Drexel University NURS 320 MedSurg Final Exam Review: Gas
Exchange, Perfusion, and Blood Administration || 100% Detailed
Answers.
Which assessment is essential for the nurse to make following a bronchoscopy?
A. Check level of consciousness
B. Check gag reflex
C. Check neuromuscular function
D. Check pedal pulses correct answers B. Check gag reflex
The student nurse is reviewing care of patients post bronchoscopy. Which statement by the
student warrants action by the instructor?
A. "I will check the pulse ox frequently."
B. "I will encourage fluids to flush out the dye."
C. "I will check the sputum for blood."
D. "I will monitor for any stridor or wheezing." correct answers B. "I will encourage fluids to
flush out the dye."
The nurse is teaching a client about a thoracentesis. How would the nurse best describe this
procedure?
A. You will be asleep when they make the incision
B. Fluid will be drawn off the area around your lung
C. It involves lying very still in a large noisy machine
D. Your doctor will be able to see inside the lung correct answers B. Fluid will be drawn off the
area around your lung
,For a patient with a thoracentesis, which assessment would be of concern?
A. Decrease in accessory muscles
B. Decreased breath sounds
C. Pain at the puncture site
D. Increased appetite correct answers B. Decreased breath sounds
Which patients may require a CT scan? (Select all that apply.)
A. Patient with suspected abdominal bleeding
B. Patient with suspected pulmonary embolism
C. Patient with fever and a bladder infection
D. A pregnant female with a fracture femur correct answers A. Patient with suspected abdominal
bleeding
B. Patient with suspected pulmonary embolism
Which assessment is essential for the nurse to ask the patient prior to a MRI procedure?
A. Do you take any sedative medications?
B. Do you have a history of headaches?
C. Do you have any hearing issues?
D. Do you have any metal or implants in your body? correct answers D. Do you have any metal
or implants in your body?
Which patient scheduled for a MRI with contrast requires immediate action by the nurse?
,A. 18 year old who has a suspected muscle tear in the right thigh muscle and in severe pain is
scheduled for MRI of leg
B. 30 year old with chronic renal failure and lower back pain is scheduled for MRI of the spine
C. 40 year old with a history of migraines that are getting worse is scheduled for MRI of the head
D. 75 year old with right side and leg pain and has difficulty walking is scheduled for MRI of the
hip correct answers B. 30 year old with chronic renal failure and lower back pain is scheduled for
MRI of the spine
T/F: The pulmonary artery contains oxygenated blood. correct answers False
The nurse is conducting a patient assessment. The patient tells the nurse that he has smoked two
packs of cigarettes per day for 27 years. Which assessment can the nurse expect to find in this
patient?
A. Bounding pulse
B. Night blindness
C. Pupil dilate
D. Elevated blood pressure correct answers D. Elevated blood pressure
Which statement by the nursing student warrants intervention by the instructor? Central
Perfusion....
A. begins when the heart is stimulated by an electrical impulse
B. involves the body's ability to maintain cardiac output
C. involves blood flowing through arteries and capillaries to the target organs
D. is impacted by preload and afterload correct answers C. involves blood flowing through
arteries and capillaries to the target organs
Which assessment findings are considered modifiable risk factors for cardiac disease? (Select all
that apply.)
, A. obesity
B. smoking
C. parent dies of heart attack at 55 years of age
D. diabetes mellitus
E. female 60 years of age correct answers A. obesity
B. smoking
D. diabetes mellitus
Which assessment is essential for the nurse to complete immediately following a transesophageal
echocardiogram (TEE)?
A. Check pedal pulses
B. Monitor urine output
C. Check gag reflex
D. Complete a neuro assessment correct answers C. Check gag reflex
Which instruction should the nurse provide to a patient who is scheduled to have an exercise
electrocardiography test?
A. Have nothing to drink or eat after midnight
B. Avoid smoking or drinking for at least 2 weeks before the test
C. Wear comfortable, loose clothing and supportive rubber soled shoes
D. Someone must drive you home because of the medication side effects. correct answers C.
Wear comfortable, loose clothing and supportive rubber soled shoes
The patient is scheduled for a cardiac catheterization. Which interventions are appropriate by the
nurse? (Select all that apply.)
Exchange, Perfusion, and Blood Administration || 100% Detailed
Answers.
Which assessment is essential for the nurse to make following a bronchoscopy?
A. Check level of consciousness
B. Check gag reflex
C. Check neuromuscular function
D. Check pedal pulses correct answers B. Check gag reflex
The student nurse is reviewing care of patients post bronchoscopy. Which statement by the
student warrants action by the instructor?
A. "I will check the pulse ox frequently."
B. "I will encourage fluids to flush out the dye."
C. "I will check the sputum for blood."
D. "I will monitor for any stridor or wheezing." correct answers B. "I will encourage fluids to
flush out the dye."
The nurse is teaching a client about a thoracentesis. How would the nurse best describe this
procedure?
A. You will be asleep when they make the incision
B. Fluid will be drawn off the area around your lung
C. It involves lying very still in a large noisy machine
D. Your doctor will be able to see inside the lung correct answers B. Fluid will be drawn off the
area around your lung
,For a patient with a thoracentesis, which assessment would be of concern?
A. Decrease in accessory muscles
B. Decreased breath sounds
C. Pain at the puncture site
D. Increased appetite correct answers B. Decreased breath sounds
Which patients may require a CT scan? (Select all that apply.)
A. Patient with suspected abdominal bleeding
B. Patient with suspected pulmonary embolism
C. Patient with fever and a bladder infection
D. A pregnant female with a fracture femur correct answers A. Patient with suspected abdominal
bleeding
B. Patient with suspected pulmonary embolism
Which assessment is essential for the nurse to ask the patient prior to a MRI procedure?
A. Do you take any sedative medications?
B. Do you have a history of headaches?
C. Do you have any hearing issues?
D. Do you have any metal or implants in your body? correct answers D. Do you have any metal
or implants in your body?
Which patient scheduled for a MRI with contrast requires immediate action by the nurse?
,A. 18 year old who has a suspected muscle tear in the right thigh muscle and in severe pain is
scheduled for MRI of leg
B. 30 year old with chronic renal failure and lower back pain is scheduled for MRI of the spine
C. 40 year old with a history of migraines that are getting worse is scheduled for MRI of the head
D. 75 year old with right side and leg pain and has difficulty walking is scheduled for MRI of the
hip correct answers B. 30 year old with chronic renal failure and lower back pain is scheduled for
MRI of the spine
T/F: The pulmonary artery contains oxygenated blood. correct answers False
The nurse is conducting a patient assessment. The patient tells the nurse that he has smoked two
packs of cigarettes per day for 27 years. Which assessment can the nurse expect to find in this
patient?
A. Bounding pulse
B. Night blindness
C. Pupil dilate
D. Elevated blood pressure correct answers D. Elevated blood pressure
Which statement by the nursing student warrants intervention by the instructor? Central
Perfusion....
A. begins when the heart is stimulated by an electrical impulse
B. involves the body's ability to maintain cardiac output
C. involves blood flowing through arteries and capillaries to the target organs
D. is impacted by preload and afterload correct answers C. involves blood flowing through
arteries and capillaries to the target organs
Which assessment findings are considered modifiable risk factors for cardiac disease? (Select all
that apply.)
, A. obesity
B. smoking
C. parent dies of heart attack at 55 years of age
D. diabetes mellitus
E. female 60 years of age correct answers A. obesity
B. smoking
D. diabetes mellitus
Which assessment is essential for the nurse to complete immediately following a transesophageal
echocardiogram (TEE)?
A. Check pedal pulses
B. Monitor urine output
C. Check gag reflex
D. Complete a neuro assessment correct answers C. Check gag reflex
Which instruction should the nurse provide to a patient who is scheduled to have an exercise
electrocardiography test?
A. Have nothing to drink or eat after midnight
B. Avoid smoking or drinking for at least 2 weeks before the test
C. Wear comfortable, loose clothing and supportive rubber soled shoes
D. Someone must drive you home because of the medication side effects. correct answers C.
Wear comfortable, loose clothing and supportive rubber soled shoes
The patient is scheduled for a cardiac catheterization. Which interventions are appropriate by the
nurse? (Select all that apply.)
