GERONTOLOGICAL NURSING (CARDIAC CARE) EXAM 2025|49
QUESTIONS ALREADY ANSWERED
1. Which laboratory values should be prioritized for monitoring in patients
with cardiac dysrhythmias?
Sodium, potassium, and calcium
BUN and creatinine
Hemoglobin and hematocrit
PT and INR
2. A patient on propranolol reports feeling unusually fatigued and has a
heart rate of 50 bpm. What should the nurse's priority action be?
Assess the patient's vital signs and notify the healthcare
provider.
Encourage the patient to increase physical activity.
Administer a dose of atropine as a precaution.
Reassure the patient that fatigue is a common side effect.
3. If a nurse observes that a client is becoming increasingly isolated due to
family dynamics, what proactive steps should the nurse take to address
this situation?
The nurse should assess the client's needs and suggest
community resources that promote social engagement and
support.
The nurse should recommend that the family seek counseling for
their dynamics.
The nurse should advise the client to accept their situation without
seeking help.
The nurse should report the family to social services immediately.
,4. While caring for a patient who is experiencing a postoperative
hemorrhage, the healthcare provider notes the rhythm observed on the
electrocardiogram (EKG) does not produce a pulse. Which actions
should the healthcare provider initiate to resolve this patient's problem?
Defibrillation
Administration of IV crystalloid
Administration of epinephrine
Cardiopulmonary resuscitation (CPR)
Administration of vasoconstrictors
Synchronized cardioversion
5. Why is it crucial to monitor sodium, potassium, and calcium levels in
patients with cardiac dysrhythmias?
Abnormalities in sodium, potassium, and calcium levels can
affect the depolarization and repolarization of cardiac cells.
These values are unrelated to cardiac function.
Monitoring these levels is only necessary for patients on
anticoagulants.
These values are primarily important for kidney function.
6. Why is it important to consider cardiac output when administering
antidysrhythmic drugs?
Impairment in cardiac output can lead to decreased
effectiveness of the heart, making the benefits of the
medication outweigh the risks.
Chronic dysrhythmias are always more dangerous than acute
ones.
A heart rate below 60 beats per minute is always a reason to
administer medication.
, Heart rate alone determines the need for antidysrhythmic drugs.
7. A patient is receiving propranolol (Inderal) for a diagnosis of
supraventricular tachycardia (SVT). When the nurse does an assessment,
which finding indicates an adverse reaction to the drug?
Oliguria.
Aphasia.
Paresthesia.
Bradycardia.
Hint: Beta-1 receptors are found in the cardiac conduction system.
8. A long PR interval indicates what:
impulse getting to ventricles faster than usual
AV block
ventricles taking longer to contract
indicator of heart attack
ventricles are acting as pacemaker of heart
9. What is the most appropriate action for a nurse to take when observing a
client being confined to a room?
Suggest appropriate resources to the client and daughter-in-
law, such as respite care and a senior citizens' center.
Say to the daughter-in-law, 'Confining your father-in-law to his
room is inhumane.'
Say nothing, because it is best for the nurse to remain neutral and
wait to be asked for help.
Suggest to the client and daughter-in-law that they consider a
nursing home for the client.
QUESTIONS ALREADY ANSWERED
1. Which laboratory values should be prioritized for monitoring in patients
with cardiac dysrhythmias?
Sodium, potassium, and calcium
BUN and creatinine
Hemoglobin and hematocrit
PT and INR
2. A patient on propranolol reports feeling unusually fatigued and has a
heart rate of 50 bpm. What should the nurse's priority action be?
Assess the patient's vital signs and notify the healthcare
provider.
Encourage the patient to increase physical activity.
Administer a dose of atropine as a precaution.
Reassure the patient that fatigue is a common side effect.
3. If a nurse observes that a client is becoming increasingly isolated due to
family dynamics, what proactive steps should the nurse take to address
this situation?
The nurse should assess the client's needs and suggest
community resources that promote social engagement and
support.
The nurse should recommend that the family seek counseling for
their dynamics.
The nurse should advise the client to accept their situation without
seeking help.
The nurse should report the family to social services immediately.
,4. While caring for a patient who is experiencing a postoperative
hemorrhage, the healthcare provider notes the rhythm observed on the
electrocardiogram (EKG) does not produce a pulse. Which actions
should the healthcare provider initiate to resolve this patient's problem?
Defibrillation
Administration of IV crystalloid
Administration of epinephrine
Cardiopulmonary resuscitation (CPR)
Administration of vasoconstrictors
Synchronized cardioversion
5. Why is it crucial to monitor sodium, potassium, and calcium levels in
patients with cardiac dysrhythmias?
Abnormalities in sodium, potassium, and calcium levels can
affect the depolarization and repolarization of cardiac cells.
These values are unrelated to cardiac function.
Monitoring these levels is only necessary for patients on
anticoagulants.
These values are primarily important for kidney function.
6. Why is it important to consider cardiac output when administering
antidysrhythmic drugs?
Impairment in cardiac output can lead to decreased
effectiveness of the heart, making the benefits of the
medication outweigh the risks.
Chronic dysrhythmias are always more dangerous than acute
ones.
A heart rate below 60 beats per minute is always a reason to
administer medication.
, Heart rate alone determines the need for antidysrhythmic drugs.
7. A patient is receiving propranolol (Inderal) for a diagnosis of
supraventricular tachycardia (SVT). When the nurse does an assessment,
which finding indicates an adverse reaction to the drug?
Oliguria.
Aphasia.
Paresthesia.
Bradycardia.
Hint: Beta-1 receptors are found in the cardiac conduction system.
8. A long PR interval indicates what:
impulse getting to ventricles faster than usual
AV block
ventricles taking longer to contract
indicator of heart attack
ventricles are acting as pacemaker of heart
9. What is the most appropriate action for a nurse to take when observing a
client being confined to a room?
Suggest appropriate resources to the client and daughter-in-
law, such as respite care and a senior citizens' center.
Say to the daughter-in-law, 'Confining your father-in-law to his
room is inhumane.'
Say nothing, because it is best for the nurse to remain neutral and
wait to be asked for help.
Suggest to the client and daughter-in-law that they consider a
nursing home for the client.
