NSG 403 FINAL EXAM REVIEW QUESTIONS & ANSWERS RATED 100% CORRECT!!
A client with myocardial infarction is developing cardiogenic shock. Because of the risk of
myocardial ischemia, what condition should the nurse carefully assess the client for?
Bradycardia
Ventricular dysrhythmias
Rising diastolic blood pressure
Falling central venous pressure - (answer)Ventricular dysrhythmias
The home health nurse is visiting an older client whose family has gone out for the day.
During the visit, the client experiences chest pain that is unrelieved by sublingual
nitroglycerin tablets given by the nurse. Which action by the nurse would be appropriate
at this time?
Notify a family member who is the next of kin.
Drive the client to the primary health care provider's (PHCP's) office.
Inform the home care agency supervisor that the visit may be prolonged.
Call for an ambulance to transport the client to the hospital emergency department. -
(answer)Call for an ambulance to transport the client to the hospital emergency
department.
The client who has experienced a myocardial infarction (MI) is recovering from
cardiogenic shock. The nurse knows that which observation of the client's clinical
condition is most favorable?
Urine output of 40 mL/hr
, NSG 403 FINAL EXAM REVIEW QUESTIONS & ANSWERS RATED 100% CORRECT!!
Heart rate of 110 beats/minute
Frequent premature ventricular contractions
Central venous pressure (CVP) of 15 mm Hg - (answer)Urine output of 40 mL/hr
Urine output of greater than 30 mL/hr indicates adequate perfusion to the kidneys, so the
other organs are most likely equally perfused.
Which readings obtained from a client's pulmonary artery catheter suggest that the client
is in left-sided heart failure?
Cardiac output of 5 L/min
Right atrial pressure of 9 mm Hg
Pulmonary capillary wedge pressure (PCWP) of 20 mm Hg
Pulmonary artery systolic/diastolic pressures of 24/10 mm Hg - (answer)Pulmonary
capillary wedge pressure (PCWP) of 20 mm Hg
Normal PCWP ranges from 8 to 15 mm Hg. A PCWP of 20 mm Hg is elevated and
corresponds to volume overload of the left ventricle, such as occurs in heart failure.
A client is brought to the emergency department complaining of substernal chest pain. To
distinguish between angina and myocardial infarction, the nurse assesses for which
characteristics of angina? Select all that apply.
Chest pain that resolves with rest
Chest pain requiring an opioid for relief
Chest pain that is relieved by nitroglycerin
Chest pain that lasts longer than 30 minutes
A client with myocardial infarction is developing cardiogenic shock. Because of the risk of
myocardial ischemia, what condition should the nurse carefully assess the client for?
Bradycardia
Ventricular dysrhythmias
Rising diastolic blood pressure
Falling central venous pressure - (answer)Ventricular dysrhythmias
The home health nurse is visiting an older client whose family has gone out for the day.
During the visit, the client experiences chest pain that is unrelieved by sublingual
nitroglycerin tablets given by the nurse. Which action by the nurse would be appropriate
at this time?
Notify a family member who is the next of kin.
Drive the client to the primary health care provider's (PHCP's) office.
Inform the home care agency supervisor that the visit may be prolonged.
Call for an ambulance to transport the client to the hospital emergency department. -
(answer)Call for an ambulance to transport the client to the hospital emergency
department.
The client who has experienced a myocardial infarction (MI) is recovering from
cardiogenic shock. The nurse knows that which observation of the client's clinical
condition is most favorable?
Urine output of 40 mL/hr
, NSG 403 FINAL EXAM REVIEW QUESTIONS & ANSWERS RATED 100% CORRECT!!
Heart rate of 110 beats/minute
Frequent premature ventricular contractions
Central venous pressure (CVP) of 15 mm Hg - (answer)Urine output of 40 mL/hr
Urine output of greater than 30 mL/hr indicates adequate perfusion to the kidneys, so the
other organs are most likely equally perfused.
Which readings obtained from a client's pulmonary artery catheter suggest that the client
is in left-sided heart failure?
Cardiac output of 5 L/min
Right atrial pressure of 9 mm Hg
Pulmonary capillary wedge pressure (PCWP) of 20 mm Hg
Pulmonary artery systolic/diastolic pressures of 24/10 mm Hg - (answer)Pulmonary
capillary wedge pressure (PCWP) of 20 mm Hg
Normal PCWP ranges from 8 to 15 mm Hg. A PCWP of 20 mm Hg is elevated and
corresponds to volume overload of the left ventricle, such as occurs in heart failure.
A client is brought to the emergency department complaining of substernal chest pain. To
distinguish between angina and myocardial infarction, the nurse assesses for which
characteristics of angina? Select all that apply.
Chest pain that resolves with rest
Chest pain requiring an opioid for relief
Chest pain that is relieved by nitroglycerin
Chest pain that lasts longer than 30 minutes
