网站首页  |  关于我们  |  最新公告  |  新闻动态  |  备考指南  |  下载中心  |  考点简介  |  培训基地展示  |  在线留言  |  联系我们
ISPN学习中心
护理名人堂
    最新公告
    新闻动态
    下载中心
    法律声明
    备考指南
    考点简介
    培训基地展示
 
    
 
  

  

 
 
 首页信息中心 备考指南知识题库
 
ISPN考试模拟试题(四十三)

Questions

1.Which client statement indicates an understanding of the nurse’s instructions concerning a Holter monitor?

A.“The only times the monitor should be taken off is for showering and sleep.”

B.“The monitor will record my activities and symptoms if an abnormal rhythm occurs.”

C.“The results from the monitor will be used to determine the size and shape of my heart.”

D.“The monitor will record any abnormal heart rhythms while I go about my usual activities.”


2.A client with a history of dysrhythmias is to wear a Holter monitor for 24 hours on an outpatient basis. What should the nurse teach the client to do while wearing the monitor?

A.Discontinue medications.

B.Avoid using a microwave oven.

C.Keep a written account of activities.

D.Record the blood pressure periodically.


3.A client with a dysrhythmia is admitted to telemetry for observation. In the morning the client asks for a cup of coffee. What is the nurse’s best response?

A.“Hot drinks such as coffee are not good for your heart.”

B.“Coffee is not permitted on the diet that was ordered for you.”

C.“You cannot have coffee. I can bring you a cup of tea if you like.”

D.“Coffee has caffeine that can affect your heart. It should be avoided.”


4.A client who had several episodes of chest pain is scheduled for an exercise electrocardiogram. Which explanation should the nurse include when teaching the client about this procedure?

A.“This is a noninvasive test to check your heart’s response to physical activity.”

B.“This test isthe definitive method to identify the actual cause of your chest pain.”

C.“The findings of this test will be of minimal assistance in the treatment of angina.”

D.“The findings from this minimally invasive test will show how your body reacts to exercise.”


5.A client is admitted with chest pain unrelieved by nitroglycerin, an elevated temperature, decreased blood pressure, and diaphoresis. A myocardial infarction is diagnosed. Which should the nurse consider as a valid reason for one of this client’s physiologic responses?

A.Parasympathetic reflexes from the infarcted myocardium cause diaphoresis.

B.Inflammation in the myocardium causes a rise in the systemic body temperature.

C.Catecholamines released at the site of the infarction cause intermittent localized pain.

D.Constriction of central and peripheral blood vessels causes a decrease in blood pressure.

Rationales

1.D 

The cardiac rhythm is monitored and rhythm disturbances documented;disturbances are stored, printed, and then analyzed in relation to the client’s activity/symptom diary.

A,The monitor must remain in place constantly for accurate recordings.

B,The client must keep a record of activities and symptoms while the monitor records cardiac

rhythm disturbances, and then an analysis of correlations between the two is made.

C,A chest radiograph, not a Holter monitor, will reveal the size and contour of the heart.

Client Need:Reduction of Risk Potential;

Cognitive Level:Application;

Integrated Process:Teaching/Learning;

Nursing Process:Evaluation/Outcomes;

Reference:Ch6,Related Procedures,Cardiac Monitoring


2.C 

A day’s activities should be recorded so that they can be compared with the occurrence of dysrhythmias.

A,It is not necessary to discontinue medications.

B,It is not necessary to avoid using a microwave oven.

D,Obtaining blood pressure readings while wearing a Holter monitor is not necessary.

Client Need:Reduction of Risk Potential;

Cognitive Level:Application;

Integrated Process:Teaching/Learning;

Nursing Process:Planning/Implementation;

Reference:Ch6,Related Procedures, Cardiac Monitoring


3.D 

Caffeine is a stimulant that causes vasoconstriction and is contraindicated for a client with a dysrhythmia.

A, B,Although this is a true statement, it does not provide information as to why it is not good for the heart. Adherence to a medical regimen increases when the client understands the rationale for recommendations.

C,Tea contains caffeine and should be avoided by a client with a dysrhythmia.

Client Need:Reduction of Risk Potential;

Cognitive Level:Application;

Nursing Process:Planning/Implementation;

Reference:Ch6,Coronary Artery Disease (CAD),Nursing Care


4.A 

This test evaluates the heart’s ability to meet the need for additional oxygen in response to the stress of exercising. Changes in the ECG identify dysrhythmias and ST changes indicative of myocardial ischemia.

B,This test assists in the differential diagnosis of chest pain; the diagnosis of heart disease is made via the results of a variety of diagnostic procedures and laboratory tests.

C,This is a valuable test that will influence the diagnosis and treatment of heart disease. 

D,This is a noninvasive test.

Client Need:Reduction of Risk Potential;

Cognitive Level:Application;

Integrated Process:Teaching/Learning;

Nursing Process:Planning/Implementation;

Reference:Ch6,Related Procedures,Cardiac Monitoring


5.B 

Temperature may increase within the first 24 hours as a result of the inflammatory response to tissue destruction and persist as long as a week.

A,Diaphoresis is caused by activation of the sympathetic, not parasympathetic,nervous system and may indicate cardiogenic shock.

C,Pain is persistent and constant, not intermittent; it is caused by oxygen deprivation and the release of lactic acid.

D,The blood pressure increases initially but then drops because there is a decrease in cardiac output.

Client Need:Physiological Adaptation;

Cognitive Level:Comprehension;

Nursing Process:Assessment/Analysis;

Reference:Ch6,Coronary Artery Disease,Data Base

小编寄语:不忘初心,方得始终!Fighting!



时间:2019-07-05 15:34:09
 
上一篇:ISPN考试模拟试题(四十二)                          下一篇:ICN精彩回放  
 
  
邮箱:cgfnscn2012@126.com   法律声明 Copyright 2012   版权所有  All Rights Reserved