Update)
Pulmonary Embolism, Chest Tubes, ARDS, Ventilators,
Endocrine Disorders, DKA, HHS
Q&A | Grade A | 100% Correct (Verified Answers) – Nursing Program
SUBJECT COURSE FORMAT
Medical-Surgical Nursing - NUR 265 Exam 2 Practice Q&A Guide with Rationale
Pulmonary, Critical Care, Questions
Endocrine Disorders
Question 1
What finding is consistent for a patient with pulmonary embolism (PE)?
A. Pleural friction rub
B. Crackles in all lung fields
C. Wheezing on expiration
D. Stridor
CORRECT ANSWER
A. Pleural friction rub
CLINICAL RATIONALE
• A pleural friction rub may be heard in PE due to inflammation of the pleura from infarcted lung tissue.
• Other signs: sudden dyspnea, chest pain, tachycardia, hypoxemia.
, Question 2
For a patient with shortness of breath and chest pain, rapid response is called, the head of bed is
elevated, and oxygen is applied. What do you do next?
A. Place the patient on a cardiac monitor and pulse oximetry
B. Start an IV line
C. Draw ABGs
D. Obtain a chest x-ray
CORRECT ANSWER
A. Place the patient on a cardiac monitor and pulse oximetry
CLINICAL RATIONALE
• Continuous monitoring of heart rhythm and oxygen saturation is essential to detect deterioration.
• PE can cause arrhythmias and hypoxemia requiring immediate intervention.
Question 3
A patient is discharged on warfarin for PE. What comment from the patient indicates a clear
understanding?
A. My INR is to be monitored frequently
B. I can take ibuprofen for headaches
C. I will eat plenty of green leafy vegetables
D. I can stop the medication if I feel better
CORRECT ANSWER
A. My INR is to be monitored frequently
CLINICAL RATIONALE
• Warfarin requires regular INR monitoring to maintain therapeutic range (2-3 for PE).
• NSAIDs increase bleeding risk; vitamin K-rich foods should be consistent, not avoided completely.