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1
A LPN has a client who has chronic peripheral arterial disease. Which of the following findings should the LPN expect?
Ulceration around the medial malleoli
Dependent rubor with pallor following limb elevation
Edema around the ankles and feet
Brownish discoloration of the lower legs and ankles
2
Heparin is prescribed for a client. The nurse expects the HCP will order what lab test to monitor therapeutic effect?
Hematocrit level
Prothrombin Time (PT) and INR
Partial Thromboplastin Time (PTT or aPTT)
Hemoglobin level
3
A pt with a DVT is taking SQ Heparin and started warfarin 2 days prior. Which of the following statements is accurate?
It takes 3-4 days before the therapeutic effects of warfarin are achieved
Your laboratory findings indicate that two anticoagulants were needed
Only one of these medications is being given to treat your DVT
I will remind the HCP that you are already receiving heparin
4
A LPN is assisting with the care of a patient who has a possible dissecting AAA. Which is the priority action to take?
Initiate a 12-lead EKG
Administer pain medication
Provide a warm environment
Administer IV fluids
5
A LPN is caring for a pt who asks why her HCP prescribed daily ASA. Which of the following is an appropriate response?
ASA relieves headaches that are caused by other medications
ASA relieves the pain due to myocardial ischemia
ASA dissolves clots that are forming in your coronary arteries
ASA reduces the formation of blood clots that could cause a heart attack
6
A client complains of CP and receives 1 Nitro. Which step would NOT be necessary for the LPN to complete?
Assess the client's pain level before and 5 mins after Nitro dose
Call a code blue
Check the client's blood pressure before and 5 mins after Nitro dose
Administer a 2nd Nitro 5 mins after the first dose if client still has pain
7
A pt reports splinter hemorrhages in the nail beds and a fever. These findings are an indication of which disorders?
Pericarditis
Rheumatic endocarditis
Myocarditis
Infective endocarditis
8
A pt needs to undergo peripheral bypass graft surgery on their left leg. Which of the following findings are expected?
Thin, peeling toenails on the left foot
3+ dorsal pedal pulse in the left foot
Rubor of the affected leg when elevated
Reports of intermittent claudication in the affected leg
9
What is the EKG rhythm shown below?
Normal Sinus Rhythm
Complete Heart Block
Ventricular Tachycardia
Ventricular Fibrillation
10
A LPN is observing a cardioversion and hears the leader call out "stand clear". This alerts for which of the following?
The cardioverter is being charged to the appropriate setting
They should initiate CPR due to pulseless electrical activity
A time out is being called to verify correct protocols
They cannot be in contact with equipment connected to the client
11
What is the EKG rhythm shown below?
Ventricular Fibrillation
Complete Heart Block
Normal Sinus Rhythm
Ventricular Tachycardia
12
A LPN is teaching a pt who is scheduled for an Echo (ECG). Which of the following statements should be included?
You will be placed onto your right side during the procedure
The test allows us to see how your heart valves work
The test will require 2 hours to complete
You may experience a warm feeling when the dye is injected
13
A LPN is teaching a pt scheduled for cardioversion. Which of the following statements is an indicates understanding?
I should stop taking my warfarin 1 week prior to the procedure
Palpitations are an expected effect following the procedure
I will receive an electrocardiogram (EKG) following the procedure.
Mechanical ventilation will be required during the procedure
14
Following an angioplasty, the LPN discovers blood underneath the client's back. Which complication are you concerned for
Cardiac tamponade
Heart failure
Bleeding from the incisional site
Retroperitoneal bleeding
15
A LPN is caring for a pt whose HR is 46 bpm. The LPN should anticipate which of the following management strategies?
Defibrillation
Administration of amiodarone PO
Pacemaker insertion
Synchronized cardioversion
16
What rhythm is shown below?
Complete Heart Block
Ventricular Tachycardia
Ventricular Fibrillation
Normal Sinus Rhythm
17
A LPN is teaching a pt with a new prescription for metoprolol. Which of the following statements indicates understanding
I will call my doctor if my pulse is less than 60
I should have my clotting time checked weekly
I should place the tablet under my tongue
I will reports any ringing in my ears
18
A pt with chronic venous insufficiency has compression stockings. Which of the following actions should the nurse take?
Elevate the legs for 10 min, 2 to 3 times daily while wearing the stockings
Apply in the morning upon awakening and before getting out of bed
Roll the stockings down to the knees to relieve discomfort on the legs
Cross one leg over the other when sitting or reclining
19
A LPN is teaching a client who is scheduled for a stress test. Which of the following statements should be included?
You should not have anything to eat or drink for 8 hours prior to the test
A chest x-ray will be obtained following the test
The test will be delayed if your troponin level is less than 0.5 ng/mL
You will exercise your heart by walking on a treadmill
20
A pt has heart failure and reports increased SOB. After increasing his O2, which of the following actions should be next
Auscultate lungs sounds
Weigh the client
Check oxygen saturation with pulse oximeter
Assist the client into high-Fowler's position
21
A LPN is caring for a pt who began having CP 2 hrs ago. Which of the following lab values indicate injury to the heart?
Creatine kinase (MB) 100 units/L
Triglycerides 120 mg/dL
Myoglobin 80 mcg/L
Troponin 2 ng/mL
22
A LPN is collecting data on a client with a diagnosis of R sided heart failure. The LPN would note which symptom on exam
Hacking cough
Crackles on lung auscultation
Dependent edema
Dyspnea
23
A pt diagnosed with thrombophlebitis suddenly complains of CP, SOB, and anxiety. What complication is a concern?
Pulmonary embolism
Pulmonary edema
Pneumonia
Myocardial infarction
24
A LPN is teaching a client who has peripheral arterial disease. Which of the following should the LPN include?
Apply a heating pad to both legs for comfort
Elevate both legs above the heart when resting
Wear tightly fitted insulated socks with shoes when going outside
Place both legs in dependent position while sleeping
25
A LPN is teaching a client who is scheduled for angiography. Which of the following statements should be included?
You should have nothing to eat or drink for 4 hours prior to the procedure
You will be given general anesthesia during the procedure
You will need to keep your affected leg straight following the procedure
You should not have this procedure done if you have an allergy to eggs
26
A young male pt has claudication in his foot and possible thrombophlebitis in lower leg. The LPN should check for
Familial tendency toward peripheral vascular disease
History of recent insect bites
Smoking history
Recent exposure to allergens
27
A pt has suspected rheumatic endocarditis. The LPN should expect which lab tests to confirm the diagnosis?
Serum albumin
Liver enzymes
Arterial blood gasses
Throat culture
