NUR 4120 Goodies Study Guide Latest Update
2023/2024 QUESTIONS AND ANSWERS
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
NUR 4120 Goodies Study Guide Latest Update
2023/2024 QUESTIONS AND ANSWERS
,NUR 4120 Goodies Study Guide Latest Update
2023/2024 QUESTIONS AND ANSWERS
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.
NUR 4120 Goodies Study Guide Latest Update
2023/2024 QUESTIONS AND ANSWERS
,NUR 4120 Goodies Study Guide Latest Update
2023/2024 QUESTIONS AND ANSWERS
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
NUR 4120 Goodies Study Guide Latest Update
2023/2024 QUESTIONS AND ANSWERS
, NUR 4120 Goodies Study Guide Latest Update
2023/2024 QUESTIONS AND ANSWERS
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
NUR 4120 Goodies Study Guide Latest Update
2023/2024 QUESTIONS AND ANSWERS
2023/2024 QUESTIONS AND ANSWERS
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
NUR 4120 Goodies Study Guide Latest Update
2023/2024 QUESTIONS AND ANSWERS
,NUR 4120 Goodies Study Guide Latest Update
2023/2024 QUESTIONS AND ANSWERS
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.
NUR 4120 Goodies Study Guide Latest Update
2023/2024 QUESTIONS AND ANSWERS
,NUR 4120 Goodies Study Guide Latest Update
2023/2024 QUESTIONS AND ANSWERS
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
NUR 4120 Goodies Study Guide Latest Update
2023/2024 QUESTIONS AND ANSWERS
, NUR 4120 Goodies Study Guide Latest Update
2023/2024 QUESTIONS AND ANSWERS
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
NUR 4120 Goodies Study Guide Latest Update
2023/2024 QUESTIONS AND ANSWERS
