Prepare for your exam with
1. Question
Category: Pharmacological and Parenteral Therapies
A nurse is administering IV furosemide to a patient admitted with congestive heart
failure. After the infusion, which of the following symptoms is not expected?
A. Increased urinary output
B. Decreased edema
C. Decreased pain
D. Decreased blood pressure
Correct Answer: C. Decreased pain
,Furosemide, a loop diuretic, does not alter pain. The Food and Drug
Administration (FDA) has approved the use of furosemide in the treatment of
conditions with volume overload and edema secondary to congestive heart failure
exacerbation, liver failure, or renal failure including the nephrotic syndrome.
2. Question
Category: Health Promotion and Maintenance
There are a number of risk factors associated with coronary artery disease. Which
of the following is a modifiable risk factor?
A. Obesity
B. Heredity
C. Gender
D. Age
Correct Answer: A. Obesity
Obesity is an important risk factor for coronary artery disease that can be modified
by improved diet and weight loss. Individuals are diagnosed as overweight when
body mass index (BMI) is between 25 to 29.8 kg/m^2 and obese when BMI greater
than or equal to 30 kg/m^2. Conditions of both overweight and obesity increase the
ASCVD risk compared to normal weight. Recommendations include annual
,calculation of BMI, and lifestyle modification, including calorie restriction and
weight loss, based on the BMI values.
3. Question
Category: Pharmacological and Parenteral Therapies
Tissue plasminogen activator (tPA) is considered for the treatment of a patient who
arrives in the emergency department following the onset of symptoms of
myocardial infarction. Which of the following is a contraindication for treatment
with t-PA?
A. Worsening chest pain that began earlier in the evening.
B. History of cerebral hemorrhage.
C. History of prior myocardial infarction.
D. Hypertension.
Correct Answer: B. History of cerebral hemorrhage.
A history of cerebral hemorrhage is a contraindication to tPA because it may
increase the risk of bleeding. Bleeding associated with alteplase therapy can be
divided into two broad categories. Internal bleeding includes intracranial bleeding
(0.4% to 15.4%), retroperitoneal bleeding (less than 1%), gastrointestinal (GI)
bleeding (5%), genitourinary bleeding (4%), and respiratory bleeding. Superficial
, or surface bleeding is observed mainly at invaded or disturbed sites such as venous
cutdowns, arterial punctures, and recent surgical intervention sites.
4. Question
Category: Health Promotion and Maintenance
Following myocardial infarction, a hospitalized patient is encouraged to practice
frequent leg exercises and ambulate in the hallway as directed by his physician.
Which of the following choices reflects the purpose of exercise for this patient?
A. Increases fitness and prevents future heart attacks.
B. Prevents bedsores.
C. Prevents DVT (deep vein thrombosis).
D. Prevent constipations.
Correct Answer: C. Prevents DVT (deep vein thrombosis).
Exercise is important for all hospitalized patients to prevent deep vein thrombosis.
Muscular contraction promotes venous return and prevents hemostasis in the lower
extremities. Encourage physical activity consistent with the patient’s energy levels.
Helps promote a sense of autonomy while being realistic about capabilities.
Walking down the hall 20 feet or walking through the house, then slowly
progressing walking outside the house, saving energy for the return trip.
1. Question
Category: Pharmacological and Parenteral Therapies
A nurse is administering IV furosemide to a patient admitted with congestive heart
failure. After the infusion, which of the following symptoms is not expected?
A. Increased urinary output
B. Decreased edema
C. Decreased pain
D. Decreased blood pressure
Correct Answer: C. Decreased pain
,Furosemide, a loop diuretic, does not alter pain. The Food and Drug
Administration (FDA) has approved the use of furosemide in the treatment of
conditions with volume overload and edema secondary to congestive heart failure
exacerbation, liver failure, or renal failure including the nephrotic syndrome.
2. Question
Category: Health Promotion and Maintenance
There are a number of risk factors associated with coronary artery disease. Which
of the following is a modifiable risk factor?
A. Obesity
B. Heredity
C. Gender
D. Age
Correct Answer: A. Obesity
Obesity is an important risk factor for coronary artery disease that can be modified
by improved diet and weight loss. Individuals are diagnosed as overweight when
body mass index (BMI) is between 25 to 29.8 kg/m^2 and obese when BMI greater
than or equal to 30 kg/m^2. Conditions of both overweight and obesity increase the
ASCVD risk compared to normal weight. Recommendations include annual
,calculation of BMI, and lifestyle modification, including calorie restriction and
weight loss, based on the BMI values.
3. Question
Category: Pharmacological and Parenteral Therapies
Tissue plasminogen activator (tPA) is considered for the treatment of a patient who
arrives in the emergency department following the onset of symptoms of
myocardial infarction. Which of the following is a contraindication for treatment
with t-PA?
A. Worsening chest pain that began earlier in the evening.
B. History of cerebral hemorrhage.
C. History of prior myocardial infarction.
D. Hypertension.
Correct Answer: B. History of cerebral hemorrhage.
A history of cerebral hemorrhage is a contraindication to tPA because it may
increase the risk of bleeding. Bleeding associated with alteplase therapy can be
divided into two broad categories. Internal bleeding includes intracranial bleeding
(0.4% to 15.4%), retroperitoneal bleeding (less than 1%), gastrointestinal (GI)
bleeding (5%), genitourinary bleeding (4%), and respiratory bleeding. Superficial
, or surface bleeding is observed mainly at invaded or disturbed sites such as venous
cutdowns, arterial punctures, and recent surgical intervention sites.
4. Question
Category: Health Promotion and Maintenance
Following myocardial infarction, a hospitalized patient is encouraged to practice
frequent leg exercises and ambulate in the hallway as directed by his physician.
Which of the following choices reflects the purpose of exercise for this patient?
A. Increases fitness and prevents future heart attacks.
B. Prevents bedsores.
C. Prevents DVT (deep vein thrombosis).
D. Prevent constipations.
Correct Answer: C. Prevents DVT (deep vein thrombosis).
Exercise is important for all hospitalized patients to prevent deep vein thrombosis.
Muscular contraction promotes venous return and prevents hemostasis in the lower
extremities. Encourage physical activity consistent with the patient’s energy levels.
Helps promote a sense of autonomy while being realistic about capabilities.
Walking down the hall 20 feet or walking through the house, then slowly
progressing walking outside the house, saving energy for the return trip.
