CC EAQ Exam Study Questions 154 Questions with 100% Correct Answers – COMPLETE SOLUTIONS

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CC EAQ Exam Study Questions 154 Questions with 100% Correct Answers – COMPLETE SOLUTIONS How does the human body conserve heat? Select all that apply. - ✔✔By decreasing muscle activity in the... body Through peripheral vasoconstriction in body By shunting blood away from the skin surface During the progressive stage of shock, anaerobic metabolism occurs. Which complication should the nurse anticipate in this client? - ✔✔Metabolic acidosis Because of multiple physical injuries and emotional concerns, a hospitalized client is at high risk to develop a stress ulcer (Curling). Which of these is evidence of a stress ulcer? - ✔✔A sudden massive hemorrhage What should be the nurse's focus when caring for a client after abdominal surgery? - ✔✔Identifying signs of bleeding Which landmark is correct for a nurse to use when auscultating the mitral valve? - ✔✔Left fifth intercostal space, midclavicular line When assessing a client, the nurse auscultates a murmur at the second left intercostal space (ICS) along the sternal border. This reflects sound from which valve? - ✔✔Pulmonic A client with internal bleeding is in the intensive care unit (ICU) for observation. At the change of shift an alarm sounds, indicating a decrease in blood pressure. What is the initialnursing action? - ✔✔Perform an assessment of the client before resuming the change-of-shift report. The nurse in the emergency department identifies that the admission consent form signed by an alert but critically ill client is not legible. Which statement best reflects the status of this consent? - ✔✔Consent is legal. A client is experiencing hypovolemic shock with decreased tissue perfusion. Which information should the nurse consider when planning care? - ✔✔The body initially attempts to compensate by maintaining peripheral vasoconstriction. A nurse is developing a health teaching plan for clients with pacemakers. Which activity should the nurse teach these clients to avoid? - ✔✔Touring a power plant A nurse is assessing a group of clients. Which client is considered at the highest risk for a dissecting aneurysm? - ✔✔65-year-old male with uncontrolled hypertension A client with an inferior myocardial infarction has a heart rate of 120 beats per minute. Which goal achievements are priority? - ✔✔Decrease the workload on the heart and promote maximum coronary artery filling A client has a mitral valve replacement, and the nurse provides health teaching to promote optimum health. Which client statement supports the nurse's conclusion that the client needs further teaching? - ✔✔"I will start a vigorous aerobic exercise program." A client has surgery to replace a prolapsed mitral valve. What should the nurse teach the client? - ✔✔The signs and symptoms of heart failure The client is admitted with paroxysmal supraventricular tachycardia at a rate of 140 beats per minute. The client's blood pressure is 110/55 mm Hg, and the client is asymptomatic except for a "fluttering feeling" in the chest. Which treatments should the nurse be prepared to administer? Select all that apply. - ✔✔Intravenous adenosine Intravenous beta blockers Intravenous amiodarone Intravenous calcium channel blockers The nurse concludes that a client is experiencing hypovolemic shock. Which physical characteristic supports this conclusion? - ✔✔Oliguria Upon assessment the nurse discovers a client with heart failure has crackles in lower lung fields and dyspnea. Upon notifying the primary healthcare provider, the provider prescribes intravenous (IV) normal saline at 200 mL/hr and furosemide 120 mg orally stat. Which action should the nurse take next? - ✔✔Question the choice of solution, the amount to be given, and the dose of furosemide that has been prescribed. Several individuals who sustained urgent but nonemergent injuries are seated in the emergency department when an ambulance arrives with a client suspected of having a myocardial infarction. The nurse must explain to the waiting clients that they will have to wait longer for care. Which is the best explanation for the nurse to give? - ✔✔"I know you have been waiting, but a client's life depends on immediate treatment. You will receive the same attention when you are seen." A nurse is preparing medications. Which client's health problem motivates the nurse to question a prescription for a beta blocker? - ✔✔Acute heart failure The nurse is analyzing the client's rhythm when the nurse notes multiple premature ventricular contractions (PVCs). Each PVC occurs in no particular pattern and looks like all other PVCs. How will the nurse interpret this finding? - ✔✔Unifocal A client has second degree atrioventricular (AV) block. Which information will the nurse consider when planning care? Select all that apply. - ✔✔Some P waves are conducted to the ventricles. Treatment consists of atropine or a pacemaker. On the morning of surgery a client is admitted for resection of an abdominal aortic aneurysm. While awaiting surgery, the client suddenly develops symptoms of shock. Which nursing action is priority? - ✔✔Notify the surgeon immediately. While receiving a blood transfusion, the client suddenly shouts, "I feel like someone is lowering a heavy weight on my chest. I feel like I'm going to die!" Which actions are priority? - ✔✔Stop the transfusion and administer normal saline. The nurse notes that the client's cardiac rhythm strips show more P waves than QRS complexes. There is no relationship between the atria and the ventricles. How should the nurse interpret this rhythm strip? - ✔✔Third degree AV block (complete heart block) A client is experiencing tachycardia. Which adverse hemodynamic effects will the nurse consider when planning care for this client? Select all that apply. - ✔✔Decreased ventricular filling time Decreased cardiac output During a routine physical examination, an abdominal aortic aneurysm is diagnosed. The client immediately is admitted to the hospital, and surgery is scheduled for the next morning. Which clinical finding should the nurse expect when performing an assessment of this client? - ✔✔Visible pulsating abdominal mass A nurse observes the cardiac monitor of a client who has had a pacemaker inserted. At which letter on the rhythm strip is evidence of pacemaker impulse? - ✔✔B (the spike) [Show More]

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