2027 COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS FULLY VERIFIED BRAND
NEW VERSION HIGH YIELD STUDY GUIDE
ACTUAL UPDATED PRACTICE QUESTIONS
EXAM PREPARATION GRADED A+ SUCCESS
REVIEW
A nurse is caring for a client who is taking carvedilol and has a prescription for an oral
antidiabetic drug to manage their new diagnosis of type 2 diabetes mellitus. By taking BOTH
drugs concurrently, the nurse should identify that the client is as an increased risk for which
of the following conditions?
a) Hyperglycemia
b) Bradycardia
c) Hypotension
d) Hypoglycemia - CORRECT ANSWER=Answer: hypoglycemia; there are two factors that
increase the client's risk for hypoglycemia.
1. Carvedilol, an alpha/ beta blocker, potentiates the hypoglycemic effects of insulin and
oral hypoglycemic drugs.
2. carvedilol can mask tachycardia in clients who have hypoglycemia.
Carvedilol should be used with caution by clients who have diabetes mellitus.
What type of medication can be used to help lower cholesterol levels if a patient isn't
lowering then with diet and exercise? - CORRECT ANSWER=Statin
Which lipoproteins do the following medications help decrease?
,A. Statins
B. Niacin
C. Fibric acid derivative - CORRECT ANSWER=A. LDLs
B. LDLs and HDLs
C. VLDLs
T or F: LDLs deposit plaque in any artery - CORRECT ANSWER=True
What is a common side effect of the cholesterol lowering medication niacin? - CORRECT
ANSWER=Flushing of the skin and itching
(Due to histamine release and vasodilation. Can be reduced by taking aspirin 30 minutes
prior)
How can the cholesterol lowering medication fibric acid cause other meds to be Supra-
therapeutic? - CORRECT ANSWER=Fibric acid blocks binding sites for other meds so
patients get more of a dose than initially intended.
A nurse is assisting in the plan of care for a client who is having PTCA percutaneous
transluminal coronary angioplasty with a stent placement. Which of the following actions
should the nurse anticipate in the post operative plan of care?
a) Reinforce with the client about long term conditioning program.
b) Administer scheduled doses of acetaminophen.
c) Check for peak laboratory markers of myocardial damage.
,d) Initiate an aspirin regimen. - CORRECT ANSWER=ANSWER: D initiate an aspirin
regimen.
Nurse should initiate aspirin regimen or another antiplatelet agent. Antiplatelet medication
maintains patency of the stent by reducing platelet aggregation.
A nurse is caring for a client who has advanced heart failure. Which of the following actions
should the nurse take?
A.) Place the client in a low-Fowler's position B.) Assist
the client to use the incentive spirometer every 4
hours
C.) Weigh the client every other day
D.) Enforce fluid restrictions - CORRECT ANSWER=Answer D. The nurse should enforce
fluid restrictions to help reduce fluid retention in the lungs and lower extremities.
A nurse is caring for an older adult client who has had an acute myocardial infarction (MI).
When collecting data from this client, the nurse should identify that older adults are prone to
complications of MI in tissue perfusion because of which of the following age related
factors?
A) Peripheral vascular resistance increases
B) The sensitivity of blood pressure adjusting baroreceptors increases
C) Blood is hypercoagulable and clots more quickly
D) Cardiac medications are less effective
E) Older adult clients are more prone to complications from poor tissue perfusion following
acute MI because peripheral vascular resistance increases with aging.This results from
calcification and loss of elasticity of the blood vessel. -
CORRECT ANSWER=...
, Which one is the correct statement about left atrium?
a) receives oxygenated blood from the pulmonary vein
b) receives deoxygenated blood from the body
c) pumps blood to the right ventricle
d) pumps blood into the right artery - CORRECT ANSWER=...
Which one is the correct statement about right ventricle?
a) receives oxygenated blood from the pulmonary vein
b) pumps blood to the left ventricle
c) pumps oxygenated blood to the body throughout the aorta
d) pumps blood into the pulmonary artery - CORRECT ANSWER=...
A nurse is assisting in monitoring a client who had a myocardial infarction. For which of the
following complications should the nurse monitor in the first 24 hr?
a) Infective endocarditis
b) Pericarditis
c) Ventricular dysrhythmias
d) Pulmonary emboli - CORRECT ANSWER=Rationale: C