Practice Questions

29. A patient is receiving continuous bladder irrigation after transurethral resection of the prostate (TURP). The nurse notes bright red urine with clots. The initial nursing action is to:

A. Stop the irrigation immediately

B. Increase the irrigation rate ✓

C. Administer a diuretic

D. Notify the physician immediately

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28. A patient with end-stage renal disease (ESRD) is experiencing hyperkalemia. Which ECG change would the nurse expect?

A. Flattened T waves

B. Peaked T waves ✓

C. Shortened PR interval

D. Prolonged QT interval

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27. A patient with a newly diagnosed DVT is prescribed unfractionated heparin. The nurse monitors the activated partial thromboplastin time (aPTT) to evaluate the therapeutic effect. A therapeutic aPTT is usually:

A. Lower than normal range

B. 1.5 to 2.5 times the control value ✓

C. Higher than normal range

D. The same as the control value

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26. A nurse is preparing a patient for discharge after a pacemaker insertion. What instruction should the nurse include?

A. Avoid lifting the arm on the pacemaker side for several weeks. ✓

B. Shower immediately to prevent infection.

C. Expect redness and swelling at the insertion site for a month.

D. Resume normal activities immediately.

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25. A patient with atrial fibrillation is at increased risk for which complication?

A. Myocardial infarction

B. Pulmonary embolism

C. Stroke ✓

D. Deep vein thrombosis

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24. A patient with heart failure is prescribed a diuretic. The nurse should instruct the patient to monitor their:

A. Daily weight ✓

B. Visual acuity

C. Temperature

D. Blood pressure only in the morning

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23. A patient with acute coronary syndrome (ACS) is receiving thrombolytic therapy. Which is the most critical nursing assessment during this therapy?

A. Monitoring urine output hourly

B. Assessing for signs of bleeding ✓

C. Checking blood glucose levels

D. Evaluating bowel sounds

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22. A nurse is teaching a patient about managing chronic stable angina. Which statement indicates understanding of the teaching?

A. "I should take nitroglycerin as soon as I feel chest pain." ✓

B. "I will avoid all physical activity to prevent chest pain."

C. "If my chest pain goes away with rest, it's not serious."

D. "I only need to take nitroglycerin if the pain is severe."

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21. A patient is scheduled for a cardiac catheterization. The nurse should assess for allergies to:

A. Penicillin

B. Latex

C. Shellfish or iodine ✓

D. Aspirin

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20. A nurse is reviewing lab results for a patient with rheumatoid arthritis. Which finding is most indicative of active inflammation?

A. Decreased erythrocyte sedimentation rate (ESR)

B. Elevated C-reactive protein (CRP) ✓

C. Normal white blood cell count

D. Decreased rheumatoid factor (RF)

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Practice Questions

29. A patient is receiving continuous bladder irrigation after transurethral resection of the prostate (TURP). The nurse notes bright red urine with clots. The initial nursing action is to:

28. A patient with end-stage renal disease (ESRD) is experiencing hyperkalemia. Which ECG change would the nurse expect?

27. A patient with a newly diagnosed DVT is prescribed unfractionated heparin. The nurse monitors the activated partial thromboplastin time (aPTT) to evaluate the therapeutic effect. A therapeutic aPTT is usually:

26. A nurse is preparing a patient for discharge after a pacemaker insertion. What instruction should the nurse include?

25. A patient with atrial fibrillation is at increased risk for which complication?

24. A patient with heart failure is prescribed a diuretic. The nurse should instruct the patient to monitor their:

23. A patient with acute coronary syndrome (ACS) is receiving thrombolytic therapy. Which is the most critical nursing assessment during this therapy?

22. A nurse is teaching a patient about managing chronic stable angina. Which statement indicates understanding of the teaching?

21. A patient is scheduled for a cardiac catheterization. The nurse should assess for allergies to:

20. A nurse is reviewing lab results for a patient with rheumatoid arthritis. Which finding is most indicative of active inflammation?

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