BSN 445 EXAM CARDIOVASCULAR DISORDERS EXAM FULLY UPDATED.

y




BSN 445 EXAM CARDIOVASCULAR
DISORDERS EXAM FULLY UPDATED.
Ayvisitingynurseyisyteachingyayclientywithyheartyfailureyaboutytakingytheirymedication
s.yTheyclientyrequiresysixydifferentymedicationsythatyareytakenyatyfourydifferentytimes
yperyday.yTheyclientyisyconfusedyaboutywhenytoytakeyeachymedication.yHowyshouldyth

eynurseyintervene?y-yCORRECTyANSWER-
Teachyayfamilyymemberytoyfillyaymedicationycomplianceyaidyonceyperyweekysoytheycli
entycanyindependentlyytakeytheirymedications.

Theynurseyisyassessingyayclientywhoyhasyaylongyhistoryyofyuncontrolledyhypertension.
yTheynurseyshouldyassessytheyclientyforydamageyinywhichyareayofytheyeye?y-

yCORRECTyANSWER-retina



Ayclientyisyrecoveringyfromycoronaryyarteryybypassygrafty(CABG)ysurgeryyandybegins
ytoyexperienceychestypain,yshortnessyofybreath,yandytachycardia.yFurtheryassessmenty

revealsyaywidenedyQRSycomplexyandyanyelevatedySTysegment.yWhichynursingydiagno
sisytakesyhighestypriorityyatythisytime?y-yCORRECTyANSWER-
Decreasedycardiacyoutputyrelatedytoydepressedymyocardialyfunction

Aynurseyinytheyemergencyydepartmentyisycaringyforyayclientywithyacuteyheartyfailure.y
Whichylaboratoryyvalueyisymostyimportantyforytheynurseytoycheckybeforeyadministeri
ngymedicationsytoytreatyheartyfailure?y-yCORRECTyANSWER-potassium

Ayclientyisytakingyspironolactoneytoycontrolyhypertension.yTheyclient'syserumypotassi
umylevelyisy[6ymEq/Ly(56mmol/L)].yForythisyclient,ytheynurse'sypriorityyshouldybeytoy
assessytheiry-yCORRECTyANSWER-electrocardiogramy(ECG)yresults.

Theynurseyisycaringyforyayclientypostymyocardialyinfarctiony(MI).yOrdersyincludeystric
tybedyrestyandyayclear,yliquidydiet.yWhatyisytheynurse'sybestyresponseytoytheyclientywh
oyisyinquiringyaboutytheypurposeyofytheynewydiet?y-yCORRECTyANSWER-
toyreduceytheymetabolicyworkloadyofydigestion

Aynurseyisyteachingyayclientyhowytoytakeynitroglycerinytoytreatyanginaypectoris.yWhaty
shouldytheynurseyincludeyinytheyinstructions?y-yCORRECTyANSWER-
Callyemergencyymedicalyservicesyimmediatelyyifychestypainydoesynotysubsideywithiny
15yminutes.

Ayclientyarrivesyinytheyemergencyydepartmentyreportingyintenseypainyinytheyabdome
nyandytellsytheynurseythatyityfeelsylikeyayheartbeatyinytheyabdomen.yWhichynursingyas

,sessmentywouldyindicateypotentialyruptureyofyanyaorticyaneurysm?y-
yCORRECTyANSWER-Theyclientyreportsyincreasingysevereybackypain.



Ayclientyhasybeenydiagnosedywithyright-
sidedyheartyfailure.yTheynurseyshouldyassessytheyclientyfurtheryfor:y-
yCORRECTyANSWER-Dependentyedema.



Theyclientyasksytheynurse,y"Whyywon'tytheyhealthycareyproviderytellymeyexactlyyhowy
muchyofymyylegyheyisygoingytoytakeyoff?yDon'tyyouythinkyIyshouldyknowythat?"yOnywhi
chyinformationyshouldytheynurseybaseytheyresponse?y-yCORRECTyANSWER-
theyadequacyyofytheybloodysupplyytoytheytissues

Ayclientywithyperipheralyarteryydiseaseyhasyfemoral-
poplitealybypassysurgery.yWhatygoalyshouldytheynurseyestablishywithytheyclientyimme
diatelyyafterysurgery?y-yCORRECTyANSWER-Maintainycirculation.

Aywhiteymale,yagey43,ywithyaytentativeydiagnosisyofyinfectiveyendocarditisyisyadmitte
dytoyanyacuteycareyfacility.yHisymedicalyhistoryyrevealsydiabetesymellitus,yhypertensi
on,yandyperniciousyanemia;yheyunderwentyanyappendectomyy20yyearsyearlieryandyan
yaorticyvalveyreplacementy2yyearsybeforeythisyadmission.yWhichyhistoryyfindingyisyay

majoryriskyfactoryforyinfectiveyendocarditis?y-yCORRECTyANSWER-
historyyofyaorticyvalveyreplacement

Whichyactivityyisyleastyeffectiveyinypreventingysensoryydeprivationyduringyayclient'sys
tayyinytheycardiacycareyunit?y-yCORRECTyANSWER-
keepingytheydooryclosedytoyprovideyprivacy

Theynurseyisyconcernedyaboutytheyrisksyofyhypoxemiayandymetabolicyacidosisyinyaycli
entywhoyisyinyshock.yWhatyfindingyshouldytheynurseyanalyzeyforyevidenceyofyhypoxe
miayandymetabolicyacidosisyinyayclientywithyshock?y-yCORRECTyANSWER-
arterialybloodygasy(ABG)yfindings

Followingyaymyocardialyinfarction,yayclientydevelopsyanyarrhythmiayandyrequiresyayc
ontinuousyinfusionyofylidocaine.yToymonitorytheyeffectivenessyofytheyintervention,yth
eynurseyshouldyfocusyprimarilyyonytheyclient's:y-yCORRECTyANSWER-
electrocardiogramy(ECG).

Ayclientycomesytoytheyemergencyydepartmentyreportingysevereysubsternalychestypai
nyradiatingydownytheyleftyarm.yTheyclientyisyadmittedytoytheycoronaryycareyunitywithy
aydiagnosisyofymyocardialyinfarctiony(MI).yWhichyshouldytheynurseydoyfirstywhenythe
yclientyisyadmittedytoytheycoronaryycareyunit?y-yCORRECTyANSWER-

Beginytelemetryymonitoring.

Theynurseyisycaringyforyanyolderyadultymanywhoywalksy2ymilesyeveryymorning.yTheyn
urseynotesythatyduringyhisymorningywalk,yheycalledyhisychildyandystatedythatyheythou
ghtythatyheywasyhavingyayheartyattack.yWhichysymptom,yidentifiedybyytheyclient,yisyth

, eymostycommonyandyconsistentywithythatyofyayheartyattacky(myocardialyinfarction)?y-
yCORRECTyANSWER-sternalypain



Ayclientywithyheartyfailureyisytakingyfurosemide,ydigoxin,yandypotassiumychloride.yTh
eyclientyhasynausea,yblurredyvision,yheadache,yandyweakness.yTheynurseynotesythatyt
heyclientyisyconfused.yTheytelemetryystripyshowsyfirst-
degreeyatrioventricularyblock.yWhatyotherysignyshouldytheynurseyassessynext?y-
yCORRECTyANSWER-digoxinytoxicity.



Ayclientyhasybeenydiagnosedywithyperipheralyarterialyocclusiveydisease.yInyorderytoyp
romoteycirculationytoytheyextremities,ytheynurseyshouldyinstructytheyclientyto:y-
yCORRECTyANSWER-participateyinyayregularywalkingyprogram.



Ayclientywithysecond-
degreeyatrioventricularyheartyblockyisyadmittedytoytheycoronaryycareyunit.yTheynurse
ycloselyymonitorsytheyclient'syheartyrateyandyrhythm.yWhenyinterpretingytheyclient'sy

electrocardiogramy(ECG)ystrip,ytheynurseyknowsythatytheyQRSycomplexyrepresentsy-
yCORRECTyANSWER-ventricularydepolarization.



Ayclientyarrivesyinytheyemergencyydepartmentywithyanyischemicystroke.yWhatyshould
ytheynurseydoybeforeytheyclientyreceivesytissueyplasminogenyactivatory(t-PA)?y-

yCORRECTyANSWER-Identifyytheytimeyofyonsetyofytheystroke.



Ayclientywithyperipheralyvascularydiseaseyhasypoorycirculation.yTheynurseyshouldyass
essytheyclientyforychangesyin:y(Selectyallythatyapply.)y-yCORRECTyANSWER-
nailybedycolor.
yskinytemperature.

ypainyinyextremity.



Ayclientyisyadmittedywithyaymyocardialyinfarctionyandyatrialyfibrillation.yWhileyauscul
tatingytheyheart,ytheynurseynotesyanyirregularyheartyrateyandyhearsyanyextrayheartyso
undyatytheyapexyafterytheyS2ythatyremainsyconstantythroughoutytheyrespiratoryycycle.
yHowyshouldytheynurseydocumentytheseyfindings?y-yCORRECTyANSWER-

heartyrateyirregularywithyS3

Aynurseyisyevaluatingyayclientywhoyhadyaymyocardialyinfarctiony(MI)y7ydaysyearlier.y
Whichyoutcomeyindicatesythatytheyclientyisyrespondingyfavorablyytoytherapy?y-
yCORRECTyANSWER-

Theyclientydemonstratesyabilityytoytolerateymoreyactivityywithoutychestypain.

Ayregisteredynurseyisymentoringyaynewygraduateynurse.yWhichyactionybyytheynewygra
duateydemonstratesyayneedyforyfurtheryteaching?y-yCORRECTyANSWER-
turnsytheydefibrillatorytoysynchronizeybeforeydefibrillatingyayclientywithyventricularyf
ibrillation