TESTBANK COMPLETE NUR257 200 QUESTIONS AND CORRECT ANSWERS 20
TOPICS WITH 10 QUESTIONS EACH WITH STRAIGHT CORRECT ANSWERS FOR A
GUARANTEED PASS
Contents
1. Cardiovascular Disorders
2. Respiratory Disorders
3. Renal & Urinary Disorders
4. Endocrine Disorders
5. Gastrointestinal Disorders
6. Neurological Disorders
7. Musculoskeletal Disorders
8. Hematologic Disorders
9. Immune Disorders & HIV
10. Oncology Nursing
11. Perioperative Nursing
12. Fluid & Electrolyte Balance
13. Acid-Base Balance
14. Shock & Multisystem Emergencies
15. Integumentary Disorders
16. Sensory (Eye & Ear) Disorders
17. Reproductive Disorders
18. Pharmacology — Cardiac & Renal Medications
19. Pharmacology — Other Systems
20. Nursing Process, Prioritization & Leadership
,1. Cardiovascular Disorders
Q1. What is the classic symptom triad of left-sided heart failure?
A: Dyspnea, orthopnea, and pulmonary crackles (fluid backing up into the lungs).
Q2. What is the classic sign of right-sided heart failure?
A: Peripheral/dependent edema and jugular venous distention (systemic fluid backup).
Q3. What is the priority nursing action for a patient with acute pulmonary edema?
A: Place the patient in high Fowler's position and administer oxygen.
Q4. What lab value confirms heart failure diagnosis?
A: Elevated B-type natriuretic peptide (BNP).
Q5. What is the hallmark ECG finding of a myocardial infarction?
A: ST-segment elevation (in STEMI) or new Q waves.
Q6. What are the first-line medications given for suspected MI (mnemonic MONA)?
A: Morphine, Oxygen, Nitroglycerin, Aspirin.
Q7. What is a key teaching point after nitroglycerin administration?
A: It may cause headache and hypotension; take up to 3 doses 5 minutes apart, calling 911 if pain persists.
Q8. What is the priority assessment before administering digoxin?
A: Check the apical pulse for one full minute; hold if less than 60 bpm.
Q9. What are early signs of digoxin toxicity?
A: Nausea, vomiting, visual disturbances (halos/yellow-green vision), and bradycardia.
Q10. What is the nursing priority for a patient with atrial fibrillation?
A: Assess for signs of stroke/embolism and monitor anticoagulation therapy.
, 2. Respiratory Disorders
Q11. What is the hallmark finding of COPD on ABG?
A: Chronic respiratory acidosis with compensatory metabolic alkalosis (elevated CO2 and bicarbonate).
Q12. Why must supplemental oxygen be given cautiously in COPD patients?
A: Because their hypoxic drive stimulates breathing; excess oxygen can suppress respiration.
Q13. What is the priority nursing action for a patient with a suspected pneumothorax?
A: Assess respiratory status and prepare for chest tube insertion.
Q14. What does fluctuation (tidaling) in a chest tube water-seal chamber indicate?
A: Normal functioning of the chest tube system.
Q15. What does continuous bubbling in the water-seal chamber indicate?
A: An air leak in the chest tube system.
Q16. What position optimizes breathing in a patient with dyspnea?
A: High Fowler's or orthopneic (tripod) position.
Q17. What is a priority nursing intervention for a patient with pneumonia?
A: Encourage coughing, deep breathing, and incentive spirometry to promote secretion clearance.
Q18. What are signs of hypoxia?
A: Restlessness, confusion, tachycardia, and tachypnea.
Q19. What is the primary treatment goal for an acute asthma exacerbation?
A: Bronchodilation via a short-acting beta agonist (e.g., albuterol) and corticosteroids.
Q20. What is a key nursing consideration for a patient on mechanical ventilation?
A: Regularly assess for ventilator-associated pneumonia and maintain head-of-bed elevation ≥30 degrees.
TOPICS WITH 10 QUESTIONS EACH WITH STRAIGHT CORRECT ANSWERS FOR A
GUARANTEED PASS
Contents
1. Cardiovascular Disorders
2. Respiratory Disorders
3. Renal & Urinary Disorders
4. Endocrine Disorders
5. Gastrointestinal Disorders
6. Neurological Disorders
7. Musculoskeletal Disorders
8. Hematologic Disorders
9. Immune Disorders & HIV
10. Oncology Nursing
11. Perioperative Nursing
12. Fluid & Electrolyte Balance
13. Acid-Base Balance
14. Shock & Multisystem Emergencies
15. Integumentary Disorders
16. Sensory (Eye & Ear) Disorders
17. Reproductive Disorders
18. Pharmacology — Cardiac & Renal Medications
19. Pharmacology — Other Systems
20. Nursing Process, Prioritization & Leadership
,1. Cardiovascular Disorders
Q1. What is the classic symptom triad of left-sided heart failure?
A: Dyspnea, orthopnea, and pulmonary crackles (fluid backing up into the lungs).
Q2. What is the classic sign of right-sided heart failure?
A: Peripheral/dependent edema and jugular venous distention (systemic fluid backup).
Q3. What is the priority nursing action for a patient with acute pulmonary edema?
A: Place the patient in high Fowler's position and administer oxygen.
Q4. What lab value confirms heart failure diagnosis?
A: Elevated B-type natriuretic peptide (BNP).
Q5. What is the hallmark ECG finding of a myocardial infarction?
A: ST-segment elevation (in STEMI) or new Q waves.
Q6. What are the first-line medications given for suspected MI (mnemonic MONA)?
A: Morphine, Oxygen, Nitroglycerin, Aspirin.
Q7. What is a key teaching point after nitroglycerin administration?
A: It may cause headache and hypotension; take up to 3 doses 5 minutes apart, calling 911 if pain persists.
Q8. What is the priority assessment before administering digoxin?
A: Check the apical pulse for one full minute; hold if less than 60 bpm.
Q9. What are early signs of digoxin toxicity?
A: Nausea, vomiting, visual disturbances (halos/yellow-green vision), and bradycardia.
Q10. What is the nursing priority for a patient with atrial fibrillation?
A: Assess for signs of stroke/embolism and monitor anticoagulation therapy.
, 2. Respiratory Disorders
Q11. What is the hallmark finding of COPD on ABG?
A: Chronic respiratory acidosis with compensatory metabolic alkalosis (elevated CO2 and bicarbonate).
Q12. Why must supplemental oxygen be given cautiously in COPD patients?
A: Because their hypoxic drive stimulates breathing; excess oxygen can suppress respiration.
Q13. What is the priority nursing action for a patient with a suspected pneumothorax?
A: Assess respiratory status and prepare for chest tube insertion.
Q14. What does fluctuation (tidaling) in a chest tube water-seal chamber indicate?
A: Normal functioning of the chest tube system.
Q15. What does continuous bubbling in the water-seal chamber indicate?
A: An air leak in the chest tube system.
Q16. What position optimizes breathing in a patient with dyspnea?
A: High Fowler's or orthopneic (tripod) position.
Q17. What is a priority nursing intervention for a patient with pneumonia?
A: Encourage coughing, deep breathing, and incentive spirometry to promote secretion clearance.
Q18. What are signs of hypoxia?
A: Restlessness, confusion, tachycardia, and tachypnea.
Q19. What is the primary treatment goal for an acute asthma exacerbation?
A: Bronchodilation via a short-acting beta agonist (e.g., albuterol) and corticosteroids.
Q20. What is a key nursing consideration for a patient on mechanical ventilation?
A: Regularly assess for ventilator-associated pneumonia and maintain head-of-bed elevation ≥30 degrees.
