Cardiovascular

The nurse is caring for a patient who develops severe hyperkalemia accompanied by ECG changes. Which medication(s) does the nurse anticipate administering? Select all that apply.

The patient has requested to try electroacupuncture for chronic pain. Which of the following, if part of the patient’s past medical history, would prompt the nurse to contact the provider to have the order discontinued?

The patient’s wife tells the nurse, “Even though he had atrial fibrillation, he seemed fine. Why did he have a stroke?” Which response by the nurse is appropriate?

The patient presents with symptoms of a cerebrovascular accident. The nurse anticipates further testing will reveal blockage of which vessel?

Following a cerebrovascular accident (CVA), the patient is able to speak but the words are nonsensical. The nurse attributes this patient’s symptoms to an infarction of which area of the brain?

The patient is undergoing therapeutic hypothermia following a severe cerebrovascular accident (CVA). The nurse bases education for the spouse on an understanding of which mechanism?

Which symptom of an arteriovenous malformation (AVM) is most common?

The patient has experienced a subarachnoid hemorrhage. The nurse is vigilant for signs of which electrolyte imbalance?

The patient with bacterial meningitis exhibits papilledema. The nurse attributes this symptom to inflammation of which cranial nerve?

Which characteristic, if found in the patient’s chart, would prompt the nurse to hold the ordered bumetanide and contact the provider?

The nurse anticipates administering vasopressin to the patient with which condition?

The patient who is 21 weeks pregnant complains of musculoskeletal pain and headaches and asks the nurse, “Can I take ibuprofen to treat my pain?” Which response by the nurse is most appropriate?

Which patients may benefit from exogenous surfactant administration? Select all that apply.

The 48-pound patient is in the intensive care unit with hypovolemic shock. Intravenous norepinephrine has been ordered to run continuously at 0.05 mcg/kg/min. The pharmacy dispenses the medication in a 1 mg/mL concentration. What is the rate in milliliters per hour that the patient will receive? Enter your answer to the hundredth decimal.

Which blood pressure is an indication the 34-year-old patient requires an increase in norepinephrine infusion dosage?

The nurse understands which is an indicator that norepinephrine is having its desired effect?

The patient with which assessment is to be treated first in the emergency department?

Which assessment does the nurse perform first in the unresponsive patient?

The nurse is assigned to a 32-year-old male admitted with bowel obstruction status post exploratory laparotomy. Which telephone call from the nurse to the provider is most appropriate?

The nurse is assigned to care for a 65-year-old male patient who is diagnosed with atrial fibrillation. The nurse realizes during the shift report that six hours ago she administered 0.6 mg of this patient’s antiarrhythmic medication instead of 6.0 mg. Which action does the nurse perform first?

A nurse is assigned to care for a 45-year-old male who is admitted for alcohol withdrawal. On the second day of admission, the patient becomes disoriented and combative, and the provider places him in bilateral wrist restraints. Which physical exam finding is most important for this patient?

The nurse is assessing a 55-year-old male in bilateral wrist and ankle restraints for violent behavior. The nurse notes that the patient’s toes have a 5 second capillary refill time. Which action by the nurse is most appropriate?

The nurse receives an order to administer digoxin 0.125 mg intramuscularly each morning to a patient in heart failure. Which part of the order does the nurse question?

The client presents to the emergency department following a blow to the abdomen during a baseball game. He is unresponsive with a blood pressure of 82/48 mmHg, heart rate of 118 bpm, a respiratory rate of 18, and an oxygen saturation of 95% on room air. The nurse anticipates taking which action first to treat this patient?

The nurse on the telemetry floor is reviewing EKG readings of the patients. The nurse notes one patient, who is taking digoxin, to have peaked T waves and a prolonged PR interval. The nurse contacts the provider to report concerns for which possible impending condition?

The nurse most closely assesses for which condition in the patient taking doxazosin? 

The patient who is scheduled for a cardiac catheterization is unable to read or write. How does the medical team obtain informed consent for the procedure? 

The patient presents to the emergency department with chest pain. Which description of the pain prompts the nurse to suspect a myocardial infarction?

Which patient must be treated first in the emergency department following a mass shooting?

Which assessment at the beginning of the shift of the patient with a recent head injury requires the most immediate action?

The patient is rushed into the emergency department by a family member who states the patient is having a stroke. Which action does the nurse take first?

After receiving report, which patient does the nurse see first?

Which statement by a patient recently diagnosed with congestive heart failure indicates an understanding of the teaching provided by the nurse?

Which statement by the patient with placenta accreta indicates they understand the nurse’s teaching?

Which exercise is appropriate for the patient who has a Glasgow Coma Scale of 4?

The patient tells the nurse “I drink three cups of black coffee a day. Is that okay?” Which response by the nurse is best?

Which hospitalized patient requires continuous cardiac monitoring?

Which complication is of greatest concern for the patient with nephrotic syndrome?

The nurse receives report on a 76-year-old patient who is recovering from surgery for creation of an ileal pouch-anal anastomosis. The nurse plans care to prevent which complication that is most specific to this patient?

The 6-month-old infant is admitted to the pediatric intensive care unit with a diffuse purpuric rash and prolonged bleeding. The nurse notes the fingers on the right hand are pale and cool to the touch. Which question asked of the parents will be the most helpful in diagnosing this patient’s condition?

Which lab value is consistent with acute disseminated intravascular coagulopathy (DIC)?

The neonate is diagnosed with purpura fulminans. Which order does the nurse anticipate first?

The urine output of a 40-year-old male patient with a urethral catheter has decreased from 80 mL/h to 15 mL/h. Which action should the nurse take first?

The nurse assesses the patient’s capillary refill time to be 5 seconds. Which inference from this assessment is most appropriate?

The patient with increased intracranial pressure has been administered mannitol. Which patient symptom indicates the drug is having its intended effect?

The nurse in the neonatal intensive care unit receives report from the Labor and Delivery nurse about a full-term neonate and learns the patient’s Apgar scores were 0-0-1-5 at 1, 5, 10, and 15 minutes of life, respectively. How does the nurse interpret this information?

The neonate of 36 weeks estimated gestational age is born via emergency cesarean section, appears limp, blue, and apneic, and is brought to the warming table. He is warmed, dried, and stimulated, and a pulse oximeter is placed on his right wrist. At 30 seconds of life, his heart rate is 66 bpm and his oxygen saturation is 54%. Positive pressure ventilation is initiated via CPAP bag and mask. At one minute of life, the heart rate is 118 bpm, the extremities are still blue but the trunk is pink, and he begins to move and cry with stimulation. The nurse documents which number for the Apgar score? Enter your answer using a whole number.

The neonate born at 41 weeks gestation is diagnosed with persistent pulmonary hypertension of the newborn (PPHN). Which information does the nurse give the mother about this condition?

Place the nursing interventions for a 16-year-old patient in the hospital for severe malnutrition and depression with a history of falls in order from highest priority to lowest priority.

The patient is brought to the emergency department following a serious motor vehicular accident (MVA). List the assessments the nurse performs in order from highest to lowest priority.