BSN HESI 266: Medical-Surgical Nursing
Assessment – 50+ Questions with Answer||
|| Complete Comprehensive Questions and
Correct Verified Answers || 100%
Guaranteed Pass
1. A client who underwent cardiac stent placement 4 days ago arrives at
the emergency department reporting sudden onset chest pressure and
shortness of breath. Which action should the nurse take next?
A) Administer prescribed nitroglycerin sublingually.
B) Gather additional assessment data about the pain and weakness.
C) Obtain a 12-lead electrocardiogram (ECG) and begin continuous
cardiac monitoring.
D) Prepare the client for immediate cardiac catheterization.
Correct Answer: C
Rationale: A client with sudden chest pressure and shortness of breath
after recent stenting is at high risk for acute stent thrombosis or
myocardial infarction (MI). Immediate acquisition of a 12-lead ECG is
critical to assess for ischemic changes and to prioritize timely reperfusion
therapy if needed. Continuous cardiac monitoring is essential to detect
life-threatening arrhythmias .
, 2. A patient with heart failure is prescribed furosemide (Lasix). Which
electrolyte imbalance should the nurse monitor most closely?
A) Hyperkalemia
B) Hypokalemia
C) Hypernatremia
D) Hypermagnesemia
Correct Answer: B
Rationale: Furosemide is a loop diuretic that inhibits sodium and chloride
reabsorption in the ascending limb of the loop of Henle, causing
significant potassium wasting in the urine. Hypokalemia can lead to
cardiac arrhythmias, especially in patients on digitalis preparations .
3. A client with atrial fibrillation is prescribed digoxin. The client's serum
potassium level is 3.2 mEq/L. Which action should the nurse take?
A) Administer the digoxin as prescribed.
,
B) Hold the digoxin and notify the healthcare provider.
C) Give potassium supplements before the digoxin.
D) Increase the digoxin dose.
Correct Answer: B
Rationale: Hypokalemia potentiates digoxin toxicity, increasing the risk
of life-threatening arrhythmias. The normal serum potassium range is
3.5-5.0 mEq/L. A level of 3.2 mEq/L significantly increases the risk of
digoxin-induced arrhythmias, so the medication should be held, and the
provider notified immediately .
4. Which of the following is a sign of digoxin toxicity?
A) Nausea, vomiting, yellow vision, bradycardia
B) Dry cough
C) Hyperglycemia
Assessment – 50+ Questions with Answer||
|| Complete Comprehensive Questions and
Correct Verified Answers || 100%
Guaranteed Pass
1. A client who underwent cardiac stent placement 4 days ago arrives at
the emergency department reporting sudden onset chest pressure and
shortness of breath. Which action should the nurse take next?
A) Administer prescribed nitroglycerin sublingually.
B) Gather additional assessment data about the pain and weakness.
C) Obtain a 12-lead electrocardiogram (ECG) and begin continuous
cardiac monitoring.
D) Prepare the client for immediate cardiac catheterization.
Correct Answer: C
Rationale: A client with sudden chest pressure and shortness of breath
after recent stenting is at high risk for acute stent thrombosis or
myocardial infarction (MI). Immediate acquisition of a 12-lead ECG is
critical to assess for ischemic changes and to prioritize timely reperfusion
therapy if needed. Continuous cardiac monitoring is essential to detect
life-threatening arrhythmias .
, 2. A patient with heart failure is prescribed furosemide (Lasix). Which
electrolyte imbalance should the nurse monitor most closely?
A) Hyperkalemia
B) Hypokalemia
C) Hypernatremia
D) Hypermagnesemia
Correct Answer: B
Rationale: Furosemide is a loop diuretic that inhibits sodium and chloride
reabsorption in the ascending limb of the loop of Henle, causing
significant potassium wasting in the urine. Hypokalemia can lead to
cardiac arrhythmias, especially in patients on digitalis preparations .
3. A client with atrial fibrillation is prescribed digoxin. The client's serum
potassium level is 3.2 mEq/L. Which action should the nurse take?
A) Administer the digoxin as prescribed.
,
B) Hold the digoxin and notify the healthcare provider.
C) Give potassium supplements before the digoxin.
D) Increase the digoxin dose.
Correct Answer: B
Rationale: Hypokalemia potentiates digoxin toxicity, increasing the risk
of life-threatening arrhythmias. The normal serum potassium range is
3.5-5.0 mEq/L. A level of 3.2 mEq/L significantly increases the risk of
digoxin-induced arrhythmias, so the medication should be held, and the
provider notified immediately .
4. Which of the following is a sign of digoxin toxicity?
A) Nausea, vomiting, yellow vision, bradycardia
B) Dry cough
C) Hyperglycemia
