RISKS
Which African American client is at the most risk of developing HTN?
A. Drinks 6 ounces of alcohol daily
B. Has Chronic Kidney Disease
C. Has family history of Diabetes
D. Quit smoking 30 years ago
HAS CHRONIC KIDNEY DISEASE
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. laying 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 slow
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 for developing Coronary Artery Disease?
A. Checks blood pressure every 12 hrs.
B. Decreases smoking to once a day.
C. Does aerobic exercise once a week.
D. Avoids eating all animal protein.
AVOIDS EATING ANIMAL PROTEIN
The nurse is 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 tests of a 55 year old women would more likely support the diagnosis of HF?
A. BNP- 99 pg/mL
B. BUN- 30 mg/dL
C. LVEF- 35%
D. HDL- 40 mg/dL
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 with HTN?
A. grilled ham and cheese sandwich
B. fresh 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 large meals. What type of angina is he more likely experiencing?
A. Prinzmetal angina
B. Stable angina
C. Unstable angina
D. Variant angina
STABLE ANGINA
The nurse knows which of the following is not a typical cardiac symptom with Acute Coronary Syndrome?
A. Diaphoresis
B. Dizziness
C. Dyspnea
D. Nausea
DIZZINESS
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
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) IVP
ENALAPRIL (VASOTEC) IVP
Which invasive procedure would put a client at the most risk for DVT?
A. Oral Surgery
B. Heart Catherization
C. Colonoscopy
D. Cystoscopy
HEART CATHERIZATION
A client is experiencing claudication of the legs. What is the nurse's next best action?
A. Apply the SCD's 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 PVD will appear the color _____when elevated and ____ when in the dependent position.
A. grey/red
B. grey/white
C. red/grey
D. white/grey
GREY/RED
The alternate test to diagnose a Pulmonary Embolism when the client can not have contrast is:
A. Chest X-ray
B. KUB
C. Spiral CT
D. VQ scan
VQ SCAN
During overlap therapy for DVT, 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 a BP of 188/90 but denies any symptoms. Which recommendation should the nurse make? SELECT ALL THAT APPLY
A. "Call back if you develop a severe headache."
B. "Take your Nitroglycerin sublingual tablets now."
C. "Go to the nearest health care facility or ER."
D. "Recheck the BP now while laying down."
E. "You should check your BP in the morning."
GO TO THE NEAREST HEALTH CARE FACILITY OR ER
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. Peripheral Artery Disease
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 numeric scale
B. injury to sternum 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
INJURY TO THE STERNUM FROM CHEST COMPRESSIONS
LARGE OPEN FRACTURE TO LEFT FEMUR AND ANKLE
RECENT DIAGNOSIS OF CONGESTED HEART FAILURE
The nurse should do what action for client's taking clopidogrel (Plavix). SELECT ALL THAT APPLY.
A. Examine the arms and legs for large bruises
B. Monitor the complete blood count (CBC)
C. Check the bowel movements for blood
D. Obtain blood pressure measurements
E. Place client on bleeding and fall precautions
ALL THE ABOVE