Nurse 480 Exam 2 (detailed &
elaborated)
QUESTIONS AND VERIFIED
CORRECT ANSWERS
GRADED A+ LATEST 100%
GUARANTEED PASS
12 - CORRECT ANSWER-Ordered: IV Nesiritide, 2 mcg/kg STAT for exacerbation of Heart Failure
Have: 40 mcg Nesiritide in 3 mLs
Patient's weight: 176 lbs or 80 kgs
How many mLs will you give to your patient for this STAT dose?
C) Monitor the clients pedal pulses every 2-4 hours
Feedback: The pedal pulses should be checked frequently to establish continuous perfusion.
The dressing should be reviewed and changed every 4 hours initially to determine drainage
and/or signs of infection - CORRECT ANSWER-The client diagnosed with arterial occlusive
,disease is one day postoperative right femoral-popliteal bypass. Which intervention should the
nurse implement?
A) Keep the right leg in the dependent position
B) Apply sequential compression devices to lower extremities
C) Monitor the clients pedal pulses every 2-4 hours
D) Assess the clients leg dressing every day
B) SA node and depolarizing of the atria
Feedback: SA node starts depolarization to the atria and reflects the P wave on the ECG -
CORRECT ANSWER-A P wave on an ECG represents an impulse arising at the
A) SA node and repolarizing of the atria
B) SA node and depolarizing of the atria
C) AV node and depolarizing of the atria
D) AV node and spreading to the bundle of His
A) Document this as a normal sinus rhythm
Feedback: With the presence of a P wave followed by the QRS complex and a rate between 60-
100, the nurse should document this as normal sinus rhythm and not take any further action -
CORRECT ANSWER-The clients telemetry reading shows a P wave before each QRS complex and
the rate is 78. Which action should the nurse implement?
, A) Document this as a normal sinus rhythm
B) Request a 12-lead ECG
C) Prepare to administer cardiotonic digoxin orally
D) Assess the client's cardiac enzymes
C) Serum potassium level of 3.0 mEq/L after 1 week of therapy - CORRECT ANSWER-A patient
recently started on digoxin (Lanoxin) in addition to furosemide (Lasix) and captopril for the
management of heart failure. Which assessment finding by the home health nurse is a priority
to communicate to the health care provider?
A) Prescence of 1+ to 2+ edema in the feet and ankles
B) Palpable liver edge 2 cm below the ribs on the right side
C) Serum potassium level of 3.0 mEq/L after 1 week of therapy
D) Weight increase from 120 lbs to 122 lbs over 3 days
475 - CORRECT ANSWER-Your patient is put on a strict fluid restriction for a total of 1500 mLs
per day due to an exacerbation of Heart Failure. You are doing a rough calculation of how much
fluid the patient can have per meal, minus 75 mLs for medication passes. Based on this rough
calculation, how many mLs can our patient have per breakfast, lunch and dinner per day?
A) The patient exercises indoors during the winter months - CORRECT ANSWER-After teaching a
patient with newly diagnosed Raynaud's phenomenon about how to manage the condition,
which action by the patient best demonstrates the teaching has been effective?
A) The patient exercises indoors during the winter months
elaborated)
QUESTIONS AND VERIFIED
CORRECT ANSWERS
GRADED A+ LATEST 100%
GUARANTEED PASS
12 - CORRECT ANSWER-Ordered: IV Nesiritide, 2 mcg/kg STAT for exacerbation of Heart Failure
Have: 40 mcg Nesiritide in 3 mLs
Patient's weight: 176 lbs or 80 kgs
How many mLs will you give to your patient for this STAT dose?
C) Monitor the clients pedal pulses every 2-4 hours
Feedback: The pedal pulses should be checked frequently to establish continuous perfusion.
The dressing should be reviewed and changed every 4 hours initially to determine drainage
and/or signs of infection - CORRECT ANSWER-The client diagnosed with arterial occlusive
,disease is one day postoperative right femoral-popliteal bypass. Which intervention should the
nurse implement?
A) Keep the right leg in the dependent position
B) Apply sequential compression devices to lower extremities
C) Monitor the clients pedal pulses every 2-4 hours
D) Assess the clients leg dressing every day
B) SA node and depolarizing of the atria
Feedback: SA node starts depolarization to the atria and reflects the P wave on the ECG -
CORRECT ANSWER-A P wave on an ECG represents an impulse arising at the
A) SA node and repolarizing of the atria
B) SA node and depolarizing of the atria
C) AV node and depolarizing of the atria
D) AV node and spreading to the bundle of His
A) Document this as a normal sinus rhythm
Feedback: With the presence of a P wave followed by the QRS complex and a rate between 60-
100, the nurse should document this as normal sinus rhythm and not take any further action -
CORRECT ANSWER-The clients telemetry reading shows a P wave before each QRS complex and
the rate is 78. Which action should the nurse implement?
, A) Document this as a normal sinus rhythm
B) Request a 12-lead ECG
C) Prepare to administer cardiotonic digoxin orally
D) Assess the client's cardiac enzymes
C) Serum potassium level of 3.0 mEq/L after 1 week of therapy - CORRECT ANSWER-A patient
recently started on digoxin (Lanoxin) in addition to furosemide (Lasix) and captopril for the
management of heart failure. Which assessment finding by the home health nurse is a priority
to communicate to the health care provider?
A) Prescence of 1+ to 2+ edema in the feet and ankles
B) Palpable liver edge 2 cm below the ribs on the right side
C) Serum potassium level of 3.0 mEq/L after 1 week of therapy
D) Weight increase from 120 lbs to 122 lbs over 3 days
475 - CORRECT ANSWER-Your patient is put on a strict fluid restriction for a total of 1500 mLs
per day due to an exacerbation of Heart Failure. You are doing a rough calculation of how much
fluid the patient can have per meal, minus 75 mLs for medication passes. Based on this rough
calculation, how many mLs can our patient have per breakfast, lunch and dinner per day?
A) The patient exercises indoors during the winter months - CORRECT ANSWER-After teaching a
patient with newly diagnosed Raynaud's phenomenon about how to manage the condition,
which action by the patient best demonstrates the teaching has been effective?
A) The patient exercises indoors during the winter months
