NCLEX Review

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Chapter 49

NCLEX Review

This activity contains 10 questions.

Your neighbor recently has been diagnosed with congestive heart failure, and seeks information on the cause of the disease. In your discussion with the neighbor, it is related that the functional mechanism for heart failure is:

	That the heart isn't able to keep up with the body's needs for oxygen and nutrients to tissues, due to a variety of reasons
	Due primarily to smoking
	Due to excessive weight
	Due to an intact heart conduction system

A middle-aged woman presents to your office with a complaint of aching legs and swelling every evening.
Her occupation is waitress. She wears walking shoes at work, is 30 pounds over weight, and smokes half a pack of cigarettes a day. Which of the following interventions, restated to the nurse by the client, shows that there is still a misunderstanding in the concepts being presented?

	Not smoking
	Maintaining one's ideal weight
	Use of antiembolic stockings
	Resting as much as possible with legs crossed

When evaluating the size and shape of the heart and great vessels of a client with congestive heart failure, a number of assessment techniques can be performed.
Which technique noted below would not be included in the assessment of this client?

	Apical pulse is auscultated for rate, rhythm, and quality of heart sounds
	Skin assessment for color, temperature, hair distribution, lesions, and edema
	Carotid arteries are auscultated for bruits
	Visual assessment for eye refraction

Which person is most at risk for experiencing sudden cardiac event?

	A 2-day-old, healthy, full-term infant
	A 10-year-old rheumatic fever victim
	A 50-year-old hypertensive, high-lipid profile male
	An 80-year-old, normotensive , moderate-lipid profile, arthritic patient

A patient with chest pain and shortness of breath has arrived in your Emergency Department. You are about to perform a physical assessment on this person. Data you will obtain in the nursing history of relevance to heart disease includes:

	History of broken bones
	History of gum chewing
	Amount of multivitamin the patient is taking
	History including diabetes and smoking

The cardinal signs of cardiac arrest include all of the following signs except:

	Apnea
	Absence of pulse
	Gurgling sounds in the lungs
	Dilated pupils

When assessing any client coming to see a physician, assessing heart rate is common practice. Of the client assessments performed, for which client would you be most concerned?

	A 1-month-old, healthy infant with a heart rate of 120
	A 10-year-old with a cold and a heart rate of 100
	The 50-year-old hypertensive executive with a heart rate of 130
	The 80-year-old Alzheimer's client with a heart rate of 92

The leading indicator and contributor of cardiac disease as the cause of death in North America is:

	Atherosclerosis
	Aging
	Gender
	Congenital heart defects

As a home health nurse, you are making a visit to a newly diagnosed coronary artery disease client. After your initial assessments are completed, you decide to review dietary alterations that may be considered for this client. You are satisfied that your teaching is successful when your client makes which of the following statements?

	"I will reduce the total saturated fats in my cooking by using butter when I fry my meals."
	"I will add fiber to my diet by eating oatmeal for breakfast three times a week."
	"I will only eat canned vegetables, because they will not spoil as quickly."
	"I can drink as much regular pop as I want."

In working with elderly clients in the community, the nurse would consider which of the following inappropriate in relation to the use of antiembolic stockings by these clients?

	The older adults needing assistance with putting on the stockings.
	Wrinkles in the stocking posing no problem for the client
	Stockings being removed regularly, and not left on for 24 hours
	Inspecting the skin on the extremity for injury when stockings are removed or before being applied

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NCLEX Review

Your neighbor recently has been diagnosed with congestive heart failure, and seeks information on the cause of the disease. In your discussion with the neighbor, it is related that the functional mechanism for heart failure is:

When evaluating the size and shape of the heart and great vessels of a client with congestive heart failure, a number of assessment techniques can be performed. Which technique noted below would not be included in the assessment of this client?

Which person is most at risk for experiencing sudden cardiac event?

A patient with chest pain and shortness of breath has arrived in your Emergency Department. You are about to perform a physical assessment on this person. Data you will obtain in the nursing history of relevance to heart disease includes:

The cardinal signs of cardiac arrest include all of the following signs except:

When assessing any client coming to see a physician, assessing heart rate is common practice. Of the client assessments performed, for which client would you be most concerned?

The leading indicator and contributor of cardiac disease as the cause of death in North America is:

In working with elderly clients in the community, the nurse would consider which of the following inappropriate in relation to the use of antiembolic stockings by these clients?

When evaluating the size and shape of the heart and great vessels of a client with congestive heart failure, a number of assessment techniques can be performed.
Which technique noted below would not be included in the assessment of this client?