NUR 265 MEDICAL-SURGICAL NURSING
EXAM 2 WITH COMPLETE SOLUTIONS
The nurse is caring for a clinet who appears
to have developed a PE. Which of the
following arterial blood gas (ABG), result
would the nurse expect the client to initally
have?
a. pH=7.31; PaO2=73mm Hg;
HCO3=22mEq/L; SaO2=85%
b. pH=7.50; PaO2=79mm Hg;
HCO3=23mEq/L; SaO2= 88%
c. pH=7.35; PaO2=63mm Hg;
HCO3=26mEq/L; SaO2=84%
d. pH=7.45; PaO2=70mm Hg;
HCO3=28mEq/L; SaO2=86%
b. pH=7.50; PaO2=79mm Hg; HCO3=23mEq/L;
SaO2= 88%
The nurse is assessing a client who is
suspected of having a pulmonary embolism
(PE). Which of the following findings is
,consitient with this diagnosis?
a. bradycardia
b. asymmetrical chest expansion
c. kussmual respirations
d. cough
d. cough
The nurse is caring for a client whio is 4
days postoperative and suddenly develops
difficulty breathing and sharp chest pain.
The nusre has called rapid rsponse team,
raised HOB, and applied oxygen to client.
Which actions from the box below shoud
the nurse take first?
1. auscualte the client's lung sounds
2. initiate continuous cardiac monitoring
3. prepare to administer IV alteplase
4. connect the client to a continouse pulse
ox
5. apply bilateral antiemoblism stocking to
the legs
6. assess the clinet's skin color
,a. 1,4,5
b. 1,2,4,6
c. 2,3,5,6
d.3,4,6
b. 1,2,4,6
The nurse has provided discharge teaching
to a clinet who developed a PE follwing a
surgical procedure. The client will be taking
newly prescribed warfarin at home. Which of
the following client statements indicates a
correct understanding of the teaching?
a. "hard candy can be used if i developed a
dry mouth while taking warfarin"
b. "the warfarin will continue to break up the
clot over the next several months"
c. "i should avoid anything rectally, such as
enemas or suppositories"
d. "i will take this medication for about 1-2
months"
, c. "i should avoid anything rectally, such as
enemas or suppositories"
The nurse is caring for the following
assigned clients. The nurse should first see
the client who has
a. diabetes inipidus, polyuria, and a sodium
level of 146meq/L
b. hyperthyroidims and BP of 138/80
c. recieved heparin infusion in the last 10
days and has a platelet count of 90,000
d. cushing's disease and capillary blood
glucose level of 142mg/dL
c. recieved heparin infusion in the last 10 days
and has a platelet count of 90,000
The nurse is caring for a client who has a
chest tube. Which assessment finding(s)
from the box below requires the nurse to
immediately notify the PHCP
1. continous bubbling in the suction control
chamber
EXAM 2 WITH COMPLETE SOLUTIONS
The nurse is caring for a clinet who appears
to have developed a PE. Which of the
following arterial blood gas (ABG), result
would the nurse expect the client to initally
have?
a. pH=7.31; PaO2=73mm Hg;
HCO3=22mEq/L; SaO2=85%
b. pH=7.50; PaO2=79mm Hg;
HCO3=23mEq/L; SaO2= 88%
c. pH=7.35; PaO2=63mm Hg;
HCO3=26mEq/L; SaO2=84%
d. pH=7.45; PaO2=70mm Hg;
HCO3=28mEq/L; SaO2=86%
b. pH=7.50; PaO2=79mm Hg; HCO3=23mEq/L;
SaO2= 88%
The nurse is assessing a client who is
suspected of having a pulmonary embolism
(PE). Which of the following findings is
,consitient with this diagnosis?
a. bradycardia
b. asymmetrical chest expansion
c. kussmual respirations
d. cough
d. cough
The nurse is caring for a client whio is 4
days postoperative and suddenly develops
difficulty breathing and sharp chest pain.
The nusre has called rapid rsponse team,
raised HOB, and applied oxygen to client.
Which actions from the box below shoud
the nurse take first?
1. auscualte the client's lung sounds
2. initiate continuous cardiac monitoring
3. prepare to administer IV alteplase
4. connect the client to a continouse pulse
ox
5. apply bilateral antiemoblism stocking to
the legs
6. assess the clinet's skin color
,a. 1,4,5
b. 1,2,4,6
c. 2,3,5,6
d.3,4,6
b. 1,2,4,6
The nurse has provided discharge teaching
to a clinet who developed a PE follwing a
surgical procedure. The client will be taking
newly prescribed warfarin at home. Which of
the following client statements indicates a
correct understanding of the teaching?
a. "hard candy can be used if i developed a
dry mouth while taking warfarin"
b. "the warfarin will continue to break up the
clot over the next several months"
c. "i should avoid anything rectally, such as
enemas or suppositories"
d. "i will take this medication for about 1-2
months"
, c. "i should avoid anything rectally, such as
enemas or suppositories"
The nurse is caring for the following
assigned clients. The nurse should first see
the client who has
a. diabetes inipidus, polyuria, and a sodium
level of 146meq/L
b. hyperthyroidims and BP of 138/80
c. recieved heparin infusion in the last 10
days and has a platelet count of 90,000
d. cushing's disease and capillary blood
glucose level of 142mg/dL
c. recieved heparin infusion in the last 10 days
and has a platelet count of 90,000
The nurse is caring for a client who has a
chest tube. Which assessment finding(s)
from the box below requires the nurse to
immediately notify the PHCP
1. continous bubbling in the suction control
chamber
