Pulmonary Artery Catheter Radionuclide Studies and Echocardiography Questions

Pulmonary Artery Catheter Radionuclide Studies and Echocardiography Questions

Multi 3 full 1. During hourly rounding, you enter a room where the client is unresponsive without a pulse. What is your priority action? a. Open the airway b. Being ventilation at 1 breath every 6-8 seconds c. Start chest compressions at a rate of 100-120 compressions per minute d. Wait for the emergency response team for direction 2. The nurse is performing discharge teaching for a client who was recently diagnosed with heart failure. Which of the following should be included in the client and family teaching? (select all that apply) a. Medication teaching b. Low sodium diet c. Fluid restriction d. Weekly weights e. Symptoms to report to provider 3. The nurse educates the client on which of the following tests as the best tool for diagnosing heart failure? a. Echocardiography b. Pulmonary artery catheter c. Radionuclide studies d. Mitigated angiographic (MIUGA) scan 4. A is caring for a client diagnosed with atherosclerosis  Pulmonary Artery Catheter Radionuclide Studies and Echocardiography Questions

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Which of the following is considered a risk factor for the development of this disorder? a. High HDL-C/ Low LDL-C x b. Vegan diet x c. Low HDL-C/ High LDL-C d. Diet High in Vitamin K 5. Which of the following is not a possible treatment plan for a client diagnosed with leukemia? a. Induction and consolidation therapy b. Surgical intervention c. Stem cell transplant d. Blood product transfusion 6. A nurse is caring for a client with leukemia. After handing off report, which client should the nurse sea first? a. Client with a new two bloody diarrhea stool this morning b. Client who has been premedicated for nausea prior to chemotherapy x c. Client with respiratory rate changes from 15 to 20 breaths per minute x d. Client with an unchanged lesion to the lower right lateral malleolus 7. You are caring for a client who presented to the emergency department with pulmonary edema. The client is hypotensive with a pulse oximeter reading of 85% on room air. Which of the following is a nursing priority? a. Administer diuretics b. Administer IV fluids c. Administer oxygen d. Obtain a chest x-ray 8. The nurse receives an order to infuse heparin 1000 units/hr IV. The IV bag contains 25,000 units heparin in 500ML D5W. calculate the IV rates in mL/hr. _____ mL/hr. (Record answer as a whole number. Do not include trailing zero. Answer numerically, do not label.) _________20______ 9. A nurse caring for a client recently diagnose with leukemia. Which of the following signs and symptoms are not consistent with this diagnosis? a. Bleeding gums x b. Bone pain x c. Weight gain – loss d. Hematuria 10. Which of the following clients is most at risk of developing endocarditis? a. Explain who recently underwent a valve replacement b. A client with Marfan’s syndrome c. A client recently diagnosed with mitral stenosis d. A client who recently had a Valve replacement Ann had dental work recently performed 11. A client is receiving treatment for the diagnosis of hemophilia A. Which of the following is the most appropriate to include in the assessment of this client? a. Appetite b. Urine output c. Joint pain and bruising d. Respiratory rate 12. Which of the following is a pharmacological treatment option for a client with dilated cardiomyopathy? (select all that apply)Pulmonary Artery Catheter Radionuclide Studies and Echocardiography Questions

a. Diuretics b. Sodium tablet c. Vasodilating agent d. Phentermine 13. The nurse is discharging home a client at risk of venous thromboembolism on enoxaparin sodium. Which instruction is a priority for the nurse to provide to this client? a. “notify your healthcare provider if your stools appear tarry” b. “massage the injection site after the heparin is injected “ c. “you must have you PT/INR checked every 2 weeks” d. “you must have your aPTT check every 72 hours” 14. The nurse knows that which of the following is the most common problem for a client with valvular heart disease? a. Decrease cardiac output b. Difficulty coping c. Shortness of breath d. Altered body image 15. The client has thrombocytopenia. Which client statement indicates the client understands the selfmanagement of this condition? a. “I brush and use dental floss every day” b. “I chew hard candy for my dry cough” c. “I usually put ice on bumps and bruises” d. “non slip socks are best when I walk” 16. A nurse is caring for a client diagnosed with polycythemia Vera which of the following should the nurse include in the clients and family education? a. Decrease fluid intake to no more than 1 liter per day b. Where support hose while awake c. Diet high in vitamin K intake d. Resume normal activities 17. A nurse caring for a client diagnosed with multiple Myeloma. Which of the following signs and symptoms are not consistent with early stages of the disease? a. Fatigue b. Bruising c. Bone pain d. Hypotension 18. A nurse is caring four in 19 years old Mail recently diagnose with leukemia which of the following nursing intervention is not appropriate for the client a. strict hand hygiene to prevent infection b. provide emotional support c. restrict fluids and dietary intake d. protect from injury due to thrombocytopenia 19. The nurse is caring for a 65-year-old female who presented to the emergency department with shortness of breath and chest discomfort. The client has not been feeling well for the past few days and complaints of productive cough of blood-tinged spectrum. Laboratory test review an elevate brain natriuretic peptide (BNP) and a chest X-ray reveals pulmonary congestion. Based on the assess assessment findings which of the following diagnosis are consistent with these findings? a. Heart failure (left sided) b. Pulmonary embolism c. Heart failure (right sided) d. Lung cancer 20. Is a 65-year-old male client is brought via EMS to the emergency Department with chest pain. He rates pain as a “10” on a scale of 0 to 10; the pain is located meet sternum and radiates to his left. His heart rate is 126 Bpm and blood pressure is 96/60 mm Hg. A 12-Lead electrocardiogram is performed and reveals ST-segments elevation. Which of the following interventions does the nurse anticipate performing immediately? (select all that apply) a. Administer oxygen b. Administer nitroglycerin c. Administer a better blocker d. Administer morphine e. Administer is Tatum 21. The nurse is assessing a client with serve anemia. Which clinical manifestation does the nurse expect to see in the client? a. Dyspnea with activities b. Hypertension c. Bradycardia d. Warm, flashy skin 22. Which of the following assessment finding is consistent with mitral valve priorities? a. Systolic click b. Urinary frequency c. Altria fibrillation d. Claudication 23. A nurse is planning a diet for a client who has iron deficiency. Which of the following food high in iron should the nurse include in the plan? Pulmonary Artery Catheter Radionuclide Studies and Echocardiography Questions

a. Oranges b. Cashews c. Red meat d. Yogurt 24. When educating a female client on the risk factor of acute coronary syndrome the next recognizes that which of the following should be included in the teaching? a. Any pain typically resolved with rest b. Women often present with atypical signs and symptoms of coronary artery disease (CAD) c. Women with (CAD) have lower probability of death than men d. Age is not a risk factor for women who develop CAD 25. A nurse is caring for a client experiencing sickle cell crisis which would be the nurse priority action a. apply antiembolic stockings to lower extremities b. elevate head of bed to 45 degrees angle c. administer oxygen an IV normal Saline d. check blood pressure using external curf 26. The family of a neutropenic client reports that the client is confused and is not acting right what action by the nurse is priority a. ask the client about pain b. assess the client for infection c. delegate taking a set of vital signs d. look at today’s laboratory results 27. A nurse is caring for a client diagnosed with peripheral artery disease. Which of the following is a common assessment finding? a. 3+ pedal pulses b. 1+ pedal pulses c. 4+ pedal pulses d. Bounding pause in all four extremities 28. A nurse is caring for a client who presented to the emergency Department with complaints of fatigue, palpitation and chest pain. upon assessment the provider notes an 53 and 54——— weak peripheral pulses and tachycardia. The provider orders a chest X-ray and echocardiogram, which revealed the left ventricular dilation. Which of the following disorder is consistent with these findings? a. Dilated cardiomyopathy b. Restrictive cardiomyopathy c. Pericardial pericarditis d. Cardiac tamponade 29. Which of the following assessment finding a common with autoimmune thrombocytopenic purpura? a. Bruising b. Fatigue c. Confusion d. Fever 30. Which of the following procedures are performed for a client with pericardial effusion? a. Coronary artery bypass grafts b. Thoracotomy c. Pericardiocentesis d. Thoracentesis 31. A medication order states administered 1 gram in 500ML of DSW at 150mg/hr via infuse pump. What is the infusion rate in mL/hr? (Round answer to the nearest tenth (one decimal place)Pulmonary Artery Catheter Radionuclide Studies and Echocardiography Questions.

Use a leading zero if it applies. Do not use trailing Zero. Answer numerically only, do not level) ___________33.3_____ 32. A 78-year-old female presented to the emergency Department with shortness of breath. Her daughter is at the bedside and shares that the client has a history of heart failure. You place the client on a cardiac monitor and finds that the client is in atrial fibrillation at the rate of 180 beats per minute. which of the following are your concerned regarding this rhythm? (select all that apply) a. Potential for embolic events b. Hypotension due to elevated heart rate c. Worsening heart failure d. Increased confusion e. Cerebral edema 33. A nurse is caring for a client recently diagnosed with pericarditis. Which of the following is a common assessment finding with this disorder? a. ST- segment depression b. Pericardial friction rub c. Elevated troponin d. Heart failure 34. A client admitted for sickle cell crisis is distraught after learning her child also has the disease. Which response by the nurse is best? a. “Both you and father are equally responsible for passing it on” b. “I can see you upset. I can stay here with you a while if you like” c. “it is not your fault there is no way to know who will have this disease” d. “there are many good treatments for sickle cell disease these days” 35. The client is admitted for heart failure and has edema, neck vein distension and ascites. What is the most accurate way to monitor the fluid gain or loss in this client? a. Check for pitting edema in the dependent body part b. Auscultate the lung sound for crackles and wheezing c. Assess skin turgor and the condition of mucous membranes d. Weigh the client daily at the same time with the same scale 36. The nurse is caring for a client admitted with hypertensive crisis. Which new finding is the greatest concern to the nurse? a. Headache and pain rated as 4 out of 10 b. The client is alert and oriented times 4 c. Shortness of breath with oxygen Sat of 83% d. Current blood pressure of 170/85 37. Which of the following interventions should be included in the nutrition care plan for a client with atherosclerosis? a. Increase saturated fat b. Increase daily intake of vegetables fruits and whole grains c. limit sodium intake to 6 gram per day d. Increase full fat dairy products 38. The client with mechanical prosthetic valve replacement must understand that post-operative care will include lifelong therapy for which type of medication? a. Daily antibiotics b. Anti-coagulants c. Immunosuppressants d. Pain medication 39. Which of the following is a treatment of choice for end stage heart failure? Pulmonary Artery Catheter Radionuclide Studies and Echocardiography Questions

a. Heart transplant b. Coronary artery bypass grafting c. Percutaneous angiogram d. Medications 40. Which of the following interventions is included for a client with an aortic dissection? a. Palpate abdomen b. Vasoconstrictive agents c. Anticoagulants d. Management of blood pressure 41. Which of the following medication are utilized to treat peripheral artery disease (PAD)? a. Antiplatelet platelet drugs b. Antibiotics c. Nitroglycerin d. Diuretics 42. The nurse assesses a client and documented following findings: “edema 2+ bilateral ankle, brown pigmentation of lower extremity skin, aching pain of lower extremities when standing that resolves with elevation, and 2+ pedal pulses.” Which condition does the client likely have? a. Deep vein thrombosis b. Venous insufficiency c. Peripheral arterial disease d. Raynaud’s disease 43. Which of the following assessment findings is a priority during a blood transfusion? a. Chest pain b. Headache c. Joint pain d. Fatigue 44. The rhythm on the monitor trigger an alarm a. ask the clients if they want to ambulate with unlicensed assistant b. silence the cardiac alarm give handoff report and go home c. call the provider and request an order for better blocker d. check the client and determine pulselessness, call a code, start CPR 45. The nurse question which order for client with thrombocytopenia? a. Avoid IM injections b. Administer enemas c. Apply ice to area of trauma d. Test urine and stool for the presence of occult blood 46. Which of the following is treatment option for a client with infective endocarditis a. antimicrobials b. antihypertensive c. diet modification d. bed rest 47. The client with atherosclerosis asks a nurse which factors are responsible for this condition. Which of the following is the nurse best response? a. “excess sodium for hypertension causes direct injury to the arteries, reducing blood flow and eventually causing obstruction” b. “injury to the arteries caused them to spasm, reducing blood flow to the extremities” c. “a combination of platelets and fat accumulates, narrowing the lumen of artery, reducing blood flow” d. “Excess fat in your diet are stored in the lining of your arteries causing them to constrict” 48. The nurse assesses a client’s legs. which of which assessment finding indicates arterial insufficiency? a. Full veins present in dependent extremities b. Ankle discoloration and pitting edema c. Decrease or absent palpable pulses d. Pain with activity but not while resting 49. You are providing care to a client with pericarditis. If left untreated which of the following is the client at risk of developing? a. Cardiac tamponade b. Pneumonia c. Pulmonary embolism d. Deep vein thrombosis 50. A nurse is caring for a client recently diagnosed with hypertension. which of the following should be included in the discharge teaching? a. Only check your blood pressure at the clinic or pharmacy b. Diet changes are not recommended c. Decrease physical activity to avoid spikes in blood pressure d. Adhere to prescribe medication 51. A client diagnosed with stable angina is complaining of substernal chest discomfort, rating the pain 5 out of 10 what would be the priority action by the nurse? a. Administer Nitroglycerin, 1 tablet sublingual immediately b. Administer 81 mg of aspirin immediately c. Administer the clients prescribed beta- blocker d. Administer morphine 52. A nurse is providing discharge education for a client with leukopenia precautions. Which of the following statements by the client requires the nurse to provide additional teachings? a. “I will monitor my temperature daily and report any changes” b. “I will have fresh Flowers on my table to brighten the area” c. “I will report immediately foul smelling or cloudy urine” d. “I will wash fresh fruits and vegetable before eating them” 53. Which of the following client would not be a candidate for Thrombolytic therapy? Pulmonary Artery Catheter Radionuclide Studies and Echocardiography Questions

a. Client with blood pressure of 100 / 60 mm Hg b. A client with polls of 102 beats/minutes c. Client with a history of hemorrhagic stroke one month ago d. Client is 65 54. A 36-year-old male is being discharged home following a sickle cell pain crisis. what will be included in the discharge teaching? a. Increase fluid intake b. Decrease fluid intake c. Maintain bed rest d. Follow up with your primary care provider in 2 to 3days 55. Which of the following nursing interventions would be appropriate for a client with sickle cell disease? (select all that apply) a. Administer IV morphine b. Keep the client strictly NPO c. Remove restrictive clothing d. Prepare the client for surgery e. Provide a cool environment 56. Which of the following medications are appropriate for the treatment of heart failure? (select all that apply) a. Antibiotics b. Diuretics c. beta blocker d. ACE inhibiters e. Anticoagulants f. Bronchodilators 57. A client is presenting with radiating chest pain. Which of the following would the nurse recognize as indicators that an acute myocardial infraction may be occurring? (select all that apply) a. Positive troponin markers b. History of atherosclerosis c. ST-elevation on EKG on two contagious leads d. Pain radiating in jaw, back, shoulder, or abdomen e. Pain relieved with rest 58. A nurse is providing discharge teaching to a client who recently underwent a mechanical valve replacement. Which of the following statements by the client indicate the client correct understanding of the discharge teaching regarding anticoagulant therapy? a. “I do not need to take my prescribed medication for the rest of my life” b. “additional monitoring is not required while on the anticoagulant” c. “I can lead a normal life why on anticoagulant, no restrictions are required” d. “I will need to modify my diet while on this medication” 59. A nursing student is struggling to understand the process of graft-versus-host disease. which explanation by the nurse instructor is best? a. “because of immunosuppression they donor cells takeover” b. “it’s like a transfusion reaction because no perfect matches exist” c. “the client’s cells are fighting donor cells for dominance” d. “the donor’s cells are actually attacking the client’s cells” 60. Which of the following is the priority nursing intervention for a client experiencing transfusion reaction? Pulmonary Artery Catheter Radionuclide Studies and Echocardiography Questions

a. Stop transfusion immediately b. Notify the provider c. Flush the IV line d. Check vital signs 61. A client presents with absent peripheral pulse, Pallor of lower extremity with elevation and reports claudication after walking several blocks. The nurse expects which of the following? a. Venous ulcer located on the ankle b. Venous ulcer on the planter area of the foot c. Arterial ulcer with little granulation tissue d. Diabetic ulcer with little granulation tissue 62. You are caring for a client recently diagnosed with acute pericarditis who has pain that is unresolved by NSAID administration. Which of the following position is likely to provide the most comfort to this client? a. Sitting upright b. Left side lying c. Low fowlers d. Trendelenburg 63. The nurse is caring for a client with mitral regurgitation. Which of the following would you anticipate the client to develop if left untreated? a. Myocardial ischemia b. Left sided heart failure c. Right sided heart failure d. Renal failure 64. What does the nurse suggest to a client peripheral artery disease (PAD) about positioning and position changes? a. Sit upright in a chair if legs are not swollen b. Sleep with legs above the heart level if legs are swollen c. Avoid crossing the legs at all times d. Change position slowly when getting out of bed 65. A nurse is caring for a client who was recently diagnosed with left ventricle heart failure. What is an early sign the client is most likely to report? a. Abdominal distention b. Weight gain c. Swollen legs d. Nocturnal coughing 66. A nurse sets an infusion pump to infuse 1L of D5NS at the rate of 100 mL/hr. How many hours would it take to complete the infusion? ____hours (Record answer as a whole number. Do not use trailing zeros. Answer numerically, do not label ________10_______ 67. A nurse is caring for a 65 year or male who recently underwent an aortic valve replacement. which of the following is a post-operative nursing care priority? a. Temperature monitoring b. Advanced diet as tolerated c. Assess for bleeding d. Dressing change 68. A nurse is caring for a client who recently underwent a heart transplant. which of the following post-operative nursing intervention is the priority? a. Assess for signs and symptoms of rejection b. Advanced diet as tolerated c. Auscultate bowel sounds d. Maintain strict bed rest 69. A client is diagnosed with polycythemia vera and has a hemoglobin of 19g/dL. Which of the following statement indicate the client understand that teaching provided? a. “I should keep my lower extremities in a dependent position” b. “I should limit my fluid intake to 1-2 liters per day “ c. “I should wear constrictive clothing and supporting stockings” d. “I should use an electrical razor and soft bristled toothbrush” 70. Which of the following would predispose a client to mitral stenosis? Pulmonary Artery Catheter Radionuclide Studies and Echocardiography Questions

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a. Obesity b. Rheumatic fever c. Diabetes d. IV drug use 71. The nurse is preparing to transfuse third unit of packed red blood cells to a client. Which of the following laboratory result is the nurse most concern about? a. Serum ferritin level of 250 ng/mL b. Fibrinogen level less than 100 mg/dL c. Potassium level of 6.8 mg/dL d. Hematocrit of 30% 72. Which of the following clients is least at risk of development of deep vein thrombosis (DVT)? a. A client with previous documented deep vein thrombosis b. A client 3 days post-op following hip replacement c. A client bedridden for the past 6 days d. A client with bilateral 2+ pitting edema 73. The nurse is caring for a 55-year-old male who presented to his primary physician’s office for his yearly checkup. Upon the physical assessment the provider noted enlarge lymph nodes in the groin and neck region. The provider question Joe regarding the possible causes of the findings. Which of the following diagnosis are consistent with this finding? a. Lymphoma b. Sickle cell anemia c. Leukemia d. Polycythemia Vera 74. Which of the following is a priority nursing intervention for a client in atrial fibrillation with heart rate of 180 beats per minute? a. Apply compression stockings b. Administer anticoagulant c. Administer medication to slow the rate d. Monitor urine output 75. A client experiencing infective endocarditis may have all the following signs and symptoms except: a. Weight gain b. Cardiac murmur c. Fever d. Splinter hemorrhages 76. Which of the following medications are utilized to treat peripheral artery disease (PAD) a. antiplatelet drugs b. antibiotics c. Nitro glycerin d. diuretics Pulmonary Artery Catheter Radionuclide Studies and Echocardiography Questions