1. A graduate student, who has been studying for final exams and using energy drinks to stay awake,

PREBOARD 17

• A graduate student, who has been studying for final exams and using energy drinks to stay awake,

comes to the clinic reporting a fluttering feeling in the chest. The student is connected to the cardiac monitor that displays the rhythm in the exhibit. The nurse recognizes this as which rhythm?

• Atrial flutter
• Sinus rhythm with premature atrial contractions (PACs)
• Sinus rhythm with premature ventricular contractions (PVCs)
• Ventricular tachycardia

• A client is admitted with palpitations. The ECG shows supraventricular tachycardia with a rate of

220/min. the nurse has received an order to administer adenosine 6 mg IV. Which action should the nurse take?

• Adenosine is contraindicated for SVT. Verify the order with the HCP
• Administer medication only through a central venous access
• Administer medication rapidly over 1-2 seconds followed by a saline flush
• Mix medication in 50 mL normal saline and administer over 10 minutes

• A client with mitral valve prolapse has been experiencing occasional palpitations, lightheadedness, and

dizziness. The HCP prescribes a beta blocker. What additional teaching should the nurse include for this client?

• Avoid aerobic exercise
• Ensure you receive antibiotics prior to dental work
• Stay well hydrated and avoid caffeine
• Wear a medical alert bracelet

• The nurse is caring for a client with cardiomyopathy and coronary artery disease. The client is

reporting increasing chest pain and has bilateral lung crackles on auscultation. The HCP has written several new prescriptions. Which new prescription should the nurse clarify? Select all that apply.

Vital signs Blood pressure 84/58 mmHg Heart rate 108/min Respirations 28/min Oxygen saturation 90%

• Administer 2,000 mL normal saline bolus
• Administer IV nitroglycerin
• Apply 4 L oxygen by nasal cannula
• Obtain a STAT 12-lead ECG
• Obtain blood for cardiac enzyme testing

• What clinical symptoms might the nurse expect to find in a client with a central venous pressure of 24

mmHg? Select all that apply.

• Crackles in lungs
• Dry mucous membranes
• Hypotension
• Jugular venous distension
• Pedal edema

• The cardiac unit has standing instructions that the HCP should be notified of an abnormal mean arterial

pressure. The nurse will need to notify the HCP about which client?

• A client from the cardiac catheterization lab with a blood pressure of 102/58 mmHg
• A client just admitted from the emergency department with a BP of 150/72 mmHg
• A client with a BP of 92/60 mm Hg who just received a dose of nitroglycerin
• A client with heart failure on metoprolol with a BP of 106/42 mm Hg

• The nurse cares for a client who had an abdominal aortic aneurysm repair 6 hours ago. Which

assessment findings would indicate possible graft leakage and require a report to the HCP? Select all that apply.

• Ecchymosis of the scrotum
• Increased abdominal girth
• Increased urinary output
• Report of groin pain
• Report of increased thirst and appetite loss

• The nurse prepares to administer morning medications to assigned clients. Which prescription should

the nurse clarify with the HCP?

• Clopidogrel for client with history of stroke and platelet count of 154,000/mm3
• Losartan for client with hypertension who is 8 weeks pregnant
• Prednisone for client with herpes simplex lesions and bells palsy
• Tiotropium for client pneumonia and COPD

• The nurse is caring for a client on IV heparin infusion and oral warfarin. Current laboratory values

indicate that the client’s aPTT is 5 times the control value and the PT/INR is 2 times the control value.What action does the nurse anticipate?

• Clarify vegetable consumption with client
• Decrease the heparin rate
• Decrease the warfarin dose
• Obtain an order for Vitamin K injection

• A client is in the cardiovascular clinic for a 3-month follow-up visit. At the first visit, the client was

prescribed hydrochlorothiazide and amlodipine for hypertension. Which statement by the client would be concerning to the nurse and should be reported to the primary HCP?

• “I like to have a banana every morning with my breakfast.”
• “I occasionally experience slight dizziness when I get up in the morning.”
• “I started taking licorice root for my occasional heartburn.”
• “I usually take my hydrochlorothiazide first thing in the morning.”

• A client diagnosed with heart failure has an 8-hour urine output of 200 mL. What is the nurse’s first

action?

• Auscultate the client’s breath sounds
• Encourage the client to increase fluid intake
• Report the findings to the HCP
• Start an intravenous line for diuretic administration

• A client admitted with acute myocardial infarction suddenly displays air hunger, dyspnea, and

coughing with frothy, pink-tinged sputum. What would the nurse anticipate when auscultating the breath sounds of this client?

• Bronchial breath sounds at lung periphery
• Clear vesicular breath sounds at lung bases
• Diffuse bilateral crackles at lung bases
• Stridor in upper airways

• The nurse is teaching a client who is scheduled to have an inferior vena cava filter inserted via the right

femoral vein. Which statement by the client requires further teaching?

• “I need to make all HCP aware of my filter before I have body scans.”
• “I need to stay active and avoid crossing my legs for extended periods when I get home.”
• “I should call the HCP if I develop numbness, tingling, and swelling in my right leg.”
• “It is normal to have some chest or back discomfort for a few days after filter placement.”

• The nurse on a medical surgical unit enters a room, finds a client unresponsive with no pulse and starts
• minutes of CPR. The nurse receives and attaches an automated external defibrillator, but no shock is

advised. Which action should the nurse perform next?

• Check for a carotid pulse for at least 10 seconds
• Provide rescue breaths at a rate of 10-12/min
• Resume chest compressions at a rate of 100/min
• Use the jaw-thrust maneuver to assess the airway

• Which of the following patients are MOST at risk for developing heart failure? Select-all-that-apply:
• A 69 year old male with a history of alcohol abuse and is recovering from MI
• A 55 year old female with a health history of asthma and hypoparathyroidism.
• A 30 year old male with a history of endocarditis and has severe mitral stenosis.
• A 45 year old female with lung cancer stage 2.
• A 58 year old female with uncontrolled hypertension and is being treated for influenza.

• Which of the following are NOT typical signs and symptoms of right-sided heart failure? S.A.T.A.
• Jugular venous distention.
• Persistent cough
• Weight gain
• Crackles
• Nocturia
• Orthopnea

• A nurse is caring for a client with unstable ventricular tachycardia. The nurse instructs the client to do

which of the following, if prescribed, during an episode of ventricular tachycardia?

• Breathe deeply, regularly, and easily.
• Inhale deeply and cough forcefully every 1 to 3 seconds.
• Lie down flat in bed.
• Remove any metal jewelry.

• A paradoxical pulse occurs in a client who had a coronary artery bypass graft (CABG) surgery two (2)

days ago. Which of the following surgical complications should the nurse suspect?

• Left-sided heart failure
• Aortic regurgitation
• Complete heart block
• Pericardial tamponade

• Which action should the nurse take first when the low pressure alarm sounds for a patient who has an

arterial line in the left radial artery?

• Assess for dysrhythmias.
• Fast flush the arterial line.
• Check the left hand for pallor.
• Re-zero the monitoring equipment.

• Which of the following is correct about and ARTERIAL LINE. Select all the apply;
• Accurate measurement of BP compared to NIBP (Non Invasive Blood Pressure).
• Convenient for obtaining blood frequent blood samples
• Turn stopcock OFF to patient when ZEROING the A-line and maintain transducer at the level of

the RIGHT ATRIUM during movement,

• Zero Arterial Line each shift, every 4 hours, after blood is taken or as needed.
• Waste 10 mL when 1

st when drawing blood and turn OFF stopcock to saline bag.

• Saline bag must be changed every 72 hours or depending on hospital protocol.

• The patient post ORIF after 7 days due to knee injury was scheduled for MRI with contrast agent. The

following are appropriate questions to the patient prior to the procedure. Select all the apply;

• Allergies to IODINE
• Allergies to SEAFOODS
• Last intake of Oral medications
• Underwent knee replacement
• Implanted metal devices
• Drug patches

• The patient taking maintenance of PREDNISONE must be instructed to do which of the following?
• Avoid stimulants to not worsen insomnia
• Report dizziness
• Increase Carbohydrates
• Can take NSAIDs

• The following are foods rich in IRON. Select all that apply;
• Seafood 5. Beans & Peas
• Red meats 6. Bread
• Dark green leafy vegetables 7. Pasta
• Dried fruits 8. Orange juice

• FACTITIOUS DISORDER when manifested by an individual differs from MALINGERING as this is unique

only to patients suffering factitious disorder.

• Harm others (children or animals) to receive attention.
• Deliberately exaggerating or feigning symptoms to gain sympathy or attention.
• They feign illness in themselves not for the purpose of receiving rewards or gifts.

4.Their symptoms are aimed to gain primary or secondary gain

• The charge nurse is getting ready to plan an INTERDISCIPLINARY TEAM meeting, which client is most

important to be included for discussion?

• A depressive patient with history of suicide
• A patient who is picking up arguments with staff and is being extremely manipulative
• A patient with visual hallucination and pacing at the hallways at night.
• A newly diagnosed patient with brain tumor who has 4 kids.

• The member of the MULTIDISCIPLINARY TEAM that you would most likely collaborate with when the

client can benefit from the use of adoptive devices like prosthesis, eating aids and leg braces?

• Physical Therapist
• Occupational Therapist
• Prosthetists
• Pedorthists

• Within the free clinic where you practice nursing, you hold sexual education classes open to the public.

Within the classroom, you communicates the CDC’s numbers for the incidence of STI’s and their impact upon public health. Which is the fastest-spreading bacterial STI in the United States?

• Gonorrhea 3. Herpes simplex 1
• Chlamydia 4. HPV

• The following are facts about TRICHOMONIASIS. Select all that apply;
• 70% of people infected do not manifest symptoms
• Spreads from vagina to penis or penis to vagina
• Spread from a vagina to another vagina
• Infection is more common among women than men
• Fishy smell with itching and burning are common symptoms
• Treatment for Trichomoniasis is not safe for pregnant people