lOMoAR cPSD| 19500986
NUR 2502 EXAM 3 FINAL 2 LATEST VERSIONS 2023-2024 EXAM 10
QUESTIONS AND CORRECT ANSWERS /MULTIDIMENSIONAL CAR
3 EXAM 3 |ALREADY GRADED A+|RASMUSSEN COLLEGE
1. A neutropenic pt's family reports the pt is "not acting right". What is a priority for
the nurse to assess for?
a. Infection
2. What heart sound would a nurse expect to find on a pt diagnosed with
mitral regurgitation?
a. high-pitched holosystolic murmur
3. What should a nurse be concerned with, when finding their pt in a-fib with a HR of 180?
a. Hypotension
b. Dizziness
c. Worsening HF
4. What finding is a priority to address during a blood transfusion?
a. Chest pain
5. (T/F) A patient with atrial fibrillation is at risk for embolic events?
a. True
6. Which medications would be appropriate in the treatment of a heart failure pt?
a. ACE inhibitors
b. Diuretics
7. What would a nurse expect to find when assessing a pt with
autoimmune thrombocytopenic purpura?
a. Bruising
8. What nursing interventions are appropriate for a pt with thrombocytopenia?
a. Avoid IM injections
b. Apply ice to traumatic injuries
c. Check urine and stool for presence of occult blood
9. What would a nurse not expect to find when assessing a pt with leukemia?
a. Weight gain
i. Findings include (bleeding gums, bone pain, fatigue)
10. Which pt would be the most at risk for endocarditis?
a. Recent valve replacement and recent dental work
11. (T/F) A nurse should instruct a pt with polycythemia vera to wear support hose
while awake.
a. True
, lOMoAR cPSD| 19500986
12. Which of the following interventions would be appropriate for a pt with sickle
cell disease?
a. Encourage hydration
b. Warm environment
c. Removal of restrictive clothing
d. Administer IV morphine
13. What assessment finding would be most worrisome for a pt with an abdominal
aortic aneurysm?
a. Absent peripheral pulses
14. (T/F) A patient with high HDL and low LDL would be at risk for
developing atherosclerosis.
a. False
15. What is a priority nursing assessment for a pt who recently had a heart transplant?
a. Assess for signs of rejection
16. What assessment finding would a nurse expect to find when assessing a pt with
dilated cardiomyopathy?
a. S3 and S4 gallop
17. (T/F) A nurse should question the order for a pericardiocentesis on a pt diagnosed with
a pericardial effusion.
a. False
18. (T/F) A nurse knows that the most common problem for a pt with valvular heart
disease is decreased cardiac output.
a. True
19. What is most appropriate to include in an assessment of a pt with hemophilia?
a. Joint pain and bruising
20. A nurse is aware that would be a potential treatment option for leukemia.
a. Stem cell transplant
21. (T/F) A nurse knows that hemolytic reactions to blood transfusions most often
occur within the first 15 minutes.
a. True
22. What side effect should the nurse educate a patient about regarding digoxin?
a. Bradycardia
b. Nausea and decreased appetite
, lOMoAR cPSD| 19500986
23. What assessment findings would be indicative of endocarditis?
a. Fever
b. Newly developed heart murmur
c. Osler’s nodes
24. What valvular heart disorder would a pt with the history of rheumatic fever be more
at risk for?
a. Mitral Stenosis
25. What blood transfusion reaction is the result of ABO or Rh incompatibility?
a. Hemolytic reaction
1. What would be the priority nursing intervention for a patient with atrial fibrillation at
a rate of 180 bpm?
a. Administer medication to slow the heart rate down
2. (T/F) A nurse knows that a pt presenting with enlarged, painless lymph nodes may
have lymphoma.
a. True
3. The following assessment findings would be indicators of a possible
myocardial infarction:
a. Positive troponin markers
b. ST elevation on EKG in two contiguous leads
c. Chest pain radiating to the jaw, back, and shoulder
4. What is the treatment of choice for end-stage heart failure?
a. Heart transplant
5. What assessment findings would a nurse expect to find on a pt with the diagnosis
of venous insufficiency?
a. 2+ bilateral ankle edema
b. Leg pain with standing that is resolved with elevation
c. Brown pigmentation of the lower extremity skin
6. A nurse is assessing a pt with polycythemia vera. What assessment finding would be
the most concerning?
a. Shortness of breath
7. Which assessment finding would be consistent with left-sided heart failure?
a. SOB
b. Chest XR showing pulmonary congestion
NUR 2502 EXAM 3 FINAL 2 LATEST VERSIONS 2023-2024 EXAM 10
QUESTIONS AND CORRECT ANSWERS /MULTIDIMENSIONAL CAR
3 EXAM 3 |ALREADY GRADED A+|RASMUSSEN COLLEGE
1. A neutropenic pt's family reports the pt is "not acting right". What is a priority for
the nurse to assess for?
a. Infection
2. What heart sound would a nurse expect to find on a pt diagnosed with
mitral regurgitation?
a. high-pitched holosystolic murmur
3. What should a nurse be concerned with, when finding their pt in a-fib with a HR of 180?
a. Hypotension
b. Dizziness
c. Worsening HF
4. What finding is a priority to address during a blood transfusion?
a. Chest pain
5. (T/F) A patient with atrial fibrillation is at risk for embolic events?
a. True
6. Which medications would be appropriate in the treatment of a heart failure pt?
a. ACE inhibitors
b. Diuretics
7. What would a nurse expect to find when assessing a pt with
autoimmune thrombocytopenic purpura?
a. Bruising
8. What nursing interventions are appropriate for a pt with thrombocytopenia?
a. Avoid IM injections
b. Apply ice to traumatic injuries
c. Check urine and stool for presence of occult blood
9. What would a nurse not expect to find when assessing a pt with leukemia?
a. Weight gain
i. Findings include (bleeding gums, bone pain, fatigue)
10. Which pt would be the most at risk for endocarditis?
a. Recent valve replacement and recent dental work
11. (T/F) A nurse should instruct a pt with polycythemia vera to wear support hose
while awake.
a. True
, lOMoAR cPSD| 19500986
12. Which of the following interventions would be appropriate for a pt with sickle
cell disease?
a. Encourage hydration
b. Warm environment
c. Removal of restrictive clothing
d. Administer IV morphine
13. What assessment finding would be most worrisome for a pt with an abdominal
aortic aneurysm?
a. Absent peripheral pulses
14. (T/F) A patient with high HDL and low LDL would be at risk for
developing atherosclerosis.
a. False
15. What is a priority nursing assessment for a pt who recently had a heart transplant?
a. Assess for signs of rejection
16. What assessment finding would a nurse expect to find when assessing a pt with
dilated cardiomyopathy?
a. S3 and S4 gallop
17. (T/F) A nurse should question the order for a pericardiocentesis on a pt diagnosed with
a pericardial effusion.
a. False
18. (T/F) A nurse knows that the most common problem for a pt with valvular heart
disease is decreased cardiac output.
a. True
19. What is most appropriate to include in an assessment of a pt with hemophilia?
a. Joint pain and bruising
20. A nurse is aware that would be a potential treatment option for leukemia.
a. Stem cell transplant
21. (T/F) A nurse knows that hemolytic reactions to blood transfusions most often
occur within the first 15 minutes.
a. True
22. What side effect should the nurse educate a patient about regarding digoxin?
a. Bradycardia
b. Nausea and decreased appetite
, lOMoAR cPSD| 19500986
23. What assessment findings would be indicative of endocarditis?
a. Fever
b. Newly developed heart murmur
c. Osler’s nodes
24. What valvular heart disorder would a pt with the history of rheumatic fever be more
at risk for?
a. Mitral Stenosis
25. What blood transfusion reaction is the result of ABO or Rh incompatibility?
a. Hemolytic reaction
1. What would be the priority nursing intervention for a patient with atrial fibrillation at
a rate of 180 bpm?
a. Administer medication to slow the heart rate down
2. (T/F) A nurse knows that a pt presenting with enlarged, painless lymph nodes may
have lymphoma.
a. True
3. The following assessment findings would be indicators of a possible
myocardial infarction:
a. Positive troponin markers
b. ST elevation on EKG in two contiguous leads
c. Chest pain radiating to the jaw, back, and shoulder
4. What is the treatment of choice for end-stage heart failure?
a. Heart transplant
5. What assessment findings would a nurse expect to find on a pt with the diagnosis
of venous insufficiency?
a. 2+ bilateral ankle edema
b. Leg pain with standing that is resolved with elevation
c. Brown pigmentation of the lower extremity skin
6. A nurse is assessing a pt with polycythemia vera. What assessment finding would be
the most concerning?
a. Shortness of breath
7. Which assessment finding would be consistent with left-sided heart failure?
a. SOB
b. Chest XR showing pulmonary congestion
