MDCIII Final Exam 2024

1. Which of the following assessment findings are consistent with aortic regurgitation a. Atrial fibrillation b. Systolic click c. Pitting edema d. Blowing,decrescendo diastolic murmur - a. Blowing,decrescendo diastolic murmur 2. The nurse knows which of the following is the most common problem for a client with valvular heart disease Decreased cardiac output Difficulty coping Bradycardia Altered body image. - Decreased cardiac output 3. The nurse is assessing a client with severe clinical manifestation does the nurse expect to see in this client Dyspnea with activity Hypertension Bradycardia Warm,flushed skin - Dyspnea with activity 4. A client diagnosed with stable angina is complaining of substernal chterm-4est pain, rating the pain 5 out of 10. What would be the priority action by the nurse? Administer nitroglycerin,1 tablet sublingual immediately Administer 81 mg of aspirin immediately Administer the client's prescribed beta blocker. Administer morphine - Administer nitroglycerin,1 tablet sublingual immediately 5. A nurse is caring for a client diagnosed with polycythemia vera. Which of the following should the nurse include in the client and family education Decreased fluid intake to no more than 1 little per day Wear support hose while awake Diet high in vitamin k Resume normal activity - Wear support hose while awake 6. A nurse is performing discharge teaching for a client who was recently diagnosed with heart of the following should be included in the client and family teaching ( select all that apply) Medication teaching Low sodium diet Fluid restriction Weekly weights Symptoms to report to the provider - Medication teaching Low sodium diet Fluid restriction Symptoms to report to the provider 7. The family of a neutropenic client reports that the client confused and is not acting right what action by the nurse is the priority Ask the client about pain Assess the client for infection Delegate taking a set of vital signs Look at today's laboratory results. - Assess the client for infection 8. A nurse is caring for a client with a history of an abdominal aortic aneurysm. Which of the following assessment requires immediate intervention Decreased urine output Back pain Nausea and vomiting Absent peripheral pulses. - Absent peripheral pulses. 9. Which of the following assessment is a priority findings during a blood transfusion Chest pain Headache Joint pain Fatigue - Chest pain 10. The nurse questions which order for a client with thrombocytopenia Avoid IM injection Administer enemas Apply ice to areas of trauma Test all urine and stool for the presence of occult blood. - Administer enemas 11. Which of the following clients would not be a candidate for thrombolytic therapy Client with a blood pressure of 100/60 mm HG Client with a pulse of 102 beats/minute Client with a history of hemorrhage stroke one month ago Client age 65 - Client with a history of hemorrhage stroke one month ago 12. Which of the following procedures are performed for a client with a pericardial effusion Coronary artery bypass graft Thoracotomy Pericardiocentesis Thoracentesis - Pericardiocentesis 13. Which of the following is the treatment of choice for end stage heart failure Heart transplant Coronary artery bypass Percutaneous angiogram Medications - Heart transplant 14. A nurse is caring for a client who recently underwent a heart of the following nursing interventions is the priority Assess for signs and symptoms of rejection Advance diet as tolerated Auscultate bowel sounds Maintain strict bedrest - Assess for signs and symptoms of rejection 15. A nurse is caring for a client recently diagnosed with pericarditis which of the following is a common assessment finding with this disorder ST- segment depression Elevated troponin Heart failure - ST- segment depression 16. A 65 year old male client is brought via EMS to the emergency department with chest rates the pain as a 10 on a scale from 0 to 10 .the pain is located mid-sternum and radiates to his left heart rate is 126 bpm,and blood pressure is 96/60 mm.Hg.A 12-lead electrocardiogram is perform and reveals ST- segment of the following interventions does the nurse anticipate performing immediately. Administer oxygen Administer a beta blocker Administer morphine Administer a statin. - Administer morphine 17. Which of the following nursing interventions would be appropriate for a client with sickle cell disease.( select all that apply) Administer IV morphine Keep the client strictly NPO Remove restrictive clothing Prepare the client for surgery Provide a cool environment - Administer IV morphine Remove restrictive clothing 18. A nurse is caring for a client diagnosed with atherosclerosis. Which of the risk factors for the development of this disorder. High HDL-C/low LDL-C Vegan diet Low HDL-C/High LDL-C Diet high in vitamin K - Low HDL-C/High LDL-C 19. A nurse is caring for a client diagnosed with peripheral artery of the following is a common assessment finding 3+ pedal pulses 1+ pedal pulses 4+ pedal pulses - 1+ pedal pulses 20. The nurse knows that hemolytic reactions to blood transfusions occur most often within the first ------ minutes of the infusions 21. A client admitted sickle crisis is distraught after learning her child also has the disease. What response by the is best Both you and the father are equally responsible for passing it on I can see you are upset. I can stay here with you a while if you like It's not your fault there is no way to know who will have this disease. There are many good treatments for sickle cell disease these days. - I can see you are upset. I can stay here with you a while if you like 22. A NURSE IS caring for four clients with leukemia. After a hand-off report,which client should the nurse see first? Client who had two bloody diarrhea stools this morning Client who has been premedicated for nausea prior to chemotherapy Client with a respiratory rate change from 15 to 20 breaths/min Client with an unchanged lesions to the lower right lateral malleolus - Client who had two bloody diarrhea stools this morning 23. The nurse is working in the emergency department and has four clients arrive at the same client should the nurse see first. A client who states she has not urinated in 8 hours A client with a history of chronic obstructive pulmonary disease reporting increased dyspnea A client requesting antibiotics A client who has a facial fracture with severe swelling. - A client who has a facial fracture with severe swelling. 24. A 65 year old female presented to the emergency room complaints of progressively worsening fatigue,,shortness of breath,and assessment,heart rate is 130 beats per minute and irregular,and there is positive jugular vein tones a high-pitched holosystolic of the following disorders are consistent with these findings . Mitral regurgitation Mitral stenosis Aortic regurgitation Mitral valve prolapse. - Mitral regurgitation 25. A client is receiving treatment for the diagnosis of hemophilia A.WHICH OF THE FOLLOWING IS MOST APPROPRIATE TO INCLUDE IN THE ASSESSMENT OF THIS CLIENT a. Appetite b. Urine output c. Joint pain and bruising d. Respiratory rate. - a. Joint pain and bruising 26. A nurse is caring for a 65 year old male who recently underwent an aortic valve of the following is post-operative nursing care priority Temperature monitoring Advance diet as tolerated Assess for bleeding Dressing for bleeding - Assess for bleeding 27. The nurse educates the client on which of the following tests as the best tool for diagnosis heart failure. echocardiography Pulmonary artery catheter Radionuclide studies Multigated angiographic ( MUGA) scan - echocardiography 28. A nurse is caring for a client with of the following sign and symptoms are consistent with this diagnosis( select all that apply) Bleeding gums Bone pain ' Weight gain Increased urination Fatigue - Bleeding gums Bone pain ' Fatigue 29. A nurse in a hematology clinic is working with four clients who have polycythemia client should the nurse see first? Client with a blood pressure 180/98 mm HG Client who reports shortness of breath Client who reports calf tenderness and swelling Client with a swollen and painful left great toe. - Client who reports shortness of breath 30. A nurse is providing discharge teaching to a client who recently underwent a mechanical valve of the following statements by the client indicates the client's correct understanding of the discharge teaching regarding warfarin anticoagulant therapy. I do not need to take my prescribed medication for the rest of my life Additional monitoring is not required while on the anticoagulant I can lead a normal life while on anticoagulants , no restrictions are required I may need to modify my diet while on this medication - I may need to modify my diet while on this medication 31. Which of the following medications are appropriate for the treatment of heart failure ( select all that apply) Antibiotics Diuretics Digoxin Bronchodilators angiotensin -converting enzyme ( ace ) inhibitors. - Diuretics Digoxin angiotensin -converting enzyme ( ace ) inhibitors. 32. When educating a female client on the signs and symptoms of myocardial infarction , the nurse recognizes that which of the following should be included in the teaching Pain usually resolves with rest and relaxation Women often present with atypical signs and symptoms Substernal chest pain is the most common symptoms in women Women experience intermittent claudication - Women often present with atypical signs and symptoms 33. Which of the following would predispose a client mitral stenosis Obesity Rheumatic fever Diabetes IV drug use. - Rheumatic fever 34. A NURSE IS CARING FOR A CLIENt who has a nasogastric tube attached to low suction because of a suspected bowel of the following arterial blood gas results might be expected in this client? PH 7.52,PCO2 54 MM HG PH 7.42,PCO2 40 MM HG PH 7.25 , PC02 25 MM HG PH 7.38,PCO2 36 MM HG - PH 7.52,PCO2 54 MM HG 35. A 78 year old female presented to the emergency department with shortness of breath.Her daughter is at the bedside and shares that the client has a history of heart failure. You place the client on the cardiac monitor and find that the client is in atrial fibrillation at a rate of 180 beats per of the following are you concerns regarding this rhythm( select all that apply) Potential for embolic event Hypotension due to elevated heart rate Worsening heart failure Dizziness and light-headness Cerebral edema - Potential for embolic event Hypotension due to elevated heart rate Worsening heart failure Dizziness and light-headness 36. The nurse is caring for a 55 year old male who presented to his primary physician's office for his yearly check-up.Upon the physical assessment the provider noted enlarged lymph nodes in the groin and neck region. The provider questioned joe regarding the possible causes of the of the following diagnosis are consistent with this finding. Lymphoma Sickle cell anemia Leukemia Polycythemia vera. - Lymphoma 37. Which of the following is a priority nursing intervention for a client in atrial fibrillation with a rate of 180 beats per minute? Apply compression stockings Administer anticoagulants Administer medications to slow the rate Monitor urine output - Administer anticoagulants 38. The nurse is caring for a 65 year old client female who presented to the emergency department with shortness of breath and chest client has not been feeling well for the past few days and complaints of a productive cough of blood -tinged atory tests reveal an elevated brain natriuretic peptide ( BNP) , and chest X ray reveals pulmonary congestion.Based on the assessment of the following diagnosis are consistent with these findings. Heart failure ( left sided) Pulmonary embolism Heart failure ( right sided) Lung cancer. - Heart failure ( left sided)