MDC4 FINAL EXAM WITH ALL
CORRECT ANSWERS
The nurse is caring for a client with pericarditis. If left untreated, the client is
at risk for cardiac tamponade. Which clinical manifestation is associated with
cardiac tamponade?
Muffled heart sounds
Patient has been in the hospital for while and got hospital accrued
pneumonia. What should the nurse ask the patient?
Ask patient if they would like to receive the pneumonia vaccine
A COPD patient comes in due to multiple exacerbations. What should the
nurse ask the patient?
"What are you doing when the exacerbations start?"
A patient is taking a beta blocker. What should the nurse first assess?
assess cardiac output
A patient has multiple myeloma and is stating continued pain. What should
the nurse do first?
reassess pain management and strategies
,Which diagnostic test determines ejection fraction and cardiovascular
valvular changes. Pericardial effusion, chamber enlargement, and ventricular
hypertrophy, and is the best tool when diagnosing heart failure?
Echocardiogram
During a shift assessment, the nurse is identifying the client's point of
maximum impulse (PMI). Where should the nurse best palpate the PMI?
Left midclavicular line of the chest at the fifth intercostal space
Where do you listen to apical heart sounds?
5th intercostal space, mid clavical
A nurse is caring for a client who is being treated for leukemia in the hospital.
The client was able to maintain nutritional status for the first few weeks
following the diagnosis but is now exhibiting early signs and symptoms of
malnutrition. In collaboration with the dietitian, the nurse should implement
what intervention?
Provide the client with several small, soft textured meals each day
Patient with cancer is in DIC (Disseminated Intravascular Coagulation, has a
decreased urine output, increased respiratory rate. What is currently
happening, and what should the nurse do?
organ ischemia, and notify provider
A client with polycythemia vera is being discharged. Which statement
indicates the need for further teaching?
, "I should limit activity to prevent clots." (at risk for clots, and no tight
clothing)
A nurse is caring for a client in the emergency department with a heart rate
of 220 beats per minute and a blood pressure of 70/30mm Hg. The client's
electrocardiogram (ECG) shows supraventricular tachycardia (SVT). Which of
the following treatments should the nurse anticipate?
Performs a synchronized cardioversion
Cardioversion
-visible indicator on monitor
-manually activate, make sure shock is good, no T wave shock
-every time you hit sync, goes back to normal
The nurse has a with end stage renal disease. The patient has dialysis in 2
days. What should the nurse inform the patient?
If their potassium increases they need to go get dialysis early
How does Supraventricular Tachycardia (SVT) look on an EKG strip?
narrow QRS, small P wave (can barely see)
The American Association recommends which lifestyle change to manage the
modifiable risk factors associated with atherosclerosis? (SATA)
-Limit red meat
CORRECT ANSWERS
The nurse is caring for a client with pericarditis. If left untreated, the client is
at risk for cardiac tamponade. Which clinical manifestation is associated with
cardiac tamponade?
Muffled heart sounds
Patient has been in the hospital for while and got hospital accrued
pneumonia. What should the nurse ask the patient?
Ask patient if they would like to receive the pneumonia vaccine
A COPD patient comes in due to multiple exacerbations. What should the
nurse ask the patient?
"What are you doing when the exacerbations start?"
A patient is taking a beta blocker. What should the nurse first assess?
assess cardiac output
A patient has multiple myeloma and is stating continued pain. What should
the nurse do first?
reassess pain management and strategies
,Which diagnostic test determines ejection fraction and cardiovascular
valvular changes. Pericardial effusion, chamber enlargement, and ventricular
hypertrophy, and is the best tool when diagnosing heart failure?
Echocardiogram
During a shift assessment, the nurse is identifying the client's point of
maximum impulse (PMI). Where should the nurse best palpate the PMI?
Left midclavicular line of the chest at the fifth intercostal space
Where do you listen to apical heart sounds?
5th intercostal space, mid clavical
A nurse is caring for a client who is being treated for leukemia in the hospital.
The client was able to maintain nutritional status for the first few weeks
following the diagnosis but is now exhibiting early signs and symptoms of
malnutrition. In collaboration with the dietitian, the nurse should implement
what intervention?
Provide the client with several small, soft textured meals each day
Patient with cancer is in DIC (Disseminated Intravascular Coagulation, has a
decreased urine output, increased respiratory rate. What is currently
happening, and what should the nurse do?
organ ischemia, and notify provider
A client with polycythemia vera is being discharged. Which statement
indicates the need for further teaching?
, "I should limit activity to prevent clots." (at risk for clots, and no tight
clothing)
A nurse is caring for a client in the emergency department with a heart rate
of 220 beats per minute and a blood pressure of 70/30mm Hg. The client's
electrocardiogram (ECG) shows supraventricular tachycardia (SVT). Which of
the following treatments should the nurse anticipate?
Performs a synchronized cardioversion
Cardioversion
-visible indicator on monitor
-manually activate, make sure shock is good, no T wave shock
-every time you hit sync, goes back to normal
The nurse has a with end stage renal disease. The patient has dialysis in 2
days. What should the nurse inform the patient?
If their potassium increases they need to go get dialysis early
How does Supraventricular Tachycardia (SVT) look on an EKG strip?
narrow QRS, small P wave (can barely see)
The American Association recommends which lifestyle change to manage the
modifiable risk factors associated with atherosclerosis? (SATA)
-Limit red meat
