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HESI LPN · HESI LPN Medical Surgical Nursing · LPN Cardiovascular Practice Questions

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The client is on low molecular weight heparin. A priority nursing intervention is what?

A. Monitor the heparin level

B. Monitor the aPTT

C. Monitor for hemorrhage

D. Monitor the blood sugar

Expert Explanatory Rationale

Correct Answer: Monitor for hemorrhage

Question 2 of 5

Priority Decision: A patient with stage 2 hypertension who is taking hydrochlorothiazide (HydroDiuril) and lisinopril (Prinivil) has prazosin (Minipress) added to the medication regimen. What is most important for the nurse to teach the patient to do?

A. Weigh every morning to monitor for fluid retention

B. Change position slowly and avoid prolonged standing

C. Use sugarless gum or candy to help relieve dry mouth

D. Take the pulse daily to note any slowing of the heart rate

Expert Explanatory Rationale

Correct Answer: Change position slowly and avoid prolonged standing

Question 3 of 5

What can be auscultated in a patient with cardiac valve problems (select all that apply)?

A. Arterial bruit

B. Pulsus alternans

C. Cardiac murmurs

D. Third heart sound (S3)

Expert Explanatory Rationale

Correct Answer: Cardiac murmurs

Question 4 of 5

A client with a myocardial infarction and cardiogenic shock is placed on an intra- aortic ballon pump (IAPB). If the device is functioning properly, the balloon inflates when the:

A. tricuspid valve is closed.

B. Pulmonic valve is open.

C. Aortic valve is closed.

D. Mitral valve is closed.

Expert Explanatory Rationale

Correct Answer: Aortic valve is closed.

Question 5 of 5

The nurse observes a PAWP waveform on the monitor when the balloon of the catheter is deflated. The nurse recognizes that

A. The patient is at risk for embolism because of occlusion of th catheter with a thrombus

B. The patient is developing pulmonary edema that has increased the pulmonary artery pressure

C. The patient is at risk for an air embolism because the injected air cannot be withdrawn into the syringe

D. The catheter must be immediately repositioned to prevent pulmonary infarction or pulmonary artery rupture

Expert Explanatory Rationale

Correct Answer: The catheter must be immediately repositioned to prevent pulmonary infarction or pulmonary artery rupture

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