NUR 4120 Advanced Concepts of Adult Nursing III
(cardiovascular) questions with correct aswers exam
Cardiovascular
1. A client returns from a left heart catheterization. The right groin was used for catheter
access. In which location should the nurse palpate the distal pulse on this client?
□ 1. anterior to the right tibia
□ 2. dorsal surface of the right foot
□ 3. posterior to the right knee
□ 4. right mid-inguinal area
2. A client has chest pain rated at 8 on a 10-point visual analog scale. The 12-lead
electrocardiogram reveals ST elevation in the inferior leads, and troponin levels are
elevated. What should the nurse do first?
□ 1. Monitor daily weights and urine output.
□ 2. Limit visitation by family and friends.
□ 3. Provide client education on medications and diet.
NUR 4120 Advanced Concepts of Adult Nursing III
(cardiovascular) questions with correct aswers exam
,NUR 4120 Advanced Concepts of Adult Nursing III
(cardiovascular) questions with correct aswers exam
□ 4. Reduce pain and myocardial oxygen demand.
3. t is now 1400 and a nurse is caring for a client who has a diagnosis of acute MI. Of the
following information on the client’s health care record, which is a priority to report
when a client is being considered for thrombolytic therapy using tissue plasminogen
activator (TPA)?
1. The client received TPA about 6 months ago
2. The client takes famotidine for esophageal reflux
3. The client has ST segment elevations on the ECG
4. The client has had continuous chest pain since 0800
4. A client with acute chest pain is receiving IV morphine sulfate. Which is an expected
therapeutic effect of morphine? Select all that apply.
□ 1. reduces myocardial oxygen consumption
□ 2. promotes increase in respiratory rate
□ 3. prevents ventricular remodeling
□ 4. reduces blood pressure and heart rate
NUR 4120 Advanced Concepts of Adult Nursing III
(cardiovascular) questions with correct aswers exam
, NUR 4120 Advanced Concepts of Adult Nursing III
(cardiovascular) questions with correct aswers exam
□ 5. reduces anxiety and fear
5. The nurse has completed an assessment on a client with a decreased cardiac output.
Which findings should receive the highest priority?
□ 1. blood pressure 110/62 mm Hg, atrial fibrillation with heart rate 82, bilateral basilar
crackles
□ 2. confusion, urine output 15 mL over the last 2 hours, orthopnea
□ 3. SpO2 92 on 2 L nasal cannula, respirations 20, 1+ edema of lower extremities
□ 4. weight gain of 1 kg in 3 days, blood pressure 130/80 mm Hg, mild dyspnea with exercise
NUR 4120 Advanced Concepts of Adult Nursing III
(cardiovascular) questions with correct aswers exam
(cardiovascular) questions with correct aswers exam
Cardiovascular
1. A client returns from a left heart catheterization. The right groin was used for catheter
access. In which location should the nurse palpate the distal pulse on this client?
□ 1. anterior to the right tibia
□ 2. dorsal surface of the right foot
□ 3. posterior to the right knee
□ 4. right mid-inguinal area
2. A client has chest pain rated at 8 on a 10-point visual analog scale. The 12-lead
electrocardiogram reveals ST elevation in the inferior leads, and troponin levels are
elevated. What should the nurse do first?
□ 1. Monitor daily weights and urine output.
□ 2. Limit visitation by family and friends.
□ 3. Provide client education on medications and diet.
NUR 4120 Advanced Concepts of Adult Nursing III
(cardiovascular) questions with correct aswers exam
,NUR 4120 Advanced Concepts of Adult Nursing III
(cardiovascular) questions with correct aswers exam
□ 4. Reduce pain and myocardial oxygen demand.
3. t is now 1400 and a nurse is caring for a client who has a diagnosis of acute MI. Of the
following information on the client’s health care record, which is a priority to report
when a client is being considered for thrombolytic therapy using tissue plasminogen
activator (TPA)?
1. The client received TPA about 6 months ago
2. The client takes famotidine for esophageal reflux
3. The client has ST segment elevations on the ECG
4. The client has had continuous chest pain since 0800
4. A client with acute chest pain is receiving IV morphine sulfate. Which is an expected
therapeutic effect of morphine? Select all that apply.
□ 1. reduces myocardial oxygen consumption
□ 2. promotes increase in respiratory rate
□ 3. prevents ventricular remodeling
□ 4. reduces blood pressure and heart rate
NUR 4120 Advanced Concepts of Adult Nursing III
(cardiovascular) questions with correct aswers exam
, NUR 4120 Advanced Concepts of Adult Nursing III
(cardiovascular) questions with correct aswers exam
□ 5. reduces anxiety and fear
5. The nurse has completed an assessment on a client with a decreased cardiac output.
Which findings should receive the highest priority?
□ 1. blood pressure 110/62 mm Hg, atrial fibrillation with heart rate 82, bilateral basilar
crackles
□ 2. confusion, urine output 15 mL over the last 2 hours, orthopnea
□ 3. SpO2 92 on 2 L nasal cannula, respirations 20, 1+ edema of lower extremities
□ 4. weight gain of 1 kg in 3 days, blood pressure 130/80 mm Hg, mild dyspnea with exercise
NUR 4120 Advanced Concepts of Adult Nursing III
(cardiovascular) questions with correct aswers exam
