NCLEX-HUNT Quiz 1st AKASH VAREYA February 24, 2017 AKASH VAREYA Cardiovascularbr NCLEX-HUNT Quiz 1st 1. While auscultating the heart sounds of a patient with mitral insuffi ciency, the nurse hears an extra heart sound immediately after the second heart sound (S2). The nurse should document this extra heart sound as: ? A. a fi rst heart sound (S1). B. a third heart sound (S3). C. a fourth heart sound (S4). D. a mitral murmur. 2. A 55-year-old black male is found to have a blood pressure of 150/90 mm Hg during a work site health screening. What should the nurse do? ? A. Consider this to be a normal fi nding for his age and race. B. Recommend he have his blood pressure rechecked in 1 year. C. Recommend he have his blood pressure rechecked within 2 weeks. D. Recommend he go to the emergency department for further evaluation. 3. The nurse is administering warfarin (Coumadin) to a patient with deep vein thrombophlebitis. Which labo-ratory value indicates warfarin is at therapeutic levels? A. PTT 1 to 2 times the control B. PT 1 to 2 times the control C. INR of 3 to 4 D. Hematocrit of 32% 4. A patient is receiving captopril for heart failure. The nurse should notify the practitioner that the medication therapy is ineffective if an assessment reveals? A. a skin rash. B. peripheral edema. C. a dry cough. D. postural hypotension 5. A 60-year-old male patient is suspected of having coronary artery disease. Which noninvasive diagnostic method would the nurse expect to be ordered to evaluate cardiac changes? A. Cardiac biopsy B. Cardiac catheterization C. MRI D. Pericardiocentesis 6. When evaluating an ECG strip of a patient on a telemetry unit, the nurse notices the patient is having pre-mature ventricular contractions (PVCs). What criterion on the ECG strip does the nurse use to evaluate the pres-ence of PVCs? A. An indiscernible PR interval B. P waves that appear erratic C. P waves that have a sawtooth confi guration D. A QRS complex followed by a compensatory pause 7. When locating Erb’s point to hear aortic and pulmonic sounds, the nurse should place the stethoscope at the: A. fi fth intercostal space near the midclavicular line. B. fi fth intercostal space along the left sternal border. C. second intercostal space at the left sternal border. D. third intercostal space at the left sternal border. 8. When caring for a patient with arterial occlusive disease, which of the following home health care instructions is most appropriate for the nurse to give to the patient? A. You should massage your legs to relieve pain. B. It’s best to sit and rest for several hours a day. C. Make sure the head of your bed is slightly elevated when sleeping. D. “It’s best to wear tight socks instead of no socks. 9 . The nurse prepares to administer an ACE inhibitor to a patient with an acute MI for which reason? A. To minimize platelet aggregation B. To reduce preload and afterload C. To reduce myocardial oxygen consumption D. To decrease myocardial oxygen demand 10. Which of the following conditions can cause right-sided heart failure? A. A ventricular septal defect B. An anterior MI C. An atrial septal defect D. Constrictive pericarditis Score = Correct answers: Tweet Share Share Whatsapp Telegram
