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NURS N4581 SS+ATI+Practice+Assessment.Cardiac+Content.

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NURS N4581 SS+ATI+Practice+Assessment.Cardiac+Content.

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SS+ATI+Practice+Assessment.Cardiac+Content.




1.A nurse is establishing health promotion goals for a female client who smokes cigarettes, has
hypertension, and has a BMI of 26. Which of the following goals should the nurse include?

A. The client will list foods that are high in calcium, which should be avoided.

B. The client will walk for 30 min 5 days a week.

C. The client will increase calorie intake by 200 cal per day.

D. The client will replace cigarettes with smokeless tobacco products.



2.A client who has a history of myocardial infarction (MI) is prescribed aspirin 325 mg. The nurse
recognizes that the aspirin is given due to which of the following actions of the medication?

A. analgesic

B. anti-inflammatory

C. antiplatelet aggregate

D. antipyretic



3.A nurse is caring for a client who has thrombophlebitis and is receiving heparin by continuous IV
infusion. The client asks the nurse how long it will take for the heparin to dissolve the clot. Which
of the following responses should the nurse give?

A. "It usually takes heparin at least 2 to 3 days to reach a therapeutic blood level."

B. "A pharmacist is the person to answer that question."

C. "Heparin does not dissolve clots. It stops new clots from forming."

D. "The oral medication you will take after this IV will dissolve the clot."



4.A nurse is preparing to administer verapamil by IV bolus to a client who is having cardiac
dysrhythmias. For which of the following adverse effects should the nurse monitor when giving this
medication?

A. Hyperthermia

B. Hypotension

C. Ototoxicity

D. Muscle pain




Created Page 1
on:02/03/2021

,SS+ATI+Practice+Assessment.Cardiac+Content.




5.A nurse is caring for a client who is taking lisinopril. Which of the following outcomes indicates a
therapeutic effect of the medication?

A. Decreased blood pressure

B. Increase of HDL cholesterol

C. Prevention of bipolar manic episodes

D. Improved sexual function



6.A nurse is caring for a client who is prescribed warfarin therapy for an artificial heart valve. Which
of the following laboratory values should the nurse monitor for a therapeutic effect of warfarin?
Hemoglobin (Hgb)
Prothrombin time (PT)


C. Bleeding time

D. Activated partial thromboplastin time (aPTT)



7.While performing an admission assessment for a client, the nurse notes that the client has
varicose veins with ulcerations and lower extremity edema with a report of a feeling of
heaviness. Which of the following nursing diagnoses should the nurse identify as being the
priority in the client's care?

A. Impaired tissue perfusion

B. Alteration in body image

C. Alteration in activity tolerance

D. Impaired skin integrity



8.A nurse is teaching the partner of a client who had an acute myocardial infarction (MI) about the
reason blood was drawn from the client. Which of the following statements should the nurse make
regarding cardiac enzymes studies?

A. "These tests help determine the degree of damage to the heart tissues."

B. "Cardiac enzymes will identify the location of the MI."

C. "These tests will enable the provider to determine the heart structure and mobility of the heart valves."

D. "Cardiac enzymes assist in diagnosing the presence of pulmonary congestion."




Created Page 2
on:02/03/2021

, SS+ATI+Practice+Assessment.Cardiac+Content.




9.A nurse in a coronary care unit is admitting a client who has had CPR following a cardiac arrest.
The client is receiving lidocaine IV at 2 mg/min. When the client asks the nurse why he is receiving
that medication, the nurse should explain that it has which of the following actions?

A. Prevents dysrhythmias

B. Slows intestinal motility

C. Dissolves blood clots

D. Relieves pain




10. A nurse is assessing a 3-year-old child who has aortic stenosis. Which of the following findings
should the nurse expect? (Select all that apply.)

A. Hypotension

B. Bradycardia

C. Clubbing of the nail beds

D. Weak pulses

F. Murmur




11.A A nurse is reviewing the health history for a client who has angina pectoris and a prescription
for propranolol hydrochloride PO 40 mg twice daily. Which of the following findings in the history
should the nurse report to the provider?

A. The client has a history of hypothyroidism.

B. The client has a history of bronchial asthma.

C. The client has a history of hypertension.

D. The client has a history of migraine headaches.




12.A A nurse is caring for a client who has pericarditis and reports feeling a new onset of palpitations
and shortness of breath. Which of the following assessments should indicate to the nurse that the
client may have developed atrial fibrillation?

A. Different blood pressures in the upper limbs.

B. Different apical and radial pulses.

C. Differences between oral and axillary temperatures.




Created Page 3
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