Question: 1 of 70
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A nurse is assisting in the care of a client in a provider’s office.
Exhibit 1
Exhibit 2
Exhibit 3
A nurse is caring for the client. Which of the following prescriptions should the nurse anticipate the provider to prescribe?
Select all that apply.
Nurses‘ Notes
6 months ago:
Client present today for annual examination. Reports lack of sleep and increased stress due to moving and starting a new job.
Today, 1400:
Client presents to office today with reports of fatigue. Client states they have difficulty sleeping without drinking four or five beers a night. Client reports, “I sometimes get headaches along with nausea and vomiting. I have been busy with my new job, so I have been eating a lot of fast food, and I’ve gained 15 pounds.”
Today, 1445:
Provider notified of laboratory results.
Administer a diuretic.
Keep daily fat intake to less than 35%.
Limit foods high in potassium.
Administer an antibiotic.
Place on 2,300 mg sodium diet.
Limit alcohol intake to 2 drinks per day.
Jester Corporation’s most recent income statement appears below:
Income Statement
Sales (all on account)
$270,000
Cost of goods sold
155,000
Gross margin
115,000
Selling and administrative expense
47,000
Net operating income
68,000
Interest expense
17,000
Net income before taxes
51,000
Income taxes (30%)
15,300
$ 35,700
Com
Net income
The beginning balance of total assets was $210,000 and the ending balance was $207,000. The return on total assets is closest to:
Natcher Corporation’s accounts receivable at the end of Year 2 was $150,000 and its accounts receivable at the end of Year 1 was $157,000. The company’s inventory at the end of Year 2 was $153,000 and its inventory at the end of Year 1 was $145,000. Sales, all on account, amounted to $1,406,000 in Year 2. Cost of goods sold amounted to $824,000 in Year 2. The company’s operating cycle for Year 2 is closest
to:
Note: Round your intermediate calculations to 1 decimal place.
Deacon Corporation has provided the following financial data from its balance sheet and income statement:
Total assets
Total liabilities
Total stockholders’ equity
Net operating income (income before interest and taxes) Interest expense
The company’s times interest earned ratio for Year 2 is closest to:
Year 2
$ 1,212,000 $ 472,000 $740,000
$ 68,448 $ 22,000
Year 1
$ 1,176,000
$ 469,000
$ 707,000
The ratio of total cash, marketable securities, and accounts receivable to current liabilities is:
Multiple Choice
O
working capital.
O
the current ratio.
О
the acid-test ratio.
O
the debt-to-equity ratio.
If the net present value of a project is zero based on a discount rate of 16%, then the internal rate of return is:
Multiple Choice
less than 16%.
О
equal to 16%.
cannot be determined from this data.
О
greater than 16%.
Joetz Corporation has gathered the following data on a proposed investment project (Ignore income taxes.):
Investment required in equipment
Annual cash inflows
Salvage value of equipment
Life of the investment
Required rate of return
$ 40,000 $ 10,000
$ 0
15 years 10%
The company uses straight-line depreciation on all equipment. Assume cash flows occur uniformly throughout a year except for the initial investment.
The simple rate of return for the investment (rounded to the nearest tenth of a percent) is:
The management of Leitheiser Corporation is considering a project that would require an initial investment of $46,000. No other cash outflows would be required. The present value of the cash inflows would be $63,830. The profitability index of the project is closest to (Ignore income taxes.):
The management of Lanzilotta Corporation is considering a project that would require an investment of $275,000 and would last for 6 years. The annual net operating income from the project would be $113,000, which includes depreciation of $18,000. The scrap value of the project’s assets at the end of the project would be $17,500. The cash inflows occur evenly throughout the year. The payback period of the project is closest to (Ignore income taxes.):
Note: Round your answer to 1 decimal place.
Accepting a special order will improve overall net operating income if the revenue from the special order exceeds:
Multiple Choice
the sunk costs associated with the order.
the variable costs associated with the order.
the incremental costs associated with the order.
the contribution margin on the order.
Multiple Choice
O
contribution margin
O gross margin
O selling price
O contribution margin per unit of the constrained resource
United Industries manufactures a number of products at its highly automated factory. The products are very popular, with demand far exceeding the factory’s capacity. To maximize profit, management should rank products based on their:
The SP Corporation makes 47,000 motors to be used in the production of its sewing machines. The average cost per motor at this level of activity is:
Direct materials
Direct labor
Variable manufacturing overhead
Fixed manufacturing overhead
$10.60
$9.60
$ 4.00 $ 4.95
An outside supplier recently began producing a comparable motor that could be used in the sewing machine. The price offered to SP Corporation for this motor is $27.25. If SP Corporation decides not to make the motors, there would be no other use for the production facilities and none of the fixed manufacturing overhead cost could be avoided. Direct labor is a variable cost in this company. The annual financial advantage (disadvantage) for the company as a result of making the motors rather than buying them from the outside supplier would be:
Which of the following costs are always irrelevant in decision making?
Multiple Choice
O
sunk costs
O
fixed costs
О
avoidable costs
O
opportunity costs
Which of the following statements is true?
1. Comparing a static planning budget to actual costs is not a good way to assess whether variable costs are under control.
2. The main difference between a flexible budget and a static budget is that the static budget is not adjusted for changes in the level of
activity.
Multiple Choice
Both statements are true.
Neither statement is true.
Only statement 1 is true.
Bulluck Corporation makes a product with the following standard costs:
Direct materials
Direct labor
Variable overhead
Standard Quantity or Hours
Standard Price or Rate
5.5 grams
$3.00 per gram
0.6 hours
$31.00 per hour
0.6 hours
$4.00 per hour
The company reported the following results concerning this product in July.
Actual output
Raw materials used in production
Actual direct labor-hours
Purchases of raw materials
Actual price of raw materials purchased
Actual direct labor rate
Actual variable overhead rate
5,000 units 13,370 grams
2,780 hours
14,100 grams
$3.20 per gram
$13.40 per hour
$4.10 per hour
The company applies variable overhead based on direct labor-hours. The direct materials purchases variance is computed when the materials are purchased.
The variable overhead efficiency variance for July is:
A favorable labor rate variance indicates that
Multiple Choice
O
standard hours exceed actual hours.
O the standard rate exceeds the actual rate.
O
actual hours exceed standard hours.
O
the actual rate exceeds the standard rate.
The following materials standards have been established for a particular product:
Standard quantity per unit of output Standard price
5.5 meters
$ 19.10 per meter
The following data pertain to operations concerning the product for the last month:
Actual materials purchased
Actual cost of materials purchased Actual materials used in production Actual output
What is the materials price variance for the month?
9,100 meters
$ 182,700
8,600 meters 1,540 units
The BRS Corporation makes collections on sales according to the following schedule:
30% in month of sale
64% in month following sale
6% in second month following sale
The following sales have been budgeted:
Sales
April May
$100,000
$110,000
June
$ 100,000
Budgeted cash collections in June would be:
Paradise Corporation budgets on an annual basis for its fiscal year. The following beginning and ending inventory levels (in units) are planned for next year.
Beginning Ending
Inventory Inventory
Raw material*
Finished goods
47,000
57,000
87,000
57,000
* Three pounds of raw material are needed to produce each unit of finished product.
If Paradise Corporation plans to sell 515,000 units during next year, the number of units it would have to manufacture during the year would be:
Parwin Corporation plans to sell 27,000 units during August. If the company has 10,000 units on hand at the start of the month, and plans to have 11,000 units on hand at the end of the month, how many units must be produced during the month?
Sparks Corporation has a cash balance of $13,500 on April 1. The company must maintain a minimum cash balance of $11,000. During April, expected cash receipts are $58,000. Cash disbursements during the month are expected to total $67,000. Ignoring interest payments, during April the company will need to borrow:
Supply costs at Coulthard Corporation’s chain of gyms are listed below:
Client-
Visits
Supply Cost
March
11,656 $ 28,412
April
11,452
$ 28,331
May
11,984 $ 28,544
June
July
12,900 $ 28,910
11,716
$28,436
August
September
October
November
11,202
$28,231
11,996
$28,548
11,687
$ 28,425
11,835
$ 28,484
Management believes that supply cost is a mixed cost that depends on client-visits. Use the high-low method to estimate the variable and fixed components of this cost. Compute the variable component first. Then compute the fixed component, rounding off to the nearest whole dollar. Those estimates are closest to:
Note: Round your intermediate calculations to 2 decimal places.
Data concerning Follick Corporation’s single product appear below:
Selling price per unit
Variable expense per unit
Fixed expense per month
$320.00
$76.80
$170,240
The break-even in monthly dollar sales is closest to:
Note: Round your intermediate calculations to 2 decimal places.
Schister Systems uses the following data in its Cost-Volume-Profit analyses:
Sales
Variable expenses
Contribution margin
Fixed expenses
Total
$ 395,000
197,500
197,500
119,000
$ 78,500
Net operating income
What is total contribution margin if sales volume increases by 20%?
Bristo Corporation has sales of 1,600 units at $50 per unit. Variable expenses are 35% of the selling price. If total fixed expenses are $42,000, the degree of operating leverage is:
Baj Corporation uses a predetermined overhead rate base on machine-hours that it recalculates at the beginning of each year. The company considers all of its manufacturing overhead costs to be fixed and it has provided the following data for the most recent year.
Estimated total fixed manufacturing overhead from the beginning of
the year
Estimated activity level from the beginning of the year
Actual total fixed manufacturing overhead
Actual activity level
The predetermined overhead rate per machine-hour would be closest to:
$ 534,000
30,000 machine-hours $487,000
27,400 machine-hours
The following accounts are from last year’s books at Sharp Manufacturing:
Raw Materials
Work In Process
Debit
Credit
Debit
Credit
Balance (a)
(b)
156,600 Balance
e (f)
520,400
170,500
(b)
133,300
13,900
(c)
170,600
(e)
216,500
Finished Goods
Manufacturing Overhead
Debit
Credit
Debit
Credit
Balance (f)
0 (g)
520,400
47,400
473,000 (b) (c)
23,300 (e) 27,300
216,500
(d)
158,600
7,300
Cost of Goods Sold
Debit
Credit
(g)
473,000
Sharp uses job-order costing and applies manufacturing overhead to jobs based on direct labor costs. What is the amount of cost of goods manufactured for the year?
Job 910 was recently completed. The following data have been recorded on its job cost sheet:
Direct materials
Direct labor-hours
Direct labor wage rate Machine-hours
$ 2,422
76 labor-hours $15 per labor-hour
137 machine-hours
The Corporation applies manufacturing overhead on the basis of machine-hours. The predetermined overhead rate is $16 per machine-hour. The total cost that would be recorded on the job cost sheet for Job 910 would be:
Multiple Choice
O
$30,096 overapplied
о
$32,096 underapplied
O
$30,096 underapplied
O
$32,096 overapplied
Baka Corporation applies manufacturing overhead on the basis of direct labor-hours. At the beginning of the most recent year, the company based its predetermined overhead rate on total estimated overhead of $240,600 and 5,600 estimated direct labor-hours. Actual manufacturing overhead for the year amounted to $242,600 and actual direct labor-hours were 4,900.
The overhead for the year was:
Note: Round your intermediate calculations to 2 decimal places.
Which of the following is an example of a period cost in a company that makes clothing?
Multiple Choice
O Advertising cost for a new line of clothing.
O
Fabric used to produce men’s pants.
O
Factory supervisor’s salary.
O
Monthly depreciation on production equipment.
The following cost data pertain to the operations of Quinonez Department Stores, Incorporated, for the month of September.
Corporate headquarters building lease
Corporate legal office salaries
Cosmetics Department sales commissions-Northridge Store
Store manager’s salary-Northridge Store
Heating-Northridge Store
Cosmetics Department cost of sales-Northridge Store
Central warehouse lease cost
Store security-Northridge Store
Cosmetics Department manager’s salary-Northridge Store
$ 85,400
$ 5,000
$ 65,000
$ 19,600
$11,500
$ 32,700
$ 8,200
$ 17,600
$ 4,680
The Northridge Store is just one of many stores owned and operated by the company. The Cosmetics Department is one of many departments at the Northridge Store. The central warehouse serves all of the company’s stores.
What is the total amount of the costs listed above that are direct costs of the Cosmetics Department?
Tirri Corporation has provided the following information:
Direct materials
Fixed manufacturing overhead
Direct labor
Variable manufacturing overhead
Sales commissions
Variable administrative expense
Fixed selling and administrative expense
Cost per Unit
Cost per Period
$ 7.20
$ 4.50
$1.25
$ 23,800
$ 1.30
$ 0.55
If the selling price is $27.50 per unit, the contribution margin per unit sold is closest to:
$ 8,200
Product costs that have become expenses can be found in:
Multiple Choice
О
period costs.
O
selling expenses.
О
administrative expenses.
O
cost of goods sold.
A nurse is assisting with the care of a client 2 hr postoperative following a cardiac catheterization. Which of the following actions should the nurse take?
Keep the client on bed rest for 12 hr.
Check the client’s distal pulses in both legs.
Restrict the client’s oral fluids.
Keep the client overnight.
The physician orders Gentamycin 50 mg IVPB every 8 hours for a child weighing 40 lbs. The recommended dosage for a child is 6-7mg/kg/24 divided doses every 8 hours. Calculate the daily safe dose range_
(round to the tenths place)
Question: 63 of 65
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The physician orders Gentamycin 50 mg every 8 hours IVPB for a child weighing 40 lbs. The recommended dosage for a child is 6-7mg/kg/24 divided doses every 8 hours. Calculate how many mg/kg/24 is this child receiving?__
(round to the nearest tenths place).
The nurse is caring for a patient recovering from a cardiac catheterization. Which actions for site care should the nurse take?
Maintain pressure dressing on the site.
Apply a gauze bandage to the puncture site.
Apply a Band-Aid to the site.
Keep the site uncovered.
Which of the following is an example of an angiotensin II receptor blocker?
O Lisinopril
O Valsartan
Metoprolol
O Amlodipine
When teaching a patient who is beginning antilipemic therapy about possible drug–food interactions, the nurse will discuss which food?
Licorice
Grapefruit juice
Oatmeal
Dairy products
A nurse is reinforcing teaching about the prevention of deep vein thrombosis (DVT) with a group of newly licensed nurses. Which of the following interventions should the nurse include in the teaching?
Massage lower extremities daily.
Limit movement of the lower extremities.
Check for positive Homans’ sign.
Place sequential compression devices bilaterally.
The nurse in the medical unit is reviewing the laboratory test results for a client who has been transferred from the intensive care unit (ICU). The nurse notes that a cardiac troponin I assay was performed while the client was in the ICU. The nurse determines that this test was performed to assist in diagnosing which condition?
Ventricular tachycardia
Atrial fibrillation
Myocardial infarction
Heart Failure
A nurse in an outpatient clinic is collecting data from a client who tells the nurse, “I have pain in my legs when I begin to walk, but the pain stops when I stop walking.” Which of the following conditions should the nurse suspect?
An acute obstruction in the vessels of the legs
Calcium deficiency
Peripheral vascular problems in both legs
Diabetes mellitus
The nurse is collecting data on a patient with an aortic aneurysm. Which manifestation should the nurse expect to find?
Paralysis
Chest pain
Back Pain
Ankle edema
A 3-month-old infant is diagnosed with Tetralogy of Fallot. Which nursing intervention is most appropriate to manage a hypercyanotic spell in this infant?
Administer a high dose of aspirin.
Place the infant in a knee-chest position.
Position the infant in a supine position and elevate the head.
Encourage the infant to drink more fluids.
The nurse is auscultating a 56–year–old adult client’s apical heart rate before giving digoxin and notes that the heart rate is 48 beats/minute. Which action should the nurse take?
Administer the digoxin; the heart rate would be considered normal because of the client’s age.
Administer half of the prescribed dose to avoid a further decrease in heart rate.
Withhold the digoxin, and re-evaluate the heart rate in 4 hours.
Withhold the digoxin, and assess for signs of decreased cardiac output and digoxin toxicity.
A nurse is contributing to the plan of care for a client who is admitted with a deep vein thrombosis (DVT) of the left leg. Which of the following interventions should the nurse include in the plan?
Apply ice to the extremity
Administer vasodilating medications
Monitor platelet levels
Restrict oral fluids
A nurse receives a report on a client who has been diagnosed with an abdominal aortic aneurysm (AAA). Given her knowledge of the condition, the nurse would expect the client to have which underlying disease?
Diabetes
Chronic obstructive pulmonary disease
Renal Failure
Athersclerosis
A nurse is reinforcing teaching with a middle–age client about hypertension. Which of the following information should the nurse include in the teaching?
Plan to have potassium blood levels checked when taking a thiazide diuretics.
Limit alcohol consumption to 3 drinks a day when hypertensive.
Plan to lower sodium intake to 3,000 mg each day.
Set your goal body weight within 25% of ideal body weight.
The nurse is caring for a 27–year–old woman on the postpartum unit one day following a C–section. To prevent clot formation, the nurse will:
position the patient with knees flexed.
initiate use of fitted thromboembolic disease deterrent (TED) stockings while sleeping.
implement deep breathing and coughing exercises.
maintain complete bed rest.
In fetal circulation, which statement accurately describes the function of the umbilical arteries compared to the umbilical vein?
The umbilical arteries carry oxygen-rich blood from the placenta to the fetus.
The umbilical vein transports deoxygenated blood from the fetus to the placenta.
The umbilical arteries transport deoxygenated blood from the fetus to the placenta.
The umbilical vein carries deoxygenated blood from the placenta to the fetus.
The nurse notes in the patient’s medication orders that the patient will be starting anticoagulant therapy. What is the primary goal of anticoagulant therapy?
Preventing thrombus formation
Dilating the vessel around a clot
Dissolving an existing thrombus
Stabilizing an existing thrombus
Which diuretic inhibits sodium chloride and water reabsorption in the ascending loop of Henle and promotes potassium excretion?
Hydrochlorothiazide
O Furosemide
Spironolactone
Acetazolamide
A patient is recovering from a cardiac catheterization that was completed through the right femoral site. Which information is most essential for the nurse to collect immediately after the procedure?
Left brachial pulse
Right brachial pulse
Right pedal pulse
Left pedal pulse
A nurse is educating a patient who has been prescribed a calcium channel blocker for hypertension. Which statement by the patient indicates a need for further teaching?
I will avoid eating grapefruit or drinking grapefruit juice while on this medication.
I can drink grapefruit juice in the morning, as long as I take my medication in the evening.
I should continue to monitor my blood pressure regularly while taking this medication.
I will report any unusual symptoms such as dizziness or swelling to my healthcare provider.
The nurse is explaining to a patient how ACE inhibitors affect blood pressure. Which statement accurately describes the action of these medications?
They promote sodium retention.
They inhibit vasoconstriction.
They lower heart rate.
They increase aldosterone secretion.
A 72-year-old patient with congestive heart failure is prescribed furosemide (Lasix). Which laboratory value should the nurse monitor closely due to the potential side effect of this medication?
White blood cell count
Serum potassium level
Serum glucose level
Serum calcium level
A 79–year–old patient is taking a diuretic for treatment of hypertension. This patient is very independent and wants to continue to live at home. The nurse will know that which teaching point is important for this patient?
He should take the diuretic with his evening meal.
If he feels dizzy while on this medication, he needs to stop taking it and take potassium supplements instead.
He needs to take extra precautions when standing up because of possible orthostatic hypotension and resulting injury from falls.
He should skip the diuretic dose if he plans to leave the house.
What is the difference between atherosclerosis and arteriosclerosis?
Atherosclerosis and arteriosclerosis are the same condition, just different terms for it.
Atherosclerosis involves the formation of plaque with in arterial walls, while arteriosclerosis is the narrowing and hardening of the vessel lumen.
Atherosclerosis and arteriosclerosis both involve the hardening of the arteries.
Atherosclerosis is the narrowing of the vessel lumen, while arteriosclerosis is the thickening of the arterial walls.
What is the purpose of a beta blocker and which portion of the heart does it primarily work on?
To increase heart rate and contractility, primarily affecting the beta-2 receptors in the heart
To decrease heart rate and contractility, primarily affecting the beta-1 receptors in the heart
To decrease heart rate and contractility, primarily affecting the alpha receptors in the heart
To increase heart rate and contractility, primarily affecting the beta-3 receptors in the heart
What structure in fetal circulation transports oxygenated blood from the placenta to the fetus?
Ductus venosus
Umbilical vein
Ductus arteriosus
Foramen ovale
The nurse instructs that the “6 Ps” of arterial disease include: (Select three that apply.)
Putrefaction
Pooling
Pallor
Paresthesia
Pain
A nurse is reinforcing teaching with a client who has peripheral vascular disease. Which of the following instructions should the nurse include in the teaching?
“Wear knee length stockings.”
“Incorporate walking into your daily routine.”
“Elevate your legs while in bed.”
“Shop for new shoes during the morning hours.”
What finding would the nurse expect when measuring blood pressure on all four extremities of a child with coarctation of the aorta?
Blood pressure lower in the arms than in the legs
Blood pressure lower in the legs than in the arms
Blood pressure higher on the right side
Blood pressure higher on the left side
What is the primary purpose of performing an Ankle Brachial Index (ABI) test?
To determine the presence and severity of peripheral artery disease (PAD).
To evaluate the severity of a patient’s varicose veins.
To monitor blood glucose levels in diabetic patients.
To assess the risk of developing deep vein thrombosis (DVT).
·
What is the most appropriate nursing intervention for an infant diagnosed with patent ductus arteriosus (PDA) to prevent complications?
Perform chest physiotherapy to enhance lung expansion
Monitor respiratory status closely and administer oxygen as needed
Encourage frequent feedings to promote weight gain
Administer diuretics to manage fluid overload
A nurse is assisting with the care of a client who has developed an irregular heartbeat. When evaluating circulation to the client’s brain, which of the following pulse sites should the nurse use?
Femoral
Carotid
Popliteal
Radial
Which nursing intervention is priority for preventing complications of rheumatic heart disease?
Encourage the client to have routine dental cleaning.
Monitor the client’s blood pressure regularly
Educate the client on the importance of regular exercise
Administer antibiotics as prescribed and before dental procedures.
Which of the following is a major teaching point for patients prescribed beta blockers?
Beta blockers may mask the symptoms of hypoglycemia in diabetic patients.
Beta blockers should be stopped immediately if the patient experiences fatigue.
Beta blockers can be used as a quick relief medication for asthma attacks.
Beta blockers should be taken with grapefruit juice for better absorption.
A patient on warfarin therapy presents with bruising and nosebleeds. Which laboratory test result would be most indicative of warfarin overdose?
International Normalized Ratio (INR) of 5.0
Activated Partial Thromboplastin Time (aPTT) of 35 seconds
Blood urea nitrogen (BUN) level of 18 mg/dL
Platelet count of 150,000 per microliter
The term heart healthy includes a diet of lean meat, vegetables low sodium and a cholesterol level
240-259 mg/dL.
Greater than 260 mg/dL.
Less than 200 mg/dL.
200-239 mg/dL.
A 55-year-old patient with newly diagnosed hypertension is seeking advice on lifestyle changes to manage their condition. Which of the following modifications should the nurse emphasize as having the greatest impact on reducing hypertension?
Using herbal teas
Taking vitamin supplements
Increasing water consumption
Reducing sodium intake
A trauma patient arrives in the emergency department via EMS. He is bleeding profusely. A medical alert bracelet indicates that he is on heparin therapy. The nurse will most likely administer which medication that counteracts the action of heparin?
Protamine Sulfate
Warfarin sodium (coumadin)
Enoxaparin (Lovenox)
Vitamin K
Which term is used to describe persistently elevated blood pressure with an unknown cause that accounts for approximately 90% of hypertension
cases?
Primary Hypertension
Malignant Hypertension
Accelerated Hypertension
Secondary Hypertension
A nurse is assisting with the plan of care for a client who has an intracranial aneurysm. Which of the following interventions should the nurse include?
Encourage the client to use an incentive spirometer.
Show the client how to move himself up in bed.
Place the client in a private room to decrease stimulation.
Measure blood pressure, pulse, and respiration ever 4 hr.
Which of the following medications is classified as a potassium-sparing diuretic?
O Mannitol
Spironolactone
Furosemide
Hydrochlorothiazide
What are the goals of treatment for peripheral arterial disease?
Improve blood flow the arteries and increase the functional status
Decrease blood flow to the extremities
Increase prevalence of motor and non-motor complications
Decrease compliance with the treatment plan
о
•
•
The nurse explained how to position an infant with tetralogy of Fallot if the infant suddenly becomes cyanotic. Which statement by the father leads the nurse to determine he understood the instructions?
“If the baby turns blue, I will put the baby in supine position with his head elevated.”
“If the baby turns blue, I will lay him down on a firm surface with his head lower than the rest of his body.”
“If the baby turns blue, I will immediately put the baby upright in an infant seat.”
“If the baby turns blue, I will hold him against my shoulder with his knees bent up toward his chest.”
The nurse is preparing a patient for an angiogram. What should be included in data collection for this patient?
Ask if the patient is allergic to contrast dyes.
Ask if the patient is allergic to meat.
Ask if the patient is allergic to eggs.
Ask if the patient is allergic to peanuts.
The nurse is caring for a patient with Raynaud’s disease who is employed as a construction worker, has hypertension, and smokes 1/2 to 1 pack of cigarettes per day. What teaching points should the nurse include in discharge instructions? (Select four correct answers.)
Attend a smoking program.
Slowly become tolerant of cold environments
Wear gloves during cool weather.
Wear gloves when handling hot objects at work.
Insulated socks are advisable when working in cool weather.
A child develops carditis from rheumatic fever. Which areas of the heart are affected by carditis?
Heart muscle and the mitral valve
Contractility of the ventricles
Coronary arteries
Aortic and pulmonic valves
Heart muscle and the mitral valve
Contractility of the ventricles
Coronary arteries
Aortic and pulmonic valves
.
•
0
•
A nurse is reinforcing teaching with a client who has peripheral vascular disease (PVD). The nurse should recognize that which of the following statements by the client indicates a need for further teaching?
“I will use a thermometer to check the temperature of my bath water.”
“I will wear stockings with elastic tops.”
“I will not go barefoot.”
“I will avoid crossing my legs at the knees.”
What does the nurse explain that a ventricular septal defect will allow?
Increased pressure in the left atrium, impeding circulation of oxygenated blood in the circulating volume
Blood to shunt left to right, causing increased pulmonary flow and no cyanosis
No shunting because of high pressure in the left ventricle
Blood to shunt right to left, causing decreased pulmonary flow and cyanosis
A nurse is reinforcing health screening education with a group of clients. The nurse should recognize that which of the following clients has the greatest risk for hypertension?
A client who is African American
A client who is of Asian ethnicity
A male client who is 53-years-old
A female client who is 44-years-old
The client, who is a 15–pack–year cigarette smoker has painful fingers and toes and is diagnosed with Buerger’s disease (thromboangiitis obliterans). Which measure to prevent disease progression should be the nurse’s initial focus when teaching the client?
Maintain meticulous hygiene
Avoid exposure to cold temperatures
Follow a low-staturated fat diet
Abstain from all tobacco products
A nurse is reviewing the laboratory results for a male adult client who is at risk for peripheral arterial disease from atherosclerosis. The nurse should identify that which of the following results places the client at risk?
LDL 172 mg/dL
Blood glucose 92 mg/dL
Triglycerides 130 mg/dL
HDL 84 mg/dL
A nurse is caring for a client who develops a pulmonary embolism. Which of the following interventions is the priority for the nurse to take?
Initiate cardiac monitoring.
Begin oxygen therapy.
Administer IV morphine.
Start an IV infusion of lactated Ringer’s.
A client is prescribed niacin for the treatment of high cholesterol. Which of the following adverse effects should the nurse include in the client education?
Constipation
Nausea
Headache
Flushing
A nurse is reinforcing teaching with a client who is to start subcutaneous heparin. Which of the following information should the nurse include in the teaching?
Use a soft bristle toothbrush.
Easy bruising indicates the medication is effective.
Inject the medication deep into the thigh muscle.
Expect stools to become black and tarry.
While a patient is receiving antilipemic therapy, the nurse knows to monitor the patient closely for the development of which problem?
Pulmonary problems
Neutropenia
Liver dysfunction
Vitamin C deficiency
The nurse is reinforcing teaching for managing the pain of peripheral arterial disease. Which patient statement indicates correct understanding of discharge instructions?
I will lie down frequently.”
“I will sit with my legs down.”
“I will use a reclining chair.”
“I will do knee flexion exercises.
A nurse is giving a presentation to a community group about preventing atherosclerosis. Which of the following should the nurse include as a modifiable risk factor for this disorder? (Select four correct answers.)
Obesity
Smoking
Hypercholesterolemia
Hypertension
Genetic predisposition
A nurse is reinforcing teaching about a heart healthy diet with a group of clients who have hypertension. Which of the following statements by the clients indicates a need for further teaching?
“I can have a cola drink twice a day.”
“I can eat frozen juice bars for a snack.”
“I will replace table salt with dried herbs.”
“Fresh fruits are good to include with meals.”
A nurse is reinforcing discharge teaching with an older adult client who has peripheral artery disease (PAD). Which of the following instructions should the nurse include in the teaching?
Wear antiembolic stockings during the day.
Adjust the thermostat so that the environment is warm.
Rest with the legs above heart level.
Apply a heating pad a low setting to help relieve leg pain.
A nurse is contributing to the care plan of a client who is postoperative and has an increased risk for deep vein thrombosis (DVT). Which of the following interventions should the nurse include in the plan? (Select four correct answers.)
Apply elastic compression stockings.
Encourage fluid intake.
Measure thighs.
Encourage frequent leg exercises.
Massage calves.
A nurse is reviewing blood pressure classifications with a client who has been newly diagnosed with hypertension. Which of the following should the nurse include as an example of stage 1 hypertension?
108/60 mm Hg
154/96 mm Hg
128/88 mm Hg
164/104 mm Hg
