NSG-320 Exam 2 Study Guide Exam
And Actual 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. - 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. - 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. - 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. - 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 - 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 - 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. - 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. - 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. - 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. - 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. - 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. - Answer a
A nurse quickly calculating a pt's heart rate by examining the ECG would count the number of
a. large squares between P waves and multiply by 10.
b. large squares between R waves and multiply by 10.
c. P waves in a 6-inch strip and multiply by 5.
d. R waves in a 6-inch strip and multiply by 10. - Answer d
A client with a potassium level of 6.6 mEq/L would have a characteristic ECG configuration of
a. increased PR interval.
b. inverted QRS complex.
c. no change.
d. tall T wave. - Answer d
And Actual 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. - 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. - 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. - 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. - 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 - 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 - 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. - 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. - 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. - 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. - 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. - 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. - Answer a
A nurse quickly calculating a pt's heart rate by examining the ECG would count the number of
a. large squares between P waves and multiply by 10.
b. large squares between R waves and multiply by 10.
c. P waves in a 6-inch strip and multiply by 5.
d. R waves in a 6-inch strip and multiply by 10. - Answer d
A client with a potassium level of 6.6 mEq/L would have a characteristic ECG configuration of
a. increased PR interval.
b. inverted QRS complex.
c. no change.
d. tall T wave. - Answer d
