ATI Learning System - Cardiovascular and Hematology

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A nurse is evaluating a client's repeat laboratory results 4 hr after administering fresh frozen plasma (FFP). Which of the following laboratory values should the nurse review?
A. WBC count
B. Prothrombin time
C. Platelet count
D. Hematocrit
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A nurse is evaluating a client's repeat laboratory results 4 hr after administering fresh frozen plasma (FFP). Which of the following laboratory values should the nurse review?
A. WBC count
B. Prothrombin time
C. Platelet count
D. Hematocrit
B. Prothrombin Time
A nurse is caring for a client who had a myocardial infarction 5 days ago. The client has a sudden onset of shortness of breath and begins coughing frothy, pink sputum. The nurse auscultates loud, bubbly sounds on inspiration. Which of the following adventitious breath sounds should the nurse document?
A. Wheezes
B. Coarse crackles
C. Rhonchi
D. Friction rib
B. Coarse crackles
A nurse is collecting data from a client who reports using fish oil as a dietary supplement. Which of the following substances in fish oil should the nurse recognize as a health benefit to the client?
A. Omega-3 fatty acids
B. Antioxidants
C. Vitamins A, D and C
D. Beta-carotene
A. Omega-3 fatty acids
A nurse is reinforcing discharge teaching with a client who has a new permanent pacemaker. Which of the following information should the nurse include in the teaching?
A. "Avoid lifting both arms above your head when dressing."
B. "Use your cell phone on the same ear as the pacemakers site is located."
C. "Avoid travel by airplane."
D. "Hiccups are an expected outcome of having a pacemaker."
A. "Avoid lifting both arms above your head when dressing."
A nurse is assisting in the plan of care for a client who is having a percutaneous transluminal coronary angioplasty (PTCA) with stent placement. Which of the following actions should the nurse anticipate in the postoperative plan of care?
A. Reinforce teaching with the client about a long-term conditioning program
B. Administer scheduled doses of acetamonophen
C. Check for peak laboratory markers of myocardial damage
D. Initiate an aspirin regimen
D. Initiate an aspirin regimen
A nurse is preparing to transfuse 250 mL of packed red blood cells (RBCs) to client over 4 hr. Available is a blood administration set that delivers 10 gtt/mL. The nurse should set the manual blood transfusion to deliver how many gtt/min? (Round to nearest whole number)
10 gtt/min
A nurse is assisting in collecting data from a client who has a history of unstable angina. Which of the following findings should the expect?
A. The client reports chest pain when at rest
B. Nitroglycerin relieves chest pain
C. Physical exertion does not precipitate chest pain
D. Chest pain lasts less than 5 min
A. The client reports chest pain when at rest
A nurse in a clinic is collecting data from a client who has a history of peripheral arterial disease. Which of the following findings on the client's lower extremities should the nurse expect?
A. Pitting edema
B. Areas of reddish-brown pigmentation
C. Cool, pale skin with minimal body hair
D. Sunburned appearance with desquamation
C. Cool, pale skin with minimal body hair
A nurse is reinforcing teaching about lifestyle changes with a client who had a myocardial infarction and has a new prescription for a beta blocker. Which of the following client statements indicates an understanding of the teaching?
A. "I should eat foods high in saturated fat."
B. "Before taking my medication, I will check my blood pressure and radial pulse rate."
C. "I will exercise once a week for an hour at the health club."
D. "I will stop taking my medication when my blood pressure is within a normal range.
B. "Before taking my medication, I will check my blood pressure and radial pulse rate."
A nurse is collecting data from a client who has pericarditis. Which of the following manifestations should the nurse expect?
A. Bradycardia
B. Relief of chest pain with deep inspiration
C. Dyspnea
D. Chest pain that increase when sitting upright
C. Dyspnea
A nurse is assisting in monitoring a client who has a myocardial infarction. For which of the following complications should the nurse monitor in the first 24 hours? A. ineffective endocarditis B. Pericarditis C. Ventricular dysrhythmias D. Pulmonary emboliC. Ventricular dysrhythmiasA nurse is assisting in the care of a client who is in hypovolemic shock. While waiting for a unit of blood, the nurse should plan to administer which of the following IV solutions? A. 0.45% sodium chloride B. Dextrose 5% in 0.9 sodium chloride C. Dextrose 10% in water D. 0.9% sodium chlorideD. 0.9% sodium chlorideA nurse is checking laboratory values for an adult client who has sickle cell anemia and is in crisis. For which of the following complications should the nurse monitor? A. Hypokalemia B. Lead poisoning C. Hypercalcemia D. Elevated billrubinD. Elevated billrubinA nurse is contributing to the plan of care for a client who has pernicious anemia. Which of the following interventions should the nurse recommend? A. Administer ferrous sulfate supplementation B. Increase dietary intake of folic acid C. Initiate weekly injections of vitamin B12 D. Initiate a blood transfusionC. Initiate weekly injections of vitamin B12A nurse is checking for cardiac tamponade on a client who has pericarditis. Which of the following actions should the nurse take? A. Check for hypertension B. Auscultate for loud, bounding heart sounds C. Auscultate blood pressure for pulsus paradoxus D. Check for a pulse deficitC. Auscultate blood pressure for pulsus paradoxusA nurse is reinforcing teaching with a client who has anemia and a new prescription for epoetin alfa. Which of the following information should the nurse include in the teaching? A. Hospitalization is required when administering each treatment B. The maximum effect of the medication will occur in 6 months C. Hypertension is a common adverse effect of the medication D. Blood transfusions are needed with each treatmentC. Hypertension is a common adverse effect of the medicationA nurse is assisting in the preparation of a unit of packed red blood cells for a client who has anemia. Which of the following actions should the nurse take first? A. Hang an IV infusion of 0.9% sodium chloride with the blood B. Check the client's identification number with the number on the blood C. Witness the informed consent D. Prepare the blood with a y-type infusion setC. Witness the informed consentA nurse is caring for a client who has heart failure and is lethargic with muscle weakness. The client's telemetry reading displays dysrhythmias. Which of the following laboratory results should the nurse anticipate? A. Potassium 2.8 mEq/L B. Digoxin level 0.7 ng/mL C. Hemoglobin 11.5 g/dL D. Calcium 8.0 mgA. Potassium 2.8 mEq/LA nurse is collecting data from a client who has fluid volume overload resulting from a cardiovascular disorder. Which of the following manifestations should the nurse expect? A. Jugular vein distension B. Moist crackles C. Postural hypotension D. Increase heart rate E. FeverA. Jugular vein distension B. Moist crackles D. Increase heart rateA nurse is caring for a client who has late-stage heart failure and is experiencing fluid volume overload. Which of the following findings should the nurse expect? A. Weight gain of 1 kg in 1 day B. Pitting edema +1 C. Client reports a nocturnal cough D. B-type natriuretuc peptide level of 100 pg/mgA. Weight gain of 1 kg in 1 dayA nurse is assisting in developing the plan of care for an older adult client who is to receive a unit of packed red blood cells. Which of the following actions should the nurse recommend? A. Verify the information on the packed RBCs with another nurse B. Administer the packed RBCs through an 18-gauge IV catheter C. Infuse the packed RBCs over 2 hour D. Allow the packed RBCs to warm at room temperature for 1 hr before starting the transfusionA. Verify the information on the packed RBCs with another nurseA nurse is monitoring a client who is receiving a unit of packed red blood cells following surgery. The client reports itching and has hives 30 min after the infusion begins. Which of the following actions should the nurse take first?Stop the infusion of bloofA nurse is assisting in the care of a client who has an abdominal aortic aneurysm and is scheduled for surgery. The client's vital signs are blood pressure 160/98 mm HG, heart rate 102/min, respiration 22/min, and SpO2 95%. Which of the following actions should the nurse take? A. Administer antihypertensive medication for blood pressure B. Monitor that urinary output is 20 mL/hr C. Withhold pain medication to prepare for surgery D. Take vital signs every 2 hrA. Administer antihypertensive medication for blood pressureA nurse is collecting data from a client who has an abdominal aortic aneurysm. Which of the following manifestations should the nurse expect? A. Midsternal chest pain B. Thrill C. Pitting edema in lower extremities D. Lower back discomfortLower back discomfortA nurse is caring for a client who is postoperative following vein ligation and stripping for varicose veins. Which of the following actions should the nurse take? A. position the client suspine with his legs elevated when in bed B. encourage the client to ambulate for 15 min every hour while awake for the first 24 hr C. tell the client to sit with his legs dependent after ambulating D. reinforce with the client that he should wear knee-length socks for 2 weeks afterA. position the client suspine with his legs elevated when in bedA nurse is collecting data from a client who has right-sided heart failure. Which of the following findings should the nurse expect? A. Decreased capillary refill B. Dyspnea C. Dizziness D. Dependent edemaD. Dependent edemaA nurse is caring for a client who has advanced heart failure. Which of the following actions should the nurse take? A. Place the client in low-Fowler's position B. Assist the client to use the incentive spirometer every 4 hr C. Weigh the client every other day D. Enforce fluid restrictionsD. Enforce fluid restrictionA nurse is caring for a client who has hemophilia. The client reports pain and swelling in a joint following an injury. Which of the following actions should the nurse take?Prepare for replacement of the mission clotting factorA nurse is collecting data from a client who has manifestations of aplastic anemia. Which of the following findings should the nurse expect? A. Plethoric appearance of facial skin B. Glossitis and weight loss C. Jaundice with an enlarger liver D. Petechiae and ecchymosisPetechiae and ecchymosisA nurse is administering a loop diuretic to a client who has 3+ pitting edema in the lower extremities. Which of the following actions should the nurse take? A. Weight the client weekly B. Monitor the client for ototoxicity C. Place the client on a 24-hr urine collection analysis D. Monitor for hypoglycemiaMonitor the client for ototoxicity