Nclex-Rn Practice Questions-Cardiovascular Disorders-Valve Disorders
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Question 1 |
The nurse caring for clients on a medical unit thinks she hears a murmur while assessing the client. After determining that no other HCP have documented a murmur, which action should the nurse implement next?
A | Do nothing because the nurse was probably mistaken. |
B | Document the finding in the client's chart. |
C | Notify the HCP. |
D | Ask the client if there is a history of a murmur. |
Question 2 |
The nurse is admitting a client diagnosed with a mitral valve murmur. Which information supports this finding?
A | The client has a history of rheumatic fever as a child. |
B | The client takes an oral anticoagulant daily. |
C | The client has elevated troponin levels. |
D | The client recently took a vacation to Central America. |
Question 3 |
The client diagnosed with aortic stenosis scheduled for an echocardiogram tells the nurse, “I am scared. What will they do during the test?” Which statement is the nurse's best response?
A | “You're scared? |
B | We should discuss how you are feeling.” |
C | “The doctor will insert a catheter into the artery in your groin.” |
D | “I think you should talk with the doctor about you fears.” |
E | “Sound waves will be used to determine how your heart is working.” |
Question 4 |
The client diagnosed with mitral valve stenosis complains of shortness of breath and chest pain while ambulating in the hall with a UAP. Which action should the nurse implement first?
A | Tell the UAP to take the client's vital signs. |
B | Determine if this has happened to the client before. |
C | Get a wheelchair for the client to sit down. |
D | Have a stat electrocardiogram (ECG) done. |
Question 5 |
The client diagnosed with a grade II aortic murmur is admitted to the telemetry unit. Which symptoms should the nurse expect to assess?
A | Peripheral edema, jugular vein distention, and a productive cough. |
B | A murmur heard with a stethoscope at the right sternal notch. |
C | Shortness of breath on exertion and weakness. |
D | Palpitations, fatigue, and pink frothy sputum. |
Question 6 |
The nurse is assisting the client diagnosed with cardiac valve disease to choose a menu for the next day. Which menu is most appropriate for this client?
A | A ham and cheese sandwich, potato chips, and 2% milk. |
B | Roast beef, lettuce salad with low-fat dressing, and water. |
C | Eggs, bacon, whole wheat toast, jelly, and black coffee. |
D | Chicken-fried steak, mashed potatoes and gravy, and iced tea. |
Question 7 |
The 24-year-old female client has had surgery to replace a diseased mitral graft. Which information should the nurse teach the client prior to discharge?
A | Take your temperature four times a day and notify the HCP of the results. |
B | Have routine International Normalized Ratio (INR) lab tests performed. |
C | Limit lifting to less than 5 pounds until you are seen by the surgeon. |
D | Your menses will be heavier because of the anticoagulant medications. |
Question 8 |
The nurse is preparing the 52-year-old male client di-agnosed with mitral valve regurgitation for surgery. Which statement by the client warrants immediate intervention?
A | “I have been told that I will be on medication for the rest of my life.” |
B | “I get short of breath walking to the bathroom to bathe myself.” |
C | “I made out an advance directive to make sure my wishes are known.” |
D | “I will be in the intensive care unit for a day or two after surgery.” |
Question 9 |
The nurse is discharging a 65-year-old client diagnosed with aortic stenosis who had undergone mechanical valve replacement surgery. Which information should the nurse teach the client?
A | Splint the incision when turning, coughing, and deep breathing. |
B | Sleep in a recliner or with the head on two pillows at night. |
C | Avoid being around children or people who have had an immunization. |
D | Take antibiotics prior to any dental or other invasive procedures. |
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