NUR 2502 / NUR2502 Final Exam Multidimensional Care III / MDC 3 - Rasmussen

1. The nurse is arriving at the beginning of her shift and has taken report on four clients on a medical-surgical unit. Which client should the nurse see first? A. A client with hypertension with a blood pressure of 172/92mm Hg. B. A client with pain that is two days post-operative from a prostatectomy. C. A client ready for discharge education after treatment of an acute kidney injury. D. A client with a history of asthma complaining of increased dyspnea. 2. When educating a female client on the signs and symptoms of myocardial infarction, the nurse recognizes which of the following should be included in the teaching? A. Women experience intermittent claudication B. Substernal chest pain is the most common symptom in women C. Pain usually resolves with rest and relaxation D. Older adults and women often present with atypical signs and symptoms. 3. Which of the following is a priority nursing intervention for a client in atrial fibrillation with arate of 180 beats per minute? A. Administer medications to slow the rate B. Monitor urine output C. Administer anticoagulants D. Apply compression stockings 4. The nurse educates the client that besides an echocardiogram, which of the following tests is the best tool for diagnosing heart failure?A. Pulmonary artery catheterB. B-type natriuretic peptide (BNP) C. Radionuclide studies D. Multigated angiophaphic scan (MUGA) 5. A nurse is caring for a client diagnosed with polycythemia vera. Which of the following should the nurse include in the client and family education? A. Resume normal activity B. Diet high in vitamin K intake C. Decrease fluid intake to no more than 1 liter per day D. Wear support hose while awake 6. The nurse is caring for a client who presented to the emergency department with pulmonaryedema. The client is hypotensive with a pulse oximeter reading of 85% on room air. Which of the following is a nursing priority? A. Administer IV fluids B. Obtain a chest x-ray C. Administer diuretics D. Administer oxygen 7. The nurse is caring for four clients on a post-surgical unit. The nurse understands that monitoring the client for which post-operative compilation takes priority? A. Nausea B. Pneumonia C. Constipation D. Urinary retention8. A nurse is performing discharge teaching for a client who has recently diagnosed with heart failure. Which of the following should be included in the client teaching? (SATA) A. Medication teaching B. Low sodium diet C. Weekly weights D. Symptoms to report to the provider E. Fluid restriction 9. The nurse is caring for a client with mitral regurgitation. Which of the following would thenurse anticipate the client to develop if left untreated? A. Left-sided heart failure B. Renal failure C. Right-sided heart failure D. Myocardial Ischemia 10. A nurse is caring for a 65-year old male who recently underwent an aortic valve replacement. Which of the following is a post-operative nursing care priority? A. Dressing change B. Assess for bleeding C. Advance diet as tolerated D. Temperature monitoring 11. A nurse is caring for a client recently diagnosed with hypertension. Which of the followingshould be included in the discharge teaching?A. Adherence to sodium restrictions B. Decrease physical activity to avoid spikes in blood pressure C. Only check blood pressure at a clinic or pharmacy D. Diet changes are not recommended 12. A nurse is caring for a client with a history of an abdominal aortic aneurism. Which of the following assessment findings requires immediate intervention? A. Nausea and vomiting B. Back pain C. Decreased urine output D. Absent peripheral pulses 13. A nurse is caring for a 19-year old male recently diagnosed with leukemia. Which of thefollowing nursing interventions is appropriate for the care of this client? A. Strict hand hygiene to prevent infection B. Therapeutic phlebotomy C. Low residual diet D. Fluid restriction 14. The nurse is discharging home a client at risk for venous thromboembolism on enoxaparinsodium. What instruction is a priority for the nurse to provide to this client? A. “You must have your prothrombin time (PT)/International normalized ratio (INR) checked every 2 weeks.” B. “Notify your health care provider if your stools appear dark or tarry.” C. “MAssage the injection site after the heparin is injected.”D. “You must have your activated partial thromboplastin time (aPTT) checked every 72 hours.” 15. Which of the following assessment findings are consistent with aortic stenosis? A. Systolic click B. Harsh systolic crescendo decrescendo murmurC. Pitting edema D. Atrial fibrillation 16. The nurse is assessing a client with severe anemia. Which clinical manifestation does the nurse expect to see in this client? A. Bradycardia B. Pale, cool skin C. Warm, flushed skin D. Hypertension 17. Which of the following would predispose a client to mitral stenosis? A. Obesity