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Abrams Practice Quiz

Quiz by Danna Morris

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25 questions
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  • Q1
    The nurse assists and educates clients about the structure and function of the cardiovascular system and its components. Based on the information, what is the correct response by the client about what is the normal “pacemaker” of the heart?
    Purkinje fibers
    AV (atrioventricular) node
    SA (sinoatrial) node
    Bundle of His
    30s
  • Q2
    A patient, admitted to a health care facility with cardiac arrhythmia, is prescribed propranolol. Which factor should the nurse closely monitor as a part of the ongoing assessment during the therapy?
    Pulse Rate
    Tendon reflexes
    Visual acuity
    Hydration
    30s
  • Q3
    The health care provider has prescribed a class IV calcium channel blocker for a client diagnosed with acute supraventricular tachycardia. Which drug does this nurse expect to be prescribed?
    Diltiazem
    Midazolam hydrochloride
    Chlorambucil
    Bethanechol chloride
    30s
  • Q4
    What sequence describes the flow of electrical impulses in the heart?
    The bundle of His, atrioventricular node, sinoatrial (SA) node, right and left bundle branches, and Purkinje fibers.
    The atrioventricular node, sinoatrial (SA) node, bundle of His, right and left bundle branches, and Purkinje fibers.
    The Sinoatrial node, the atrioventricular node, bundle of His, right and left bundle branches, and the Purkinje fibers.
    The Sinoatrial node, the Purkinje fibers, bundle of His, right and left bundle branches, and the atrioventricular node
    30s
  • Q5
    A patient is admitted to the cardiology unit of a health care facility for ventricular arrhythmia. In which condition can an anti-arrhythmic drug be safely administered?
    Premature ventricular contraction
    Aortic stenosis
    Third-degree heart block
    Severe congestive heart failure
    30s
  • Q6
    A 70-year-old woman with a history of atrial fibrillation takes digoxin and verapamil to control her health problem. Verapamil achieves a therapeutic effect by:
    weakening diastolic depolarization and the action potential duration.
    inhibiting the movement of calcium ions across the cardiac muscle cell membrane.
    decreasing sodium and potassium conduction.
    blocking adrenergic receptors and producing antisympathetic effects.
    30s
  • Q7
    A patient suffers from hypovolemic shock. What is the priority nursing diagnosis for the patient with hypovolemic shock?
    Activity intolerance
    Ineffective tissue perfusion
    Impaired bowel elimination
    Social isolation
    30s
  • Q8
    You are caring for a patient in shock whose condition is deteriorating. You are infusing IV fluids and giving medications as ordered. What type of medications are you most likely giving to this patient?
    Adrenergic drugs
    Hormone antagonist drugs
    Antimetabolite drugs
    Anticholinergic drugs
    30s
  • Q9
    A client experiencing a serious allergic reaction to a bee sting is brought to the emergency department. The client's right hand is swollen, red, and painful. She is extremely upset, short of breath, and the nurse detects wheezing and stridor. The nurse is ordered to administer epinephrine to relieve which of the clients symptoms?
    pain and swelling around the sting site
    acute bronchospasm.
    discoloration in her hand.
    acute anxiety.
    30s
  • Q10
    A client presents to the ED status post-motor vehicle accident with hypotension, tachycardia, diaphoresis, pallor, and oliguria. Reports from the accident site indicate significant blood loss from the vehicle’s only occupant. What type of shock does the nurse suspect is the client demonstrating?
    Cardiogenic
    Hypovolemic
    Anaphylactic
    Distributive
    30s
  • Q11
    You are assessing a 6 year-old girl in the emergency department (ED) who was brought in by her mother because she was stung by a bee and is allergic to bee venom. The child is now having trouble breathing; she is vasodilated, hypotensive and has broken out in hives. What do you suspect is wrong with this child?
    She is having an allergic reaction and going into cardiogenic shock
    She is having an allergic reaction and going into neurogenic shock
    She is having an allergic reaction and going into obstructive shock
    She is having an allergic reaction and going into anaphylactic shock
    30s
  • Q12
    The nurse is providing education to the parent of a child who has been recently diagnosed as allergic to bee venom. What medication would the nurse recommend that the parent have available?
    norepinephrine
    dopamine
    aspirin
    epinephrine
    30s
  • Q13
    You are caring for a patient in the compensation stage of shock. You know that in this stage of shock epinephrine and norepinephrine are released into the circulation. What positive effect does this have on your patient?
    Decreases carbon dioxide exchange
    Increases myocardial contractility
    Decreases blood return to the heart
    Contracts bronchioles
    30s
  • Q14
    A patient suffers from bradycardia. Which of the following medications is a synthetic catecholamine for the treatment of bradycardia?
    Pseudoephedrine (Sudafed)
    Epinephrine
    Ephedrine
    Isoproterenol (Isuprel)
    30s
  • Q15
    A patient is receiving an infusion of norepinephrine for treatment of acute hypotension. The nurse caring for the patient discovers that extravasation has occurred. What drug should be administered?
    Phenylephrine
    Epinephrine
    Propranolol
    Phentolamine
    30s

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