ANSWERS |ALREADY GRADED A+
• The LPN/LVN is preparing to ambulate a postoperative patient after cardiac
surgery. The nurse plans to do which to enable the patient to besttolerate the
ambulation?
• Provide the patient with a walker.
• Remove the telemetry equipment.
• Encourage the patient to cough and deep breathe.
• Premedicate the patient with an analgesic before ambulating.
Correct Answer: 4. Premedicate the patient with an analgesic before ambulating.
• A patient is wearing a continuous cardiac monitor, which begins toalarm at
the nurse's station. The nurse sees no electrocardiographic complexes on the
screen. The nurse should do which first?
• Call a code blue.
• Call the health care provider.
• Check the patient status and lead placement.
• Press the recorder button on the ECG console.
,Correct Answer: 3. Check the patient status and lead placement.
• A patient is admitted to the hospital with a diagnosis of pericarditis. The
nurse reviews the patient's record for which sign or symptom that differentiates
pericarditis from other cardiopulmonary problems?
• Anterior chest pain
• Pericardial friction rub
• Weakness and irritability
• Chest pain that worsens on inspiration Correct Answer: 2. Pericardial
friction rub
• The nurse is beginning to ambulate a patient with activity intolerance caused
by bacterial endocarditis. The nurse determines that the patient is best tolerating
ambulation if which parameter is noted?
• Mild dyspnea after walking 10 feet
• Minimal chest pain rated 1 on a 1-to-10 pain scale
• Pulse rate that increases from 68 to 94 beats per minute
• Blood pressure that increases from 114/82 to 118/86 mm Hg
Correct Answer: 4. Blood pressure that increases from 114/82 to 118/86 mm Hg
,• The nurse is assisting a hospitalized patient who is newly diagnosed with
coronary artery disease (CAD) to make appropriate selections fromthe dietary
menu. The nurse encourages the patient to select which meal?
• Sausage, pancakes, and toast
• Broccoli, buttered rice, and grilled chicken
• Hamburger, baked apples, and avocado salad
• Fresh strawberries, steamed vegetables, and baked fish
Correct Answer: 4. Fresh strawberries, steamed vegetables, and baked fish
• A patient with known coronary artery disease (CAD) begins to experience
chest pain while getting out of bed. The nurse should take which action?
• Get a prescription for pain medication.
• Have the patient stop and lie back down in bed.
• Report the complaint to the health care provider.
• Have the patient continue to get out of bed and into a chair.
Correct Answer: 2. Have the patient stop and lie back down in bed.
, • The nurse is setting up the bedside unit for a patient being admitted tothe
nursing unit from the emergency department with a diagnosis of coronary artery
disease (CAD). The nurse should place highest priority on making sure that which
is available at the bedside?
• Bedside commode
• Rolling shower chair
• Oxygen tubing and flowmeter
• Twelve-lead electrocardiogram (ECG) machine
Correct Answer: 3. Oxygen tubing and flowmeter
• The LPN/LVN in a medical unit is caring for a patient with heart failure.
The patient suddenly develops extreme dyspnea, tachycardia, and lung crackles,
and the nurse suspects pulmonary edema. The nurse immediately notifies the
registered nurse and expects which interventions to be prescribed? Select all that
apply.
• Administering oxygen
• Inserting a Foley catheter
• Administering furosemide (Lasix)
• Administering morphine sulfate intravenously