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TEST 1
A patient with a non-ST-segment-elevation mycocardial infarction (NSTEMI) is receiving heparin. What is
the purpose of the heparin?
-Heparin will prevent the development of new clots in the coronary arteries.
When caring for a patient with acute coronary syndrome who has returned to the coronary care unit after
having balloon angioplasty, the nurse obtains the following assessment data. Which data indicate the need
for immediate intervention by the nurse?
-Chest pain level 8 on a 10-point scale
A patient who has chest pain is admitted to the emergency department (ED), and all the following
diagnostic tests are ordered. Which on e will the nurse arrange to be completed first?
-Electocardiogram (ECG)
During assessment of a 72-year-old with ankle swelling, the nurse notes jugular venous distention (JVD)
with the head of the patient's bed elevated 45 degrees. The nurse knows this finding indicates
-elevated right atrial pressure
Intravenous sodium nitroprusside (Nipride) is ordered for a patient with acute pulmonary edema. during
the first hours of administration, the nurse will need to adjust the nitroprusside rate if the patient develops
-a systolic BP < 90 mm Hg
A patient who has chronic heart failure tells the nurse, "I felt fine when I went to bed, but I woke up in the
middle of the night feeling like I was suffocating!" The nurse will document this assessment information as
-Paroxysmal nocturnal dyspnea
The nurse working in the heart failure clinic will know that teaching for a 74-year-old patient with newly
diagnosed heart failure has been effective when the patient
-calls the clinic when the weight increases from 124 to 130 pounds in a week
Following an acute myocardial infarction, a perviously healthy 67-year-old develops clinical manifestations
of heart failure. The nurse anticipates discharge teaching will include information about
-angiotensin-converting enzyme (ACE) inhibitors
Which diagnostic test will be most useful to the nurse in determining whether a patient admitted with acute
shortness of breath has heart failure.
-B-type natriuretic peptide (BNP)
Which assessment finding in a patient admitted with acute decompensated heart failure (ADHF) requires
the most rapid action by the nurse?
-Oxygen saturation of 88%
the nurse is caring for a patient who is receiving IV furosemide (Lasix) and morphine for the treatment of
acute decompensated heart failure (ADHF) with severe orthopnea. When evaluating the patient response to
the medications, the best indicator that the treatment has been effective is
-decreased dyspnea with the head of bed at 30 degrees
Which topic will the nurse plan to include in discharge teaching for a patient with systolic hear failure and
an ejection fraction of 38%?
-Benefits and side effects of angiotensin-converting enzyme (ACE) inhibitors
When teaching the patient with heart failure about a 2000-mg sodium diet, the nurse explains that foods to
be restricted include
-milk, yogurt, and other milk products
