PN3 EXAM 3 QUESTIONS AND ANSWERS

Nursing III Exam III Cardiac 1. A client is learning about cholesterol. The nurse explains that the good cholesterol transports plasma cholesterol away from plaques and to the liver for metabolism. This type of cholesterol is called: • high-density lipoprotein 2. A client has a blood pressure of 124/78 mmHg and a triglyceride level of 160 mg/dL. Based on these results, the nurse knows that the client has: • a prehypertensive blood pressure and a borderline high triglyceride level 3. A client is complaining of chest pain that occurs during exercise. This pain is relieved when the client rests. The nurse realizes that this client is experiencing which type of angina? • Stable angina 4. A client diagnosed with stable angina is undergoing a 12-lead electrocardiogram. Which of the following results is not expected? • ST segment elevation 5. A client is scheduled for a cardiac angiogram. Which of the following should the nurse instruct the client about this diagnostic test? • Contrast dye is injected 6. When planning the care of a client diagnosed with stable angina, which of the following would be considered a goal of treatment? • Decrease in ischemia and episodes of angina 7. A client is prescribed a beta-blocker for treatment of coronary artery disease. Which of the following is the client most likely going to be prescribed? • Atenolol 8. A client tells the nurse that using nitroglycerin tablets causes a tingling sensation and a headache. The nurse knows that this is: • Expected 9. A nurse is considering contraindications to fibrinolytic therapy. Which of the following patients is an appropriate candidate for fibrinolytic therapy? • A patient with a history of a motor vehicle accident 1 year ago 10. A client is participating in cardiac rehabilitation and is currently engaging in supervised exercise, counseling, and education. The nurse realizes this client is in which phase of cardiac rehabilitation? • Phase III 11. A client tells the nurse that he ingests an NSAID when the angina pain gets really bad, and it eliminates the pain. The nurse suspects the client is experiencing: • Musculoskeletal pain 12. A client is at risk for coronary artery disease. Which of the following should the nurse instruct as modifiable risk factors for this health condition? (Select all that apply.) • Alcohol consumption • Diabetes mellitus • Low daily fruit intake • Psychosocial index 13. A client is experiencing a sudden onset of chest pain. Which of the following will the nurse do to manage this chest pain? MONA • Administer intravenous Morphine as prescribed • Provide Oxygen • Administer Nitroglycerin as prescribed • Administer Aspirin as prescribed 14. Which of the following will the nurse instruct a client being discharged to home after experiencing an acute myocardial infarction? (Select all that apply.) • Understand cardiac condition • How to manage chest pain • Activity level • Medications • Risk factors 15. The nurse is assessing the pain of a client experiencing angina. Which of the following should be included in this assessment? (Select all that apply.) PQRST • Precipitating event • Quality • Radiation • Severity • Timing Renal 16. The nurse, caring for a client diagnosed with pyelonephritis, realizes that common risk factors for the development of this disorder include all of the following EXCEPT: • orthostatic hypotension 17. A client is diagnosed with rhabdomyolysis. The nurse realizes that an emergency condition that may occur with this diagnosis would be: • compartment syndrome 18. During the admitting assessment process, a client asks, What is oliguria? Based on the nurses knowledge, the best response would be: • Oliguria is a urine output less than 400 mL in 24 hours 19. A client is diagnosed with acute renal failure. Which of the following diagnostic studies will the nurse be most concerned with? • Potassium and digitalis levels 20. A client has been prescribed a restricted potassium diet. An appropriate snack for the client would be: • Applesauce 21. A client diagnosed with chronic renal failure is prescribed a diet low in protein. The rationale for this diet is that: • protein sources are broken down and converted to urea, which is then filtered by the kidney 22. A client diagnosed with chronic renal failure asks the nurse, Whats the difference between