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HESI LPN · HESI LPN Medical Surgical Nursing · LPN Cardiovascular Test Bank Questions

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

On the first day following aortic valve replacement surgery, Bill Brown's assessment shows no pain, increased respirations, increased heart rate, and coughing up white sputum. Your assessment of the situation is that Bill

A. Has tolerated the procedure well

B. Needs to see a physician immediately

C. Needs to be given a nitroglycerin tablet

D. Is going into shock

Expert Explanatory Rationale

Correct Answer: Has tolerated the procedure well

Question 2 of 5

You are working in an outpatient clinic where many vascular diagnostic tests are performed. Which of these tasks associated with vascular testing will be most appropriate to delegate to an experienced nursing assistant?

A. Measure ankle and brachial pressures for a patient having the ankle-brachial index calculated.

B. Check blood pressure and pulse every 10 minutes for a patient who is having exercise testing.

C. Take an allergy history for a patient who is scheduled for left leg contrast venography.

D. Provide brief patient teaching for a patient who will have a right subclavian vein Doppler study.

Expert Explanatory Rationale

Correct Answer: Measure ankle and brachial pressures for a patient having the ankle-brachial index calculated.

Question 3 of 5

The nurse recognizes that fibrinolytic therapy for the treatment of a MI has not been successful when the patient

A. Continues to have chest pain

B. Develops major GI or GU bleeding during treatment

C. Has a marked increase in CK enzyme levels within 3 hours of therapy

D. Develops premature ventricular contractions and ventricular tachycardia during treatment

Expert Explanatory Rationale

Correct Answer: Continues to have chest pain

Question 4 of 5

Which of the following pacemakers is usually used in an emergency and attached by the critical care nurse to the patient?

A. Transcutaneous pacer

B. Epicardial pacer

C. Transvenous pacer

D. Permanent pacer

Expert Explanatory Rationale

Correct Answer: Transcutaneous pacer

Question 5 of 5

When instructing the patient with angina about taking sublingual nitroglycerin tablets, what should the nurse teach the patient?

A. To lie or sit and place one tablet under the tongue when chest pain occurs

B. To take the tablet with a large amount of water so it will dissolve right away

C. That if one tablet does not relieve the pain in 15 minutes, the patient should go to the hospital

D. That if the tablet causes dizziness and a headache, stop the medication and call the doctor or go to the hospital

Expert Explanatory Rationale

Correct Answer: To lie or sit and place one tablet under the tongue when chest pain occurs

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