Question 1

The nurse is teaching a patient with venous stasis ulcers. Which information should the nurse include in the teaching?

Accepted Answer

A) Encourage the patient to keep legs in a dependent position. 
B) Encourage frequent ambulation. 
C) Apply compression stockings. 
D) Instruct the patient to wear constrictive clothing.

Question 2

The nurse is reviewing laboratory values for a patient with chest pain. Which requires notification of the healthcare provider?

Accepted Answer

A) Magnesium 2.0 mEq/L 
B) Potassium 4.8 mEq/L 
C) Troponin 0.70 ng/mL 
D) Sodium 140 mEq/L

Question 3

The nurse is teaching a group of patients about risk factors for heart disease. Which does the nurse identify as a modifiable risk factor?

Accepted Answer

A) Hypertension 
B) Gender 
C) Age 
D) Ethnicity

Question 4

The nurse is assessing a patient with a myocardial infarction who may receive tissue plasminogen activator [t-PA]. Which question is most important for the nurse to ask?

Accepted Answer

A) "What time did the chest pain begin?" 
B) "Have you received t-PA within the last year?" 
C) "Have you taken any nitroglycerin?" 
D) "Are you experiencing any nausea?"

Question 5

The nurse is preparing to administer morphine 6 mg IV to a patient having an MI. Available is morphine 10 mg/mL. How many mL will the nurse administer? Enter the numeral only.

Accepted Answer

The answer of The nurse is preparing to administer morphine...

Question 6

The nurse is collecting data from a patient who has chronic venous insufficiency of the lower extremities. Which finding should the nurse expect?

Accepted Answer

A) Leathery, brown skin 
B) Diminished pedal pulse 
C) Absence of pedal pulses 
D) Pallor in the extremities

Question 7

The nurse is reinforcing teaching provided to a patient with Raynaud disease. Which measure should the nurse include to prevent an attack?

Accepted Answer

A) Get plenty of outdoor exercise all year. 
B) Keep affected body areas covered at all times. 
C) Avoid stimulation that causes vasoconstriction. 
D) Take vasopressors to prevent exacerbation of symptoms.

Question 8

The nurse is caring for a group of patients. Which patient should the nurse see first?

Accepted Answer

A) A patient with stable angina reporting chest pain 
B) A patient with an aneurysm reporting sudden back pain 
C) A patient with varicose veins reporting heaviness in the legs 
D) A patient with Raynaud disease reporting white and numb skin

Question 9

The nurse is contributing to the plan of care for a patient experiencing chest pain for 7 hours. The laboratory tests reveal elevated troponin I and myoglobin levels. What action should the nurse take when caring for this patient? (Select all that apply.)

Accepted Answer

A) Elevate head of bed. 
B) Encourage ambulation. 
C) Provide rest in bed or chair. 
D) Offer regular diet with hot tea. 
E) Provide bedpan for elimination.

Question 10

The nurse is caring for a patient who has long-standing asthma and stable angina. Which medication can the nurse safely provide to the patient?

Accepted Answer

A) Pindolol (Visken) 
B) Nadolol (Corgard) 
C) Atenolol (Tenormin) 
D) Propranolol (Inderal)

Question 11

The nurse has administered two doses 5 minutes apart of nitroglycerin (Nitrostat) 0.4 mg per dose sublingually. How many milligrams did the patient receive total? Enter the numeral only.

Accepted Answer

The answer of The nurse has administered two doses 5...

Question 12

The nurse is assessing a patient who is receiving rosuvastatin (Crestor) to reduce cholesterol. Which finding should concern the nurse?

Accepted Answer

A) The patient reports black and tarry stools. 
B) The patient reports muscle pain. 
C) The apical pulse is 58 beats/min. 
D) The patient reports feeling dizzy.

Question 13

The nurse is caring for a patient with an abdominal aortic aneurysm. Which statement indicates that the patient understands this condition?

Accepted Answer

A) "A blood clot in a vein." 
B) "An incompetent valve in a large vein." 
C) "An outpouching in the wall of an artery." 
D) "A deposit of plaque in the wall of an artery."

Question 14

The HCP prescribes enoxaparin (Lovenox) 1 mg/kg to a patient who weighs 80 kg. The available dose is 80 mg/0.8 mL. How many mL will the nurse administer? Enter the numeral only.

Accepted Answer

The answer of The HCP prescribes enoxaparin (Lovenox) 1 mg/kg...

Question 15

The nurse is teaching a class about coronary artery disease and explains atherosclerosis. Which statement made by the patient indicates an understanding of the teaching?

Accepted Answer

A) "This means my heart isn't pumping like it should." 
B) "This is an inflammation of the sac around the heart." 
C) "Atherosclerosis is the loss of elasticity and calcification of arterial walls." 
D) "I have plaque in my arteries that can cause coronary artery disease."

Exam 24: Nursing Care of Patients With Occlusive Cardiovascular Disorders