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MedSurgTextbook NCLEX questions Test 5

Terms in this set (40)

The nurse is providing education to a patient in the clinic for his annual examination on cardiovascular health. Which of these factors, if present in the patient's history, are most closely related to the development of arteriosclerosis?

The patient is an accountant.
The patient has diabetes mellitus.
The patient is to receive chemotherapy.
The patient had rheumatic fever as a child.
The patient has diabetes mellitus.
When performing a cardiovascular assessment, which action should the LPN/LVN take?
Check the patient's urine for acetone.
Obtain a sputum specimen from the patient.
Find out whether the patient is the youngest in the family.
Assess the patient's apical pulse rate and rhythm, noting the presence of pulse deficit.
Assess the patient's apical pulse rate and rhythm, noting the presence of pulse deficit.
When a patient returns to the unit after a cardiac catheterization, which nursing intervention should immediately follow taking vital signs?
Providing the patient with fluids
Assessing the patient's peripheral pulses
Placing the patient in a warm bed and encouraging sleep
Reapplying the patient's dressing where the catheter was inserted
Assessing the patient's peripheral pulses
The home care nurse is teaching the patient how to best monitor his edema. What is the best method for a patient at home to monitor his peripheral edema?
Checking for pitting
Measuring the extremity
Measuring intake and output
Taking daily weight measurements
Taking daily weight measurements
The nurse is preparing to implement a teaching plan for a patient with mild hypertension. What should be included in the plan for this patient?
Controlling stress
Controlling weight
Restricting sodium intake
Maintaining a sedentary lifestyle
Monitoring and keeping cholesterol level normal
Controlling stress
Controlling weight
Restricting sodium intake
Monitoring and keeping cholesterol level normal
The nurse is caring for a patient following an angiogram. Which action should the nurse include in the patient's care?
Encourage restriction of fluid intake
Assess for allergies to radiopaque dye
Have the patient refrain from coughing
Instruct the patient about ways to combat constipation
Assess for allergies to radiopaque dye
The patient who is scheduled for a nuclear (thallium) imaging scan asks the nurse about the purpose of this test. Which response by the LPN/LVN is correct?
"This test measures the electrical activity within the heart."
"This test evaluates blood flow in various parts of the heart."
"This test determines the pressure in various chambers of the heart."
"This test provides visual information about the interior of a coronary artery."
"This test evaluates blood flow in various parts of the heart."
When a patient has altered tissue perfusion, which intervention should be included in the patient's care?
Keep the patient's environment on the cool side.
Instruct the patient to avoid extremes of temperature.
Use local applications of heat, such as hot water bottles.
Instruct the patient to wear underclothing made of elastic materials.
Instruct the patient to avoid extremes of temperature.
A patient is scheduled for cardiac catheterization this morning. Before the procedure can be started, what must be accomplished?
Assess renal status.
Evaluate any difficulty swallowing.
Determine if the patient has a history of claustrophobia.
Assess the patient's allergy status, especially related to iodine.
The physician must obtain informed consent for the procedure from the patient.
Assess renal status.
Assess the patient's allergy status, especially related to iodine.
The physician must obtain informed consent for the procedure from the patient.
The nurse is assessing a patient who states he has been diagnosed with intermittent claudication. The nurse anticipates that the patient's cramping pain will be brought on by what activity or position?
Exercise
Standing in one place
Having an extremity in dependent position
Having an extremity above the level of the heart
Exercise
The student nurse is reviewing the patient's chart and notes that the patient experiences intermittent claudication. When is the patient most likely to experience this disorder?
After exercise
Immediately after exposure to cold
First thing in the morning after getting out of bed
After dorsiflexion of the foot when phlebitis is present
After exercise
Which of these complaints, if made by a 58-year-old man, may reflect a symptom of hypertension?
"My vision is a little blurry."
"I'm having some hearing problems."
"My back seems to be hurting me more frequently."
"I'm not sleeping as late in the morning as I used to."
"My vision is a little blurry."
A patient complains of burning and numbness in her hands and states that "they turn really red" if she is in an air-conditioned environment for too long. The nurse would anticipate which diagnosis?
Hypertension
Arterial occlusion
Raynaud disease
Carpal tunnel syndrome (CTS)
Raynaud disease
A patient has been diagnosed with mild hypertension. Which intervention(s) will likely be included in his plan of care?
Select all that apply.
Controlling his weight
Restricting sodium intake in his diet
Taking an adrenergic-inhibiting drug
Incorporating exercise into his daily routine
Developing methods to help with controlling stress
Select all that apply.
Controlling his weight
Restricting sodium intake in his diet
Incorporating exercise into his daily routine
Developing methods to help with controlling stress
A 46-year-old patient has been diagnosed with hypertension. His resting blood pressure (BP) is 180/100 mm Hg. His physician has ordered an electrocardiogram, chest x-ray, urinalysis, and renal function studies. He asks the nurse, "Why are all these tests necessary?" Which is the best response by the nurse?
"You might have had a heart attack."
"These tests are always part of a work-up."
"These tests can determine changes in your kidneys that can cause hypertension."
"If you have a urinary tract infection, we will know what caused your hypertension."
"These tests can determine changes in your kidneys that can cause hypertension."
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