MED SURG 120/NURS 120 FINAL EXAM 2025
PART 1 PRIME EXAM WITH
ANSWERS|MULTIPLE CHOICE EXAM (WCU)
A nurse is assessing a client who has just arrived to the emergency department.
During the assessment, she notes pulmonary crackles, anxiety and restlessness,
and cough. Which diagnosis would she expect to see?
A.
Left- sided Heart Failure
B.
Digitalis Toxicity
C.
Right- sided Heart Failure
D.
Hypertensive Crisis
A.
Left- sided Heart Failure
A nurse is caring for a client with right-sided heart failure who is complaining
about having to weigh every day. How should the nurse respond?
A.
"Daily weights allow us to adequately monitor edema in your extremities"
B.
"You will need to lose weight to decrease the incidence of heart failure"
C.
"Daily weights allow us to monitor whether or not you are eating properly"
D.
"Daily weights allow us to monitor whether or not you are gaining or losing
fluid"
D.
"Daily weights allow us to monitor whether or not you are gaining or losing fluid"
,The nurse is caring for a client diagnosed with primary hypertension (HTN).
What risk factors contribute to primary HTN? Select all that apply
A.
Smoking
B.
Kidney Disease
C.
African American
D.
High Caffeine Consumption
A.
Smoking
C.
African American
D.
High Caffeine Consumption
What is the most common site of origin for a blood clot to occur, causing a
pulmonary embolism (PE)?
A.
Antecubital vein in the upper extremities
B.
Right side of the heart
C.
Subclavian veins
D.
Deep veins of the legs and pelvis
D.
Deep veins of the legs and pelvis
The nurse is caring for four hypertensive patients. Which drug-laboratory value
combination should the nurse report immediately to the health care provider?
A.
Hydrochlorothiazide (Hydrodiuril); Potassium: 4.2 mEq/L
B.
,Atenolol (Tenormin); Sodium: 142 mEq/L
C.
Spironolactone (Aldactone); Potassium: 3.4 mEq/L
D.
Furosemide (Lasix); Potassium: 2.1 mEq/L
D.
Furosemide (Lasix); Potassium: 2.1 mEq/L
During post-op care of a client who had an arterial revascularization, the nurse
assesses the client's affected extremity. The nurse notes that the affected
extremity is warm to touch, has redness, and some edema. The nurse's next
action should include:
A.
Continue to monitor the site as ordered as this is an expected finding
B.
Place a compression stocking on the operative leg
C.
Notify the doctor immediately (STAT), as this is a medical emergency
D.
Wrap the affected extremity with gauze
A.
Continue to monitor the site as ordered as this is an expected finding
The MD order states: Administer 250mg Ampicillin PO every 6 hours at 0600,
1200, 1800, and 2400"
Available: Ampicillin 125 mg/tab
How many total tablets will the patient receive over 24 hours?
A.
4 tablets
B.
2 tablets
C.
6 tablets
D.
8 tablets
, D. 8 tablets
The nurse is evaluating the blood pressure of a 75-year-old woman. Based on
current research, which finding is the best indicator of heart disease risk for this
client?
A.
Blood pressure of 138/68 mm Hg
B.
Diastolic of 86mm Hg
C.
Systolic of 160mm Hg
D.
Blood pressure of 110/90mm Hg
C.
Systolic of 160mm Hg
The nurse is caring for a client who developed a pulmonary embolism (PE)
during their hospital stay and is currently receiving IV heparin. What lab does
the nurse expect to be ordered routinely to manage IV heparin, and how would
this lab be interpreted?
A.
PTT of 60
B.
Cholesterol greater than 250
C.
D-dimer of 0.4
D.
INR of 3.0
A.
PTT of 60
The student nurse asks for clarification regarding hypertension. What is the best
response by the nurse?
A.
"HTN is a result of vasodilation and increased cardiac output"
B.
PART 1 PRIME EXAM WITH
ANSWERS|MULTIPLE CHOICE EXAM (WCU)
A nurse is assessing a client who has just arrived to the emergency department.
During the assessment, she notes pulmonary crackles, anxiety and restlessness,
and cough. Which diagnosis would she expect to see?
A.
Left- sided Heart Failure
B.
Digitalis Toxicity
C.
Right- sided Heart Failure
D.
Hypertensive Crisis
A.
Left- sided Heart Failure
A nurse is caring for a client with right-sided heart failure who is complaining
about having to weigh every day. How should the nurse respond?
A.
"Daily weights allow us to adequately monitor edema in your extremities"
B.
"You will need to lose weight to decrease the incidence of heart failure"
C.
"Daily weights allow us to monitor whether or not you are eating properly"
D.
"Daily weights allow us to monitor whether or not you are gaining or losing
fluid"
D.
"Daily weights allow us to monitor whether or not you are gaining or losing fluid"
,The nurse is caring for a client diagnosed with primary hypertension (HTN).
What risk factors contribute to primary HTN? Select all that apply
A.
Smoking
B.
Kidney Disease
C.
African American
D.
High Caffeine Consumption
A.
Smoking
C.
African American
D.
High Caffeine Consumption
What is the most common site of origin for a blood clot to occur, causing a
pulmonary embolism (PE)?
A.
Antecubital vein in the upper extremities
B.
Right side of the heart
C.
Subclavian veins
D.
Deep veins of the legs and pelvis
D.
Deep veins of the legs and pelvis
The nurse is caring for four hypertensive patients. Which drug-laboratory value
combination should the nurse report immediately to the health care provider?
A.
Hydrochlorothiazide (Hydrodiuril); Potassium: 4.2 mEq/L
B.
,Atenolol (Tenormin); Sodium: 142 mEq/L
C.
Spironolactone (Aldactone); Potassium: 3.4 mEq/L
D.
Furosemide (Lasix); Potassium: 2.1 mEq/L
D.
Furosemide (Lasix); Potassium: 2.1 mEq/L
During post-op care of a client who had an arterial revascularization, the nurse
assesses the client's affected extremity. The nurse notes that the affected
extremity is warm to touch, has redness, and some edema. The nurse's next
action should include:
A.
Continue to monitor the site as ordered as this is an expected finding
B.
Place a compression stocking on the operative leg
C.
Notify the doctor immediately (STAT), as this is a medical emergency
D.
Wrap the affected extremity with gauze
A.
Continue to monitor the site as ordered as this is an expected finding
The MD order states: Administer 250mg Ampicillin PO every 6 hours at 0600,
1200, 1800, and 2400"
Available: Ampicillin 125 mg/tab
How many total tablets will the patient receive over 24 hours?
A.
4 tablets
B.
2 tablets
C.
6 tablets
D.
8 tablets
, D. 8 tablets
The nurse is evaluating the blood pressure of a 75-year-old woman. Based on
current research, which finding is the best indicator of heart disease risk for this
client?
A.
Blood pressure of 138/68 mm Hg
B.
Diastolic of 86mm Hg
C.
Systolic of 160mm Hg
D.
Blood pressure of 110/90mm Hg
C.
Systolic of 160mm Hg
The nurse is caring for a client who developed a pulmonary embolism (PE)
during their hospital stay and is currently receiving IV heparin. What lab does
the nurse expect to be ordered routinely to manage IV heparin, and how would
this lab be interpreted?
A.
PTT of 60
B.
Cholesterol greater than 250
C.
D-dimer of 0.4
D.
INR of 3.0
A.
PTT of 60
The student nurse asks for clarification regarding hypertension. What is the best
response by the nurse?
A.
"HTN is a result of vasodilation and increased cardiac output"
B.
