TU Staff Nurse Mode Questions 1-20
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Providing health education about environmental hygiene to community
members is:- A. Structural communication
- B. Social communication
- C. Formal communication
- D. Therapeutic communication
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Which of the following is not a visual aid used in health
education?- A. Chart
- B. Film strip
- C. Audio cassette
- D. Poster
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Which hepatitis is transferred through institutional and health
settings?- A. Hepatitis D
- B. Hepatitis C
- C. Hepatitis B
- D. Hepatitis A
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Iodination of salt is an example of which level of prevention?
- A. Primary prevention
- B. Primordial prevention
- C. Secondary prevention
- D. Tertiary prevention
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Capnography measures:
- A. CO
- B. N2
- C. Carbon dioxide
- D. Hydrogen
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Which of the following is not a side effect of morphine
sulfate?- A. Absence of deep tendon reflex
- B. Decreased respiration
- C. Increased respiration rate
- D. Decreased CNS
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The plasma osmolarity range is:
- A. 240-250 mosl/kg H2O
- B. 270-280 mosl/kg H2O
- C. 220-230 mosl/kg H2O
- D. 280-295 mosl/kg H2O
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Arterial blood pH is:
- A. 7.2
- B. 7.4
- C. 7.3
- D. 7.8
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Which is not included in ethical principles?
- A. Justice
- B. Maleficence
- C. Autonomy
- D. Non-maleficence
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Aspirin should be taken with which of the following drinks?
- A. Milk
- B. Orange juice
- C. Soda
- D. Full glass of water
- The first branch of the human aorta is:
- A. Left subclavian artery
- B. Brachiocephalic artery
- C. Coronary artery
- D. Left common carotid artery
- The least blood pressure is found in:
- A. Aorta
- B. Capillary
- C. Vein
- D. Vena cava
- Extracellular fluids are rich in the following except:
- A. K+
- B. HCO3-
- C. Na+
- D. Ca2+
- The left border of the heart is formed by:
- A. Right ventricle
- B. Left atrium
- C. Left atrium and left ventricle
- D. Left ventricle
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Which of the following is the correct pathway for the propagation of the
cardiac impulse?
- A. AV node → Bundle of His → SA node → Purkinje fibers
- B. SA node → Purkinje fibers → AV node → Bundle of His
- C. SA node → AV node → Bundle of His → Purkinje fibers
- D. Purkinje fibers → AV node → SA node → Bundle of His
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The blood in the mammalian heart pumped by the right ventricle passes out
of the orifice guarded by:
- A. Bicuspid valve
- B. Tricuspid valve
- C. Aortic arch
- D. Pulmonary valve
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Fibrous cords called ___________ connect the free valve margins and
ventricular surfaces of the valve cusps to papillary muscles and
ventricular walls.
- A. Chordae tendineae
- B. Lunulae
- C. Bundle of His
- D. Kent bundles
- Intra-aortic balloon pump therapy is used for the treatment of:
- A. Congestive heart failure
- B. Cardiogenic shock
- C. Pulmonary edema
- D. Aortic insufficiency
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Which of the following assessment findings would elicit specific
information regarding the left ventricular function of a patient with left
ventricular failure?
- A. Assessing peripheral and sacral edema
- B. Assessing jugular vein distention
- C. Monitoring for organomegaly
- D. Listening to lung sounds
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Which of the following ECG findings indicates the presence of
hypokalemia?
- A. Tall, peak T wave
- B. ST segment depression
- C. Widening of the QRS complex
- D. Prolonged PR interval
TU Staff Nurse Mode Questions 21-40
- Bruce protocol is related to:
- A. CABG
- B. Echocardiogram
- C. Angiogram
- D. Exercise ECG test
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A patient has developed atrial fibrillation and his ventricular rate is
150 beats per minute. What should the patient be assessed for
next?
- A. Flat neck veins
- B. Complaints of nausea
- C. Complaints of headache
- D. Hypotension
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Which of the following beverages can be included in the menu of a patient
with myocardial infarction?
- A. Coffee
- B. Tea
- C. Cola
- D. Lemonade
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A patient is undergoing cardiac catheterization. Which of the following
sensations reported by the patient during the procedure has the highest
priority?
- A. Pressure at the insertion site
- B. Urge to cough
- C. Warm, flushed feeling
- D. Chest pain
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A patient recovering from cardiac surgery has a pleural effusion on the
left side and is having thoracentesis. The patient should be placed in
which position for the procedure?
- A. Upright and leaning forward with the arms on the over-the-bed table
- B. Right-side lying with legs curled up into a fetal position
- C. Left-lateral with the right arm supported by a pillow
- D. Dorsal recumbent
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Which of the following statements about Prinzmetal’s (variant) angina is
correct?
- A. Managed most effectively with beta-blocking drugs
- B. Drug of choice in variant angina is nitrates
- C. Generally treated with calcium channel blockers
- D. Improves with low-sodium, high-potassium diet
- The cardiac rhythm is:
- A. Sinus bradycardia
- B. Sinus tachycardia
- C. Normal sinus rhythm
- D. First-degree heart block
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A patient with myocardial infarction experiencing new multiform,
premature contractions. The patient is allergic to lidocaine
hydrochloride. What is the next drug of choice for immediate use?
- A. Digoxin
- B. Metoprolol
- C. Verapamil
- D. Procainamide
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A patient with complete heart block has had a permanent demand pacemaker
inserted. The pacemaker function is considered to be proper if the ECG
rhythm strip shows the presence of a pacemaker spike:
- A. Just after each T wave
- B. Before each QRS complex
- C. Just after each P wave
- D. Before each P wave
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Which of the following interventions is contraindicated in a patient with
deep vein thrombosis of the right leg?
- A. Elevation of the limb
- B. Ambulation in the hall every 4 hours
- C. Application of moist heat to the right leg
- D. Administration of analgesics
- The circumflex artery is a branch of:
- A. Right coronary artery
- B. Anterior descending artery
- C. Left coronary artery
- D. Descending aorta
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Apical pulse is taken by placing the diaphragm of the stethoscope at the
area of:
- A. Right atrium
- B. Right ventricle
- C. Pulmonic valve
- D. Mitral area
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A female patient who has had a myocardial infarction asks the nurse why
she should not bear down or strain to ensure having a bowel movement. The
nurse informs her that this would trigger:
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A. Vagus nerve stimulation, causing a decrease in heart rate and cardiac
contractility -
B. Vagus nerve stimulation, causing an increase in heart rate and cardiac
contractility -
C. Sympathetic nerve stimulation, causing an increase in heart rate and
cardiac contractility -
D. Sympathetic nerve stimulation, causing a decrease in heart rate and
cardiac contractility
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Which of the following interventions is NOT indicated in a patient with
stable ventricular tachycardia?
- A. Assess airway, breathing, and circulation
- B. Administer oxygen
- C. Obtain an ECG
- D. Defibrillate the patient
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Which of the following manifestations differentiates pericarditis from
other cardiopulmonary problems?
- A. Chest pain that worsens on expiration
- B. Pericardial friction rub
- C. Anterior chest pain
- D. Weakness and irritability
- Which of the following is NOT associated with cardiac tamponade?
- A. Pulsus paradoxus
- B. Distant heart sounds
- C. Distended jugular veins
- D. Bradycardia
- Digitalis functions to improve congestive heart failure by:
- A. Induction of emesis
- B. Activation of beta-adrenergic receptors
- C. Improving survival in patients with heart failure
- D. Binding to and inhibiting the Na–K ATPase enzyme in cardiac myocytes
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A nurse is caring for a client who is being discharged after cardiac
surgery. The client has a prescription for enoxaparin to take at home.
Which of the following discharge information should the nurse give to this
client?
- A. Do not eat red meat or any substance that contains tyramine
- B. Drink an eight-ounce glass of water each evening before going to bed
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C. Use a soft toothbrush for brushing teeth and an electric razor for
shaving - D. Avoid wearing sandals or shoes for longer than 6 hours at a time
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Nurse Kumari, a triage nurse, encountered a client who complained of
mid-sternal chest pain, dizziness, and diaphoresis. Which of the following
nursing actions should take priority?
- A. Administer oxygen therapy via nasal cannula
- B. Notify the physician
- C. Complete history taking
- D. Put the client on ECG monitoring
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The emergency medical service has transported a client with severe chest
pain. As the client is being transferred to the emergency stretcher, you
note unresponsiveness, cessation of breathing, and an unpalpable pulse.
Which of the following tasks is appropriate to initiate first?
- A. Establish an IV line and administer oxygen
- B. Begin cardiopulmonary resuscitation (CPR)
- C. Administer aspirin and morphine
- D. Perform defibrillation if indicated
TU Staff Nurse Mode Questions 41- 50
- The primary purpose of defibrillation is to:
- A. Increase heart rate
- B. Convert an irregular rhythm to normal sinus rhythm
- C. Terminate a life-threatening arrhythmia
- D. Slow down the heart rate
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In the management of a patient with acute myocardial infarction (MI),
which of the following medications should be avoided in the acute
phase?
- A. Nitroglycerin
- B. Beta-blockers
- C. Heparin
- D. Thrombolytics
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Which of the following is the most common cause of right-sided heart
failure?
- A. Myocardial infarction
- B. Pulmonary hypertension
- C. Coronary artery disease
- D. Aortic stenosis
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Which of the following changes would you expect to find in the vital
signs of a patient in shock?
- A. Bradycardia and elevated blood pressure
- B. Tachycardia and decreased blood pressure
- C. Hypothermia and increased blood pressure
- D. Normal heart rate and decreased blood pressure
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Which of the following is the best indicator of fluid overload in a
patient with heart failure?
- A. Increased respiratory rate
- B. Jugular vein distention
- C. Decreased blood pressure
- D. Decreased urinary output
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What is the primary purpose of the pulmonary artery catheter in a
critically ill patient?
- A. To assess central venous pressure (CVP)
- B. To monitor oxygen saturation levels
- C. To measure cardiac output and assess fluid status
- D. To deliver medications to the heart
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Which of the following is a complication of an acute myocardial
infarction?
- A. Pneumothorax
- B. Cardiac tamponade
- C. Pericarditis
- D. Gastrointestinal bleeding
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Which of the following is most likely to cause a false low reading when
measuring blood pressure with a manual cuff?
- A. Cuff too large for the arm
- B. The cuff is inflated too quickly
- C. The patient is sitting with the arm at heart level
- D. The patient has an increased heart rate
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Which of the following is an appropriate nursing action when
administering a diuretic to a patient with heart failure?
- A. Restrict fluid intake to 1000 mL per day
- B. Monitor potassium levels regularly
- C. Instruct the patient to lie flat after administration
- D. Monitor the patient for signs of hyperglycemia
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A patient is receiving warfarin therapy for atrial fibrillation. Which
of the following lab values is most important to monitor?
- A. Platelet count
- B. Prothrombin time (PT) and International Normalized Ratio (INR)
- C. Hemoglobin and hematocrit levels
- D. Serum sodium levels
Answer Keys
- B. Social communication
- C. Audio cassette
- C. Hepatitis B
- A. Primary prevention
- C. Carbon dioxide
- C. Increased respiration rate
- D. 280-295 mosl/kg H2O
- B. 7.4
- B. Maleficence
- D. Full glass of water
- B. Brachiocephalic artery
- D. Vena cava
- A. K+
- C. Left atrium and left ventricle
- C. SA node → AV node → Bundle of His → Purkinje fibers
- D. Pulmonary valve
- A. Chordae tendineae
- B. Cardiogenic shock
- D. Listening to lung sounds
- B. ST segment depression
- D. Exercise ECG test
- D. Hypotension
- D. Lemonade
- D. Chest pain
- A. Upright and leaning forward with the arms on the over-the-bed table
- C. Generally treated with calcium channel blockers
- C. Normal sinus rhythm
- D. Procainamide
- B. Before each QRS complex
- B. Ambulation in the hall every 4 hours
- C. Left coronary artery
- D. Mitral area
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A. Vagus nerve stimulation, causing a decrease in heart rate and cardiac
contractility - D. Defibrillate the patient
- B. Pericardial friction rub
- D. Bradycardia
- D. Binding to and inhibiting the Na–K ATPase enzyme in cardiac myocytes
-
C. Use a soft toothbrush for brushing teeth and an electric razor for
shaving - D. Put the client on ECG monitoring
- B. Begin cardiopulmonary resuscitation (CPR)
- C. Terminate a life-threatening arrhythmia
- D. Thrombolytics
- B. Pulmonary hypertension
- B. Tachycardia and decreased blood pressure
- B. Jugular vein distention
- C. To measure cardiac output and assess fluid status
- C. Pericarditis
- A. Cuff too large for the arm
- B. Monitor potassium levels regularly
- B. Prothrombin time (PT) and International Normalized Ratio (INR)
