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    Exam Review

    1. A nurse is assessing a client who has atrial fibrillation. Which of the following pulse characteristics should the nurse expect?
      A)Not palpable
      B)Bounding
      C)regular
      D)Slow
    2. Which of the following is an advantage of percutaneous transluminal balloon valvuloplasty over valve replacement in treating mitral stenosis?
      A)Avoids the need for lifelong anticoagulant therapy
      B)Can be performed under local anesthesia
      C)Provides permanent correction of the valve defect
      D)Has a lower risk of infection compared to valve replacement.
    3. A 65-year-old patient with congestive heart failure has been on diuretic therapy for the past two weeks. During a follow-up appointment, which of the following findings would indicate that the diuretic therapy is effective?
      A)Increase in blood pressure and heart rate
      B)Significant weight gain over the past two weeks
      C)Reduction in peripheral edema and improved breathing
      D)Development of muscle cramps and weakness
    4. A nurse is assessing a client who has bradycardia. Which of the following findings should the nurse expect?
      A)Fluid volume deficit
      B)Anxiety
      C)Lightheadedness
      D)Elevated temperature
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    Exam Review

    1. A nurse is interpreting the ECG strip of a client who has bradycardia. Which of the following cardiac components should the nurse identify as the role of the P wave?
      A)Slow repolarization of ventricular Purkinje fibers
      B)Atrial depolarization
      C)Ventricular depolarization
      D)Early ventricular repolarization
    2. A nurse is monitoring a client who is on telemetry. Which of the following findings on the ECG strip should the nurse recognize as normal sinus rhythm?
      A)The QRS duration is 0.20 seconds.
      B)The P-R interval measures 0.22 seconds.
      C)The T wave is in the inverted position
      D)The P wave appears before the QRS complex.
    3. A nurse is caring for a client who reports heart palpitations. An ECG confirms the client is experiencing ventricular tachycardia (VT). The nurse should anticipate the need for taking which of the following actions?
      A)Radiofrequency catheter ablation
      B)CPR
      C)Elective cardioversion
      D)Defibrillation
    4. A nurse is caring for a client who has fluid volume excess (FVE) due to heart failure (HF). Which of the following manifestations should the nurse associate with FVE? (Select all that apply.)(SATA)
      A)Thready pulse
      B)Dizziness
      C)Pedal edema
      D)Flat neck veins
      E)weight gain
    Page 2 of 5

    Exam Review

    1. The nurse is caring for a client who has heart failure and a history of asthma. The nurse reviews the provider's orders and recognizes that clarification is needed for which of the following medications?
      A)Captopril
      B)Carvedilol
      C)Isosorbide dinitrate
      D)Fluticasone
    2. A nurse cares for a client who manifests Ventricular Tachycardia on a cardiac monitor. Which action should the nurse take first?
      A)Prepare the defibrillator for potential use.
      B)Call the physician for further instructions.
      C)Assess the client's airway, breathing, and circulation.
      D)Administer antiarrhythmic medication.
    3. A nurse in an emergency department is planning care for a client who is having an acute myocardial infarction (MI). The nurse should plan to administer which of the following medications after the initial acute phase to manage the client's pain and anxiety?
      A)Oxygen
      B)Nitroglycerin
      C)Aspirin
      D)Morphine
    4. A nurse is teaching a client about the management of pericarditis. Which off the following client statements indicates to the nurse an understanding of the teaching?
      A)"I will need to increase my fluids to 3 liters per day?
      B)I should avoid driving due to my implanted defibrillator
      C)"I should refrain from sexual activity while taking NSAIDS
      D)"I will contact my health care provider if i develop chest pain.
    Page 3 of 5

    Exam Review

    1. A nurse is caring for a client who reports a new onset of severe chest pain. Which of the following actions should the nurse take to determine if the client is experiencing a myocardial infarction?
      A)Check the client's blood pressure.
      B)Auscultate heart tones.
      C)Perform a 12-lead ECG
      D)Determine if pain radiates to the left arm.
    2. Which of the following is a primary goal of catheter ablation in the treatment of atrial fibrillation?
      A)To strengthen the heart muscle
      B)To decrease the frequency of ventricular contractions
      C)To permanently eliminate the need for anticoagulation therapy
      D)To restore and maintain normal sinus rhythm
    3. Which of the following is a common symptom of chronic aortic regurgitation?
      A)Bradycardia
      B)Abdominal pain
      C)Exertional dyspnea
      D)Peripheral edema
    4. A nurse is providing education to the family of a client who has infectious endocarditis. which of the following statements made by the nurse is accurate regarding this condition?
      A)"Endocarditis is an infection of the endocardium resulting from a bloodborne pathogen that adheres to an injured part of the endocardium.
      B)"Only children with congenital heart disease are at risk for endocarditis, so your child likely has an underlying condition."
      C)"Endocarditis and its sequalae are localized to the heart and do not typically impact other parts of the body."
      D)"Endocarditis only occurs in children who are immunocompromised, because they are not able to fight off the bacterial infection in the heart."
    Page 4 of 5

    Exam Review

    1. After receiving change-of-shift report on four patients admitted to a heart failure unit, which patient should the nurse assess first?
      A)A patient who has crackles bilaterally in the lung bases and is receiving oxygen with oxygen saturation of 95%
      B)A patient who is receiving IV nitroglycerin and has a blood pressure of 108/62
      C)A patient who is cool and clammy, with new-onset confusion and restlessness
      D)A patient who reported dry cough after receiving the first dose of captopril
    2. A nurse is planning care for a client who has atrial fibrillation and reports heart palpitations, lightheadedness, and shortness of breath. Which of the following procedures should the nurse anticipate for this client?
      A)Septal myectomy
      B)Pericardial window for continuous drainage
      C)Synchronized electrical cardioversion
      D)Pericardiocentesis
    3. A nurse is caring for a client who has pericarditis and reports feeling a new onset of palpitations and shortness of breath. Which of the following assessments should indicate to the nurse that the client may have developed atrial fibrillation?
      A)Different blood pressures in the upper limbs.
      B)Differences in upper and lower lung sounds.
      C)Differences between oral and axillary temperatures.
      D)Different apical and radial pulses.
    4. A nurse is admitting a client who has acute heart failure following myocardial infarction (MI). The nurse recognizes that which of the following prescriptions by the provider requires clarification?
      A)0.9% normal saline IV at 150 mL/hr continuous
      B)Furosemide 20 mg IV bolus every 12 hr
      C)Laboratory testing of serum potassium upon admission
      D)Morphine sulfate 2 mg IV bolus every 4 hr PRN pain
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