Pericarditis is inflammation of the pericardium. In the previous NCLEX review seriesI explained about other cardiovascular disorders so be sure to check those reviews out. There are different types of pericarditis, such as acute and chronic pericarditis.
As the nurse, it is important to know how to care for a patient with pericarditis. The NCLEX exam loves to ask questions about patient education,major signs and symptoms, and the different types of pericarditis.
True or False: The pericardium layer consists of a fibrous layer that is made up of two layers called the parietal and visceral layers. A patient is hospitalized with chronic pericarditis.
On assessment, you note the patient has pitting edema in lower extremities, crackles in lungs, and dyspnea on excretion. The patient's echocardiogram shows thickening of the pericardium. This is known as what type of pericarditis? Pericardial effusion B. Acute pericarditis C. Constrictive pericarditis D. Effusion-Constrictive pericarditis 3. Select-all-that-apply: Which of the following are NOT typical signs and symptoms of pericarditis?
Fever B. Increased pain when leaning forward C. ST segment depression D. Pericardial friction rub E. Radiating substernal pain felt in the left shoulder F. Breathing in relieves the pain 4. You are providing care to a patient with pericarditis. Which of the following is NOT a proper nursing intervention for this patient? Monitor the patient for complications of cardiac tamponade. Administer Ibuprofen as scheduled.
Place the patient in supine position to relieve pain. Monitor the patient for pulsus paradoxus and muffled heart sounds. You are providing discharge teaching to a patient being discharged home after hospitalization with pericarditis. The physician has ordered the patient to take Colchicine. Which of the following statements indicates the patient did NOT understand the education you provided?The P waves and QRS complexes are regular.
The PR interval is 0. The overall heart rate is 64 beats per minute. The nurse assesses the cardiac rhythm as: Sinus bradycardia Normal sinus rhythm Sick sinus syndrome First-degree heart block.
There are no P waves, the QRS complexes are wide, and the ventricular rate is regular but over The nurse determines that the client is experiencing: Ventricular tachycardia Ventricular fibrillation Premature ventricular contractions Sinus tachycardia.
There are no P waves; instead there are wavy lines. The QRS complexes measure 0. The nurse interprets this rhythm as: Ventricular tachycardia Ventricular fibrillation Atrial fibrillation Sinus tachycardia. The nurse instructs the client to do which of the following, if prescribed, during an episode of ventricular tachycardia?
Lie down flat in bed Inhale deeply and cough forcefully every 1 to 3 seconds Breathe deeply, regularly, and easily Remove any metal jewelry. Check all that apply.
A nurse assesses the client for: Flat neck veins Nausea and vomiting Hypotension and dizziness Hypertension and headache. Instead there are coarse wavy lines of varying amplitude. The nurse assesses this rhythm to be: Ventricular fibrillation Asystole Ventricular tachycardia Atrial fibrillation. The client is awake and alert and has good skin color. The nurse would prepare to do which of the following?
Administer amiodarone Cordarone intravenously Administer epinephrine Adrenaline intravenously Prepare for pacemaker insertion Immediately defibrillate. A nurse would place priority on assessment of which of the following items? Precipitating factors such as infection Causative factors such as caffeine Blood pressure and peripheral perfusion Sensation of palpitations. The nurse responds that this procedure may stimulate the: Diaphragmatic nerve to slow the heart rate Diaphragmatic nerve to overdrive the rhythm Vagus nerve to slow the heart rate Vagus nerve to increase the heart rate; overdriving the rhythm.
The nurse examines the client to determine the cause. Which of the following items is unlikely to be responsible for the artifact? Frequent movement of the client Tightly secured cable connections Leads applied to the limbs Leads applied over hairy areas.Critical thinking involves observation, identifying the problem, applying knowledge and evaluating based on the criteria established.
It is a longing of the soul. It is better in prayer to have a heart without words than words without a heart. All questions are given in a single page and correct answers, rationales or explanations if any are immediately shown after you have selected an answer. No time limit for this exam. Text Mode: All questions and answers are given on a single page for reading and answering at your own pace. Be sure to grab a pen and paper to write down your answers.
A nurse is providing instructions to a client who is receiving warfarin sodium Coumadin. Which statement made by the client indicates the need for further instruction? A nurse is caring for a client receiving a heparin intravenous IV infusion. The nurse expects that which of the following laboratory will be prescribed to monitor the therapeutic effect of heparin?
Prothrombin time PT. Activated partial thromboplastin time aPTT. Hematocrit Hgb. Hemoglobin Hct. The nurse observes that the client is receiving the therapeutic effect based on which of the following results? Activated partial thromboplastin time of 30 seconds. Activated partial thromboplastin time of 60 seconds. Activated partial thromboplastin time of seconds. Activated partial thromboplastin time of 15 seconds.
A client is receiving intravenous heparin therapy. The nurse ensures the availability in which of the following medication? Acetylcysteine Mucomyst. Calcium gluconate. Vitamin K Mephyton.
16 Items NCLEX Exam: Cardiac Arrhythmias
Protamine sulfate. A client is receiving a continuous infusion of streptokinase Streptase. The client suddenly complaints of a difficulty of breathing, itchiness, and nausea.Includes questions about the structure and function of the heart, rheumatic feverheart failureKawasaki diseaseand more. Goodluck on your review! There are no secrets to success.Medical Surgical Nursing Exam 1 Cardiovascular Nursing
It is the result of preparation, hard work, and learning from failure. All questions are given in a single page and correct answers, rationales or explanations if any are immediately shown after you have selected an answer.
No time limit for this exam. Text Mode: All questions and answers are given on a single page for reading and answering at your own pace. Be sure to grab a pen and paper to write down your answers.
Cardiovascular Surgery Care Practice Quiz (15 Questions)
A 5-year-old girl Hannah is recently diagnosed with Kawasaki disease. Apart from the identified symptoms of the disease, she may also likely develop which of the following?
Sepsis B. Meningitis C. Mitral valve disease D. Aneurysm formation. Clay is an 8-year-old boy diagnosed with heart failure. Which of the following shows that he is strictly following the directed therapeutic regimen? Daily use of an antibiotic B. Normal weight for age D. Elevation in red blood cell RBC count. The Foley Family is caring for their youngest child, Justin, who is suffering from tetralogy of Fallot.Atherosclerosis impedes coronary blood flow by which of the following mechanisms?
Plaques obstruct the vein b. Plaques obstruct the artery c. Blood clots form outside the vessel wall d.
Hardened vessels dilate to allow blood to flow through. A paradoxical pulse occurs in a client who had a coronary artery bypass graft CABG surgery 2 days ago. Which of the following surgical complications should the nurse suspect? Left-sided heart failure b. Aortic regurgitation c. Complete heart block d. Pericardial tamponade. The nurse determines that the mean arterial pressure MAP is which of the following?
A woman with severe mitral stenosis and mitral regurgitation has a pulmonary artery catheter inserted. The physician orders pulmonary artery pressure monitoring, including pulmonary capillary wedge pressures.
The purpose of this is to help assess the:. Degree of coronary artery stenosis b. Peripheral arterial pressure c. Pressure from fluid within the left ventricle d. Oxygen and carbon dioxide concentration is the blood. For a client who excretes excessive amounts of calcium during the postoperative period after open heart surgery, which of the following measures should the nurse institute to help prevent complications associated with excessive calcium excretion?
Ensure a liberal fluid intake b.How competent are you to scrub in during cardiovascular surgery? Some people dream of great accomplishments, while others stay awake and do them. All questions are given in a single page and correct answers, rationales or explanations if any are immediately shown after you have selected an answer. You can also copy this exam and make a printout. Atherosclerosis impedes coronary blood flow by which of the following mechanisms?
Plaques obstruct the vein 2. Plaques obstruct the artery 3. Blood clots form outside the vessel wall 4. Hardened vessels dilate to allow blood to flow through. A paradoxical pulse occurs in a client who had a coronary artery bypass graft CABG surgery two 2 days ago.
Which of the following surgical complications should the nurse suspect? Left-sided heart failure 2. Aortic regurgitation 3. Complete heart block 4. Pericardial tamponade. The nurse determines that the mean arterial pressure MAP is which of the following? A woman with severe mitral stenosis and mitral regurgitation has a pulmonary artery catheter inserted. The physician orders pulmonary artery pressure monitoring, including pulmonary capillary wedge pressures. The purpose of this is to help assess the:.
Degree of coronary artery stenosis 2. Peripheral arterial pressure 3. Pressure from fluid within the left ventricle 4.
Oxygen and carbon dioxide concentration is the blood. For a client who excretes excessive amounts of calcium during the postoperative period after open heart surgery, which of the following measures should the nurse institute to help prevent complications associated with excessive calcium excretion? Ensure a liberal fluid intake 2. Provide an alkaline ash diet 3.
Prevent constipation 4. A nurse is assessing the neurovascular of a client who has returned to the surgical nursing unit 4 hours ago after undergoing aortoiliac bypass graft. The affected leg is warm, and the nurse notes redness and edema.
The pedal pulse is palpable and unchanged from admission. The nurse interprets that the neurovascular status is:. Normal because of increased blood flow through the leg 2. Slightly deteriorating and should be monitored for another hour 3. Moderately impaired, and the surgeon should be called 4.
Adequate from an arterial approach, but venous complications are arising.Forgot your password? Speak now.
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Play as Quiz Flashcard. Title of New Duplicated Quiz:. Duplicate Quiz Cancel. More Nclex Quizzes. Trivia Quiz. Featured Quizzes. Related Topics. Questions and Answers. Remove Excerpt. Removing question excerpt is a premium feature. Which of the following factors can cause blood pressure to drop to normal levels? Baroreceptors in the carotid artery walls and aorta respond to which of the following conditions? Which of the following terms describes the force against which the ventricle must expel blood?
Which of the following terms is used to describe the amount of stretch on the myocardium at the end of diastole? One hour after administering IV furosemide Lasix to a client with heart failure.
Which of the following electrolyte imbalances should the nurse suspect? A client is receiving spironolactone to treat hypertension. Which of the following instructions should the nurse provide? When assessing an ECG. Following a treadmill test and cardiac catheterization. He is referred to the cardiac rehabilitation unit. The best nursing response is:. Back to top.