Reference no: EM133297587
Assignment:
1. The nurse is preparing to administer warfarin to a client with DVT. Which lab value would most clearly indicate that the clients warfarin is at therapeutic levels?
a. INR between 2 and 3
b. PTT withing normal reference range
c. PT eight to ten times the control
d. Hematocrit of 32%
2. A med-surg nurse completes an assessment and notes the client's blood pressure is 153/83. What should the nurse document as the pulse pressure?
3. A nurse is caring for a client who is experiencing chest pain. Which action should the nurse take when performing an ECG?
a. Apply electrodes to the client's chest and extremities
b. Notify the client that a slight tingling feeling is normal
c. Complete the test within 30 to 60 minutes
d. Inject the radioactive dye into the intravenous line
4. A client with acute coronary syndrome has returned to the coronary care unit after having angioplasty with stent placement. Which assessment data indicates the need for IMMEDIATE action by the nurse?
a. Pedal pulse +1 bilaterally
b. Report of chest pain
c. Heart rate 102 beats/min
d. Blood pressure 103/54 mm Hg
5. A client with supraventricular tachycardia who is alert and has a blood pressure of 95/66 mm Hg is being prepared for cardioversion. Which action should the nurse take?
a. Set defib/cardioverter to 360 joules
b. Turn the synchronizer switch to the off position
c. Give sedative before cardioversion is implemented
d. Provide assisted ventilations with bag valve mask device
6. A 77 year old client comes into the urgent care clinic because they are "not feeling well". Which assessment findings require IMMEDIATE action by the nurse? SATA
a. Chest pain
b. Accessory muscle use
c. Dry, nonproductive cough
d. Kyphosis
e. Pharyngeal redness
f. Oxygen sat 96% on room air
7. Client monitor shows the following rhythm. What is the FIRST action the nurse should take?
a. Assess airway, breathing and level of consciousness
b. Call a code
c. Call CPR
d. Administer Epi 1 mg
8. A med surg nurse is assessing a client's pulses when they note a difference between apical and radial pulses. The apical pulse is 95 beats per minute and radial pulse is 88bpm. What is the pulse deficit?
9. A nurse working in the ED is assigned to care for a group of four clients. What client should the nurse see first?
a. Client reporting chest pain and diaphoresis
b. Client with deformed, painful and swollen right wrist
c. Client reporting painful swallowing and nausea
d. Client with resp rate of 28 and temp of 101
10. The nurse cares for a client with a history of hypertension and diabetes type II. Which statement made by the client would be most concern to the nurse?
a. I am feeling pretty nauseas and dizzy this morning like I cant catch my breath
b. About 30 minutes ago I had some pain in my left arm but it went away so I didn't call you
c. My feet seem to be more swollen then usual today
d. Now and then I get this shooting pain down my hip