NUR 4090 EXAM 2 QUESTIONS ANSWERED CORRECTLY LATEST UPDATE 2026
Client in cardiogenic shock has a swan ganz catheter in his external jugular vein what finding in the
right position - Answers The PA waveform is displayed on the monitor and a dicrotic notch is visible
Normal swan ganz readings - client had a MI complicated by CHF. five days treated with Lasix, BP
decreased what should the nurse expect - Answers Give a 250 cc bolus of NS over one hour
Vasopressor is wrong bc pt does not have adequate volume
Client in cardiogenic shock on a ventilator with a IABP and dobutamine. Client has a drop in urine
output and balloon tracing appears to be flat - what intervention / order can the nurse expect next -
Answers Obtain a chest x-ray
Client is speaking regarding triglyceride which statement indicates a knowledge deficit? - Answers My
HDL level is above 55 and I want to lower it
Client is 2 days post MI hist of afib currently in that rhythm which is most concerning - Answers Pt has
a resting heart rate of 106
Client is in cardiac arrest due to Vtach. CPR is in process which is an issue - Answers Absence of a
code board under the patient
Nurse is caring for a client with a history of smoking, CAD and MI. client had another MI and right
groin angioplasty - which is significant teaching - Answers Client's significant other raising the client's
head
Client with severe COPD has just undergone a TEE - what is most concerning - Answers Client's son is
giving the client coffee
80-year-old client newly diagnosed thoracic aneurysm - client needs CAT scan. Client complains of
headache and increase in BP - what is nurse first priority - Answers Contact provider to lower the BP
meds
Nurse is teaching a pt who has had a permanent pacemaker about post care. What could interfere
with device function (SATA) - Answers Avoid high electrical wires
Avoid magnets
Avoid putting cell phone right near pacemaker
Pt with CHF has gained 5 lbs. Over the last week he has 2+ pitting edema, JVD, a hepatomegaly -
Answers Corpulmonale
Nursing management of a healthy client with a mitral valve prolapse includes: - Answers Suggestion
to client to contact his brother to have an echocardiogram
A 60-year-old woman presents with recurrent Vtach post MI, which may discourage the provider from
ordering amnirdanre - Answers Interstitial lung disease
Which explains why change in LOC - Answers MAP below 65
A pt with a history of cardiomyopathy is admitted with symptoms of chest pain.
Everything normal - what is client most likely to have - Answers Hypertrophic cardiomyopathy
(normal EF)
What are components of stroke volume - Answers Preload, afterload, contractility
CHF what med decrease preload - Answers Nitroglycerine drip
Blood vessel most often used in CABG - Answers LIMA left inter-mammary artery
85-year-old pt keeps forgetting to keep leg straight after stent via angioplasty - Answers Order a leg
immobilizer
Client in cardiac arrest with Vtach CPR in progress client has received epi and been defibrillated nurse
can expect what order - Answers Amiodarone
Pt is receiving Nipride drip for severe hypertension - Answers Check cyanide levels at approx. 24
hours
Pt with DVI pacemaker which is being senses - Answers ventricle
Caring for pt post cardiac arrest in rewarming phase of hypothermia which order should be
questioned - Answers Potassium chloride over one hour three consecutive doses
In the cold potassium gets pushed into cells. In the warming phase potassium gets pushed out of cells.
Client post cardiac arrest in cooling phase of hypothermia therapy in caring for the client what finding
is most troubling - Answers Slight muscular twitching in pectoral region
Emergency cardioversion for SVT (SATA) - Answers Clear 3 times
Patient must have a pulse bc Cardioversion syncs with the hearts electrical activity
Client in cardiogenic shock has a swan ganz catheter in his external jugular vein what finding in the
right position - Answers The PA waveform is displayed on the monitor and a dicrotic notch is visible
Normal swan ganz readings - client had a MI complicated by CHF. five days treated with Lasix, BP
decreased what should the nurse expect - Answers Give a 250 cc bolus of NS over one hour
Vasopressor is wrong bc pt does not have adequate volume
Client in cardiogenic shock on a ventilator with a IABP and dobutamine. Client has a drop in urine
output and balloon tracing appears to be flat - what intervention / order can the nurse expect next -
Answers Obtain a chest x-ray
Client is speaking regarding triglyceride which statement indicates a knowledge deficit? - Answers My
HDL level is above 55 and I want to lower it
Client is 2 days post MI hist of afib currently in that rhythm which is most concerning - Answers Pt has
a resting heart rate of 106
Client is in cardiac arrest due to Vtach. CPR is in process which is an issue - Answers Absence of a
code board under the patient
Nurse is caring for a client with a history of smoking, CAD and MI. client had another MI and right
groin angioplasty - which is significant teaching - Answers Client's significant other raising the client's
head
Client with severe COPD has just undergone a TEE - what is most concerning - Answers Client's son is
giving the client coffee
80-year-old client newly diagnosed thoracic aneurysm - client needs CAT scan. Client complains of
headache and increase in BP - what is nurse first priority - Answers Contact provider to lower the BP
meds
Nurse is teaching a pt who has had a permanent pacemaker about post care. What could interfere
with device function (SATA) - Answers Avoid high electrical wires
Avoid magnets
Avoid putting cell phone right near pacemaker
Pt with CHF has gained 5 lbs. Over the last week he has 2+ pitting edema, JVD, a hepatomegaly -
Answers Corpulmonale
Nursing management of a healthy client with a mitral valve prolapse includes: - Answers Suggestion
to client to contact his brother to have an echocardiogram
A 60-year-old woman presents with recurrent Vtach post MI, which may discourage the provider from
ordering amnirdanre - Answers Interstitial lung disease
Which explains why change in LOC - Answers MAP below 65
A pt with a history of cardiomyopathy is admitted with symptoms of chest pain.
Everything normal - what is client most likely to have - Answers Hypertrophic cardiomyopathy
(normal EF)
What are components of stroke volume - Answers Preload, afterload, contractility
CHF what med decrease preload - Answers Nitroglycerine drip
Blood vessel most often used in CABG - Answers LIMA left inter-mammary artery
85-year-old pt keeps forgetting to keep leg straight after stent via angioplasty - Answers Order a leg
immobilizer
Client in cardiac arrest with Vtach CPR in progress client has received epi and been defibrillated nurse
can expect what order - Answers Amiodarone
Pt is receiving Nipride drip for severe hypertension - Answers Check cyanide levels at approx. 24
hours
Pt with DVI pacemaker which is being senses - Answers ventricle
Caring for pt post cardiac arrest in rewarming phase of hypothermia which order should be
questioned - Answers Potassium chloride over one hour three consecutive doses
In the cold potassium gets pushed into cells. In the warming phase potassium gets pushed out of cells.
Client post cardiac arrest in cooling phase of hypothermia therapy in caring for the client what finding
is most troubling - Answers Slight muscular twitching in pectoral region
Emergency cardioversion for SVT (SATA) - Answers Clear 3 times
Patient must have a pulse bc Cardioversion syncs with the hearts electrical activity
