NUR 265 Med Surg Exam 1
Practice Questions with 100%
Correct Answers
The nurse is caring for a client who was recently diagnosed with pericarditis. It would
require follow up by the nurse if - Answer-Nurse assessment of the client reveals
muffled heart sound sand reported fatigue by the client
The nurse working in the med surg unit is caring for a client who reports a racing heart
and feeling anxious. The client is placed on a heart monitor and displays a heart rhythm
indicated below. Which of the following findings should the nurse correlate to this
assignment - Answer-The client takes a daily dose of levothyroxine
The nurse is caring for a client who reports dizziness and has a bp of 80/49mmhg and
has a cardiac rhythm indicated below. Which of the following actions should the nurse
take - Answer-A. administer prescribed adenosine
B. prepare the client for synchronized cardioversion
C. place the client with the HOB lower than the foot of the bed
D. administer prescribed nitroprusside sodium at a rate of 0.3mcg/kg/min
The nurse came for a client who develops the following dysrhythmia. The nurse should
assess which of the following manifestations in the client - Answer-Irregular apical pulse
The nurse is caring for a client who develops the cardiac rhythm indicated below. Which
of the following actions should the nurse take - Answer-Ask the client if their
experiencing palpitations
The nurse is caring for a client who has received a prescription to administer a
continuous infusion of lidocaine 2g/5ml D5W at a rate of 3mg/min the client weighs
175lbs. At what rate should the nurse set the clients infusion rate - Answer-A. 80ml/hr B.
3ml/hr C. 45ml/hr D. 30ml/hr
The nurse has provided discharge teaching to a client following the insertion of a
permanent pacemaker to the left chest area. Which of the following client statements
would indicate a correct understanding of the teaching - Answer-I will notify the airline
when I make flight reservations that I have a pacemaker
The nurse has provided discharge teaching to a client who had a mitral valve
replacement with a mechanical prosthetic valve. Which of the following statements by
, the client would indicate a correct understanding of the teaching - Answer-I should avoid
having invasive dental work performed for 6 months
The nurse is providing discharge instructions to a client who had a mitral valve replaced
with a biologic porcine valve. Which of the following client statements indicates a need
for further teaching - Answer-I will keep my arm in a sling for 2 wks while the incision
heals
The nurse has developed a teaching plan for a client who has dilated cardiomyopathy.
Which of the following client statements indicates a need for further teaching - Answer-I
will need to take a lipid lowering agent to help control my symptoms
The nurse is caring for the following clients. It would be necessary to schedule an
interdisciplinary conference for the client who is - Answer-42yrs old, is single with 2
teenage children, works as a cashier, and has dilated cardiomyopathy
The nurse is caring for a client who has right sided HF and is receiving hemodynamic
monitoring which reveals an elevated CVP reading. Which of the following assessments
is consistent with this finding - Answer-Jugular venous distention
The nurse is assessing the following assigned clients. The nurse should immediately
notify the PCP about the client who - Answer-Has infective endocarditis and
auscultation of a heart murmur that has increased in intensity
The nurse is reviewing prescriptions for assigned clients. It requires follow up with PCP
if a client - Answer-Is newly diagnosed with infective endocarditis and has been
prescribed an anticoagulant
The nurse is caring for a client who has infective endocarditis. Which of the following
findings indicates the client is having a complication associated with this disease -
Answer-The development of HF
The nurse working in the ED is caring for a client who was admitted 30 min ago with
substernal chest discomfort, nausea, and diaphoresis. Which of the following findings
would be consistent with a diagnosis of an MI - Answer-An ECG revealing ST elevation
The nurse is caring for a client who was admitted from the ED with chest pain. In the ED
the client received sublingual nitro with relief of the chest pain, a 12 lead ECG, and
ABG. Which of the following should the nurse anticipate the PCP will prescribe -
Answer-Echocardiogram
The nurse has provided discharge instructions to a client who is newly diagnosed with
nephrotic syndrome. Which of the following client statements indicates a correct
understanding of the teaching - Answer-I must protect myself from developing an
infection
Practice Questions with 100%
Correct Answers
The nurse is caring for a client who was recently diagnosed with pericarditis. It would
require follow up by the nurse if - Answer-Nurse assessment of the client reveals
muffled heart sound sand reported fatigue by the client
The nurse working in the med surg unit is caring for a client who reports a racing heart
and feeling anxious. The client is placed on a heart monitor and displays a heart rhythm
indicated below. Which of the following findings should the nurse correlate to this
assignment - Answer-The client takes a daily dose of levothyroxine
The nurse is caring for a client who reports dizziness and has a bp of 80/49mmhg and
has a cardiac rhythm indicated below. Which of the following actions should the nurse
take - Answer-A. administer prescribed adenosine
B. prepare the client for synchronized cardioversion
C. place the client with the HOB lower than the foot of the bed
D. administer prescribed nitroprusside sodium at a rate of 0.3mcg/kg/min
The nurse came for a client who develops the following dysrhythmia. The nurse should
assess which of the following manifestations in the client - Answer-Irregular apical pulse
The nurse is caring for a client who develops the cardiac rhythm indicated below. Which
of the following actions should the nurse take - Answer-Ask the client if their
experiencing palpitations
The nurse is caring for a client who has received a prescription to administer a
continuous infusion of lidocaine 2g/5ml D5W at a rate of 3mg/min the client weighs
175lbs. At what rate should the nurse set the clients infusion rate - Answer-A. 80ml/hr B.
3ml/hr C. 45ml/hr D. 30ml/hr
The nurse has provided discharge teaching to a client following the insertion of a
permanent pacemaker to the left chest area. Which of the following client statements
would indicate a correct understanding of the teaching - Answer-I will notify the airline
when I make flight reservations that I have a pacemaker
The nurse has provided discharge teaching to a client who had a mitral valve
replacement with a mechanical prosthetic valve. Which of the following statements by
, the client would indicate a correct understanding of the teaching - Answer-I should avoid
having invasive dental work performed for 6 months
The nurse is providing discharge instructions to a client who had a mitral valve replaced
with a biologic porcine valve. Which of the following client statements indicates a need
for further teaching - Answer-I will keep my arm in a sling for 2 wks while the incision
heals
The nurse has developed a teaching plan for a client who has dilated cardiomyopathy.
Which of the following client statements indicates a need for further teaching - Answer-I
will need to take a lipid lowering agent to help control my symptoms
The nurse is caring for the following clients. It would be necessary to schedule an
interdisciplinary conference for the client who is - Answer-42yrs old, is single with 2
teenage children, works as a cashier, and has dilated cardiomyopathy
The nurse is caring for a client who has right sided HF and is receiving hemodynamic
monitoring which reveals an elevated CVP reading. Which of the following assessments
is consistent with this finding - Answer-Jugular venous distention
The nurse is assessing the following assigned clients. The nurse should immediately
notify the PCP about the client who - Answer-Has infective endocarditis and
auscultation of a heart murmur that has increased in intensity
The nurse is reviewing prescriptions for assigned clients. It requires follow up with PCP
if a client - Answer-Is newly diagnosed with infective endocarditis and has been
prescribed an anticoagulant
The nurse is caring for a client who has infective endocarditis. Which of the following
findings indicates the client is having a complication associated with this disease -
Answer-The development of HF
The nurse working in the ED is caring for a client who was admitted 30 min ago with
substernal chest discomfort, nausea, and diaphoresis. Which of the following findings
would be consistent with a diagnosis of an MI - Answer-An ECG revealing ST elevation
The nurse is caring for a client who was admitted from the ED with chest pain. In the ED
the client received sublingual nitro with relief of the chest pain, a 12 lead ECG, and
ABG. Which of the following should the nurse anticipate the PCP will prescribe -
Answer-Echocardiogram
The nurse has provided discharge instructions to a client who is newly diagnosed with
nephrotic syndrome. Which of the following client statements indicates a correct
understanding of the teaching - Answer-I must protect myself from developing an
infection
