Nokea
The client with coronary artery disease asks why they need a stress test. What is the best response?
- A. It checks for blood clots in your heart.
- B. It evaluates how your heart works under stress.
- C. It measures your cholesterol levels.
- D. It monitors your blood pressure.
Correct Answer: B
Rationale: A stress test assesses heart function during physical stress to detect ischemia or blockages.
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The unlicensed assistive personnel (UAP) is applying elastic compression stockings to the client. Which action by the UAP would warrant immediate intervention by the nurse?
- A. The UAP is putting the stockings on while the client is in the chair.
- B. The UAP inserted two (2) fingers under the proximal end of the stocking.
- C. The UAP elevated the feet while lying down prior to putting on the stockings.
- D. The UAP made sure the toes were warm after putting the stockings on.
Correct Answer: A
Rationale: Applying stockings in a chair (A) is incorrect; legs should be elevated to reduce edema. Two fingers (B) ensures fit, elevation (C) is correct, and warm toes (D) is appropriate.
The client diagnosed with essential hypertension asks the nurse, 'Why do I have high blood pressure?' Which response by the nurse would be most appropriate?
- A. You probably have some type of kidney disease that causes the high BP.'
- B. More than likely you have had a diet high in salt, fat, and cholesterol.'
- C. There is no specific cause for hypertension, but there are many known risk factors.'
- D. You are concerned that you have high blood pressure. Let's sit down and talk.'
Correct Answer: C
Rationale: Essential hypertension has no single cause but multiple risk factors (e.g., genetics, lifestyle) (C). Kidney disease (A) or diet (B) may contribute but aren’t definitive, and concern (D) avoids the question.
Which medication would the nurse expect to administer to a client with an arterial disorder to improve blood flow?
- A. Warfarin (Coumadin)
- B. Clopidogrel (Plavix)
- C. Furosemide (Lasix)
- D. Metoprolol (Lopressor)
Correct Answer: B
Rationale: Clopidogrel is an antiplatelet medication that reduces the risk of clot formation, improving blood flow in arterial disorders.
The client is diagnosed with an abdominal aortic aneurysm. Which statement would the nurse expect the client to make during the admission assessment?
- A. I have stomach pain every time I eat a big, heavy meal.'
- B. I don’t have any abdominal pain or any type of problems.'
- C. I have periodic episodes of constipation and then diarrhea.'
- D. I belch a lot, especially when I lie down after eating.'
Correct Answer: B
Rationale: Small AAAs are often asymptomatic (B). Postprandial pain (A), bowel changes (C), and belching (D) suggest GI issues, not AAA.
The client with varicose veins asks why they need to wear compression stockings. What is the best response by the nurse?
- A. They prevent blood clots from forming.
- B. They help push blood back to the heart.
- C. They reduce pain in the legs.
- D. They keep your legs warm.
Correct Answer: B
Rationale: Compression stockings apply pressure to promote venous return, helping blood flow back to the heart.