1|Page
NUR 170 EXAM 3 CONCEPTS OF MEDICAL-SURGICAL NURSING
VERSION A, B, AND PRACTICE TEST QUESTION BANK LATEST
UPDATE THIS YEAR COMPLETE 450 QUESTIONS AND CORRECT
DETAILED ANSWERS - JUST RELEASED
The nurse administers amiodarone (Cordarone) to a patient with
ventricular tachycardia. Which monitoring by the nurse is necessary
with this drug?
QT interval
Heart rate
Heart rhythm
The professional nurse is supervising a nursing student performing a 12-
lead electrocardiogram (ECG). Under which circumstance does the
nurse correct the student?
The patient is instructed to breathe deeply through the mouth.
The nurse is caring for a patient with advanced heart failure who
develops asystole. The nurse corrects the graduate nurse when the
graduate offers to perform which intervention?
Defibrillation
,2|Page
Which patient is appropriate for the cardiac care unit charge nurse to
assign to the float RN from the medical-surgical unit?
The 64-year-old patient admitted for weakness who has a sinus
bradycardia with a heart rate of 58 beats/min
Which intervention provides safety during cardioversion?
Setting the defibrillator to the synchronized mode
Which nursing action may be delegated to an unlicensed assistive
personnel (UAP) working on the medical unit?
Obtain daily weights for several clients with class IV heart failure.
Which medication, when given in heart failure, may improve morbidity
and mortality?
Carvedilol (Coreg)
The home health nurse visits a client with heart failure who has gained
5 pounds (2.3 kg) in the past 3 days. The client states, "I feel so tired
and short of breath." Which action does the nurse take first?
,3|Page
Auscultate the client's posterior breath sounds.
Which client is best to assign to an LPN/LVN working on the telemetry
unit?
Client with dilated cardiomyopathy who uses oxygen for exertional
dyspnea
Which diagnostic test result is consistent with a diagnosis of heart
failure (HF)?
B-type natriuretic peptide (BNP) of 760 pg/mL (760 ng/dL)
A client begins therapy with lisinopril (Prinivil, Zestril). What does the
nurse consider at the start of therapy with this medication?
The risk for hypotension
The nurse is assessing a client with a cardiac infection. Which symptoms
support the diagnosis of infective endocarditis instead of pericarditis or
rheumatic carditis?
Splinter hemorrhages
, 4|Page
Which nursing intervention for a client admitted today with heart
failure will assist the client to conserve energy?
The nurse obtains a bedside commode before administering
furosemide.
How does the nurse in the cardiac clinic recognize that the client with
heart failure has demonstrated a positive outcome related to the
addition of metoprolol (Lopressor) to the medication regimen?
Client states that she is able to sleep on one pillow.
The nurse is caring for a client with heart failure. For which symptoms
does the nurse assess?
Chest discomfort or pain
Tachycardia
Fatigue
Which intervention best assists the client with acute pulmonary edema
in reducing anxiety and dyspnea?
Place the client in high-Fowler's position with the legs down.
NUR 170 EXAM 3 CONCEPTS OF MEDICAL-SURGICAL NURSING
VERSION A, B, AND PRACTICE TEST QUESTION BANK LATEST
UPDATE THIS YEAR COMPLETE 450 QUESTIONS AND CORRECT
DETAILED ANSWERS - JUST RELEASED
The nurse administers amiodarone (Cordarone) to a patient with
ventricular tachycardia. Which monitoring by the nurse is necessary
with this drug?
QT interval
Heart rate
Heart rhythm
The professional nurse is supervising a nursing student performing a 12-
lead electrocardiogram (ECG). Under which circumstance does the
nurse correct the student?
The patient is instructed to breathe deeply through the mouth.
The nurse is caring for a patient with advanced heart failure who
develops asystole. The nurse corrects the graduate nurse when the
graduate offers to perform which intervention?
Defibrillation
,2|Page
Which patient is appropriate for the cardiac care unit charge nurse to
assign to the float RN from the medical-surgical unit?
The 64-year-old patient admitted for weakness who has a sinus
bradycardia with a heart rate of 58 beats/min
Which intervention provides safety during cardioversion?
Setting the defibrillator to the synchronized mode
Which nursing action may be delegated to an unlicensed assistive
personnel (UAP) working on the medical unit?
Obtain daily weights for several clients with class IV heart failure.
Which medication, when given in heart failure, may improve morbidity
and mortality?
Carvedilol (Coreg)
The home health nurse visits a client with heart failure who has gained
5 pounds (2.3 kg) in the past 3 days. The client states, "I feel so tired
and short of breath." Which action does the nurse take first?
,3|Page
Auscultate the client's posterior breath sounds.
Which client is best to assign to an LPN/LVN working on the telemetry
unit?
Client with dilated cardiomyopathy who uses oxygen for exertional
dyspnea
Which diagnostic test result is consistent with a diagnosis of heart
failure (HF)?
B-type natriuretic peptide (BNP) of 760 pg/mL (760 ng/dL)
A client begins therapy with lisinopril (Prinivil, Zestril). What does the
nurse consider at the start of therapy with this medication?
The risk for hypotension
The nurse is assessing a client with a cardiac infection. Which symptoms
support the diagnosis of infective endocarditis instead of pericarditis or
rheumatic carditis?
Splinter hemorrhages
, 4|Page
Which nursing intervention for a client admitted today with heart
failure will assist the client to conserve energy?
The nurse obtains a bedside commode before administering
furosemide.
How does the nurse in the cardiac clinic recognize that the client with
heart failure has demonstrated a positive outcome related to the
addition of metoprolol (Lopressor) to the medication regimen?
Client states that she is able to sleep on one pillow.
The nurse is caring for a client with heart failure. For which symptoms
does the nurse assess?
Chest discomfort or pain
Tachycardia
Fatigue
Which intervention best assists the client with acute pulmonary edema
in reducing anxiety and dyspnea?
Place the client in high-Fowler's position with the legs down.
