
Abrams Practice Quiz
Quiz by Danna Morris
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25 questions
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- Q1The 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 fibersAV (atrioventricular) nodeSA (sinoatrial) nodeBundle of His30s
- Q2A 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 RateTendon reflexesVisual acuityHydration30s
- Q3The 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?DiltiazemMidazolam hydrochlorideChlorambucilBethanechol chloride30s
- Q4What 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 node30s
- Q5A 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 contractionAortic stenosisThird-degree heart blockSevere congestive heart failure30s
- Q6A 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
- Q7A patient suffers from hypovolemic shock. What is the priority nursing diagnosis for the patient with hypovolemic shock?Activity intoleranceIneffective tissue perfusionImpaired bowel eliminationSocial isolation30s
- Q8You 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 drugsHormone antagonist drugsAntimetabolite drugsAnticholinergic drugs30s
- Q9A 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 siteacute bronchospasm.discoloration in her hand.acute anxiety.30s
- Q10A 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?CardiogenicHypovolemicAnaphylacticDistributive30s
- Q11You 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 shockShe is having an allergic reaction and going into neurogenic shockShe is having an allergic reaction and going into obstructive shockShe is having an allergic reaction and going into anaphylactic shock30s
- Q12The 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?norepinephrinedopamineaspirinepinephrine30s
- Q13You 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 exchangeIncreases myocardial contractilityDecreases blood return to the heartContracts bronchioles30s
- Q14A patient suffers from bradycardia. Which of the following medications is a synthetic catecholamine for the treatment of bradycardia?Pseudoephedrine (Sudafed)EpinephrineEphedrineIsoproterenol (Isuprel)30s
- Q15A 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?PhenylephrineEpinephrinePropranololPhentolamine30s