RISKS/CAUSES
Which data reflects the most likely CAUSE of the African American client's Hypertension?
A. Drinks 6 ounces of alcohol daily
B. Medical history of Kidney Disease
C. Family history of Hypertension
D. Quit smoking 30 years ago
MEDICAL HISTORY OF KIDNEY DISEASE
Rationale:
Family History of Hypertension is more related to the client RISK of developing Hypertension versus the client actually having a condition that CAUSED Hypertension- what is what the question is asking.
A client with a DVT would more likely complain of pain in the calf when doing which activity?
A. dangling the legs
B. elevating the legs
C. lying in the bed
D. walking in the halls
WALKING IN THE HALLS
The classification of BP reading of 116/86 is:
A. Expected
B. Elevated
C. Stage I HTN
D. Stage II HTN
STAGE I HTN
The client taking Coumadin (Warfarin) for DVT has an INR of 3. This means the:
A. blood is clotting too fast
B. blood is clotting too slowly
C. blood is at a therapeutic level
D. the Warfarin dose needs adjusting
BLOOD IS AT A THERAPEUTIC LEVEL
A client experiencing angina can take ____ NTG SL tablet every ____ minutes up to _____ times.
A. 1, 3, 5
B. 1, 5, 3
C. 5, 3, 1
D. 3, 5, 1
1,5,3
Which action made by the client would more likely decrease their RISK of developing Coronary Artery Disease?
A. Checking their blood pressure once a day.
B. Reducing tobacco use to only once a week.
C. Exercising at the gym only once a month.
D. Eating animal protein only once a year.
EATING ANIMAL PROTEIN ONLY ONCE A YEAR
The nurse suspects a client may have a PE when they start coughing up what type of mucous?
A. bright red
B. jet black
C. light green
D. pale yellow
BRIGHT RED
The nurse should avoid which action if a diagnosed DVT is present in a client's leg?
A. Applying wet, warm dressings
B. Assisting the client out of bed
C. Elevating the leg on pillows
D. Massaging the leg with lotion
MASSAGING THE LEG WITH LOTION
Which of the following test results of a 55-year-old woman would more likely support the diagnosis of HF?
A. BNP- 99
B. ABI- 0.4
C. LVEF- 35
D. HDL- 40
LVEF- 35%
Which medication is considered "blood thinners" or anticoagulants?
A. alteplase (Activase)
B. apixaban (Eliquis)
C. naproxen (Naprosyn)
D. andexanet alfa (Andexxa)
APIXABAN (ELIQUIS)
Which of the following food options would be the best recommendation for a client at RISK of developing HTN?
A. Grilled cheese sandwich with tomato soup.
B. Garden salad with fried chicken strips.
C. Pasta with homemade tomato sauce.
D. Vegetable beef soup from a restaurant.
PASTA WITH HOMEMADE TOMATO SAUCE
A client says he has frequent episodes of chest pain after eating a large meal. What type of angina is more likely being experienced?
A. Prinzmetal angina
B. Stable angina
C. Unstable angina
D. Variant angina
STABLE ANGINA
DOUBLE JEOPARDY!
The nurse knows which of the following is the most concerning typical cardiac symptom with Acute Coronary Syndrome?
A. Diaphoresis
B. Dizziness
C. Dyspnea
D. Dysphagia
DYSPNEA
A client has an allergy to contrast. Which alternative test would the nurse anticipate to be ordered to help diagnose a Pulmonary Embolism?
A. Chest X-ray
B. Pulmonary Embolectomy
C. Spiral CT
D. VQ scan
VQ SCAN
Which medication is more likely to be administered to a client with blurred vision and BP 200/102 to help lower the BP the most effectively?
A. enalapril (Vasotec) IVP
B. metoprolol (Toprol XL) PO
C. nitroglycerin SL
D. furosemide (Lasix) IV
ENALAPRIL (VASOTEC) IVP
Which procedure would put a client at the most RISK of developing a thrombus?
A. Cataract Removal
B. Coronary Angiography
C. Colonoscopy
D. Cholecystotomy
Coronary Angiography (Heart Catheterization)
A client with PAD is experiencing cramping in the legs when walking. What is the nurse's next best action?
A. Apply SCDs to both legs
B. Elevate the client's legs
C. Encourage the client to rest
D. Obtain a STAT potassium level
ENCOURAGE CLIENT TO REST
The leg of a client with PAD will appear the color _____when elevated and ____ when in the dependent position.
A. grey/rubor
B. rubor/white
C. rubor/grey
D. white/grey
GREY/RUBOR (RED)
Which of the following is an incorrect step when obtaining the Ankle Brachial Index for PAD in the left leg?
A. Check the brachial artery Systolic BP in the right arm
B. Check the dorsalis pedis artery Systolic BP in the left leg
C. Use a stethoscope to obtain the Systolic BP readings
D. Use the highest brachial artery Systolic BP reading
USE A STETHOSCOPE TO OBTAIN THE SYSTOLIC BP READINGS
During overlap therapy for DVT, in what order are the following medications initially administered?
A. Heparin IV before Warfarin PO
B. Heparin SQ before Warfarin PO
C. Warfarin PO before Heparin IV
D. Warfarin PO before Heparin SQ
HEPARIN IV BEFORE WARFARIN PO
Which of the following conditions can CAUSE left-sided Heart Failure with systolic dysfunction? SELECT ALL THAT APPLY
A. Dilated Cardiomyopathy
B. Hypertension
C. Hypertrophic Cardiomyopathy
D. Pulmonary Hypertension
E. Restrictive Cardiomyopathy
DILATED CARDIOMYOPATHY
HYPERTENSION
A client calls the nurse triage line to report having dizziness with a BP of 188/90. Which question is most appropriate for the nurse to ask? SELECT ALL THAT APPLY
A. "Are you having any type of pain?"
B. "Are you taking Nitroglycerin tablets?"
C. "Are you able to drive yourself to the ED?"
D. "Are you able to check your HR standing up?
E. "Are you able to recheck your BP in 1 hour?
ARE YOU HAVING ANY TYPE OF PAIN
A client who complains of worsening sharp, thoracic pain could more likely be experiencing which of the following conditions? SELECT ALL THAT APPLY
A. Unstable Angina
B. Metabolic Syndrome
B. Chronic Venous Insufficiency
C. Intermittent Claudication
D. Pulmonary Embolism
UNSTABLE ANGINA
PULMONARY EMBOLISM
DOUBLE JEOPARDY!!!
A client in a car crash could have elevated cardiac markers due to which following conditions? SELECT ALL THAT APPLY
A. headache 8 out of 10 on the numeric scale
B. sternum injury from chest compressions
C. large open fracture to left femur and ankle
D. oxygen therapy given via facial mask STAT
E. recent diagnosis of congested Heart Failure
STERNUM INJURY FROM CHEST COMPRESSIONS
LARGE OPEN FRACTURE TO LEFT FEMUR AND ANKLE
RECENT DIAGNOSIS OF CONGESTED HEART FAILURE
The nurse would anticipate doing which of the following interventions for the client with PAD who is scheduled for invasive surgery in 5 days. SELECT ALL THAT APPLY.
A. Performing a focus skin assessment
B. Monitoring the hemoglobin levels
C. Checking the bowel movements
D. Monitoring the blood pressure
E. Holding the clopidogrel (Plavix)
ALL THE ABOVE