312-lec-prelim-quizzes

Which of the following symptoms is most commonly associated with left-sided heart failure?

Which of the following positions would best aid breathing for a client with acute pulmonary edema?

Nurse Lei caring for a client with a pneumothorax and who has had a chest tube inserted notes continues gentle bubbling in the suction control chamber. What action is appropriate?

A client with pleural effusion is scheduled to have a thoracentesis. The nurse on duty will assist the client to which position during the procedure?

Why should a client with emphysema receive only 1 to 3 L/minute of oxygen if needed?

What should the nurse implement for a client who is starting a Schilling test?

Stimulation of the sympathetic nervous system produces which of the following responses?

What is the primary reason for administering morphine to a client with an MI?

Pleural effusions that have fluids indicating the presence of inflammation or infection are categorized as what?

What are the classic signs of a cardiac tamponade?

Which of the following arteries primarily feeds the anterior wall of the heart?

Nurse Ruth assessing a patient for tracheal displacement should know that the trachea will deviate toward the:

What should be the nurse’s next action for a client with a history of hypertension and indigestion, after connecting him to an ECG monitor and administering oxygen?

Mike, a 43-year old construction worker, has a history of hypertension. He smokes two packs of cigarettes a day, is nervous about the possibility of being unemployed, and has difficulty coping with stress. His current concern is calf pain during minimal exercise that decreased with rest. The nurse assesses Mike’s symptoms as being associated with peripheral arterial occlusive disease. The nursing diagnosis is probably:

Hemodynamic Monitoring consists of:

Which of the following conditions is most closely associated with weight gain, nausea, and a decrease in urine output?

Which of the following interventions should be the first priority when treating a client experiencing chest pain while walking?

After undergoing a left pneumonectomy, a female patient has a chest tube in place for drainage. When caring for this patient, the nurse must:

What effect does exercise have on clients with asthma, chronic bronchitis, and emphysema?

A nurse is suctioning fluids from a male client via a tracheostomy tube. When suctioning, the nurse must limit the suctioning time to a maximum of:

What is the primary purpose of the Schilling test?

The nurse assesses a male client’s respiratory status. Which observation indicates that the client is experiencing difficulty breathing?

A client with acute asthma showing inspiratory and expiratory wheezes and a decreased expiratory volume should be treated with which of the following classes of medication right away?

The term “blue bloater” refers to which of the following conditions?

With peripheral arterial insufficiency, leg pain during rest can be reduced by:

Which of the following actions is the first priority of care for a client exhibiting signs and symptoms of coronary artery disease?

Which of the following terms describes the force against which the ventricle must expel blood?

Provided the patient responds, how long should the colchicine therapy be continued?

The physician orders continuous intravenous nitroglycerin infusion for the client with MI. Essential nursing actions include which of the following?

Which of the following are typical signs and symptoms of pneumonia? Select-all-that-apply: A. Stridor B. Coarse crackles C. Oxygen saturation less than 90% D. Non-productive, nagging cough E. Elevated white blood cells F. Tachypnea

A client with pulmonary edema has been on diuretic therapy. The client has an order for additional furosemide (Lasix) in the amount of 40 mg IV push. Knowing that the client also will be started on Digoxin (Lanoxin), a nurse checks the client’s most recent:

If a pleural effusion develops, which of the following actions best describes how the fluid can be removed from the pleural space and proper lung status restored?

For a male client with an endotracheal (ET) tube, which nursing action is most essential?

The most common cause of Infective endocarditis is:

What type of acid-base imbalance is a client with chronic obstructive pulmonary disease most likely to experience?

An initial characteristic symptom of a simple pneumothorax is:

Which of the following statements indicate the patient did NOT understand your education about how to take Colchicine?

On physical assessment of a patient with pericarditis, you may hear what type of heart sound?

The nurse coming on duty receives the report from the nurse going off duty. Which of the following clients should the on-duty nurse assess first?

Nurse Maureen has assisted a physician with the insertion of a chest tube. The nurse monitors the client and notes fluctuation of the fluid level in the water seal chamber after the tube is inserted. Based on this assessment, which action would be appropriate?

A nurse is suctioning fluids from a female client through an endotracheal tube. During the suctioning procedure, the nurse notes on the monitor that the heart rate is decreasing. Which of the following is the appropriate nursing intervention?

Which of the following reflects the principle on which a client’s diet will most likely be based during the acute phase of MI?

Which measure can reduce or prevent the incidence of atelectasis in a post-operative client?

Which instruction about prescribed ferrous gluconate therapy should the nurse include in the teaching plan for a client with iron deficiency anemia?

In assessing cardiac tamponade all but one are included in the Beck’s triad.

Which of the following is NOT considered a major symptom of rheumatic fever according to the JONES CRITERIA?

A patient with severe pericarditis has developed a large pericardial effusion. The patient is symptomatic. The physician orders what type of procedure to help treat this condition?

A nurse is preparing for the admission of a client with heart failure who is being sent directly to the hospital from the physician’s office. The nurse would plan on having which of the following medications readily available for use?

What is the normal amount of fluid within the pleural space?

While helping a patient with a chest tube reposition in the bed, the chest tube becomes dislodged. What is your immediate nursing intervention?

Which of the following types of angina is most closely related with an impending MI?

Which nursing action will facilitate obtaining a sputum specimen from a client?

A nurse is caring for a client with emphysema. The client is receiving oxygen. The nurse assesses the oxygen flow rate to ensure that it does not exceed?

A nurse is assessing a client with an abdominal aortic aneurysm. Which of the following assessment findings by the nurse is probably unrelated to an aneurysm?

Invasive monitoring consists of:

Which of the following medications should be avoided when treating myocarditis?

The following are types of pneumothorax except:

Which of the following symptoms is expected with hemoglobin of 10 g/dl?

Complete the diagram so that it will show the correct route of blood in the heart.

Which of the following is the most common symptom of myocardial infarction (MI)?

Which of the following conditions is most commonly responsible for myocardial infarction?

Which of the following best describes pleural effusion?

What is the first intervention for a client experiencing MI?

Which respiratory disorder is most common in the first 24 to 48 hours after surgery?

When a client is diagnosed with aplastic anemia, the nurse monitors for changes in which physiological function?

Which of the heart valve is considered most repairable?

Which of the following, if stated by the patient, indicates correct understanding about risk factors for AAA?

Repolarization of the ventricles is shown as the __________ on an ECG or EKG.

Why is it highly recommended that clients with asthma, chronic bronchitis, and emphysema have Pneumovax and flu vaccinations?

After an anterior wall myocardial infarction, which of the following problems is indicated by auscultation of crackles in the lungs?

Which client statement indicates a need for intervention and client teaching after a resection of the terminal ileum?

Which of the following classes of medications protects the ischemic myocardium by blocking catecholamines and sympathetic nerve stimulation?

Which of the following assessment findings would help confirm a diagnosis of asthma in a client suspected of having the disorder?

A male patient has a sucking stab wound to the chest. Which action should the nurse take first?

The term “pink puffer” refers to the client with which of the following conditions?

Which of the following is the most common classification of myocarditis?

The nurse finds the apical pulse below the 5th intercostal space. The nurse suspects:

Medical treatment of coronary artery disease includes which of the following procedures?

Which of the following blood tests is most indicative of cardiac damage?

Which of the following would be a priority nursing diagnosis for the client with heart failure and pulmonary edema?

Cardiac Tamponade is described as:

What should teaching for a client with chronic obstructive pulmonary disease (COPD) include?

What is the reason for vitamin B12 deficiency in a client with pernicious anemia?

Which of the following heart valves is the most commonly affected in infective endocarditis?

What would be the treatment option of choice for an AAA that is 6 cm?

Mr. and Mrs. Robertson’s son was diagnosed with idiopathic thrombocytopenic purpura. They should be aware that the drug to be avoided is:

Hypertension is known as the silent killer because it often goes undetected until symptoms of other system failures occur. This may occur in the form of:

Which of the following classes of medications maximizes cardiac performance in clients with heart failure by increasing ventricular contractility?

Which statement by the patient causes you to hold the bag of Vancomycin and notify the doctor immediately?

A client comes into the E.R. with acute shortness of breath and a cough that produces pink, frothy sputum. Admission assessment reveals crackles and wheezes, a BP of 85/46, a HR of 122 BPM, and a respiratory rate of 38 breaths/minute. The client’s medical history included DM, HTN, and heart failure. Which of the following disorders should the nurse suspect?

Pericardiocentesis – everything is right, except?

Which of the following is an expected outcome for a client on the second day of hospitalization after an MI?

A patient with a chest tube has no fluctuation of water in the water seal chamber. What could be the cause of this?

A client with Guillain-Barré syndrome develops respiratory acidosis as a result of reduced alveolar ventilation. Which combination of arterial blood gas (ABG) values confirms respiratory acidosis?

Which of the following conditions is the predominant cause of angina?

An emergency room nurse is assessing a male client who has sustained a blunt injury to the chest wall. Which of these signs would indicate the presence of a pneumothorax in this client?

A male patient is admitted to the healthcare facility for treatment of chronic obstructive pulmonary disease. Which nursing diagnosis is most important for this patient?

Which technique is considered the gold standard for diagnosing DVT?

The bedside RN reports to you that the patient's CVP is currently 2 and Systolic BP is 70's. Are these normal or abnormal findings?

Which of the following should the nurse assess in a patient with pneumothorax?

Which of the following blood components is decreased in anemia?

A male adult client is suspected of having a pulmonary embolus. A nurse assesses the client, knowing that which of the following is a common clinical manifestation of pulmonary embolism?

What is the most common complication of an MI?

What reaction might Dani have if action isn't taken quickly when her respiratory rate is 4 breaths/minute after being given Dilaudid for pain?

A female patient suffers adult respiratory distress syndrome as a consequence of shock. The patient’s condition deteriorates rapidly, and endotracheal intubation and mechanical ventilation are initiated. When the high-pressure alarm on the mechanical ventilator alarm sounds, the nurse starts to check for the cause. Which condition triggers the high-pressure alarm?

Which type of oxygen delivery system would a nurse anticipate to be prescribed for a client with COPD to deliver a precise oxygen concentration?

Pericardiotomy is described as:

You’re educating a patient with pneumonia how to deep breathe by using an incentive spirometer. Which of the following is the correct way to use this device?

Which of the following tests is the criterion standard for the diagnosis of myocarditis?

Which of the following conditions is associated with a predictable level of pain that occurs as a result of physical or emotional stress?

A 19-year-old comes into the emergency department with acute asthma. His respiratory rate is 44 breaths/minute, and he appears to be in acute respiratory distress. Which of the following actions should be taken first?

Nurse Hannah is administering a steroid to a child diagnosed with idiopathic thrombocytopenic purpura (ITP); which of the following should the nurse monitor?

Which factor can cause blood pressure to drop to normal levels?

A patient was admitted to the intensive care unit 48 hours ago for treatment of a gunshot wound. The patient has recently developed a productive cough and a fever of 40°C. The patient is breathing on his own and doesn’t require mechanical ventilation. On assessment, you note coarse crackles in the right lower lobe. A chest x-ray shows infiltrates with consolidation in the right lower lobe. Based on this specific patient scenario, this is known as what type of pneumonia?

In a normal electrocardiogram (ECG or EKG), the QRS complex results from depolarization of the ventricles.

The pressure required in the pleural space to keep the lungs inflated is:

Which of the following diagnostic findings are most likely for a client with aplastic anemia?

What would a nurse expect to note on assessment of a client hospitalized with acute exacerbation of COPD?

What is the most important long-term goal for a client with hypertension?

A significant cause of venous thrombosis is:

Which of the following patients are MOST at risk for developing pneumonia? Select-all-that-apply

Which of these statements regarding the conduction system of the heart is TRUE?

The following are nursing interventions to assist in the prevention of pulmonary embolism in a hospitalized patient include all except:

Buerger’s disease is characterized by all of the following except:

A patient is presenting with mild symptoms of pneumonia. The doctor diagnoses the patient with 'walking pneumonia'. From your nursing knowledge, you know this type of pneumonia is caused by what type of infectious agent?

A client comes to the outpatient clinic and tells the nurse that he has had legs pains that began when he walks but cease when he stops walking. Which of the following conditions would the nurse assess for?

Myocarditis is usually caused by?

You are providing care to a patient with pericarditis. Which of the following is NOT a proper nursing intervention for this patient?

The nurse is preparing to teach a client with microcytic hypochromic anemia about the diet to follow after discharge. Which of the following foods should be included in the diet?

A nurse instructs a client to use the pursed lip method of breathing. The client asks the nurse about the purpose of this type of breathing. The nurse responds, knowing that the primary purpose of pursed lip breathing is:

In preparation for the discharge of a client with arterial insufficiency and Raynaud’s disease, client teaching instructions should include:

Furosemide is administered intravenously to a client with HF. How soon after administration should the nurse begin to see evidence of the drug's desired effect?

The nurse understands that the client with pernicious anemia will have which distinguishing laboratory findings?

For a patient with advanced chronic obstructive pulmonary disease (COPD), which nursing action best promotes adequate gas exchange?

You’re providing discharge teaching to a patient who was admitted for pneumonia. You are discussing measures the patient can take to prevent pneumonia. Which of the following statements by the patient indicates they did NOT understand your education material?

A 24-year old man seeks medical attention for complaints of claudication in the arch of the foot. A nurse also notes superficial thrombophlebitis of the lower leg. The nurse would next assess the client for:

What is pulmonary edema?

A patient is hospitalized with chronic pericarditis. On assessment, you note the patient has pitting edema in lower extremities, crackles in lungs, and dyspnea on excretion. The patient’s echocardiogram shows thickening of the pericardium. This is known as what type of pericarditis?

The nurse assesses a patient for a possible pulmonary embolism. The nurse looks for the most frequent sign of:

Clinical manifestations related to pneumothorax include the following except for:

The following are diagnostic tests for a patient with pulmonary embolism except:

The nurse would instruct the client to eat which of the following foods to obtain the best supply of vitamin B12?

The nurse devises a teaching plan for the patient with aplastic anemia. Which of the following is the most important concept to teach for health maintenance?