Angina
Which task should the nurse delegate to an experienced licensed practical nurse (LPN) caring for a client with stable angina?
A. Teaching the client about lifestyle changes
B. Administering a prescribed dose of nitroglycerin
C. Evaluating the effectiveness of nitroglycerin therapy
D. Assessing for worsening chest pain
B. Administering a prescribed dose of nitroglycerin
A client with CAD is prescribed aspirin 81 mg daily for cardiovascular protection. The available tablets are 162 mg. How many tablets should the nurse administer per dose?
Answer: 0.5 tablet
Which task should the nurse delegate to a UAP for a client with heart failure?
A. Assessing lung sounds
B. Monitoring fluid intake and output
C. Teaching about medication adherence
D. Evaluating weight gain
Answer: B. Monitoring fluid intake and output
A client with pulmonary edema is prescribed furosemide 80 mg IV push. The available concentration is 10 mg/mL. How many mL should the nurse administer?
Answer: 8 mL
Which task should the nurse delegate to an LPN for a client with hypertension?
A. Adjusting antihypertensive medication doses
B. Administering oral antihypertensive medication
C. Assessing for hypertensive complications
D. Teaching the DASH diet
Answer: B. Administering oral antihypertensive medication
A client with chronic stable angina reports experiencing chest pain when climbing stairs. Which action should the nurse recommend?
A. Take an extra dose of beta-blocker before climbing stairs.
B. Take nitroglycerin before engaging in physical activity.
C. Avoid any form of exercise to prevent angina episodes.
D. Increase salt intake to maintain blood pressure.
B. Take nitroglycerin before engaging in physical activity.
Which client statement indicates an understanding of dietary changes to reduce the risk of coronary artery disease (CAD)?
A. "I should avoid foods high in fiber."
B. "I will limit my intake of saturated fats and increase omega-3 fatty acids."
C. "Drinking coffee frequently helps protect my heart."
D. "I should eat red meat every day for iron intake."
B. "I will limit my intake of saturated fats and increase omega-3 fatty acids."
A client is prescribed furosemide 40 mg daily. The available tablets are 20 mg each. How many tablets should the nurse administer?
Answer: 2 tablets
A nurse is assessing a client with acute pulmonary edema. Which of the following findings requires immediateintervention?
A. Pink, frothy sputum
B. Bilateral lung crackles
C. Oxygen saturation of 90%
D. Respiratory rate of 20 breaths per minute
Answer: A. Pink, frothy sputum
A client is prescribed metoprolol 50 mg twice daily. How many total milligrams will the client receive in 24 hours?
Answer: 100 mg
4. Fill-in-the-Blank (Dosage Calculation)
A client is prescribed nitroglycerin 0.4 mg sublingually every 5 minutes as needed for chest pain. What is the maximumnumber of doses the client can take within 15 minutes?
Answer: 3 doses
Which task can a nurse delegate to an unlicensed assistive personnel (UAP) for a client with CAD?
A. Assessing chest pain
B. Teaching about dietary changes
C. Assisting with ambulation
D. Evaluating medication effectiveness
C. Assisting with ambulation
A nurse is educating a client with heart failure about fluid management. Which statement by the client requires further teaching?
A. "I should weigh myself daily."
B. "I will increase my fluid intake to stay hydrated."
C. "I should monitor my sodium intake."
D. "I need to report sudden weight gain to my provider."
Answer: B. "I will increase my fluid intake to stay hydrated."
A nurse is caring for a client with severe pulmonary edema who is experiencing dyspnea and low oxygen saturation. Arrange the interventions in the correct order.
Correct Order: 2 → 3 → 1 → 4 → 5
A nurse is providing discharge teaching to a client newly prescribed verapamil for hypertension. Which statement by the client indicates a need for further teaching?
A. "I will avoid drinking grapefruit juice while taking this medication."
B. "I can take my medication with orange juice in the morning."
C. "I should take my medication only when my blood pressure is high."
D. "I will monitor for dizziness when standing up."
Answer: C. "I should take my medication only when my blood pressure is high."
A nurse is educating a client on factors that can precipitate an episode of angina. Which of the following should the client avoid? (Select all that apply.)
A. Strenuous exercise
B. Exposure to cold weather
C. Consuming a large meal
D. Lying flat when sleeping
E. Emotional stress
A, B, C, and E
A nurse is caring for a client with CAD experiencing severe chest pain. Arrange the interventions in order.
Correct Order: 3 → 1 → 4 → 2 → 5
A nurse is assessing a client with worsening heart failure. Which findings indicate fluid overload? (Select all that apply.)
A. Crackles in the lungs
B. Weight gain
C. Hypotension
D. Pitting edema
E. Jugular vein distension
Answers: A, B, D, and E
A nurse is preparing to administer furosemide to a client with pulmonary edema. Which of the following assessmentsshould the nurse perform before administration? (Select all that apply.)
A. Blood pressure
B. Serum potassium levels
C. Respiratory rate
D. Blood glucose level
E. Lung sounds
Answers: A, B, C, and E
A nurse is assessing a client with hypertension. Which findings indicate complications of untreated hypertension? (Select all that apply.)
A. Stroke
B. Kidney damage
C. Vision loss
D. Peripheral neuropathy
E. Hyperglycemia
Answers: A, B, and C
A nurse is caring for a client experiencing acute chest pain due to angina. Arrange the interventions in the correct order.
2 → 3 → 4 → 1 → 5
A nurse is providing education to a client with coronary artery disease (CAD) about herbal supplements that may interact with aspirin. Which of the following supplements should the client avoid? (Select all that apply.)
A. Feverfew
B. Aloe vera
C. Cranberry juice
D. Flaxseed
E. Ginseng
Answers: A and C
A nurse is caring for a client with congestive heart failure experiencing shortness of breath. Arrange the interventions in order.
Correct Order: 1 → 4 → 3 → 2 → 5
A nurse is assessing a client with suspected pulmonary edema. Which of the following findings should the nurse expect? (Select all that apply.)
A. Pink, frothy sputum
B. Crackles upon auscultation
C. Bradycardia
D. Jugular vein distention
E. Dry skin
Answers: A, B, and D
A nurse is caring for a client experiencing a hypertensive crisis. Arrange the interventions in order.
Correct Order: 3 → 4 → 2 → 1 → 5