Post-Test - Google Forms

9/9/21, 8:00 PM Post-Test (MI, CPR, Electrolytes Imbalances)
Post-Test (MI, CPR,

Electrolytes Imbalances)
50 ITEMS
* Required
1. Email *
2. Aspirin is administered to the client experiencing an MI because of its:

1 point
Check all that apply.
A. Antipyretic action
B. Antithrombotic action
C. Antiplatelet action
D. Analgesic action
3. The physician orders continuous intravenous nitroglycerin infusion for

the client with MI. Essential nursing actions include which of the 1 point
following?
A. Obtaining an infusion pump for the medication.

B. Monitoring BP q4h.
C. Monitoring urine output hourly.
D. Obtaining serum potassium levels daily.
4. A nurse is preparing to ambulate a client on the 3rd day after cardiac 1 point
surgery. The nurse would plan to do which of the following to enable the
client to best tolerate the ambulation?
A. Encourage the client to cough and deep breathe.

B. Premedicate the client with an analgesic
https://docs.google.com/forms/d/1PiE60PkTilehipjSbhoJdMFoNQu-EXWr23SYAzuEBYg/edit 1/17
C. Provide the client with a walker.

D. Remove telemetry equipment because it weighs down the hospital gown.
5. A client has frequent bursts of ventricular tachycardia on the cardiac

monitor. A nurse is most concerned with this dysrhythmia because: 1 point
A. It is uncomfortable for the client, giving a sense of impending doom.

B. It produces a high cardiac output that quickly leads to cerebral and myocardial ischemia.
C. It is almost impossible to convert to a normal sinus rhythm.
D. It can develop into ventricular fibrillation at any time.
6. Which of the following is an expected outcome for a client on the second

day of hospitalization after an MI? 1 point
A. Has severe chest pain.

B. Can identify risk factors for MI.
C. Agrees to participate in a cardiac rehabilitation walking program.
D. Can perform personal self-care activities without pain.
7. Which of the following reflects the principle on which a client’s diet will 1 point
most likely be based during the acute phase of MI?
A. Liquids as ordered
B. Small, easily digested meals
C. Three regular meals per day
D. NPO
8. Which of the following arteries primarily feeds the anterior wall of the
heart? 1 point
A. Circumflex artery
B. Internal mammary artery

C. Left anterior descending artery
D. Right coronary artery
9. The most important factor in regulating the caliber of blood vessels,

which determines resistance to flow, is: 1 point
Mark only one oval.
A. Hormonal secretion
B. Independent arterial wall activity.
C. The influence of circulating chemicals
D. The sympathetic nervous system

10. The nurse is caring for a client diagnosed with a myocardial infarction who is 1 point
experiencing chest pain. Which interventions should the nurse implement
first? Select All that Apply
Apply oxygen via nasal cannula

Place the client in a supine position
Administer an aspirin orally
Administer morphine sulfate
11. Which of the following is the most common symptom of myocardial 1 point
infarction (MI)?
Dyspnea
Chest pain
Edema
Palpitations
12.
Which cardiac enzyme would the nurse expect to elevate first in a client 1 point
diagnosed with a myocardial infarction?
13.
The nurse is administering a calcium channel blocker to the client diagnosed

1 point
with a myocardial infarction. Which assessment data would cause the nurse
to question administering this medication?
The client's apical pulse is 64

The client's blood pressure is 90/62
The client's calcium level is elevated
The client's telemetry shows occasional PVCs
14. The client diagnosed with rule-out myocardial infarction is experiencing 1 point
chest pain while walking to the bathroom. Which action should the
nurse implement first?
Obtain a stat 12 Lead ECG

Have the client sit down immediately
Assess the client's vital signs
Administer sublingual nitroglycerin
15. Which of the following actions is first priority of care for a client exhibiting 1 point
signs & symptoms of coronary artery disease?
Decrease anxiety
Administer sublingual nitroglycerin
Enhance myocardial oxygenation
Educate the client about his symptoms
16. A significant cause of venous thrombosis is: 1 point
A. Altered blood coagulation

B. Stasis of blood
C. Vessel wall injury
D. All of the above
17. Intravenous heparin therapy is ordered for a client. While implementing this 1 point
order, a nurse ensures that which of the following medications is available in
the nursing unit?
A. Vitamin K
B. Aminocaproic acid
C. Potassium chloride
D. Protamine sulfate
18.
Cholesterol, frequently discussed in relation to atherosclerosis, is a 1 point
substance that:
A. May be controlled by eliminating food sources.

B. Is found in many foods, both plant and animal sources.
C. All persons would be better off without because it causes the disease process.
D. Circulates in the blood, the level of which usually decreases when unsaturated fats are
substituted for saturated fats.
19. C. V
When teaching a client with a cardiac problem, who is on a high-
e
unsaturated fatty-acid diet, the nurse should stress the importance of g
increasing the intake of: e
t
Mark only one oval. a
b
l
A. Enriched whole milk
e
B. Red meats, such as beef s
a
whole grains
0 points
D. Liver and other glandular organ meats
20. A 2-gram sodium diet is prescribed for a client with severe hypertension. 1 point
The client does not like the diet, and the nurse hears the client’s request
that the spouse “Bring in some good home-cooked food.” It would be most
effective for the nurse to plan to:
A. Call in the dietician for client teaching.

B. Wait for the client’s family and discuss the diet with the client and family.
C. Tell the client that the use of salt is forbidden, because it will raise BP.
D. Catch the family members before they go into the client’s room and tell them about the
diet.
21.
The nurse is giving discharge teaching to a client 7 days post myocardial 1 point
infarction. He asks the nurse why he must wait 6 weeks before having sexual
intercourse. What is the best response by the nurse to this question?
A. "You need to regain your strength before attempting such exertion."

B. "When you can climb 2 flights of stairs without problems, it is generally safe.”
C. "Have a glass of wine to relax you, then you can try to have sex."
D. "If you can maintain an active walking program, you will have less risk."
22.
Which of the following is a compensatory response to decreased 1 point
cardiac output?
A. Decreased BP
B. Alteration in LOC
C. Decreased BP and diuresis
D. Increased BP and fluid retention
23. Chest compressions should be started within of recongtion of 1 point
cardiac arrest.
10 seconds
20 seconds
2 seconds
15 seconds
24.
For adult CPR, you deliver chest compressions at a rate of with a 1 point
depth of .
100/min, 2 inches
80/min, 1 1/2 inches
60-100/min, 2 inches
100/min, 1 1/2 inches
25. Which of the following is NOT correct when performing CPR? 1 point
Blind-mouth sweep to check for foreign objects

Allow complete chest recoil during compressions
Limit chest compression interruptions for less than 10 seconds
Give effective breaths that make the chest rise
26. You find an adult who is unresponsive and not breathing. The scene is safe. 1 point
What is your next step?
Activate the emergency response system

Start CPR
Check for a pulse
none of the options are correct
27. After activating the emergency response system the next step is 1 point
to?
C
h
e
c
k
a
l
l
t
h
a
t
a
p
p
l
y
.
Che
ck
for a
puls
e for
3 to
5
sec
ond
s
Che
ck
for a
puls
e for
5 to
10
sec
onds
e a victim. The very 1st step you take is to?
1
of
Start point
chest Check all that apply.

compre
Make sure the scene is safe
ssions
Tap the victims shoulder
at
for responsiveness Check
ratio
for breathing
30:
Attach the AED pads
Start
chest
compre
29.
ssions In order to assess for a pulse in an adult victim, you would 1
at point
assess the
ratio
15:
carotid pulse, for at least 5 seconds but
no more than 10 seconds carotid pulse,
for 10-12 seconds
28. Y t femoral pulse, for at least 5 seconds but
o o no more than 10 seconds radial pulse, for
u
10-12 seconds
a a
r r
e r
i
t 30.
You find a victim whose chest is covered with water. The 1
h v point
AED arrives to the scene. Before using the AED you
e e
would?
1
s a Check all that apply.
t t Quickly wipe the chest before

r t
placing the AED pads Continue with
e h
AED usage while not delaying CPR
s e
Do not use the AED because the
c
u s victim is covered with water All the
e i options are incorrect

r d
31. A victim is in cardiac arrest and you go to place the AED pads on the 1 point
victim's chest. You notice that the victim is wearing a Nitroglycerin
C
medication patch where you would place an AED pad. What of the h
statements is NOT true? e
c
k
a
l
l
t
h
a
t
a
p
p
l
y
.
It is
okay
to
plac
e an
AED
pad
on
top
of a
med
icati
on
patc
h.
The
patc
h
may
block
ad how many cycles of CPR do you perform before switching n hat
1 1
ult roles?
transfe u the
point
r clie p
r
Check all that apply. o
s nt's i
energy
e sta n
deliver 5 cycles t
tus
ed. 2 cycles
s is
The 30:2 cycles
h ret
patch 4 cycles
may o urn
cause u ing
a
to l to
skin.
33. A client's kidneys are retaining increased amounts of sodium. The nurse d nor
The plans 1 point ma
area care, anticipating that the kidneys also are retaining greater d l if
must
amounts of which substances? e whi
be
cleane t ch
d Mark only one oval.
e is
the
r no
patch A. Calcium and Chloride
remove m lon
d B. Chloride and bicarbonate i ger
before
C. Potassium and Phosphates n ex
attachi
ng e hib
D. Aluminum and magnesium
AED ite
34.
pad. The nurse is preparing to care for a client with a potassium deficit. 1 t d?
point
The nurse reviews the client's record and determines that the
C
client was at risk for developing the potassium deficit because
h
of which situation? e
32. c
D Mark only one oval. k
u
r A. Sustained tissue damage a
l
i
B. Requires Nasogastric suction l
n
C. Has a history of Addison's disease t
g
h
D. Is taking a potassium-retaining diuretic
a
2 t
a
r p
e clien
p
35. A nurse is assisting in the care of a client with t,
s l
pheochromocytoma who has been experiencing clinical the y
c
manifestations of hypermagnesemia. When evaluating the .
ot client's heart rate is 110 beats/minute, his blood pressure shows nk

A. es 1 1. the
orthostatic changes when he stands up, and his tongue has a u el
point bod
th sticky, paste-like coating. The client's spouse tells the nurse r y y's
B.
at that he seems a little confused and unsteady on his feet. Based s a nat
th on these assessment findings, the nurse suspects that the client e di ural
co
C. e has which condition? r mp
r e ens
e ct ato
D.
ry
A. Dehydration ar me
B. Hypokalemia l e cha
C. Fluid Overload i s nis
ms
D. Hypernatremia z ul
et 2. pha
37. The nurse is caring for a client with a diagnosis of dehydration, 1
s of rm
point
and the client is receiving intravenous (IV) fluids. Which aco
36. d w
D m assessment data would indicate to the nurse that the dehydration logi
t hi cal
u i remains unresolved? eff
hc
ri t ect
Check all that apply. eh s
n t
s of of
g e A. An oral temperature of 98.8 F a
e th
a d B. A urine specific gravity of 1.043 diur
e
n etic
C. A urine output that is pale yellow f fo
a c 3. eff
D. A blood pressure of 120/80 mmHg i ll
s l ect
no s
s i
dw of
e e rapi
i in
s 38.
n dly
ng infu
s t The nurse is planning care for a pt with severe burns. Which of 1
point g? sed
m , the following is this pt at risk for developing?
s intr
e t Check all that apply. M ave
n h ar nou
1. intracellular fluid deficit a s
t e k
r o flui
o 2. intracellular fluid overload
ds
e nl
f n 3. extracellular fluid deficit
y 4. car
a u 4. interstitial fluid deficit dia
mo
n r c
on fail
e s e
s ure
w e o
39 t
outp v
l
A pt, experiencing multisystem fluid volume deficit, has the ut. l al
y n.
symptoms of tachycardia, pale, cool skin, & decreased urine The i .
a
1 40 A pt recovering from surgery has an indwelling urinary catheter. 1 r 1

. The nurse would contact the pt's primary healthcare provider point k
p 4
o p
i
with which of the following 24-hour urine output volumes? o o
n i
Check all that apply. n n
t
l t
1. 600 mL y
2. 750 mL
o
3. 1000 mL n
4. 1200 mL e
o
v
a
41
A pt is diagnosed with severe hyponatremia. The nurse 1 l
.
realizes this pt will mostly likely need which of the following point .
precautions implemented?

3
1. seizure
2. infection
3. neutropenic
4. high risk falls
4 Th g
4 n
42 e
. o
. A pt is diagnosed with hypokalemia. After reviewing the pt's 1 nur
current medications, which of the following might have point
se s
contributed to the pt's health problem? is i
ass s
Mark only one oval.
ess
ing o
1. corticosteroid
a f
2. thiazide diuretic
clie h
3. narcotic nt y
wit p
4. muscle relaxer
avoi ha o
43 The nurse is reviewing lab results and notes that a client's serum
. d? sus c
sodium level is 150 mEq/L. The nurse reports the level to the
pec a
health care provider and they prescribe dietary instructions
M ted l
based on the sodium level. Which food does the client need to a dia c
e ti 2 - Hypoactive
1
mo bowel sounds
p
i n 3 - Negative
o
aw i
n
Trousseau's
. o t sign
u
4 - Hypoactive deep tendon reflexes
Wl
hd
i t
ch 45
he . The nurse is assigned to care for a group of clients. On 1
point
n review the nurse determines that which client is at risk for
cu fluid volume excess?
l r Check all that apply.
i s
ne 1 - The client taking diuretics
i e 2 - The client with

cx kidney disease 3 -
ap The client with an
l e ileostomy
mc
4 - The client who required GI suctioning
at
nt
i o
f n
eo
st
t e
a?
Ch
ec
k
all
th
at
ap
ply
.
46. The nurse is caring for a client who is receiving a loop diuretic for 1 point
treatment of heart failure. Which of these actions will be included in the
C
plan of care? SELECT ALL THAT APPLY. h
e
c
k
a
l
l
t
h
a
t
a
p
p
l
y
.
A. A
s
s
e
s
s
d
ai
ly
w
ei
g
ht
s
B. E
n
c
o
ur
Th rse is caring for a client who takes furosemide (Lasix) and

1
e digoxin (Lanoxin). The client's potassium (K+) level is 2.5 mEq/L
point
nu (2.5 mmol/L). Which additional assessment will the nurse make?
A. Heart rate
B. Blood pressure (BP)
C.
C. Increases in edema
D. Sodium level
48
D. The nurse is assessing a client with a sodium level of 118 mEq/L
. 1
point
(118 mmol/L). Which activity takes priority?
A. Monitoring urine output

B. Encouraging sodium rich fluids and foods throughout the day
E.
C. Instructing the client not to ambulate without assistance
D. Assessing deep tendon reflexes
F.
47 .
49. The primary care provider writes prescriptions for a client who is admitted 1 point
with a serum potassium level of 6.9 mEq/L (6.9 mmol/L). What does the nurse
implement first?A. Administer sodium polystyrene sulfonate (Kayexalate)
C
orally.B. Ensure that a potassium-restricted diet is ordered.C. Place the client h
on a cardiac monitor.D. Teach the client about foods that are high in e
potassium. c
k
a
l
l
t
h
a
t
a
p
p
l
y
.
A. A
d
m
in
is
te
r
s
o
di
u
m
p
ol
y
st
yr
e
n
e
s
ul
fo
n
at
e
(
t th hypermagnesemia is seen in the emergency department

1
wi (ED). Which of these interventions is most appropriate?
point
B. A. Monitor for hyperactive reflexes

B. prepare for endotracheal intubation
C. Institute teaching on avoiding magnesium rich foods
D. Place the client on a cardiac monitor
51
. The nurse is caring for an older adult with hypernatremia. 1
point
Which of these interventions does the nurse perform first?
C. Check all that apply.
A. Restrict the client's intake of sodium

B. Administer a diuretic
C. Monitor the serum osmolarity
D. Encourage fluid intake
52 A client develops fluid overload while in the intensive care 1
. unit. Which nursing intervention does the nurse perform point
D.
first?
A. Draws blood for laboratory tests

B. Elevates the head of the bed
C. Places the extremities in a dependent position
D. Puts the client in a side-lying position
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9/9/21, 8:00 PM Post-Test (MI, CPR, Electrolytes Imbalances)

Post-Test (MI, CPR,

2. Aspirin is administered to the client experiencing an MI because of its:

Check all that apply.

3. The physician orders continuous intravenous nitroglycerin infusion for

Check all that apply.

A. Obtaining an infusion pump for the medication.

Check all that apply.

A. Encourage the client to cough and deep breathe.

C. Provide the client with a walker.

5. A client has frequent bursts of ventricular tachycardia on the cardiac

Check all that apply.

A. It is uncomfortable for the client, giving a sense of impending doom.

6. Which of the following is an expected outcome for a client on the second

Check all that apply.

A. Has severe chest pain.

Check all that apply.

Check all that apply.

B. Internal mammary artery

9. The most important factor in regulating the caliber of blood vessels,

Mark only one oval.

B. Independent arterial wall activity.

C. The influence of circulating chemicals

D. The sympathetic nervous system

Check all that apply.

Apply oxygen via nasal cannula

Check all that apply.

The nurse is administering a calcium channel blocker to the client diagnosed

Check all that apply.

The client's apical pulse is 64

Check all that apply.

Obtain a stat 12 Lead ECG

Check all that apply.

16. A significant cause of venous thrombosis is: 1 point

Check all that apply.

A. Altered blood coagulation

Check all that apply.

Check all that apply.

A. May be controlled by eliminating food sources.

Check all that apply.

A. Call in the dietician for client teaching.

Check all that apply.

A. "You need to regain your strength before attempting such exertion."

Check all that apply.

Check all that apply.

Check all that apply.

Check all that apply.

Blind-mouth sweep to check for foreign objects

Check all that apply.

Activate the emergency response system

chest Check all that apply.

t t Quickly wipe the chest before

e i options are incorrect

ot client's heart rate is 110 beats/minute, his blood pressure shows nk

1 40 A pt recovering from surgery has an indwelling urinary catheter. 1 r 1

Check all that apply.

i e 2 - The client with

Th rse is caring for a client who takes furosemide (Lasix) and

Check all that apply.

Check all that apply.

A. Monitoring urine output

t th hypermagnesemia is seen in the emergency department

Check all that apply.