reflects appropriate education for this client? "Your blood pressure is normal. Keep up the good work!" "Your blood pressure is moderately elevated. This is known as hypertension." "Your blood pressure is significantly elevated. This is known as a hypertensive crisis." "Your blood pressure is slightly elevated. This is known as prehypertension." Prep U "Be sure to have a physical exam before you start any intensive exercise program." A 45-year-old client with a history of hypertension asks the nurse about starting an exercise program. When counseling this client, which suggestion would be most appropriate? "Try using one of those energy drinks to help you get through the exercise program." "Be sure to have a physical exam before you start any intensive exercise program." "Check out the local fitness center for some help in getting really active." "It is also a good idea to visit a dietitian if you are starting an exercise program." Prep U Notify the health care provider immediately The nurse is assessing a client who comes to the urgent care clinic with the general report, "I just do not feel good." Which action should the nurse prioritize when noting the client's blood pressure is 198/130 mm Hg? Notify the health care provider immediately Document reading in the medical record Attach a blood pressure monitor to the client Recheck the blood pressure after 5 minutes Prep U Elevated blood pressure The nurse is assessing a 54-year-old client with a history of alcohol use disorder, who presents with a strong odor of alcohol on the breath, slurred speech, and poor coordination. Which finding on the assessment will the nurse anticipate? Slightly elevated temperature Elevated blood pressure No bowel sounds Hyperactivity Prep U An unconscious 29-year-old client who suffered a head injury in an accident The nurse is caring for several clients on the unit. Which Rationale: The immobile and unconscious client has the highest risk for developing client should the nurse prioritize interventions because of a thrombi due to lack of movement and the nurse will need to ensure the client is possible formation of thrombi? provided proper care to help eliminate this potential risk. A 32-year-old client preparing for discharge after surgery for a fractured fibula An unconscious 29-year-old client who suffered a head injury in an accident A 58-year-old client who underwent an emergent appendectomy A 28-year-old client who is in traction for a fractured right femur Prep U slowed speech. A nurse is providing care to a client with high blood pressure who is at risk for decreased cerebral tissue perfusion. The nurse would be alert for: appropriate responses. ability to follow directions. slowed speech. orientation to time. Prep U Dependent edema During a home care visit, a nurse completes a physical assessment and suspects that the client is experiencing Rationale: Dependent edema and engorged neck veins suggest heart failure or heart failure. What would lead the nurse to suspect this? inefficient pumping ability of the heart. Pink skin would be considered a normal finding. Engorged neck veins imply inefficient right-sided heart pumping. Clubbed Pink skin fingers are associated with oxygenation problems resulting from respiratory or cardiovascular disease. Dependent edema Flattened neck veins Clubbed fingers