NSG-320 Exam 2 Ka hoots exam with |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
correct answers |||\\\
what action will the nurse take to obtain an accurate baseline BP for a new pt
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
a. Deflate the BP cuff at a rate of 5 to 10 mm Hg per second.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
b. Have the pt sit in a chair with the feet flat on the floor.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
c. Assist the pt to the supine position for BP measurements.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
d. Obtain 2 BP readings in the arm and average the results. - correct answer✔✔b- have the pt
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
sit in a chair with the feet flat on the floor
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Which information should a nurse include when teaching a pt with newly diagnosed
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
hypertension?
a. Increasing physical activity will control BP for most pts.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
b. Most pts are able to control BP through dietary changes.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
c. Annual BP checks will monitor treatment effectiveness.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
d. Hypertension is asymptomatic until organ damage occurs. - correct answer✔✔d
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
What action should a RN take first to help a patient with new-onset htn in making diet
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
changes?
a. Collect a detailed diet history.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\
b. Provide a list of low-sodium foods.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
c. Help the patient make an appointment with a dietitian.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
d. Teach the patient about foods that are high in potassium. - correct answer✔✔a
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
When developing a plan for a pt with the following risk factors for CAD, a RN should focus on:
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
a. family history of coronary artery disease.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
,b. increased risk associated with the patient's gender.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
c. increased risk of cardiovascular disease as people age.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
d. elevation of the patient's low-density lipoprotein level. - correct answer✔✔d
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Which info given by a pt admitted with stable angina will help the RN confirm this diagnosis?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
a. The pt says the pain "goes away" with 1 nitroglycerin tablet
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
b. The patient states that the pain "wakes me up at night."
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
c. The patient rates the pain at a level 3 to 5 (0-10 scale).
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
d. The pt says the pain has been more frequent in the last week - correct answer✔✔a
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Which ECG change is most important to report to the physician when caring for a pt with
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
angina?
a. Inverted P wave
|||\\\ |||\\\ |||\\\
b. Sinus tachycardia
|||\\\ |||\\\
c. ST-segment elevation
|||\\\ |||\\\
d. First-degree atrioventricular block - correct answer✔✔c
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
The nurse would explain the etiology of heart failure after myocardial infarction (MI) as
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
a. impairment of the contractile function of the ventricle.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
b. inability of the heart chambers to fill adequately.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
c. increased myocardial workload.
|||\\\ |||\\\ |||\\\
d. increased oxygen demands of the myocardium. - correct answer✔✔a
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
When a pt is admitted with left ventricular heart failure, the nurse would ask the pt about:
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
a. abdominal pain.
|||\\\ |||\\\
b. breathlessness.
|||\\\
, c. leg swelling.
|||\\\ |||\\\
d. nausea. - correct answer✔✔b
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Auscultation of lung sounds of a pt in left ventricular heart failure would likely indicate: |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
a. diminished sounds.
|||\\\ |||\\\
b. grunting.
|||\\\
c. wheezing.
|||\\\
d. crackling sounds. - correct answer✔✔d
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
When a pt with heart failure is receiving loop diuretics, the RN would be sure to monitor serum
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
a. calcium levels.
|||\\\ |||\\\
b. enzyme levels.
|||\\\ |||\\\
c. potassium levels.
|||\\\ |||\\\
d. sodium levels. - correct answer✔✔c
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
A nurse is about to administer IV digoxin to a client with CHF. Which action takes priority?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
a. Ask the client if he/she has ever had digoxin before.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
b. Assess the pt's pulse & hold the med if it is <60 beats/min.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
c. Prepare the client for any side effects of the medication.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
d. Provide info to the client on the med's expected effects. - correct answer✔✔b
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
The nurse would assess a heart rate of 55 beats/min as a normal finding in a client who:
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
a. is an athlete.
|||\\\ |||\\\ |||\\\
b. is obese.
|||\\\ |||\\\
c. takes a diuretic.
|||\\\ |||\\\ |||\\\
d. weighs less than 90 pounds. - correct answer✔✔a
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
correct answers |||\\\
what action will the nurse take to obtain an accurate baseline BP for a new pt
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
a. Deflate the BP cuff at a rate of 5 to 10 mm Hg per second.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
b. Have the pt sit in a chair with the feet flat on the floor.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
c. Assist the pt to the supine position for BP measurements.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
d. Obtain 2 BP readings in the arm and average the results. - correct answer✔✔b- have the pt
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
sit in a chair with the feet flat on the floor
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Which information should a nurse include when teaching a pt with newly diagnosed
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
hypertension?
a. Increasing physical activity will control BP for most pts.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
b. Most pts are able to control BP through dietary changes.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
c. Annual BP checks will monitor treatment effectiveness.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
d. Hypertension is asymptomatic until organ damage occurs. - correct answer✔✔d
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
What action should a RN take first to help a patient with new-onset htn in making diet
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
changes?
a. Collect a detailed diet history.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\
b. Provide a list of low-sodium foods.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
c. Help the patient make an appointment with a dietitian.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
d. Teach the patient about foods that are high in potassium. - correct answer✔✔a
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
When developing a plan for a pt with the following risk factors for CAD, a RN should focus on:
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
a. family history of coronary artery disease.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
,b. increased risk associated with the patient's gender.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
c. increased risk of cardiovascular disease as people age.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
d. elevation of the patient's low-density lipoprotein level. - correct answer✔✔d
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Which info given by a pt admitted with stable angina will help the RN confirm this diagnosis?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
a. The pt says the pain "goes away" with 1 nitroglycerin tablet
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
b. The patient states that the pain "wakes me up at night."
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
c. The patient rates the pain at a level 3 to 5 (0-10 scale).
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
d. The pt says the pain has been more frequent in the last week - correct answer✔✔a
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Which ECG change is most important to report to the physician when caring for a pt with
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
angina?
a. Inverted P wave
|||\\\ |||\\\ |||\\\
b. Sinus tachycardia
|||\\\ |||\\\
c. ST-segment elevation
|||\\\ |||\\\
d. First-degree atrioventricular block - correct answer✔✔c
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
The nurse would explain the etiology of heart failure after myocardial infarction (MI) as
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
a. impairment of the contractile function of the ventricle.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
b. inability of the heart chambers to fill adequately.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
c. increased myocardial workload.
|||\\\ |||\\\ |||\\\
d. increased oxygen demands of the myocardium. - correct answer✔✔a
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
When a pt is admitted with left ventricular heart failure, the nurse would ask the pt about:
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
a. abdominal pain.
|||\\\ |||\\\
b. breathlessness.
|||\\\
, c. leg swelling.
|||\\\ |||\\\
d. nausea. - correct answer✔✔b
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Auscultation of lung sounds of a pt in left ventricular heart failure would likely indicate: |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
a. diminished sounds.
|||\\\ |||\\\
b. grunting.
|||\\\
c. wheezing.
|||\\\
d. crackling sounds. - correct answer✔✔d
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
When a pt with heart failure is receiving loop diuretics, the RN would be sure to monitor serum
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
a. calcium levels.
|||\\\ |||\\\
b. enzyme levels.
|||\\\ |||\\\
c. potassium levels.
|||\\\ |||\\\
d. sodium levels. - correct answer✔✔c
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
A nurse is about to administer IV digoxin to a client with CHF. Which action takes priority?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
a. Ask the client if he/she has ever had digoxin before.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
b. Assess the pt's pulse & hold the med if it is <60 beats/min.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
c. Prepare the client for any side effects of the medication.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
d. Provide info to the client on the med's expected effects. - correct answer✔✔b
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
The nurse would assess a heart rate of 55 beats/min as a normal finding in a client who:
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
a. is an athlete.
|||\\\ |||\\\ |||\\\
b. is obese.
|||\\\ |||\\\
c. takes a diuretic.
|||\\\ |||\\\ |||\\\
d. weighs less than 90 pounds. - correct answer✔✔a
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
