NR 341 Exam 2 practice questions Latest Update

NR 341 Exam 2 practice questions Latest Update

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2nd or 3rd block have a - CORRECT ANSWER: pacemaker

• A client in a cardiology clinic states chest pain occurs every time with mowing the

lawn, and subsides with rest. The first priority of client teaching from the nurse should be: -

CORRECT ANSWER: c. Asking about family history of cardiac

56 year old history HTN smoker has chest pain - CORRECT ANSWER: administer O2

or cardioversion

A catheter is inserted in the right radial artery to monitor the client's blood pressure.Which assessment finding indicates that a complication of arterial pressure monitoring

is occurring? - CORRECT ANSWER: The right hand is numb and pale

A client complains of pruritus and rash on the chest while receiving an intravenous antibiotic. What is the first action the client's nurse should take? - CORRECT ANSWER: Stop the antibiotic infusion

A client had a cardiac catheterization procedure and has a left femoral procedure site.Appropriate post-catheterization teaching by the nurse include which instruction? -

CORRECT ANSWER: Client should put hand on puncture site if coughing

A client has an order for Nitroglycerin to infuse at 5mcg/minute. The Nitroglycerin infusion has a concentration of 50 mg in 500 ml. How many ml per hour should the

pump be set at? (Round to the nearest whole number). - CORRECT ANSWER: 3

A client has atrial fibrillation. What drug does the nurse anticipate will be prescribed to

prevent a stroke? - CORRECT ANSWER: Warfarin

A client in septic shock needs to have a central line inserted. Prior to the procedure being perform, what is the first action the nurse needs to do? - CORRECT ANSWER: Asses the client's understanding of the procedure

A client in shock has the following assessment findings: low blood pressure, low SVR, angioedema, wheezing, and tachycardia. What is the possible cause of this shock? -

CORRECT ANSWER: Recent seafood meal

A client is in anaphylactic shock and has warm flush skin and bounding pulses. The nurse 1 / 2

would expect to administer which medication? - CORRECT ANSWER: Norepinephrine

(Levophed)

A client is scheduled for a coronary angiogram because of ST segment elevation on the EKG. Which of the following medications needs to be held prior to the angiogram to

prevent kidney injury? - CORRECT ANSWER: Metformin

A client who weighs 68 kg has an order for a Heparin infusion at 12 units/kg/hour. The concentration available is 25,000 units of Heparin in 250ml. How many ml/hour should the pump be set at? (Round to the nearest 10 th decimal place). - CORRECT

ANSWER: 8.2

A client with a cardiac tamponade has a Pulmonary Artery Pressure (PAP) catheter inserted and the PAP readings were elevated. A pericardiocentesis is performed, the

nurse expects the client to have which hemodynamic reading? - CORRECT ANSWER:

Elevated CVP

A client with a full code status develops ventricular fibrillation. Which action would be appropriate for the nurse to delegate to an unlicensed assistant personnel (UAP) during

the code? - CORRECT ANSWER: Bring crash cart in the coding client's room

A client with Disseminated Intravascular Coagulation (DIC) will exhibit which clinical

manifestation? - CORRECT ANSWER: Clotting and bleeding

A client with septic shock has a central venous pressure reading (CVP) of 1 mm Hg .Which of these healthcare provider orders would the nurse anticipate? - CORRECT

ANSWER: Increase the normal saline rate to 150 ml/hour

A client with septic shock has hemodynamic monitoring in place. What finding would

the nurse expect to see in this client? - CORRECT ANSWER: Hypotension

A client's BP is 100/43. What is the mean arterial pressure (MAP)? - CORRECT

ANSWER: 62

A nurse finds a client in sinus bradycardia with a heart rate of 44 beats/minute, BP of 76/42. The client is complaining of dizziness and is diaphoretic. What is the drug of

choice for this client? - CORRECT ANSWER: Atropine

a nurse is caring for a cleint with bp 82/46 and sinus tachy - CORRECT ANSWER:

administer fluid IV bolus normal saline or metoprolol

A nurse is caring for a client after a coronary bypass artery surgery and complains of incisional pain when deep breathing. Which intervention should the nurse perform? -

CORRECT ANSWER: Encourage the client to take pain relief medication

A nurse is caring for a client in cardiogenic shock. The health care provider prescribes a

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