NUR 265 Med Surg Exam 1 – Actual
Questions & Answers 100% Guarantee
Pass
1. Dysrhythmia Assessment
A nurse comes for a client who develops a dysrhythmia. Which of the following
manifestations should the nurse assess for?
A) Regular apical pulse
B) Irregular apical pulse
C) Slow heart rate
D) Normal cardiac output
ANS: B) Irregular apical pulse
2. AFIB with Amiodarone
A nurse caring for a group of clients on the cardiac floor should immediately follow
up on the client who is:
A) Being treated for AFIB with an amiodarone drip with dysarthria
B) Recovering well from beta-blocker therapy
C) Stable on digoxin
D) Awaiting cardiac surgery
ANS: A) Being treated for AFIB with an amiodarone drip analysis to have dysarthria
3. Post-CABG Complications
A nurse has been made aware that a client had CABG surgery 24 hours ago and
has developed distant muffled heart sounds. What should the nurse initially do?
A) Continue routine monitoring
B) Assess for cardiac tamponade
C) Administer oxygen only
D) Wait for the next shift report
ANS: B) Assess for cardiac tamponade (distant muffled heart sounds indicate
possible cardiac tamponade)
4. Heart Failure - Fluid Infusion
A nurse has been made aware of a client who has HF and is receiving a continuous
infusion of NS at a rate of 250ml/hr. Which client should the nurse initially assess?
A) Client receiving diuretics
B) Client receiving IV fluids at 250ml/hr (this may worsen HF)
C) Client on bed rest
D) Client stable on ACE inhibitors
ANS: B) Client receiving continuous NS infusion at 250ml/hr (excessive fluid in HF)
, 5. Dilated Cardiomyopathy Teaching
A nurse has developed a teaching plan for a client with dilated cardiomyopathy.
Which client statement indicates a need for further teaching?
A) I will restrict my sodium intake
B) I will take my ACE inhibitor daily
C) I will need to take a lipid lowering agent to help control my symptoms
D) I will avoid strenuous exercise
ANS: C) I will need to take a lipid lowering agent to help control my symptoms
(Lipid-lowering agents are not primary treatment for dilated cardiomyopathy; focus is
on ACE inhibitors, beta-blockers, and diuretics)
6. Cardiac Catheterization Teaching
A nurse has instructed a client scheduled for cardiac catheterization. Which client
statement indicates correct understanding?
A) This test will definitely require open heart surgery
B) This test is performed to help detect problems with my heart valves and chambers
C) I will need a blood transfusion after this test
D) This test only checks blood pressure
ANS: B) This test is performed to help detect problems with my heart valves and
chambers
7. Nephrotic Syndrome - Discharge Teaching
A nurse has provided discharge instructions to a client newly diagnosed with
nephrotic syndrome. Which statement indicates correct understanding?
A) I can eat any amount of protein
B) I must protect myself from developing an infection
C) I don't need to monitor my urine output
D) Swelling is permanent and expected
ANS: B) I must protect myself from developing an infection
(Nephrotic syndrome causes immunodeficiency)
8. Permanent Pacemaker - Discharge Teaching
A nurse has provided discharge teaching to a client following insertion of a
permanent pacemaker to the left chest. Which statement indicates correct
understanding?
A) I cannot fly in airplanes
B) I will notify the airline when making flight reservations that I have a pacemaker
C) I need the pacemaker removed in 2 years
D) Metal detectors won't affect my pacemaker
ANS: B) I will notify the airline when making flight reservations that I have a
pacemaker
9. Mechanical Prosthetic Valve Replacement
Questions & Answers 100% Guarantee
Pass
1. Dysrhythmia Assessment
A nurse comes for a client who develops a dysrhythmia. Which of the following
manifestations should the nurse assess for?
A) Regular apical pulse
B) Irregular apical pulse
C) Slow heart rate
D) Normal cardiac output
ANS: B) Irregular apical pulse
2. AFIB with Amiodarone
A nurse caring for a group of clients on the cardiac floor should immediately follow
up on the client who is:
A) Being treated for AFIB with an amiodarone drip with dysarthria
B) Recovering well from beta-blocker therapy
C) Stable on digoxin
D) Awaiting cardiac surgery
ANS: A) Being treated for AFIB with an amiodarone drip analysis to have dysarthria
3. Post-CABG Complications
A nurse has been made aware that a client had CABG surgery 24 hours ago and
has developed distant muffled heart sounds. What should the nurse initially do?
A) Continue routine monitoring
B) Assess for cardiac tamponade
C) Administer oxygen only
D) Wait for the next shift report
ANS: B) Assess for cardiac tamponade (distant muffled heart sounds indicate
possible cardiac tamponade)
4. Heart Failure - Fluid Infusion
A nurse has been made aware of a client who has HF and is receiving a continuous
infusion of NS at a rate of 250ml/hr. Which client should the nurse initially assess?
A) Client receiving diuretics
B) Client receiving IV fluids at 250ml/hr (this may worsen HF)
C) Client on bed rest
D) Client stable on ACE inhibitors
ANS: B) Client receiving continuous NS infusion at 250ml/hr (excessive fluid in HF)
, 5. Dilated Cardiomyopathy Teaching
A nurse has developed a teaching plan for a client with dilated cardiomyopathy.
Which client statement indicates a need for further teaching?
A) I will restrict my sodium intake
B) I will take my ACE inhibitor daily
C) I will need to take a lipid lowering agent to help control my symptoms
D) I will avoid strenuous exercise
ANS: C) I will need to take a lipid lowering agent to help control my symptoms
(Lipid-lowering agents are not primary treatment for dilated cardiomyopathy; focus is
on ACE inhibitors, beta-blockers, and diuretics)
6. Cardiac Catheterization Teaching
A nurse has instructed a client scheduled for cardiac catheterization. Which client
statement indicates correct understanding?
A) This test will definitely require open heart surgery
B) This test is performed to help detect problems with my heart valves and chambers
C) I will need a blood transfusion after this test
D) This test only checks blood pressure
ANS: B) This test is performed to help detect problems with my heart valves and
chambers
7. Nephrotic Syndrome - Discharge Teaching
A nurse has provided discharge instructions to a client newly diagnosed with
nephrotic syndrome. Which statement indicates correct understanding?
A) I can eat any amount of protein
B) I must protect myself from developing an infection
C) I don't need to monitor my urine output
D) Swelling is permanent and expected
ANS: B) I must protect myself from developing an infection
(Nephrotic syndrome causes immunodeficiency)
8. Permanent Pacemaker - Discharge Teaching
A nurse has provided discharge teaching to a client following insertion of a
permanent pacemaker to the left chest. Which statement indicates correct
understanding?
A) I cannot fly in airplanes
B) I will notify the airline when making flight reservations that I have a pacemaker
C) I need the pacemaker removed in 2 years
D) Metal detectors won't affect my pacemaker
ANS: B) I will notify the airline when making flight reservations that I have a
pacemaker
9. Mechanical Prosthetic Valve Replacement
