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, 1. The nurse on the cardiac unit has received the shift report from the outgoing nurse.
Which client should the nurse assess first?
1. The client who has just been brought to the unit from the emergency department
(ED) with no report of complaints.
2. The client who received pain medication 30 minutes ago for chest pain that was a
level 3 on a 1-to-10 pain scale.
3. The client who had a cardiac catheterization in the morning and has palpable pedal
pulses bilaterally.
4. The client who has been turning on the call light frequently and stating her care has
been neglected.
2. The nurse on the cardiac unit is preparing to administer medications after receiving
the morning change-of-shift report. Which medication should the nurse administer
first?
1. The cardiac glycoside to the client who has an apical pulse of 58.
2. The loop diuretic to a client with a serum K+ level of 3.2 mEq/L.
3. The antidysrhythmic to the client in ventricular fibrillation.
4. The calcium-channel blocker who has a blood pressure of 110/68.
3. Which client should the telemetry nurse assess first after receiving the a.m. shift report?
1. The client diagnosed with deep vein thrombosis who has an edematous right calf.
2. The client diagnosed with mitral valve stenosis who has heart palpitations.
3. The client diagnosed with arterial occlusive disease who has intermittent
claudication.
4. The client diagnosed with congestive heart failure who has pink frothy sputum.
4. The charge nurse is making assignments for clients on a cardiac unit. Which client
should the charge nurse assign to a new graduate nurse?
1. The 44-year-old client diagnosed with a myocardial infarction.
2. The 65-year-old client admitted with unstable angina.
3. The 75-year-old client scheduled for a cardiac catheterization.
4. The 50-year-old client complaining of chest pain.
5. The charge nurse is making assignments for a 30-bed cardiac unit staffed with three
registered nurses (RNs), three licensed practical nurses (LPNs), and three unlicensed
assistive personnel (UAPs). Which assignment is most appropriate by the charge
nurse?
1. Assign an RN to perform all sterile procedures.
2. Assign an LPN to give all IV medications.
3. Assign an UAP to complete the a.m. care.
4. Assign an LPN to write the care plans.
PASS THE NCLEX RN/PN EXAM IN 30 DAYS!
JOIN: FREETRAINING.CHOOSINGNURSING.NET
PASS THE NCLEX RN/PN EXAM IN 30 DAYS!
JOIN: FREETRAINING.CHOOSINGNURSING.NET
, 1. The nurse on the cardiac unit has received the shift report from the outgoing nurse.
Which client should the nurse assess first?
1. The client who has just been brought to the unit from the emergency department
(ED) with no report of complaints.
2. The client who received pain medication 30 minutes ago for chest pain that was a
level 3 on a 1-to-10 pain scale.
3. The client who had a cardiac catheterization in the morning and has palpable pedal
pulses bilaterally.
4. The client who has been turning on the call light frequently and stating her care has
been neglected.
2. The nurse on the cardiac unit is preparing to administer medications after receiving
the morning change-of-shift report. Which medication should the nurse administer
first?
1. The cardiac glycoside to the client who has an apical pulse of 58.
2. The loop diuretic to a client with a serum K+ level of 3.2 mEq/L.
3. The antidysrhythmic to the client in ventricular fibrillation.
4. The calcium-channel blocker who has a blood pressure of 110/68.
3. Which client should the telemetry nurse assess first after receiving the a.m. shift report?
1. The client diagnosed with deep vein thrombosis who has an edematous right calf.
2. The client diagnosed with mitral valve stenosis who has heart palpitations.
3. The client diagnosed with arterial occlusive disease who has intermittent
claudication.
4. The client diagnosed with congestive heart failure who has pink frothy sputum.
4. The charge nurse is making assignments for clients on a cardiac unit. Which client
should the charge nurse assign to a new graduate nurse?
1. The 44-year-old client diagnosed with a myocardial infarction.
2. The 65-year-old client admitted with unstable angina.
3. The 75-year-old client scheduled for a cardiac catheterization.
4. The 50-year-old client complaining of chest pain.
5. The charge nurse is making assignments for a 30-bed cardiac unit staffed with three
registered nurses (RNs), three licensed practical nurses (LPNs), and three unlicensed
assistive personnel (UAPs). Which assignment is most appropriate by the charge
nurse?
1. Assign an RN to perform all sterile procedures.
2. Assign an LPN to give all IV medications.
3. Assign an UAP to complete the a.m. care.
4. Assign an LPN to write the care plans.
PASS THE NCLEX RN/PN EXAM IN 30 DAYS!
JOIN: FREETRAINING.CHOOSINGNURSING.NET
