RISKS
Which African American client is at the most risk of developing HTN?
A. Has family history of Diabetes
B. Drinks alcohol every day
C. Quit smoking 30 years ago
D. On dialysis for kidney failure
On dialysis for kidney failure
A client with a DVT would more likely complain of pain in which body part?
A. head
B. calf
C. foot
D. chest
Calf
The classification of BP that is greater or equal to 116/86:
A. Elevated
B. Stage I HTN
C. Stage II HTN
D. Hypertensive Crisis
Stage I HTN
The client with DVT has an INR of 3. This means:
A. the blood is clotting too fast
B. the blood is clotting slow
C. the blood is at a therapeutic level
D. the Warfarin dose needs to be adjusted
The blood is at a therapeutic level ( INR 2-3)
A client experiencing angina can take ____ NTG SL tablet every ____ minutes x _____.
A. 1, 3, 5
B. 1, 5, 3
C. 5, 3, 1
D. 3, 5, 1
1 tablet every 5 minutes x 3
Which client would benefit the most from taking hormonal replacement therapy?
A. Had a hysterectomy before menopause
B. Postmenopausal 65 year old
C. Smoker for 30 years
D. 36 week pregnant women
Had a hysterectomy before menopause
Which of the following assessment findings would indicate the client possibly has a PE?
A. coughing up bright red blood
B. lower leg edema
C. sudden blurred vision
D. severe nausea with vomiting
coughing up blood called hemoptysis
The nurse should avoid which action if a diagnosed DVT is present in a client's leg?
A. Elevating the extremity on pillows
B. Performing the Homan's sign
C. Assisting the client out of bed
D. Applying wet, warm dressings
Homan's sign (To avoid dislodging the DVT)
Which of the following tests of a 65 year old women would more likely support the diagnosis of HF?
A. LVEF 35%
B. BNP- 99
C. SV- 100
D. HDL- 40
LVEF 35%
These types of medications are considered "blood thinners" or anticoagulants
A. alteplase (Activase)
B. naproxen (Naprosyn)
C. apixaban (Eliquis)
D. protamine sulfate
apixaban (Eliquis)
Which of the following is a risk factor for left-sided heart failure with systolic dysfunction?
A. Hypertrophic CM
B. Restrictive CM
C. Dilated CM
D. Hypotrophic CM
Dilated CM
A client says he has frequent episodes of chest pain after eating large meals. What type of angina is he more likely experiencing?
A. Stable angina
B. Prinzmetal angina
C. Unstable angina
D. Variant angina
Stable angina
The nurse knows which of the following is not a typical cardiac symptom with ACS?
A. Diaphoresis
B. Nausea
C. Dizziness
D. Dyspnea
Dizziness
Which statement is incorrect when obtaining the brachial BP to calculate the ABI for PVD?
A. Check the brachial BP in the right and left arm
B. Use a stethoscope to obtain the reading
C. Use the SBP's to calculate the measurement
D. Use the highest brachial BP in the calculation
Use a stethoscope to obtain the reading
The nurse should do what action for client's taking clopidogrel (Plavix). SATA
A. Obtain blood pressure measurements
B. Notify surgeon about administrating the med
C. Check the complete blood count (CBC)
D. Place client on fall precautions
E. Examine skin for bruising
ALL THE ABOVE
Which invasive procedures would put a client at the most risk for DVT?
A. Wisdom teeth removal
B. Laparoscopic appendectomy
C. Total hip replacement surgery
D. Colonoscopy
Total hip replacement surgery(orthopedic)
A client is experiencing claudication while walking. What is the nurse's best action?
A. Encourage the client to rest
B. Elevate the client's legs
C. Apply the SCD's
D. Check client's potassium level
Encourage the client to rest
A client who complains of worsening sharp, upper abdomen pain when taking a deep breath in is more likely to have which condition?
A.GERD
B. MI
C. DVT
D. PE
Pulmonary Embolism (PE)
The alternate test to diagnose PE when the client can not have contrast is:
A. VQ scan
B. Chest X-ray
C. Echocardiogram
D. Spiral CT
VQ Scan
During overlap therapy for DVT, what order are the following medications initially administered.
A. Warfarin PO before Heparin IV
B. Heparin IV before Warfarin PO
C. Warfarin PO before Heparin SQ
D. Heparin SQ before Warfarin PO
Heparin IV before Warfarin PO
The best meal you would recommend a client with HTN to prepare for themselves?
A. canned vegetable soup
B. garden salad with bottled salad dressing
C. pasta with homemade tomato sauce
D. ham and cheese sandwich
pasta with homemade tomato sauce
A client's BP is 188/90 but denies any symptoms. Which is the best recommendation for the client?
A. Continue monitoring the BP at home
B. Go to nearest Urgent Care for BP check
C. Check the BP again in the morning
D. Recheck the BP while laying down
Go to nearest Urgent Care for BP check due to hypertensive urgency
The leg of a client with PVD will appear the color _____when elevated and ____ when in the dependent position.
A. grey/red
B. grey/white
C. white/grey
D. red/grey
grey (in dark tones)/red (rubor)
A client in a car crash could have elevated cardiac markers due to which following conditions? SATA
A. oxygen therapy given via facial mask
B. chest compressions received at site of accident
C. recent diagnosis of congested heart failure
D. large fracture to left femur present
E. severe headache with pain 8 out of 10
chest compressions received at site of accident
recent diagnosis of congested heart failure
large fracture to left femur present
Which medication is more likely to be administered to a client with blurred vision and BP 200/102.
A. enalapril (Vasotec) IVP
B. metoprolol (Toprol XL) PO
C. nitroglycerin SL
D. furosemide (Lasix) IVP
enalapril (Vasotec) IVP