CMSRN MEDICAL SURGICAL-NURSING QUESTION WITH CORRECT ANSWERS

CMSRN MEDICAL SURGICAL-NURSING QUESTION WITH CORRECT ANSWERS You may see a slight increase in diastolic blood pressure early in shock because: A. Concurrent brain injury is present B. Stroke volume has increased C. There is an increase in vascular tone D. Left ventricular contractions have strengthened - ANSWER-C. There is an increase in vascular tone A 62-year-old male patient with a remote history of rheumatic fever is admitted to the medical-surgical unit with the following symptoms: Subjective: Shortness of breath, chest pain, syncope Objective: Peripheral edema, neck vein distension, weight gain, cyanosis, hepatomegaly, bounding pulses, cardiac arrhythmia Which of the following is most likely this patient's primary diagnosis? A. Abdominal aortic aneurysm B. Left heart failure C. Aortic valve stenosis D. Endocarditis - ANSWER-C. Aortic valve stenosis You are caring for a patient who has been admitted to the hospital with an intestinal obstruction. All of the following are appropriate nursing interventions for this patient except: A. Monitor hemodynamic closely B. Educate the patient on enteral nutrition C. Provide pain management as ordered D. Prepare patient and family for surgical procedure and potential ostomy - ANSWER-B. Educate the patient on enteral nutrition A patient is admitted to the hospital with severe pain, guarding, and rigidity of the abdomen. Labs indicate increased levels of amylase and leucocytosis. Cullen's sign is positive (bruising around the umbilicus, indicative of intra-abdominal bleeding) and the patient is showing some signs of respiratory distress. The patient has a history of alcohol abuse. Which of the following conditions is most likely to be diagnosed? A. Alcoholic cirrhosis B. Pneumonia C. Acute liver failure D. Acute pancreatitis - ANSWER-D. Acute pancreatitis Your male patient, who has a diagnosis of chronic liver failure, has deficient vitamin K absorption. Which assessment findings indicate vitamin K deficiency? A. Testicular atrophy and gynecomastia B. Dyspnoea and fatigue C. Petechiae and ecchymoses D. Ascites and orthopnea - ANSWER-C. Petechiae and ecchymoses When performing an assessment on a patient with emphysema, you find that your patient has a barrel chest. The alteration in the patient's chest is due to: A. Hyperinflation of the lungs B. Use of accessory muscles C. Chronic hypoxia D. Collapse of distal alveoli - ANSWER-A. Hyperinflation of the lungs Supination is defined as: A. Turning a part toward midline B. Turning a part away from midline C. Turning upward D. Turning downward - ANSWER-C. Turning upward To confirm a diagnosis of myocardial infarction (MI), the nurse would expect the physician to order which laboratory tests? A. Myoglobin, creatine kinase, and sedimentation rate B. Creatine kinase, troponin, and sedimentation rate C. Troponin, aPTT, and myoglobin D. Troponin, myoglobin, and creatine kinase - ANSWER-D. Troponin, myoglobin, and creatine kinase