Practice 90 Questions and Answers |
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A nurse is assessing a client who reports an increase in their stress level related to the
demands of their job. Which of the following interventions should the nurse recommend
for the client to reduce their stress?
A. Instruct the client to vary the time they go to sleep each night
B. Have the client check their BP daily
C. Discuss the benefits of meditation with the client
D. Have the client limit their exercise program until the stress has decreased -
✓✓Discuss the benefits of meditation with the client
A nurse has completed a cardiovascular assessment on a client. Which of the following
findings should the nurse report to the provider?
A. Capillary refill of 3 seconds
B. +2 radial pulse
C. Fingernail with 160 degree curvature
D. Oxygen saturation 98% -✓✓Capillary refill of 3 seconds
A nurse is auscultating heart sounds. Identify the location where the apical pulse is
auscultated.
A. 1st intercostal left
B. 1st intercostal right
C. 4th intercostal left
D. 5th intercostal left -✓✓5th intercostal space in the left midclavicular area
A nurse is teaching a client about behaviors that promote cardiovascular health. Which
of the following client statements indicate an understanding of the teaching? (Select all
that apply).
"I am going to start walking several times a week"
"I plan to join a support group to help me stop smoking"
"If my HDL cholesterol levels are high, it can hurt my heart"
"I will be sure to have a blood pressure checked at least every year"
"Eating more low-fiber foods and processed carbohydrates will make my heart
healthier" -✓✓"I am going to start walking several times a week"
"I plan to join a support group to help me stop smoking"
"I will be sure to have a blood pressure checked at least every year"
, A nurse is caring for a client who has a peripheral venous ulcer. Which of the following
actions should the nurse take? (Select all that apply.)
- Instruct the client to apply warm heat for pain
-Instruct the client to sit with their legs uncrossed
-encourage the client to avoid tobacco products
-Instruct the client to cleanse the area with mild soap
-Instruct the client to wear shoes when ambulating -✓✓-Instruct the client to sit with their
legs uncrossed
-encourage the client to avoid tobacco products
-Instruct the client to cleanse the area with mild soap
-Instruct the client to wear shoes when ambulating
A nurse is preparing to conduct a cardiovascular assessment on a client. Which of the
following actions should the nurse plan to take? (Select all that apply.)
-Auscultate the apical pulse
- Ask the client if they experience shortness of breath
-Check the color of the client's skin
- Auscultate the bowel mobility
- Inspect the extremities for the presence of edema -✓✓-Auscultate the apical pulse
- Ask the client if they experience shortness of breath
-Check the color of the client's skin
- Inspect the extremities for the presence of edema
A nurse is inspecting and palpating the neck vessels of a client. Which of the following
findings should the nurse report to the provider? (Select all that apply.)
-Visible pulsations observed in the carotid area on both sides of the neck
- Full, bounding pulse noted bilaterally in the carotid arteries upon palpation
-Distention of the jugular vein on one side of the neck
- Flattening of the jugular veins when the client sits upright
- The left carotid artery pulse is weak -✓✓- Full, bounding pulse noted bilaterally in the
carotid arteries upon palpation
-Distention of the jugular vein on one side of the neck
- The left carotid artery pulse is weak
A nurse is auscultating heart sounds in a group of clients. Which of the following should
the nurse identify as an expected variation?
A. An adolescent who has an S3 heart sound
B. An older adult who has a heart rate of 48/min
C. A young adult who has an irregular apical pulse
D. A middle adult who has a murmur -✓✓A. An adolescent who has an S3 heart sound