Med Surg Ii (Exam 2) Questions And Correct Verified Answers

MED SURG II (EXAM 2) QUESTIONS AND
CORRECT VERIFIED ANSWERS
AA2nurseA2inA2theA2emergencyA2departmentA2isA2admittingA2aA2clientA2whoA2hasA2aA2possi
bleA2dissectingA2abdominalA2aorticA2aneurysm.A2WhichA2ofA2theA2followingA2actionsA2isA2th
eA2priorityA2forA2theA2nurseA2toA2take?A2
A.A2AdministerA2painA2medicationA2asA2prescribed
B.A2ProvideA2aA2warmA2environmentA2
C.A2AdministerA2IVA2fluidsA2asA2prescribedA2
D.A2InitiateA2aA212-leadA2ECGA2-A2Ans--C.A2AdministerA2IVA2fluidsA2asA2prescribed

AA2nurseA2isA2reviewingA2manifestationsA2ofA2aA2thoracicA2aorticA2aneurysmA2withA2aA2ne
wlyA2hiredA2nurse.A2WhichA2ofA2theA2followingA2findingsA2shouldA2theA2nurseA2includeA2inA2
theA2discussionA2(SATA)
A.A2Cough
B.A2ShortnessA2ofA2Breath
C.A2UpperA2chestA2painA2
D.A2DiaphoresisA2
E.A2AlteredA2MentalA2StatusA2-A2Ans--A.A2Cough
B.A2ShortnessA2ofA2Breath
C.A2UpperA2chestA2pain

1)A2WhatA2instructionsA2shouldA2theA2nurseA2giveA2theA2clientA2experiencingA2signsA2andA2
symptomsA2relatedA2toA2decreasedA2arterialA2insufficiency?A2SelectA2allA2thatA2apply.

a)A2AvoidA2smokingA2andA2exposureA2toA2cold.
b)A2TakeA2acetaminophenA2ifA2experiencingA2painA2atA2night.
c)A2TakeA2aspirinA2orA2clopidogrelA2asA2prescribed.
d)A2UseA2additionalA2bedA2clothesA2atA2night.
e)A2WearA2tightA2socksA2toA2keepA2feetA2warm.A2-A2Ans--
a)A2AvoidA2smokingA2andA2exposureA2toA2cold.
c)A2TakeA2aspirinA2orA2clopidogrelA2asA2prescribed.
d)A2UseA2additionalA2bedA2clothesA2atA2night.

Rationale:A2(SmokingA2andA2exposureA2toA2coldA2couldA2causeA2vasoconstrictionA2andA2s
houldA2beA2avoided.A2AspirinA2andA2clopidogrelA2shouldA2beA2takenA2asA2prescribedA2forA2
theA2antiplateletA2properties.A2UsingA2extraA2bedclothesA2atA2nightA2providesA2warmth,A2w
hichA2increasesA2vasodilatation.A2TheA2presenceA2ofA2painA2shouldA2beA2investigatedA2as
A2itA2couldA2indicateA2increasingA2arterialA2insufficiency.A2TightA2socksA2shouldA2beA2avoid
edA2asA2theyA2couldA2impairA2circulation.)

1)A2AA2sedentary,A2obeseA2middleA2agedA2clientA2isA2recoveringA2fromA2surgeryA2toA2remo
veA2anA2embolusA2inA2theA2rightA2iliacA2artery.A2TheA2nurseA2shouldA2developA2aA2discharg
eA2planA2withA2theA2clientA2thatA2willA2focusA2onA2participatingA2inA2whichA2activities?
A2SelectA2allA2thatA2apply.

,a)A2AerobicA2activity
b)A2StrengthA2training
c)A2WeightA2control
d)A2StressA2management
e)A2WearingA2supportiveA2athleticA2shoesA2-A2Ans--a)A2AerobicA2activity
c)A2WeightA2control

Rationale:A2(DischargeA2teachingA2beginsA2whenA2theA2clientA2entersA2theA2hospital.A2On
eA2ofA2theA2riskA2factorsA2forA2clotA2formationA2isA2aA2sedentaryA2lifestyle,A2andA2theA2client
A2shouldA2engageA2inA2dailyA2aerobicA2activity,A2suchA2asA2bikingA2orA2swimming,A2(non-
weightA2bearing).A2TheA2clientA2isA2alsoA2overweightA2andA2shouldA2planA2toA2controlA2theA
2weightA2throughA2dietaryA2counselingA2orA2attendingA2weightA2managementA2programsA2i
nA2theA2community.A2StrengthA2trainingA2isA2beneficialA2byA2increasingA2strengthA2andA2le
anA2bodyA2mass,A2butA2notA2helpfulA2inA2preventingA2vascularA2disease.A2StressA2manage
mentA2isA2notA2aA2focusA2basedA2onA2theA2client'sA2needsA2atA2thisA2time.A2ItA2isA2notA2nec
essaryA2toA2wearA2specialA2supportiveA2shoes:A2comfortableA2shoesA2forA2walkingA2areA2a
dequate.

1)A2TheA2nurseA2isA2assessingA2aA248A2yearA2oldA2clientA2withA2aA2historyA2ofA2smokingA2d
uringA2aA2routineA2clinicA2visit.A2TheA2client,A2whoA2exercisesA2regularly,A2reportsA2havingA
2painA2inA2theA2calfA2duringA2exerciseA2thatA2disappearsA2atA2rest.A2WhichA2findingA2requir
esA2furtherA2evaluation?

a)A2HeartA2rateA257A2bpm
b)A2SpO2A294%A2onA2roomA2air
c)A2BloodA2pressureA2134/82A2mmA2Hg
d)A2Ankle-brachialA2indexA20.65A2-A2Ans--d)A2Ankle-brachialA2indexA20.65

TheA2nurseA2isA2caringA2forA2aA2clientA2withA2peripheralA2arteryA2diseaseA2whoA2hasA2rece
ntlyA2beenA2prescribedA2clopidogrel.A2WhichA2statementA2byA2theA2clientA2indicatesA2thatA2
theA2nurseA2shouldA2continueA2givingA2informationA2toA2theA2clientA2aboutA2thisA2medicatio
n.

a)A2"IA2shouldA2notA2beA2surprisedA2ifA2IA2bruiseA2easierA2orA2ifA2myA2gumsA2bleedA2aA2little
A2whenA2brushingA2myA2teeth."
b)A2"ItA2doesA2notA2reallyA2matterA2ifA2IA2takeA2thisA2medicineA2withA2orA2withoutA2food,A2wh
ichA2everA2worksA2bestA2forA2myA2stomach."
c)A2"IA2shouldA2stopA2takingA2myA2medicineA2ifA2itA2makesA2meA2feelA2weakA2andA2dizzy."
d)A2"A2TheA2doctorA2prescribedA2thisA2medicineA2toA2makeA2myA2plateletsA2lessA2likelyA2toA
2stickA2togetherA2andA2helpA2preventA2clotsA2fromA2forming."A2-A2Ans--
c)A2"IA2shouldA2stopA2takingA2myA2medicineA2ifA2itA2makesA2meA2feelA2weakA2andA2dizzy."

TheA2clientA2withA2peripheralA2arteryA2diseaseA2reportsA2bothA2legsA2hurtA2whenA2walking.
A2WhatA2shouldA2theA2nurseA2instructA2theA2clientA2toA2do?

,a)A2AvoidA2walkingA2whenA2theA2painA2occurs.
b)A2RestA2frequentlyA2withA2legsA2elevated.
c)A2WearA2supportA2stockings.
d)A2EnrollA2inA2aA2supervisedA2exerciseA2trainingA2program.A2-A2Ans--
d)A2EnrollA2inA2aA2supervisedA2exerciseA2trainingA2program.

AA2clientA2isA2receivingA2cilostazolA2forA2peripheralA2arteryA2diseaseA2causingA2intermittent
A2claudication.A2WhichA2statementA2byA2theA2clientA2indicatesA2toA2theA2nurseA2thatA2thisA2
medicationA2isA2effective?

a)A2"A2IA2amA2havingA2fewerA2achesA2andA2pains."
b)A2"IA2doA2notA2haveA2headachesA2anymore."
c)A2"A2IA2amA2ableA2toA2walkA2furtherA2withoutA2legA2pain."
d)A2"MyA2toesA2areA2turningA2grayishA2blackA2inA2color."A2-A2Ans--
c)A2"A2IA2amA2ableA2toA2walkA2furtherA2withoutA2legA2pain."

TheA2nurseA2isA2assessingA2theA2lowerA2extremitiesA2ofA2theA2clientA2withA2peripheralA2art
eryA2disease.A2WhichA2findingsA2areA2expected?A2SelectA2allA2thatA2apply.

a)A2HairyA2legs
b)A2MottledA2skin
c)A2PinkA2skin
d)A2Coolness
e)A2MoistA2skinA2-A2Ans--b)A2MottledA2skin
d)A2Coolness

TheA2nurseA2isA2unableA2toA2palpateA2theA2client'sA2leftA2pedalA2pulses.A2WhatA2shouldA2th
eA2nurseA2doA2first?

a)A2AuscultateA2theA2pulsesA2withA2aA2stethoscope.
b)A2CallA2theA2healthA2careA2provider.
c)A2UseA2aA2dopplerA2ultrasoundA2device.
d)A2InspectA2theA2lowerA2leftA2extremity.A2-A2Ans--
c)A2UseA2aA2dopplerA2ultrasoundA2device.

AA2clientA2isA2returnedA2toA2theA2surgicalA2careA2unitA2afterA2havingA2femoralA2poplitealA2b
ypassA2grafting.A2IndicateA2inA2whichA2orderA2fromA2firstA2toA2theA2lastA2theA2nurseA2should
A2conductA2assessmentA2ofA2thisA2client.


a)A2PostoperativeA2pain
b)A2PeripheralA2pulses
c)A2UrineA2output
d)A2IncisionA2siteA2-A2Ans--b,A2d,A2c,A2a

, OneA2goalA2inA2caringA2forA2aA2clientA2withA2arterialA2occlusiveA2diseaseA2isA2toA2promoteA2
vasodilatationA2inA2theA2affectedA2extremity.A2WhatA2priorityA2measureA2shouldA2theA2nurs
eA2instructA2theA2clientA2toA2doA2toA2achieveA2thisA2goal?

a)A2AvoidA2eatingA2lowA2fatA2foods.
b)A2ElevateA2theA2legsA2aboveA2theA2heart.
c)A2StopA2smoking.
d)A2JogA2daily.A2-A2Ans--c)A2StopA2smoking.

WhatA2doesA2theA2PA2waveA2inA2anA2ECGA2represent?

aA2AtrialA2depolarization
bA2AtrialA2repolarization
cA2VentricularA2depolarization
VentricularA2repolarizationA2-A2Ans--aA2AtrialA2depolarization

AA2patient'sA2ECGA2stripA2isA2irregular.A2WhichA2methodA2doesA2theA2nurseA2useA2forA2anA
2accurateA2assessment?


a.A26A2secondA2strip
b.A2memoryA2method
c.A2bigA2blockA2method
d.A2commercialA2ECGA2raterA2rulerA2-A2Ans--a.A26A2secondA2strip

TheA2nurseA2isA2assessingA2aA2patient'sA2ECGA2rhythmA2stripA2andA2analyzingA2theA2PA2w
aves.A2WhichA2questionsA2doesA2theA2nurseA2useA2toA2evaluateA2theA2PA2waves?
A2(A2selectA2allA2thatA2apply)


aA2AreA2PA2wavesA2present?
bA2AreA2PA2wavesA2occurringA2regularly?
cA2DoesA2oneA2PA2waveA2followA2eachA2QRSA2complex?
dA2AreA2theA2PA2wavesA2greaterA2thanA2.20A2seconds?
eA2DoA2allA2PA2wavesA2lookA2similar?
fA2AreA2theA2PA2wavesA2smooth,A2roundA2andA2uprightA2inA2appearance?A2-A2Ans--
a.A2AreA2PA2wavesA2present?
e.A2DoA2allA2PA2wavesA2lookA2similar?
f.A2AreA2theA2PA2wavesA2smooth,A2roundA2andA2uprightA2inA2appearance?

TheA2heartA2monitorA2ofA2aA2patientA2showsA2aA2rhythmA2thatA2appearsA2asA2aA2wandering
A2orA2fuzzyA2baseline.A2WhatA2isA2theA2priorityA2actionA2forA2theA2nurse?


aA2ImmediatelyA2obtainA2aA212A2leadA2ECGA2toA2assessA2theA2actualA2rhythm.
bA2AssessA2theA2patientA2toA2differentiateA2artifactA2fromA2actualA2lethalA2rhythms.
cA2CheckA2toA2seeA2ifA2theA2patientA2hasA2aA2doA2notA2resuscitateA2order.
dA2AskA2theA2patientA2careA2technicianA2toA2takeA2vitalA2signsA2onA2theA2patient.A2-A2Ans--
bA2AssessA2theA2patientA2toA2differentiateA2artifactA2fromA2actualA2lethalA2rhythms.