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Actual Exam Questions | 100% Correct
Answers | Verified 2024 Version
Which findings would support cardiac tamponade?
Bradycardia
Hypertension
Restlessness
Muffled heart sounds
Widened pulse pressure
Distended neck veins - ✔✔Restlessness
Muffled heart sounds
Distended neck veins
Cardiac tamponade is a life-threatening condition caused by the accumulation of fluid in the
pericardium. This fluid, which can be blood, pus, or air, compresses the heart and restricts blood flow to
the ventricles. Symptoms of cardiac tamponade include elevated venous pressure, distended neck veins,
Kussmaul's sign, hypotension and narrowed pulse pressure, tachycardia, dyspnea, restlessness, and
anxiety, cyanosis of the lips and nails, diaphoresis, muffled heart sounds, pulsus paradoxus, decreased
friction rub, decreased QRS voltage, and electrical alternans.
The nurse is evaluating an external fetal monitoring strip of a client in labor. What condition is the nurse
concerned about?
Cephalopelvic disproportion
Oligohydramnios
Uteroplacental insufficiency
Hydramnios - ✔✔Uteroplacental insufficiency
, This fetal monitoring strip illustrates a late deceleration. The decrease in fetal heart rate begins after the
peak of the contraction and doesn't return to baseline until the contraction is over. Late decelerations
are associated with uteroplacental insufficiency, shock, or fetal metabolic acidosis. Cephalopelvic
disproportion may cause early, not late, decelerations early in labor. Oligohydramnios be associated with
variable decelerations. Hydramnios may be associated with uterine rupture.
The nurse is caring for a child with tricuspid atresia who develops polycythemia. Which statements most
accurately describe this manifestation? - ✔✔Polycythemia is an increased number of red blood cells,
thereby increasing the ability of the blood to carry oxygen to the cells. It is the body's attempt at
compensating for the chronic hypoxia associated with this heart defect. Due to this clinical
manifestation, the viscosity of the blood increases, which leaves the child at risk for developing a
thrombus, particularly when dehydrated. There is also not as much room for clotting factors, which can
leave the child at risk for blood clotting disorders.
A client is admitted with hemophilia A. Which sports should the nurse recommend as safe for the client
to participate? Select all that apply. - ✔✔Swimming
Golf
Hemophilia A or classic hemophilia is a bleeding disorder that results from a deficiency or abnormality of
clotting factor VIII. A client with hemophilia should avoid contact sports like soccer, baseball, and
basketball because of the risk of bleeding with injury. The client can safely participate in noncontact
sports such as swimming and golf.
The parents of an infant recently diagnosed with tricuspid atresia have been told that their child will
need a series of surgeries, in three stages, during the first few years of life. Which statements indicate
that the parents have an understanding of the procedures? Select all that apply.
"My child will have this dusky color for the rest of his life." "These procedures will make my child have a
normal heart." "Once fixed, my baby will not have to take any more medicine." "My baby will be just like
all of the other children once the surgeries are all done." "My child will have to be closely monitored for
signs of a stroke. - ✔✔"My child will have this dusky color for the rest of his life."
"My child will have to be closely monitored for signs of a stroke."
The child will be dusky, particularly around mucous membranes and nail beds, for the rest of his life as a
result of chronic hypoxemia. The resultant polycythemia and increased blood viscosity increase the
child's chances of developing a thrombus, leading to a cerebrovascular accident or stroke. The three
Actual Exam Questions | 100% Correct
Answers | Verified 2024 Version
Which findings would support cardiac tamponade?
Bradycardia
Hypertension
Restlessness
Muffled heart sounds
Widened pulse pressure
Distended neck veins - ✔✔Restlessness
Muffled heart sounds
Distended neck veins
Cardiac tamponade is a life-threatening condition caused by the accumulation of fluid in the
pericardium. This fluid, which can be blood, pus, or air, compresses the heart and restricts blood flow to
the ventricles. Symptoms of cardiac tamponade include elevated venous pressure, distended neck veins,
Kussmaul's sign, hypotension and narrowed pulse pressure, tachycardia, dyspnea, restlessness, and
anxiety, cyanosis of the lips and nails, diaphoresis, muffled heart sounds, pulsus paradoxus, decreased
friction rub, decreased QRS voltage, and electrical alternans.
The nurse is evaluating an external fetal monitoring strip of a client in labor. What condition is the nurse
concerned about?
Cephalopelvic disproportion
Oligohydramnios
Uteroplacental insufficiency
Hydramnios - ✔✔Uteroplacental insufficiency
, This fetal monitoring strip illustrates a late deceleration. The decrease in fetal heart rate begins after the
peak of the contraction and doesn't return to baseline until the contraction is over. Late decelerations
are associated with uteroplacental insufficiency, shock, or fetal metabolic acidosis. Cephalopelvic
disproportion may cause early, not late, decelerations early in labor. Oligohydramnios be associated with
variable decelerations. Hydramnios may be associated with uterine rupture.
The nurse is caring for a child with tricuspid atresia who develops polycythemia. Which statements most
accurately describe this manifestation? - ✔✔Polycythemia is an increased number of red blood cells,
thereby increasing the ability of the blood to carry oxygen to the cells. It is the body's attempt at
compensating for the chronic hypoxia associated with this heart defect. Due to this clinical
manifestation, the viscosity of the blood increases, which leaves the child at risk for developing a
thrombus, particularly when dehydrated. There is also not as much room for clotting factors, which can
leave the child at risk for blood clotting disorders.
A client is admitted with hemophilia A. Which sports should the nurse recommend as safe for the client
to participate? Select all that apply. - ✔✔Swimming
Golf
Hemophilia A or classic hemophilia is a bleeding disorder that results from a deficiency or abnormality of
clotting factor VIII. A client with hemophilia should avoid contact sports like soccer, baseball, and
basketball because of the risk of bleeding with injury. The client can safely participate in noncontact
sports such as swimming and golf.
The parents of an infant recently diagnosed with tricuspid atresia have been told that their child will
need a series of surgeries, in three stages, during the first few years of life. Which statements indicate
that the parents have an understanding of the procedures? Select all that apply.
"My child will have this dusky color for the rest of his life." "These procedures will make my child have a
normal heart." "Once fixed, my baby will not have to take any more medicine." "My baby will be just like
all of the other children once the surgeries are all done." "My child will have to be closely monitored for
signs of a stroke. - ✔✔"My child will have this dusky color for the rest of his life."
"My child will have to be closely monitored for signs of a stroke."
The child will be dusky, particularly around mucous membranes and nail beds, for the rest of his life as a
result of chronic hypoxemia. The resultant polycythemia and increased blood viscosity increase the
child's chances of developing a thrombus, leading to a cerebrovascular accident or stroke. The three
