NRSG 2500 Unit 8 Exam Questions With Complete
Solutions
1900
Client came to ED for a second episode of dizziness and
syncope in 2 weeks during physical activity. Client reports not
following up with the health care provider following the first
syncopal episode 2 weeks ago as directed. Client states feeling
heart palpitations just prior to this current episode.
1915
Client is resting comfortably in bed, no dizziness, chest pain, or
SOB. Normal sinus rhythm in 70s, with no arrhythmias. Lungs
are clear. O2 97% on room air. Vital signs: temp, 97.2°F; HR,
76 bpm and reg; RR, 16 breaths/min; BP, 124/64 mm Hg.
Murmur at apex of the heart and left sternal border. Skin is
warm and dry, with brisk capillary refill and strong peripheral
pulses. No pedal edema is noted. Abdomen is soft and
nontender. Bowel sounds are heard in all four quadrants.
Is administering a beta-adrenergic blocker Indicated or
Contraindicated for this patient? Correct Answer Indicated
In the client with hypertrophic cardiomyopathy, beta-adrenergic
blockers maintain cardiac output and minimize obstruction of
the left ventricular outflow tract during systole. Beta-adrenergic
blockers also control heart rate, increasing diastolic filling time.
1900
Client came to ED for a second episode of dizziness and
syncope in 2 weeks during physical activity. Client reports not
following up with the health care provider following the first
, syncopal episode 2 weeks ago as directed. Client states feeling
heart palpitations just prior to this current episode.
1915
Client is resting comfortably in bed, no dizziness, chest pain, or
SOB. Normal sinus rhythm in 70s, with no arrhythmias. Lungs
are clear. O2 97% on room air. Vital signs: temp, 97.2°F; HR,
76 bpm and reg; RR, 16 breaths/min; BP, 124/64 mm Hg.
Murmur at apex of the heart and left sternal border. Skin is
warm and dry, with brisk capillary refill and strong peripheral
pulses. No pedal edema is noted. Abdomen is soft and
nontender. Bowel sounds are heard in all four quadrants.
Is administering nitroglycerin if the client has chest pain be
Indicated or Contraindicated for this patient? Correct Answer
Contraindicated
The client should avoid taking nitroglycerin because it also
reduces preload.
1900
Client came to ED for a second episode of dizziness and
syncope in 2 weeks during physical activity. Client reports not
following up with the health care provider following the first
syncopal episode 2 weeks ago as directed. Client states feeling
heart palpitations just prior to this current episode.
1915
Client is resting comfortably in bed, no dizziness, chest pain, or
SOB. Normal sinus rhythm in 70s, with no arrhythmias. Lungs
are clear. O2 97% on room air. Vital signs: temp, 97.2°F; HR,
76 bpm and reg; RR, 16 breaths/min; BP, 124/64 mm Hg.
Murmur at apex of the heart and left sternal border. Skin is
Solutions
1900
Client came to ED for a second episode of dizziness and
syncope in 2 weeks during physical activity. Client reports not
following up with the health care provider following the first
syncopal episode 2 weeks ago as directed. Client states feeling
heart palpitations just prior to this current episode.
1915
Client is resting comfortably in bed, no dizziness, chest pain, or
SOB. Normal sinus rhythm in 70s, with no arrhythmias. Lungs
are clear. O2 97% on room air. Vital signs: temp, 97.2°F; HR,
76 bpm and reg; RR, 16 breaths/min; BP, 124/64 mm Hg.
Murmur at apex of the heart and left sternal border. Skin is
warm and dry, with brisk capillary refill and strong peripheral
pulses. No pedal edema is noted. Abdomen is soft and
nontender. Bowel sounds are heard in all four quadrants.
Is administering a beta-adrenergic blocker Indicated or
Contraindicated for this patient? Correct Answer Indicated
In the client with hypertrophic cardiomyopathy, beta-adrenergic
blockers maintain cardiac output and minimize obstruction of
the left ventricular outflow tract during systole. Beta-adrenergic
blockers also control heart rate, increasing diastolic filling time.
1900
Client came to ED for a second episode of dizziness and
syncope in 2 weeks during physical activity. Client reports not
following up with the health care provider following the first
, syncopal episode 2 weeks ago as directed. Client states feeling
heart palpitations just prior to this current episode.
1915
Client is resting comfortably in bed, no dizziness, chest pain, or
SOB. Normal sinus rhythm in 70s, with no arrhythmias. Lungs
are clear. O2 97% on room air. Vital signs: temp, 97.2°F; HR,
76 bpm and reg; RR, 16 breaths/min; BP, 124/64 mm Hg.
Murmur at apex of the heart and left sternal border. Skin is
warm and dry, with brisk capillary refill and strong peripheral
pulses. No pedal edema is noted. Abdomen is soft and
nontender. Bowel sounds are heard in all four quadrants.
Is administering nitroglycerin if the client has chest pain be
Indicated or Contraindicated for this patient? Correct Answer
Contraindicated
The client should avoid taking nitroglycerin because it also
reduces preload.
1900
Client came to ED for a second episode of dizziness and
syncope in 2 weeks during physical activity. Client reports not
following up with the health care provider following the first
syncopal episode 2 weeks ago as directed. Client states feeling
heart palpitations just prior to this current episode.
1915
Client is resting comfortably in bed, no dizziness, chest pain, or
SOB. Normal sinus rhythm in 70s, with no arrhythmias. Lungs
are clear. O2 97% on room air. Vital signs: temp, 97.2°F; HR,
76 bpm and reg; RR, 16 breaths/min; BP, 124/64 mm Hg.
Murmur at apex of the heart and left sternal border. Skin is
