NUR 235 FINAL EXAM CARDIOLOGY ACUTE CARE
NURSING EXAM | ALL QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) | LATEST EXAM |
JUST RELEASED | ALREADY GRADED A+
A nurse provides a teaching plan for a client with aplastic anemia. Which is
the most important concept to teach for health maintenance? ---------
CORRECT ANSWER-----------------Avoid exposure to others with acute
infection
A client is diagnosed with folic acid deficiency. On what dietary changes
would the nurse instruct this client? (select all that apply) ---------CORRECT
ANSWER-----------------Add green leafy vegetables to meals
Snack on peanuts
Eat breads fortified with folic acid
Prepare soups with dried beans and peas
A nurse is caring for a client who is undergoing preliminary testing for
hematologic disorder. Which s/s most likely suggests hematologic
disorder? ---------CORRECT ANSWER-----------------Severe fatigue
The family of a neutropenic client reports the client is not acting right. What
action by the nurse is the priority? ---------CORRECT ANSWER----------------
-Assess for infection
A client on the medical unit is receiving a unit of packed RBCs. Difficult IV
access has necessitated a slow perfusion rate and the nurse notes that the
infusion began 4 hours ago. What is the nurses most appropriate action? --
-------CORRECT ANSWER-----------------Discontinue remaining of packed
RBCs and inform the physician
,The nurse is teaching a client with polycytopenia vera about potential
complications of this disease. Which clinical manifestation should the nurse
include in the client's teaching plan? ---------CORRECT ANSWER-------------
----Visual disturbances
Headache
Orthopnea
Two units of packed RBCs have been ordered for a client who has
experienced a GI bleed. The client is highly reluctant to receive a
transfusion stating "I'm terrified of getting AIDS from blood transfusion. How
can the nurse best address the client's concerns? ---------CORRECT
ANSWER-----------------Contracting AIDS from a blood transfusion in the US
is exceedingly low
A nurse caring for a cardiac client manually estimates a client's heart rate
that has 9 R-waves on a 6-second strip. What would the estimated rate be?
---------CORRECT ANSWER-----------------90
The nurse is reviewing the ABG results of a client. ABG values are pH 7.6;
CO2 40, HCO3 32. Which of the following acid-based conditions should the
nurse identify the client is experiencing? ---------CORRECT ANSWER--------
---------Metabolic alkalosis
Which intervention should be included in the nursing care plan for a client
with idiopathic thrombocytopenia purpura? ---------CORRECT ANSWER-----
------------Avoid intramuscular injections
,A postoperative client receiving a transfusion of packed RBCs develops
chills, fever, headache, and anxiety 35 minutes after the transfusion was
started. What is the priority action of the nurse? ---------CORRECT
ANSWER-----------------Stop the infusion
A client in the emergency department complains of back pain and difficulty
breathing 15 minutes after transfusion of whole WBCs is started. The
nurse's first action should be: ---------CORRECT ANSWER-----------------
discontinue transfusion and infuse normal saline
For a client with a clinical finding of leukocytosis the nurse should: ---------
CORRECT ANSWER-----------------anticipate a possible provider order for
antibiotic coverage.
For an adult client admitted for ****, which clinical findings relative to the
hematologic system would be associated with the aging process? (select
all that apply) ---------CORRECT ANSWER-----------------Decreased anabolic
buildup from flu immunization
Increased coagulability which predisposes the patient
The client is told that her hematocrit is very low. Which symptom would the
nurse expect the client to experience? ---------CORRECT ANSWER-----------
------Fatigue related to decreased O2 transport
The nurse formulates the final expected outcomes for a client admitted with
hemarthrosis. The client will have no further hematomas or other evidence
of bleeding. The most appropriate intervention would be to: ---------
CORRECT ANSWER-----------------Handle the client very gently protecting
the joints
, After removing a peripheral vascular access device, the nurse notes
bleeding at the site. What nursing action should the nurse do first? ---------
CORRECT ANSWER-----------------Apply direct pressure
The client is prescribed iron oral medication for mild anemia. Which client
statement indicates a need for further teaching about this medication? ------
---CORRECT ANSWER-----------------"I will take this medication with milk."
While reviewing lab results for a client who has gastric bypass surgery last
year, the nurse notes that the amount of RBCs has remarkably decreased.
The nurse suspects that the anemia is related to: ---------CORRECT
ANSWER-----------------Vitamin B12 deficiency
A nurse starts a peripheral venous access site on a patient who has
multiple traumatic injuries. The nurse notes blood in the urine and the
feces. Suspecting DIC, the nurse expects which laboratory result? ---------
CORRECT ANSWER-----------------Increased activated partial
thromboplastin time (aPTT)
Which measure should a client with leukopenia institute to prevent
infection? (select all that apply) ---------CORRECT ANSWER-----------------
Avoid eating salads, raw fruits, and raw vegetables
Wash hands after handling the mail
Do not get close to pets
Do not reuse dishes or eating utensils without washing them first
An emergency department patient has a suspected gunshot wound to the
abdomen. The nurse who finds a profusely bleeding abdominal wound
NURSING EXAM | ALL QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) | LATEST EXAM |
JUST RELEASED | ALREADY GRADED A+
A nurse provides a teaching plan for a client with aplastic anemia. Which is
the most important concept to teach for health maintenance? ---------
CORRECT ANSWER-----------------Avoid exposure to others with acute
infection
A client is diagnosed with folic acid deficiency. On what dietary changes
would the nurse instruct this client? (select all that apply) ---------CORRECT
ANSWER-----------------Add green leafy vegetables to meals
Snack on peanuts
Eat breads fortified with folic acid
Prepare soups with dried beans and peas
A nurse is caring for a client who is undergoing preliminary testing for
hematologic disorder. Which s/s most likely suggests hematologic
disorder? ---------CORRECT ANSWER-----------------Severe fatigue
The family of a neutropenic client reports the client is not acting right. What
action by the nurse is the priority? ---------CORRECT ANSWER----------------
-Assess for infection
A client on the medical unit is receiving a unit of packed RBCs. Difficult IV
access has necessitated a slow perfusion rate and the nurse notes that the
infusion began 4 hours ago. What is the nurses most appropriate action? --
-------CORRECT ANSWER-----------------Discontinue remaining of packed
RBCs and inform the physician
,The nurse is teaching a client with polycytopenia vera about potential
complications of this disease. Which clinical manifestation should the nurse
include in the client's teaching plan? ---------CORRECT ANSWER-------------
----Visual disturbances
Headache
Orthopnea
Two units of packed RBCs have been ordered for a client who has
experienced a GI bleed. The client is highly reluctant to receive a
transfusion stating "I'm terrified of getting AIDS from blood transfusion. How
can the nurse best address the client's concerns? ---------CORRECT
ANSWER-----------------Contracting AIDS from a blood transfusion in the US
is exceedingly low
A nurse caring for a cardiac client manually estimates a client's heart rate
that has 9 R-waves on a 6-second strip. What would the estimated rate be?
---------CORRECT ANSWER-----------------90
The nurse is reviewing the ABG results of a client. ABG values are pH 7.6;
CO2 40, HCO3 32. Which of the following acid-based conditions should the
nurse identify the client is experiencing? ---------CORRECT ANSWER--------
---------Metabolic alkalosis
Which intervention should be included in the nursing care plan for a client
with idiopathic thrombocytopenia purpura? ---------CORRECT ANSWER-----
------------Avoid intramuscular injections
,A postoperative client receiving a transfusion of packed RBCs develops
chills, fever, headache, and anxiety 35 minutes after the transfusion was
started. What is the priority action of the nurse? ---------CORRECT
ANSWER-----------------Stop the infusion
A client in the emergency department complains of back pain and difficulty
breathing 15 minutes after transfusion of whole WBCs is started. The
nurse's first action should be: ---------CORRECT ANSWER-----------------
discontinue transfusion and infuse normal saline
For a client with a clinical finding of leukocytosis the nurse should: ---------
CORRECT ANSWER-----------------anticipate a possible provider order for
antibiotic coverage.
For an adult client admitted for ****, which clinical findings relative to the
hematologic system would be associated with the aging process? (select
all that apply) ---------CORRECT ANSWER-----------------Decreased anabolic
buildup from flu immunization
Increased coagulability which predisposes the patient
The client is told that her hematocrit is very low. Which symptom would the
nurse expect the client to experience? ---------CORRECT ANSWER-----------
------Fatigue related to decreased O2 transport
The nurse formulates the final expected outcomes for a client admitted with
hemarthrosis. The client will have no further hematomas or other evidence
of bleeding. The most appropriate intervention would be to: ---------
CORRECT ANSWER-----------------Handle the client very gently protecting
the joints
, After removing a peripheral vascular access device, the nurse notes
bleeding at the site. What nursing action should the nurse do first? ---------
CORRECT ANSWER-----------------Apply direct pressure
The client is prescribed iron oral medication for mild anemia. Which client
statement indicates a need for further teaching about this medication? ------
---CORRECT ANSWER-----------------"I will take this medication with milk."
While reviewing lab results for a client who has gastric bypass surgery last
year, the nurse notes that the amount of RBCs has remarkably decreased.
The nurse suspects that the anemia is related to: ---------CORRECT
ANSWER-----------------Vitamin B12 deficiency
A nurse starts a peripheral venous access site on a patient who has
multiple traumatic injuries. The nurse notes blood in the urine and the
feces. Suspecting DIC, the nurse expects which laboratory result? ---------
CORRECT ANSWER-----------------Increased activated partial
thromboplastin time (aPTT)
Which measure should a client with leukopenia institute to prevent
infection? (select all that apply) ---------CORRECT ANSWER-----------------
Avoid eating salads, raw fruits, and raw vegetables
Wash hands after handling the mail
Do not get close to pets
Do not reuse dishes or eating utensils without washing them first
An emergency department patient has a suspected gunshot wound to the
abdomen. The nurse who finds a profusely bleeding abdominal wound
