Title WORKBOOK - CARDIO (KEY) ✅

2 | Page 13. Jerry C received a permanent pacemaker. During the discharge planning, Jerry asks the nurse what machineries to avoid. Which of the following is the most appropriate response by the nurse? A. “There are no restrictions on your activity.” B. “You should avoid working over a running engine.” C. “Avoid standing in front of microwave ovens.” D. “Swimming in the ocean should be avoided.” 14. Lilia, a patient with familial hypercholesterolemia, develops a heavy, substernal chest pain. Which of the following interventions should the nurse do first? A. Administer 2 puffs of albuterol (Proventil) by mouth B. Administer 1 tablet of nitroglycerin under the tongue every 5 minutes; call 911 if no relief after 15 minutes C. Administer 0.04-mg IV push nitroglycerin slowly over 1 to 2 minutes D. Administer immediate synchronized cardioversion 15. Which of the following menu choices should you encourage Lillia to pick? Select all that apply: I. Mozzarella cheese II. Grilled cheddar cheese sandwich III. Tomato juice IV. Peanut-butter sandwich V. 2% milk VI. Tortilla A. 1, 2, 3, 5 B. 3, 4, 5 C. 2, 4, 6 D. 1, 6 16. Delilah X was admitted to the ER with a temperature of 39.4°C or 103°F, tachycardia, and shortness of breath. 2 hours later, she manifested hypotension while exhibiting cool, clammy skin and a decreased urine output. Blood cultures turned out to be positive of S. pneumoniae. The nurse should include which of the following in the plan of care for this client? A. Assistance with pericardiocentesis B. Administration of antihypertensives C. Administration of vasopressors D. Assistance with defibrillation 17. Ernesto is a patient with coronary artery disease who was scheduled for coronary artery bypass graft (CABG) surgery. Which of the following should the nurse include in the preoperative teaching? A. A liquid diet will be ordered for the first 4 to 5 days postoperatively B. Coughing is to be avoided in order to protect the sternal incision C. The hospital stay is generally about 10 days D. High-calorie supplements are encouraged in the first few weeks postoperative 18. Nurse Gerry observes the ECG rhythm of a Benjamin who has received a new permanent pacemaker for third-degree heart block. Several spikes are noted on the rhythm, but are not followed by any other waveforms. The nurse recognizes this as A. An indication that the pacemaker is adhering to the heart. B. A normal finding because spikes should never be seen on a pacemaker ECG rhythm strip. C. The sinoatrial (S-A) node is beating appropriately but may not show up on the rhythm strip. D. An abnormal finding because every spike on the ECG strip should be followed by a waveform. 19. Yuriko came to the ER due to severe pain, pulselessness, and coldness of the left foot. Upon review of his records, he has a known coronary artery disease. Which of the following would be the priority intervention for this client? A. Notify the physician B. Provide education to the client about probable bypass surgery for the client’s leg the following week C. Instruct the client on importance of daily doses of warfarin (Coumadin) D. Instruct the client to restrict activity, keeping it warm and elevated until it heals 20. Plans for nursing interventions for a client in the acute stage of bacterial endocarditis should include which of the following interventions? A. Daily ECGs B. Administration of analgesics as needed C. Strict fluid restriction D. Aggressive physical therapy 21. Romina, a patient with coronary artery disease, is about to undergo coronary angiography. Which of the following is a priority for the nurse to report? A. A history of rheumatic heart disease B. A history of allergy to shellfish C. A recent diagnosis of hyperlipidemia D. A previous coronary angioplasty to the right coronary artery 22. After Romina undergoes a coronary angiogram, which of the following should the nurse include in the plan of care? A. Vigorous leg exercises B. Immediate cardiac stress test C. Encourage fluids D. Activity restriction for 4 to 6 weeks 23. A charge nurse assigned you to a patient with rheumatic fever. Which of the following should you mostly expect to see? A. A geriatric client B. Patient had a history of a varicella zoster infection. C. Patient was diagnosed with a throat culture and serum antistreptolysin titer. D. Diagnosed by a series of two-step blood cultures. 24. Paulita is a quadriplegic was admitted to the ER due to sudden calf pain. She was later on diagnosed with deep vein thrombosis of the leg. Which of the following should the nurse include in the plan of care for the client experiencing pain from a deep vein thrombosis (DVT) of the leg who is receiving heparin and warfarin (Coumadin)? A. Administration of aspirin 325 mg p.o. every 4 hours. B. Patient-controlled analgesic of IV morphine. C. Hydromorphine hydrochloride (Dilaudid) 2 mg intramuscular every 4 hours. D. Ibuprofen (Motrin) 400 mg p.o. every 6 hours p.r.n. 25. Sonny shall undergo a coronary artery bypass graft. The nurse is currently conducting a preoperative teaching on what to expect after the surgery. Which of the following client statements demonstrates that the client correctly understood the teaching? A. “I will be given a pen and paper to communicate, because I will still have a breathing tube in my throat.” B. “I will be fed with a tube into my stomach until I can eat again.” C. “Pain medicine is generally not needed after this surgery.” D. “The nurses will be checking on me every 4 hours.” 26. You are currently teaching a student nurse how to read an electrocardiogram tracing. The student nurse evaluates the PR interval to have what measurement? A. 0.08-0.10 seconds B. 0.10-0.12 seconds C. 0.12-0.20 seconds D. 0.20-0.30 seconds 27. Nurse Farrah is currently reading an ECG tracing in the monitor. Ramon’s ECG strip has an atrial rate that ranges between 250 and 400 and P waves with saw-tooth shape. Interpret the tracing. A. Ventricular fibrillation B. Atrial flutter C. Atrial fibrillation D. Ventricular tachycardia 28. A student nurse is currently studying how to interpret an ECG tracing. She suspects that the tracing reflects ventricular tachycardia. Which of the following rates is typical of a ventricular tachycardia? A. 80-100 bpm B. 100-120 bpm C. 120-180 bpm D. 200-300 bpm 29. Delia was brought to the ER due to sudden loss of consciousness. Upon assessment of ECG, she had a myocardial infarction which resulted to a third-degree heart block, Which of the following interventions is the priority on an emergency basis?