EXAM| NU185 MEDICAL-SURGICAL NURSING II
EXAM 3 REVIEW WITH COMPLETE 200 REAL EXAM
QUESTIONS AND CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+ (MOST RECENT!!)
A nurse is reinforcing discharge instructions to a patient who has
pulmonary sarcoidosis. The patient demonstrates understanding when
they verbalize which early sign of Exacerbation? - ANSWER -
Shortness of breath
The nurse is caring for a patient who is being monitored for a newly
diagnosed 6 cm abdominal aortic aneurysm. Which of the following is
an anticipated finding if the aneurysm were dissecting? - ANSWER -
Severe back pain
A patient who has mitral valve stenosis is hospitalized for a valve
replacement. During the admission history, the patient reports a history
of which cause for this condition? - ANSWER - Rheumatic fever
A firefighter has sustained burns and severe lacerations to the lower right
leg. The heart rate is 112 beats per minute, respirations shallow at 40
breaths per minute, and blood pressure is 72/40 mm Hg. The nurse
recognizes that the patient is in which type of shock? - ANSWER -
Hypovolemic
pg. 1
,Which of the following is the priority during the immediate
postoperative period for a patient who has a tracheostomy due to
laryngectomy? - ANSWER - Observing for hemorrhage
The nurse is caring for a patient with Inadequate Tissue Perfusion elated
to cardiogenic shock. An appropriate nursing intervention is to -
ANSWER - administer ordered vasoconstrictor.
The nurse is reinforcing discharge instructions to a patient who has
Pulmonary Fibrosis. Which of the following is most important to include
regarding side effects of medication therapy? - ANSWER - Avoid large
crowds
A nurse is caring for a patient who is suspected of having lung cancer.
The nurse assesses which early, frequent sign of lung cancer? -
ANSWER - Cough
A nurse is caring for a patient 24 hours after receiving a chest tube due
to a pneumothorax. Upon checking the system during shift assessment,
the nurse confirms that it is working by observing for - ANSWER -
Fluctuation in the water seal chamber
A patient who has laryngeal cancer is scheduled for outpatient surgery.
The nurse collects data and expects which most common symptom to be
reported? - ANSWER - Hoarseness
pg. 2
, The nurse is caring for a patient following a heart transplant. Which of
the following interventions is a priority for this patient's plan of care? -
ANSWER - Place the patient in reverse isolation
A patient is being discharged following insertion of a permanent
pacemaker. What should be included in the patient's discharge
instructions? - ANSWER - Refrain from activities that might cause a
direct blow to the pacemaker.
The nurse is caring for a patient with cardiomyopathy. Which
assessment finding should alert the nurse to worsening of the condition?
- ANSWER - Increased dyspnea
Which of these dysrhythmias will definitely result in death without
cardiopulmonary resuscitation (CPR)? - ANSWER - ventricular
fibrillation
The nurse assesses a one day postoperative thoracotomy patient and
notes that the level of drainage in the chest tube has not increased in 3
hours. The nurse should initially perform which action? - ANSWER -
Rearrange the tubing to correct any kinks
A nurse is caring for a patient with a tracheostomy tube attached to a
ventilator. The I pressure alarm sounds and the nurse prepares to perform
which intervention? - ANSWER - Assess for disconnection
pg. 3