Question 35 of 50
Custom PANLILIO-NSG330 Exam 1 A nurse is assessing a client who has atrial fibrillation. Which of the following pulse characteristics should the nurse expect? Custom PANLILIO-NSG330 Exam 1
- Bounding
- Not palpable
- Slow
- Irregular
Question 36 of 50
The nurse, a member of the health care team in the ED, is caring for a patient who is determined to be in the irreversible stage of shock. What would be the most appropriate nursing intervention?
- Provide opportunities for the family to spend time with the patient, and help them to understand the irreversible stage of shock.
- Inform the patient’s family immediately that the patient will not likely survive and to allow the family time to make plans and move forward.
- Closely monitor fluid replacement therapy, and inform the family that the patient will probably survive and return to normal life.
- Protect the patient’s airway, optimize intravascular volume, and initiate the early rehabilitation process.
Question 37 of 50
A client presents to the emergency department with chest pain and difficulty breathing. The provider orders an ECG, and the client is diagnosed with a STEMI. Based on the nurse’s knowledge of this condition, the nurse would expect the following types of treatment for this client except?
- Percutaneous coronary intervention
- Defibrillation
- Fibrinolytic administration
- Beta-adrenergic blocker therapy
Question 38 of 50
A nurse assesses a client’s electrocardiogram (ECG) and observes the reading shown below:
How should the nurse document this client’s ECG strip?
- Ventricular tachycardia
- Ventricular fibrillation
- Premature atrial contractions (PACs)
- Premature ventricular contractions (PVCs)
Question 39 of 50
A nurse is providing care for a client experiencing obstructive shock. Which of the following diagnoses should the nurse expect?
- Cardiac tamponade
- Third spacing
- Ruptured aneurysm
- Cardiomyopathy
Question 40 of 50
A nurse is analyzing a client’s electrocardiogram (ECG) strip and identifies the following information: Custom PANLILIO-NSG330 Exam 1
- Heart rate: 92/min
- Rhythm: Irregular
- P wave: Unable to identify
- PR interval: Unable to measure
- QRS duration: 0.10 seconds
Based upon this information, the nurse should interpret the client’s rhythm as indicating which of the following?
- First-degree heart block
- Atrial fibrillation
- Supraventricular tachycardia
- Sinus bradycardia
Question 41 of 50
A nurse is teaching a class about pulmonary circulation. The nurse should include that blood flows from the heart to the lungs from the right ventricle starting from which of the following locations?
- Left ventricle
- Pulmonary artery
- Pulmonary veins
- Left atrium
Question 42 of 50
A nurse is caring for a client who is experiencing hypovolemic shock. Which of the following blood products should the nurse anticipate administering to this client?
- Albumin
- Platelets
- Cryoprecipitates
- Packed RBCs
Question 43 of 50
A patient who has undergone valve replacement surgery is being prepared for discharge home. Because the patient will be discharged with a prescription for warfarin (Coumadin), the nurse should educate the patient about which of the following?
- The need to increase foods that contain vitamin K.
- The need to learn to sleep in a semi-Fowler’s position for the first 6 to 8 weeks to prevent emboli.
- The need for regularly scheduled testing of the patient’s International Normalized Ratio (INR).
- The need to take enteric-coated ASA on a daily basis.
Question 44 of 50
A nurse is planning care for a client who has suspected cardiac tamponade. Which of the following diagnostic tests should the nurse anticipate the provider to order first?
- Electrocardiogram (ECG)
- Echocardiogram
- Chest x-ray
- Computed tomography (CT) scan
Question 45 of 50
A nurse is teaching several newly licensed nurses about cardiac valve replacement. Which of the following should the nurse include in the teaching?
- Mitral valve insufficiency occurs during the diastolic phase of the cardiac cycle.
- Inadequate closure of the tricuspid valve causes overload in the left ventricle.
- Aortic stenosis increases right ventricular systolic pressure and decreases afterload.
- The aortic and mitral valves are the most commonly replaced valves.
Question 46 of 50
A nurse is caring for a client who develops a ventricular fibrillation rhythm. The client is unresponsive, pulseless, and apneic. Which of the following actions is the nurse’s priority?
- Defibrillation
- Airway management
- Epinephrine administration
- Amiodarone administration
Question 47 of 50
A patient reports dizziness and shortness of breath for several days. During cardiac monitoring in the emergency department (ED), the nurse obtains the following electrocardiographic (ECG) tracing.
The nurse interprets this heart rhythm as:
- second-degree type II/Mobitz II
- accelerated idioventricular rhythm.
- third-degree atrioventricular (AV) block or complete heart block
- sinus rhythm with PACs
Question 48 of 50
A nurse in the ICU receives report from the nurse in the ED about a new patient being admitted with a neck injury he received while diving into a lake. The ED nurse reports that his blood pressure is 85/54, heart rate is 53 beats per minute, and his skin is warm and dry. What does the ICU nurse recognize that that patient is probably experiencing?
- Neurogenic shock
- Septic shock
- Hypovolemic shock
- Anaphylactic shock. Custom PANLILIO-NSG330 Exam 1
