NUR 280 EXAM 1 2024 WITH ACTUAL CORRECT
QUESTIONS AND VERIFIED DETAILED
RATIONALES ANSWERS BY EXPERTS
|FREQUENTLY TESTED QUESTIONS AND
SOLUTIONS | ALREADY GRADED A+ |LATEST
UPDATE | GUARANTEED PASS
The hospice nurse is caring for a 45-year-old mother of three young children in the
clients home. During the most recent visit, the nurse has observed that the client
has a new onset of altered mental status, likely resulting from recently diagnosed
brain metastases. What goal of nursing interventions should the nurse identify?
• Helping the family to understand why the client needs to be sedated
• Making arrangements to promptly move the client to an acute-care facility
• Explaining to the family that death is near and the client needs around-the-
clock nursing care
• Teaching family members how to interact with, and ensure safety for, the
client with impaired cognition
D
You are caring for a client who has just been told that his illness is progressing and
nothing more can be done for him. After the physician leaves, the client asks you to
stay with him for a while. The client becomes tearful and tries several times to say
something, but cannot get the words out. What would be an appropriate response
for you to make at this time?
• Can I give you some advice?
• Do you need more time to think about this?
• Is there anything you want to say?
• I have cared for lots of clients in your position. It will get easier. B
A client who is receiving care for osteosarcoma has been experiencing severe pain
since being diagnosed. As a result, the client has been receiving analgesics on both
a scheduled and PRN basis. For the past several hours, however, the clients level of
consciousness has declined and she is now unresponsive. How should the clients
pain control regimen be affected?
• The clients pain control regimen should be continued.
,• The pain control regimen should be placed on hold until the clients level of
consciousness improves.
• IV analgesics should be withheld and replaced with transdermal analgesics.
• The clients analgesic dosages should be reduced by approximately one half.
A
A nurse is describing the process by which blood is ejected into circulation as the
chambers of the heart become smaller. The instructor categorizes this action of the
heart as what?
• Systole
• Diastole
• Repolarization
• Ejection fraction A
During a shift assessment, the nurse is identifying the clients point of maximum
impulse (PMI). Where will the nurse best palpate the PMI?
• Left midclavicular line of the chest at the level of the nipple
• Left midclavicular line of the chest at the fifth intercostal space
• Midline between the xiphoid process and the left nipple
• Two to three centimeters to the left of the sternum B
The nurse is calculating a cardiac clients pulse pressure. If the clients blood
pressure is 122/76 mm Hg, what is the clients pulse pressure?
• 46 mm Hg
B. 99 mm Hg
C. 198 mm Hg
D. 76 mm Hg A
The nurse is caring for a client admitted with unstable angina. The laboratory result
for the initial troponin I is elevated in this client. The nurse should recognize what
implication of this assessment finding?
A. This is only an accurate indicator of myocardial damage when it reaches its
peak in 24 hours. B.Because the client has a history of unstable angina, this is a
poor indicator of myocardial injury.
C. This is an accurate indicator of myocardial injury.
D.This result indicates muscle injury, but does not specify the source. C
The nurse is conducting client teaching about cholesterol levels. When discussing
the clients elevated LDL and lowered HDL levels, the client shows an
understanding of the significance of these levels by stating what?
,A. Increased LDL and decreased HDL increase my risk of coronary artery disease.
B. Increased LDL has the potential to decrease my risk of heart disease.
C.The decreased HDL level will increase the amount of cholesterol moved away
from the artery walls.
D. The increased LDL will decrease the amount of cholesterol deposited on the
artery walls.
A
The physician has placed a central venous pressure (CVP) monitoring line in an
acutely ill client so right ventricular function and venous blood return can be
closely monitored. The results show decreased CVP. What does this indicate?
• Possible hypovolemia
• Possible myocardial infarction (MI)
• Left-sided heart failure
• Aortic valve regurgitation A
While auscultating a clients heart sounds, the nurse hears an extra heart sound
immediately after the second heart sound (S2). An audible S3 would be considered
an expected finding in what client?
• An older adult
• A 20-year-old client
• A client who has undergone valve replacement
• A client who takes a beta-adrenergic blocker B
The physical therapist notifies the nurse that a client with coronary artery disease
(CAD) experiences a much greater-than-average increase in heart rate during
physical therapy. The nurse recognizes that an increase in heart rate in a client with
CAD may result in what?
• Development of an atrial-septal defect
• Myocardial ischemia
• Formation of a pulmonary embolism
• Release of potassium ions from cardiac cells B
The nurse is caring for a client who has a history of heart disease. What factor
should the nurse identify as possibly contributing to a decrease in cardiac output?
• A change in position from standing to sitting
• A heart rate of 54 bpm
• A pulse oximetry reading of 94%
, • An increase in preload related to ambulation B
The nurse is caring for an 82-year-old client. The nurse knows that changes in
cardiac structure and function occur in older adults. What is a normal change
expected in the aging heart of an older adult?
• Decreased left ventricular ejection time
• Decreased connective tissue in the SA and AV nodes and bundle branches
• Thinning and flaccidity of the cardiac values
• Widening of the aorta D
A resident of a long-term care facility has complained to the nurse of chest pain.
What aspect of the residents pain would be most suggestive of angina as the cause?
• The pain is worse when the resident inhales deeply.
• The pain occurs immediately following physical exertion.
• The pain is worse when the resident coughs.
• The pain is most severe when the resident moves his upper body. B
The critical care nurse is caring for a client with a central venous pressure (CVP)
monitoring system. The nurse notes that the clients CVP is increasing. Of what
may this indicate?
• Psychosocial stress
• Hypervolemia
• Dislodgment of the catheter
D. Hypomagnesemia B
The critical care nurse is caring for a client with a pulmonary artery pressure
monitoring system. The nurse is aware that pulmonary artery pressure monitoring
is used to assess left ventricular function. What is an additional function of
pulmonary artery pressure monitoring systems?
• To assess the clients response to fluid and drug administration
• To obtain specimens for arterial blood gas measurements
• To dislodge pulmonary emboli
• To diagnose the etiology of chronic obstructive pulmonary disease A
The cardiac care nurse is reviewing the conduction system of the heart. The nurse is
aware that electrical conduction of the heart usually originates in the SA node and
then proceeds in what sequence?
• SA node to bundle of His to AV node to Purkinje fibers
QUESTIONS AND VERIFIED DETAILED
RATIONALES ANSWERS BY EXPERTS
|FREQUENTLY TESTED QUESTIONS AND
SOLUTIONS | ALREADY GRADED A+ |LATEST
UPDATE | GUARANTEED PASS
The hospice nurse is caring for a 45-year-old mother of three young children in the
clients home. During the most recent visit, the nurse has observed that the client
has a new onset of altered mental status, likely resulting from recently diagnosed
brain metastases. What goal of nursing interventions should the nurse identify?
• Helping the family to understand why the client needs to be sedated
• Making arrangements to promptly move the client to an acute-care facility
• Explaining to the family that death is near and the client needs around-the-
clock nursing care
• Teaching family members how to interact with, and ensure safety for, the
client with impaired cognition
D
You are caring for a client who has just been told that his illness is progressing and
nothing more can be done for him. After the physician leaves, the client asks you to
stay with him for a while. The client becomes tearful and tries several times to say
something, but cannot get the words out. What would be an appropriate response
for you to make at this time?
• Can I give you some advice?
• Do you need more time to think about this?
• Is there anything you want to say?
• I have cared for lots of clients in your position. It will get easier. B
A client who is receiving care for osteosarcoma has been experiencing severe pain
since being diagnosed. As a result, the client has been receiving analgesics on both
a scheduled and PRN basis. For the past several hours, however, the clients level of
consciousness has declined and she is now unresponsive. How should the clients
pain control regimen be affected?
• The clients pain control regimen should be continued.
,• The pain control regimen should be placed on hold until the clients level of
consciousness improves.
• IV analgesics should be withheld and replaced with transdermal analgesics.
• The clients analgesic dosages should be reduced by approximately one half.
A
A nurse is describing the process by which blood is ejected into circulation as the
chambers of the heart become smaller. The instructor categorizes this action of the
heart as what?
• Systole
• Diastole
• Repolarization
• Ejection fraction A
During a shift assessment, the nurse is identifying the clients point of maximum
impulse (PMI). Where will the nurse best palpate the PMI?
• Left midclavicular line of the chest at the level of the nipple
• Left midclavicular line of the chest at the fifth intercostal space
• Midline between the xiphoid process and the left nipple
• Two to three centimeters to the left of the sternum B
The nurse is calculating a cardiac clients pulse pressure. If the clients blood
pressure is 122/76 mm Hg, what is the clients pulse pressure?
• 46 mm Hg
B. 99 mm Hg
C. 198 mm Hg
D. 76 mm Hg A
The nurse is caring for a client admitted with unstable angina. The laboratory result
for the initial troponin I is elevated in this client. The nurse should recognize what
implication of this assessment finding?
A. This is only an accurate indicator of myocardial damage when it reaches its
peak in 24 hours. B.Because the client has a history of unstable angina, this is a
poor indicator of myocardial injury.
C. This is an accurate indicator of myocardial injury.
D.This result indicates muscle injury, but does not specify the source. C
The nurse is conducting client teaching about cholesterol levels. When discussing
the clients elevated LDL and lowered HDL levels, the client shows an
understanding of the significance of these levels by stating what?
,A. Increased LDL and decreased HDL increase my risk of coronary artery disease.
B. Increased LDL has the potential to decrease my risk of heart disease.
C.The decreased HDL level will increase the amount of cholesterol moved away
from the artery walls.
D. The increased LDL will decrease the amount of cholesterol deposited on the
artery walls.
A
The physician has placed a central venous pressure (CVP) monitoring line in an
acutely ill client so right ventricular function and venous blood return can be
closely monitored. The results show decreased CVP. What does this indicate?
• Possible hypovolemia
• Possible myocardial infarction (MI)
• Left-sided heart failure
• Aortic valve regurgitation A
While auscultating a clients heart sounds, the nurse hears an extra heart sound
immediately after the second heart sound (S2). An audible S3 would be considered
an expected finding in what client?
• An older adult
• A 20-year-old client
• A client who has undergone valve replacement
• A client who takes a beta-adrenergic blocker B
The physical therapist notifies the nurse that a client with coronary artery disease
(CAD) experiences a much greater-than-average increase in heart rate during
physical therapy. The nurse recognizes that an increase in heart rate in a client with
CAD may result in what?
• Development of an atrial-septal defect
• Myocardial ischemia
• Formation of a pulmonary embolism
• Release of potassium ions from cardiac cells B
The nurse is caring for a client who has a history of heart disease. What factor
should the nurse identify as possibly contributing to a decrease in cardiac output?
• A change in position from standing to sitting
• A heart rate of 54 bpm
• A pulse oximetry reading of 94%
, • An increase in preload related to ambulation B
The nurse is caring for an 82-year-old client. The nurse knows that changes in
cardiac structure and function occur in older adults. What is a normal change
expected in the aging heart of an older adult?
• Decreased left ventricular ejection time
• Decreased connective tissue in the SA and AV nodes and bundle branches
• Thinning and flaccidity of the cardiac values
• Widening of the aorta D
A resident of a long-term care facility has complained to the nurse of chest pain.
What aspect of the residents pain would be most suggestive of angina as the cause?
• The pain is worse when the resident inhales deeply.
• The pain occurs immediately following physical exertion.
• The pain is worse when the resident coughs.
• The pain is most severe when the resident moves his upper body. B
The critical care nurse is caring for a client with a central venous pressure (CVP)
monitoring system. The nurse notes that the clients CVP is increasing. Of what
may this indicate?
• Psychosocial stress
• Hypervolemia
• Dislodgment of the catheter
D. Hypomagnesemia B
The critical care nurse is caring for a client with a pulmonary artery pressure
monitoring system. The nurse is aware that pulmonary artery pressure monitoring
is used to assess left ventricular function. What is an additional function of
pulmonary artery pressure monitoring systems?
• To assess the clients response to fluid and drug administration
• To obtain specimens for arterial blood gas measurements
• To dislodge pulmonary emboli
• To diagnose the etiology of chronic obstructive pulmonary disease A
The cardiac care nurse is reviewing the conduction system of the heart. The nurse is
aware that electrical conduction of the heart usually originates in the SA node and
then proceeds in what sequence?
• SA node to bundle of His to AV node to Purkinje fibers
