Med Surg Exam 1 NCLEX questions and
answers 2024\2025 A+ Grade
Low CVP indicates
- correct answer hypovolemia, decreased venous return
High CVP indicates
- correct answer over hydration, increased venous return, or right sided-heart failure
Plebostatic axis
- correct answer 4th intercostal space, mid-axillary line- level of the atria
The purpose of arterial lines are to:
A. Obtain frequent arterial blood gases
B. Infuse mediations
C. Monitor CVP
D. Monitor blood pressures continuously
- correct answer A,D
The purpose of pulmonary artery catheters are to:
A. Measure cardiac pressures
B. Infuse Medications
C. Obtain arterial blood gases
D. Infuse fluids
E. None of the above
- correct answer A, B, D
,Pulmonary artery catheters may be inserted at which of the following sites:
A. IJ
B. Femoral
C. Radial
D. Brachial
E. Subclavian
- correct answer A, B, E
Which of the following measures left ventricular preload?
A. SVR
B. Wedge
C. CVP
D. LVSWI
- correct answer B
The bedside RN has obtained cardiac output and reports to you that the cardiac output is 2.0. Is this an
abnormal or normal clinical finding?
A. Normal
B. Abnormal
- correct answer B
Normal cardiac output range?
- correct answer 4-8 L
Which is the best measurement of contractility?
A.
CVP
B.
PAWP
C.
, LVSWI
D.
CO
E.
RVSWI
- correct answer Left Ventricular Stroke Work Index
Prolonged occlusion of the right coronary artery produces an infarction in which of the following areas
of the heart?
Anterior
Apical
Inferior
Lateral
- correct answer Inferior
The right coronary artery supplies the right ventricle, or the inferior portion of the heart. Therefore,
prolonged occlusion could produce an infarction in that area. The right coronary artery doesn't supply
the anterior portion (left ventricle), lateral portion (some of the left ventricle and the left atrium), or the
apical portion (left ventricle) of the heart.
When teaching a client about propranolol hydrochloride, the nurse should base the information on the
knowledge that propranolol hydrochloride:
Blocks beta-adrenergic stimulation and thus causes decreased heart rate, myocardial contractility, and
conduction.
Increases norepinephrine secretion and thus decreases blood pressure and heart rate.
answers 2024\2025 A+ Grade
Low CVP indicates
- correct answer hypovolemia, decreased venous return
High CVP indicates
- correct answer over hydration, increased venous return, or right sided-heart failure
Plebostatic axis
- correct answer 4th intercostal space, mid-axillary line- level of the atria
The purpose of arterial lines are to:
A. Obtain frequent arterial blood gases
B. Infuse mediations
C. Monitor CVP
D. Monitor blood pressures continuously
- correct answer A,D
The purpose of pulmonary artery catheters are to:
A. Measure cardiac pressures
B. Infuse Medications
C. Obtain arterial blood gases
D. Infuse fluids
E. None of the above
- correct answer A, B, D
,Pulmonary artery catheters may be inserted at which of the following sites:
A. IJ
B. Femoral
C. Radial
D. Brachial
E. Subclavian
- correct answer A, B, E
Which of the following measures left ventricular preload?
A. SVR
B. Wedge
C. CVP
D. LVSWI
- correct answer B
The bedside RN has obtained cardiac output and reports to you that the cardiac output is 2.0. Is this an
abnormal or normal clinical finding?
A. Normal
B. Abnormal
- correct answer B
Normal cardiac output range?
- correct answer 4-8 L
Which is the best measurement of contractility?
A.
CVP
B.
PAWP
C.
, LVSWI
D.
CO
E.
RVSWI
- correct answer Left Ventricular Stroke Work Index
Prolonged occlusion of the right coronary artery produces an infarction in which of the following areas
of the heart?
Anterior
Apical
Inferior
Lateral
- correct answer Inferior
The right coronary artery supplies the right ventricle, or the inferior portion of the heart. Therefore,
prolonged occlusion could produce an infarction in that area. The right coronary artery doesn't supply
the anterior portion (left ventricle), lateral portion (some of the left ventricle and the left atrium), or the
apical portion (left ventricle) of the heart.
When teaching a client about propranolol hydrochloride, the nurse should base the information on the
knowledge that propranolol hydrochloride:
Blocks beta-adrenergic stimulation and thus causes decreased heart rate, myocardial contractility, and
conduction.
Increases norepinephrine secretion and thus decreases blood pressure and heart rate.
