PN3 EXAM 3 QUESTIONS AND
ANSWERS
What is happening in shock?
Shock is a life-threatening condition that occurs when the body is not getting enough
blood flow. Lack of blood flow means the cells and organs do not get enough oxygen
and nutrients to function properly
Manifestations for acute MI
· Nausea
· Diaphoresis
· Tachycardia
. ST elevation on ECG (STEMI)
. chest pain
-women may present differently with Jaw pain and indigestion
Discharge instructions for cardiac catheterization
You will notice a hematoma at incision site
What can potentiate the effects of warfarin?
The client takes garlic to lower cholesterol
Heparin overdose
Protamine
Client develops ventricular fibrillation (VFIB), he is unresponsive, pulseless, and
apneic, what is the nurse's priority?
Defibrillate
What medication is used to restore symptomatic bradycardia?
Atropine (increase HR)
Client taking Warfarin, food and drug interaction?
· Cabbage (rich in Vitamin K)
Statement by the client indicates Digoxin toxicity
· "My vision seems yellow"
Client with stable angina and prescription for ORAL nitroglycerin, sustained
release capsules. What instructions should the nurse include?
· Swallow the capsules whole
Client with hypercholesterolemia and taking simvastatin, what should the nurse
recognize as a possible adverse effect?
Muscle weakness
Patient taking aspirin, what herbal supplement will interact adversely?
Feverfew
Verapamil, what food should they avoid? Client taking
Grapefruit juice
Client takes 3 nitroglycerines sublingual and experiences a headache, what is a
correct statement by the nurse?
, · A headache is an expected adverse effect of this medication
What medication interacts with contrast?
metformin
Client taking Warfarin, what statement demonstrates understanding?
· I will utilize an electric razor
Client taking Verapamil for angina, what instructions would you include?
· Increase daily intake of dietary fiber
Client with new prescription for transdermal nitro patches for STABLE angina,
what instructions should the nurse include? SATA
· Apply patch to hairless area on the skin
· Apply a new patch every morning
· Remove patches for 10-12 hours a day
Client with sudden onset of irregular palpations, fatigue, and dizziness and nurse
finds a rapid, irregular heart rate with significant pulse deficit. What dysrhythmia
would the nurse anticipate to find on the ECG?
· Atrial Fibrillation
What finding on a ECG strip is normal sinus rhythm?
· The P wave falls before the QRS complex
A nurse is teaching a partner of a patient who experienced an acute MI about the
reason blood is drawn, what should the nurse say regarding cardiac enzymes?
· They help determine the degree of damage to the heart tissue
A nurse is teaching a patient post-operative of a permanent pacemaker, what
should the client notify the provider about?
Fatigue
A nurse is teaching a client who is taking atorvastatin daily, which of the
following implies understanding?
· I will avoid grapefruit juice
A nurse planning care for a patient with an acute MI, what should the nurse plan
to administer in the acute phase to manage anxiety/pain?
morphine
A client has a history of an MI and prescriber Aspirin 325 mg; the nurse
recognizes that Aspirin is given for which action that it provides?
· Antiplatelet aggregate
A nurse is providing instructions for a patient who has a new prescription for
sublingual nitro (nitrostat) to treat angina pectoris, what instruction should the
nurse include?
· Place tablet under your tongue and take small sips of water.
Client still experiencing chest pain after 5 minutes and administration of nitro
sublingual, what should they do?
· Administer another nitro tablet
Client experiencing nausea and chest pain at home after taking nitro 5 mins ago,
what should the client do next?
call 911
A nurse is preparing to administer Verapamil IV bolus to a client experiencing a
dysrhythmia, what adverse effect should the nurse monitor for?
· Hypotension (calcium channel blocker)
ANSWERS
What is happening in shock?
Shock is a life-threatening condition that occurs when the body is not getting enough
blood flow. Lack of blood flow means the cells and organs do not get enough oxygen
and nutrients to function properly
Manifestations for acute MI
· Nausea
· Diaphoresis
· Tachycardia
. ST elevation on ECG (STEMI)
. chest pain
-women may present differently with Jaw pain and indigestion
Discharge instructions for cardiac catheterization
You will notice a hematoma at incision site
What can potentiate the effects of warfarin?
The client takes garlic to lower cholesterol
Heparin overdose
Protamine
Client develops ventricular fibrillation (VFIB), he is unresponsive, pulseless, and
apneic, what is the nurse's priority?
Defibrillate
What medication is used to restore symptomatic bradycardia?
Atropine (increase HR)
Client taking Warfarin, food and drug interaction?
· Cabbage (rich in Vitamin K)
Statement by the client indicates Digoxin toxicity
· "My vision seems yellow"
Client with stable angina and prescription for ORAL nitroglycerin, sustained
release capsules. What instructions should the nurse include?
· Swallow the capsules whole
Client with hypercholesterolemia and taking simvastatin, what should the nurse
recognize as a possible adverse effect?
Muscle weakness
Patient taking aspirin, what herbal supplement will interact adversely?
Feverfew
Verapamil, what food should they avoid? Client taking
Grapefruit juice
Client takes 3 nitroglycerines sublingual and experiences a headache, what is a
correct statement by the nurse?
, · A headache is an expected adverse effect of this medication
What medication interacts with contrast?
metformin
Client taking Warfarin, what statement demonstrates understanding?
· I will utilize an electric razor
Client taking Verapamil for angina, what instructions would you include?
· Increase daily intake of dietary fiber
Client with new prescription for transdermal nitro patches for STABLE angina,
what instructions should the nurse include? SATA
· Apply patch to hairless area on the skin
· Apply a new patch every morning
· Remove patches for 10-12 hours a day
Client with sudden onset of irregular palpations, fatigue, and dizziness and nurse
finds a rapid, irregular heart rate with significant pulse deficit. What dysrhythmia
would the nurse anticipate to find on the ECG?
· Atrial Fibrillation
What finding on a ECG strip is normal sinus rhythm?
· The P wave falls before the QRS complex
A nurse is teaching a partner of a patient who experienced an acute MI about the
reason blood is drawn, what should the nurse say regarding cardiac enzymes?
· They help determine the degree of damage to the heart tissue
A nurse is teaching a patient post-operative of a permanent pacemaker, what
should the client notify the provider about?
Fatigue
A nurse is teaching a client who is taking atorvastatin daily, which of the
following implies understanding?
· I will avoid grapefruit juice
A nurse planning care for a patient with an acute MI, what should the nurse plan
to administer in the acute phase to manage anxiety/pain?
morphine
A client has a history of an MI and prescriber Aspirin 325 mg; the nurse
recognizes that Aspirin is given for which action that it provides?
· Antiplatelet aggregate
A nurse is providing instructions for a patient who has a new prescription for
sublingual nitro (nitrostat) to treat angina pectoris, what instruction should the
nurse include?
· Place tablet under your tongue and take small sips of water.
Client still experiencing chest pain after 5 minutes and administration of nitro
sublingual, what should they do?
· Administer another nitro tablet
Client experiencing nausea and chest pain at home after taking nitro 5 mins ago,
what should the client do next?
call 911
A nurse is preparing to administer Verapamil IV bolus to a client experiencing a
dysrhythmia, what adverse effect should the nurse monitor for?
· Hypotension (calcium channel blocker)
