Question 1

What medication obtained in a patient's history will lessen the effects of warfarin (Coumadin)?

Accepted Answer

A)  Iron supplement for anemia 
B)  Simvastatin (Zocor)for the control of cholesterol 
C)  Furosemide (Lasix)for fluid retention 
D)  Yaz (drospirenone/estradiol)as an oral contraceptive 
A)  Iron supplement for anemia 
B)  Simvastatin (Zocor)for the control of cholesterol 
C)  Furosemide (Lasix)for fluid retention 
D)  Yaz (drospirenone/estradiol)as an oral contraceptive

Question 2

Which heart sound should the nurse record as normal?

Accepted Answer

A)  Ventricular gallop in a 20-year-old patient 
B)  Atrial gallop in a 25-year-old patient 
C)  Friction rub in a 45-year-old patient 
D)  Medium diastolic murmur in a 50-year-old patient 
A)  Ventricular gallop in a 20-year-old patient 
B)  Atrial gallop in a 25-year-old patient 
C)  Friction rub in a 45-year-old patient 
D)  Medium diastolic murmur in a 50-year-old patient

Question 3

A nurse assesses a patient's capillary refill time as less than 3 seconds.What does this assessment indicate?

Accepted Answer

A)  Hypertension 
B)  Tissue perfusion 
C)  Fluid volume excess 
D)  Increased blood viscosity 
A)  Hypertension 
B)  Tissue perfusion 
C)  Fluid volume excess 
D)  Increased blood viscosity

Question 4

Which instruction is most appropriate for a patient with arterial insufficiency?

Accepted Answer

A)  Frequently allow the legs to dangle dependently. 
B)  Rub the legs vigorously. 
C)  Stand often to keep blood flow in the legs. 
D)  Walk barefoot. 
A)  Frequently allow the legs to dangle dependently. 
B)  Rub the legs vigorously. 
C)  Stand often to keep blood flow in the legs. 
D)  Walk barefoot.

Question 5

A nurse records a "1" for the pulse quality of the pedal pulse.What interpretation is correct regarding the pulse?

Accepted Answer

A)  Absent 
B)  Normal 
C)  Thready 
D)  Forceful 
A)  Absent 
B)  Normal 
C)  Thready 
D)  Forceful

Question 6

On auscultation, a nurse detects a heart murmur.What should the nurse know that a heart murmur indicates?

Accepted Answer

A)  Valves that do not close correctly 
B)  Pericardium that is inflamed 
C)  Decrease in pacemaker cells 
D)  Loud ventricular gallop 
A)  Valves that do not close correctly 
B)  Pericardium that is inflamed 
C)  Decrease in pacemaker cells 
D)  Loud ventricular gallop

Question 7

A patient is receiving digoxin 0.25 mg/day.What should the nurse do prior to administering this medication?

Accepted Answer

A)  Count an apical pulse for 15 seconds. 
B)  Hold the dose if the apical rate is 57 beats/min. 
C)  Give the dose if the apical rate is 59 beats/min. 
D)  Double the dose if the rate is 62 beats/min. 
A)  Count an apical pulse for 15 seconds. 
B)  Hold the dose if the apical rate is 57 beats/min. 
C)  Give the dose if the apical rate is 59 beats/min. 
D)  Double the dose if the rate is 62 beats/min.

Question 8

A patient is scheduled for a heart catheterization.What action should the nurse implement in preparation for this examination?

Accepted Answer

A)  Ask the patient about allergies to seafood or iodine. 
B)  Remove all metal objects. 
C)  Give the patient a special heart diet. 
D)  Test arterial blood gases (ABGs). 
A)  Ask the patient about allergies to seafood or iodine. 
B)  Remove all metal objects. 
C)  Give the patient a special heart diet. 
D)  Test arterial blood gases (ABGs).

Question 9

A medication, simvastatin (Zocor), is administered to lower a patient's cholesterol level.Follow-up lipid levels are reviewed by the nurse.Which level indicates the desired therapeutic range?

Accepted Answer

A)  High-density lipoprotein (HDL), 29 mg/dL; low-density lipoprotein (LDL), 160 mg/dL 
B)  HDL, 38 mg/dL; LDL, 120 mg/dL 
C)  HDL, 56 mg/dL; LDL, 106 mg/dL 
D)  HDL, 42 mg/dL; LDL, 98 mg/dL 
A)  High-density lipoprotein (HDL), 29 mg/dL; low-density lipoprotein (LDL), 160 mg/dL 
B)  HDL, 38 mg/dL; LDL, 120 mg/dL 
C)  HDL, 56 mg/dL; LDL, 106 mg/dL 
D)  HDL, 42 mg/dL; LDL, 98 mg/dL

Exam 33: Cardiovascular System Introduction

What medication obtained in a patient's history will lessen the effects of warfarin (Coumadin)?

Which heart sound should the nurse record as normal?

A nurse assesses a patient's capillary refill time as less than 3 seconds.What does this assessment indicate?

Which instruction is most appropriate for a patient with arterial insufficiency?

A nurse records a "1" for the pulse quality of the pedal pulse.What interpretation is correct regarding the pulse?

On auscultation, a nurse detects a heart murmur.What should the nurse know that a heart murmur indicates?

A patient is receiving digoxin 0.25 mg/day.What should the nurse do prior to administering this medication?

A patient is scheduled for a heart catheterization.What action should the nurse implement in preparation for this examination?

A medication, simvastatin (Zocor), is administered to lower a patient's cholesterol level.Follow-up lipid levels are reviewed by the nurse.Which level indicates the desired therapeutic range?

Aspects of Medical-Surgical Nursing

Medical-Surgical Practice Settings

Medical-Surgical Patients: Individuals, Families, and Communities

Health, Illness, Stress, and Coping

Immunity, Inflammation, and Infection

Fluid, Electrolyte, and Acidbase Imbalance

The Patient With Cancer

Pain

Shock

The Older Adult Patient

Falls

Immobility

Delirium and Dementia

Incontinence

Nutrition

Intravenous Therapy

Surgery

The Patient With an Ostomy

Palliative and Hospice Care

Complementary and Alternative Therapies

Neurologic System Introduction

Neurologic Disorders

Cerebrovascular Accident

Spinal Cord Injury

Respiratory System Introduction

Upper Respiratory Disorders

Acute Lower Respiratory Tract Disorders

Chronic Lower Respiratory Tract Disorders

Hematologic System Introduction

Hematologic Disorders

Immunologic System Introduction

Immunologic Disorders

Cardiac Disorders

Vascular Disorders

Hypertension

Digestive System Introduction

Upper Digestive Tract Disorders

Lower Digestive Tract Disorders

Liver, Gallbladder, and Pancreatic Disorders

Urologic System Introduction

Urologic Disorders

Musculoskeletal System Introduction

Connective Tissue Disorders

Fractures

Amputations

Endocrine System Introduction

Pituitary and Adrenal Disorders

Thyroid and Parathyroid Disorders

Diabetes and Hypoglycemia

Female Reproductive System Introduction

Female Reproductive Disorders

Male Reproductive System Introduction

Male Reproductive Disorders

Sexually Transmitted Infections

Integumentary System Introduction

Skin Disorders

Special Senses Introduction

Eye and Vision Disorders

Ear and Hearing Disorders

Psychobiological Disorders

Substance Abuse

First Aid, Emergency Care, and Disaster Management

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