NUR 4120 CARDIOVASCULAR LABS
A nurse is working in the emergency department (ED) when a client arrives complaining
of substernal and left arm discomfort that has been going on for about 3 hours. All of
these baseline lab tests are drawn. Which of these lab values will be most useful in
determining whether the nurse should anticipate implementing the acute coronary
syndrome standards orders?
- Troponin
STRESS TEST
In developing a standard teaching plan for the outpatient unit where stress testing is
performed, the nurse should include information that the
-Test may cause the client to experience chest pain.
A client who is admitted for chest pain asks the nurse the reason for having an exercise
stress test. The nurse should explain to a client that an exercise ECG is useful as one
means of detecting
- Coronary artery disease.
CARDIAC CATHETERIZATION
When preparing a patient for a cardiac catheterization, the patient states that she
has allergies to seafood. Which of the following medications may give to her prior
to the procedure?
A. Furosemide (Lasix)
B. Lorazepam (Ativan)
C. Methylprednisolone (Solu-Medrol)
D. Phenytoin (Dilantin)
A nurse assessing a client who underwent cardiac catheterization finds the client lying
flat on the bed. His temperature is 99.8° F (37.7° C). His blood pressure is 104/68 mm
Hg. His pulse rate is 76 beats/minute. She detects weak pulses in the leg distal to the
puncture site. Skin on the leg is cool to the touch. The puncture site is dry, but swollen.
What is the most appropriate action for the nurse to take?
A. Contact the physician and report her findings.
B. Slow the I.V. fluid to prevent any more swelling at the puncture site.
C. Encourage the client to perform isometric leg exercise to improve circulation in
his legs.
D. Document her findings and recheck the client in 1 hour.
A nurse is performing an assessment on a client who had a cardiac catheterization three
hours ago. Which of the following findings would require immediate intervention?
- Catheterized extremity cold with decreased peripheral pulses.
,A nurse is caring for a client scheduled for a cardiac catheterization. Which of the
following information would be of highest priority for the nurse to obtain before the
procedure?
- Allergy to Iodine or shellfish
A client is scheduled for a cardiac catheterization. Which of these actions should the
nurse implement? SELECT ALL THAT APPLY
- Check for iodine sensitivity
- Verify that written consent has been issued
- Withhold food and oral fluids (8-12 Hrs)
A nurse is caring for a client who has a history of coronary artery disease. That client asks
the nurse how can the HCP find out the extent of the disease process. The nurse explains
that the best diagnostic test to determine the location and extent of coronary artery
disease would be a/an
- Cardiac catheterization
The RN is teamed with a LPN in caring for a group of clients on the cardiac unit. Which
action by the LPN indicated the need by the RN to intervene immediately? The LPN
- Assists a client to the bathroom 30 minutes after the client has returned
from a cardiac catheterization. (BED REST 2-6 HOURS)
A nurse is caring for a client following a percutaneous transluminal coronary angioplasty.
Which of these interventions should the nurse include in the plan of care?
- Encourage oral fluids for the client.
A client has coronary angiography with the entrance site in the left femoral artery. Two
hours after the procedure, the nurse in unable to palpate the left pedal pulse. What is the
nurse’s most appropriate action at the time?
- Attempt to locate pulse using a Doppler.
DYSRHYTHMIAS
A client’s telemetry reading shows a P-wave before each QRS complex, a regular PR
interval, and the rate is 78. Which of the following actions should the nurse perform next?
- Document this as normal sinus rhythm
A nurse is caring for a client admitted to the telemetry unit with dysrhythmias and left
ventricular failure. Which of the following is a priority assessment for the nurse?
- Ausculatate breath sounds
,A client who has A-Fib is ambulating in the hallway on the coronary step down unit and
suddenly tells the nurse, “I feel really dizzy.” After assisting the client to sit down,
which of the following interventions should become a priority for the nurse? SELECT
ALL THAT APPLY
-Check the client’s apical heart rate.
-Take the client’s blood pressure.
In evaluating a client’s ECG tracing, the nurse notes three small squares between the
upstroke and downstroke of the QRS complex. The nurse should record the QRS
complex as
- 0.12 seconds
A nurse assessing an ECG rhythm strip. The p waves and QRS complexes are regular.
The PR interval is 0.16 seconds and QRS complexes measure 0.06 second. The
overall heart rate 64 BPM. The nurse assesses the cardiac rhythm as
- Normal Sinus Rhythm
A nurse is assessing an electrocardiogram rhythm strip. The P waves and QRS complexes
are regular. The PR interval is 0.20 seconds, and the QRS complexes measure 0.08
seconds. The overall heart rate is 58 beats per minute. The nurse interprets the cardiac
rhythm as
- Sinus bradycardia
During an assessment of a client, the nurse notes a heart rate of 48 beats per minute. The
nurse further evaluates the client for signs and symptoms related to:
- Light-headedness
- Syncope
- Fatigue
A client with an MI has undergone ECG. What changes in the ECG tracing should the
nurse expect to see in this client?
- ST segment elevation, T wave inversion, abnormal Q wave
After measuring 3.5 small boxes between the onset of the Q wave and the completion of
the S wave, the nurse would record the QRS duration as
- 0.14 second
A client is wearing a continuous cardiac monitor (telemetry), which begins to sound the
alarm. A nurse notes the absence of electrocardiogram complexes on the screen. The first
action by the nurse would be to
- Check the client status and lead placement
In evaluating a client’s telemetry reading, the nurse should understand that:
, - “A” represents atrial depolarization, “B” represents
ventricular depolarization, “C” represents ventricular
repolarization.
The nurse assesses the complex marked as “A” on the following 6 second strip as a
-PVC (premature ventricular contraction).
- Atrial Fibrillation
A nurse is caring for a newly admitted client on the telemetry unit and notes the following
on the monitor. The nurse correctly documents this rhythm as
A nurse is working in the emergency department (ED) when a client arrives complaining
of substernal and left arm discomfort that has been going on for about 3 hours. All of
these baseline lab tests are drawn. Which of these lab values will be most useful in
determining whether the nurse should anticipate implementing the acute coronary
syndrome standards orders?
- Troponin
STRESS TEST
In developing a standard teaching plan for the outpatient unit where stress testing is
performed, the nurse should include information that the
-Test may cause the client to experience chest pain.
A client who is admitted for chest pain asks the nurse the reason for having an exercise
stress test. The nurse should explain to a client that an exercise ECG is useful as one
means of detecting
- Coronary artery disease.
CARDIAC CATHETERIZATION
When preparing a patient for a cardiac catheterization, the patient states that she
has allergies to seafood. Which of the following medications may give to her prior
to the procedure?
A. Furosemide (Lasix)
B. Lorazepam (Ativan)
C. Methylprednisolone (Solu-Medrol)
D. Phenytoin (Dilantin)
A nurse assessing a client who underwent cardiac catheterization finds the client lying
flat on the bed. His temperature is 99.8° F (37.7° C). His blood pressure is 104/68 mm
Hg. His pulse rate is 76 beats/minute. She detects weak pulses in the leg distal to the
puncture site. Skin on the leg is cool to the touch. The puncture site is dry, but swollen.
What is the most appropriate action for the nurse to take?
A. Contact the physician and report her findings.
B. Slow the I.V. fluid to prevent any more swelling at the puncture site.
C. Encourage the client to perform isometric leg exercise to improve circulation in
his legs.
D. Document her findings and recheck the client in 1 hour.
A nurse is performing an assessment on a client who had a cardiac catheterization three
hours ago. Which of the following findings would require immediate intervention?
- Catheterized extremity cold with decreased peripheral pulses.
,A nurse is caring for a client scheduled for a cardiac catheterization. Which of the
following information would be of highest priority for the nurse to obtain before the
procedure?
- Allergy to Iodine or shellfish
A client is scheduled for a cardiac catheterization. Which of these actions should the
nurse implement? SELECT ALL THAT APPLY
- Check for iodine sensitivity
- Verify that written consent has been issued
- Withhold food and oral fluids (8-12 Hrs)
A nurse is caring for a client who has a history of coronary artery disease. That client asks
the nurse how can the HCP find out the extent of the disease process. The nurse explains
that the best diagnostic test to determine the location and extent of coronary artery
disease would be a/an
- Cardiac catheterization
The RN is teamed with a LPN in caring for a group of clients on the cardiac unit. Which
action by the LPN indicated the need by the RN to intervene immediately? The LPN
- Assists a client to the bathroom 30 minutes after the client has returned
from a cardiac catheterization. (BED REST 2-6 HOURS)
A nurse is caring for a client following a percutaneous transluminal coronary angioplasty.
Which of these interventions should the nurse include in the plan of care?
- Encourage oral fluids for the client.
A client has coronary angiography with the entrance site in the left femoral artery. Two
hours after the procedure, the nurse in unable to palpate the left pedal pulse. What is the
nurse’s most appropriate action at the time?
- Attempt to locate pulse using a Doppler.
DYSRHYTHMIAS
A client’s telemetry reading shows a P-wave before each QRS complex, a regular PR
interval, and the rate is 78. Which of the following actions should the nurse perform next?
- Document this as normal sinus rhythm
A nurse is caring for a client admitted to the telemetry unit with dysrhythmias and left
ventricular failure. Which of the following is a priority assessment for the nurse?
- Ausculatate breath sounds
,A client who has A-Fib is ambulating in the hallway on the coronary step down unit and
suddenly tells the nurse, “I feel really dizzy.” After assisting the client to sit down,
which of the following interventions should become a priority for the nurse? SELECT
ALL THAT APPLY
-Check the client’s apical heart rate.
-Take the client’s blood pressure.
In evaluating a client’s ECG tracing, the nurse notes three small squares between the
upstroke and downstroke of the QRS complex. The nurse should record the QRS
complex as
- 0.12 seconds
A nurse assessing an ECG rhythm strip. The p waves and QRS complexes are regular.
The PR interval is 0.16 seconds and QRS complexes measure 0.06 second. The
overall heart rate 64 BPM. The nurse assesses the cardiac rhythm as
- Normal Sinus Rhythm
A nurse is assessing an electrocardiogram rhythm strip. The P waves and QRS complexes
are regular. The PR interval is 0.20 seconds, and the QRS complexes measure 0.08
seconds. The overall heart rate is 58 beats per minute. The nurse interprets the cardiac
rhythm as
- Sinus bradycardia
During an assessment of a client, the nurse notes a heart rate of 48 beats per minute. The
nurse further evaluates the client for signs and symptoms related to:
- Light-headedness
- Syncope
- Fatigue
A client with an MI has undergone ECG. What changes in the ECG tracing should the
nurse expect to see in this client?
- ST segment elevation, T wave inversion, abnormal Q wave
After measuring 3.5 small boxes between the onset of the Q wave and the completion of
the S wave, the nurse would record the QRS duration as
- 0.14 second
A client is wearing a continuous cardiac monitor (telemetry), which begins to sound the
alarm. A nurse notes the absence of electrocardiogram complexes on the screen. The first
action by the nurse would be to
- Check the client status and lead placement
In evaluating a client’s telemetry reading, the nurse should understand that:
, - “A” represents atrial depolarization, “B” represents
ventricular depolarization, “C” represents ventricular
repolarization.
The nurse assesses the complex marked as “A” on the following 6 second strip as a
-PVC (premature ventricular contraction).
- Atrial Fibrillation
A nurse is caring for a newly admitted client on the telemetry unit and notes the following
on the monitor. The nurse correctly documents this rhythm as
