NUR242 / NUR 242 Exam 4
Medical-Surgical Nursing Concepts
Guarantee passing score of 90% or higher
Consist of 50 Questions with Answers
1. captopril, furosemide, and metoprolol are all rx for a pt with HF the clients
BP is 1636/82 HR 65 prior to 0900 medications the nurse reviews the clients
most recent labs sodium 146, pot 5.8 bun 18 creatinine 1.0 which should
the nurse do first
a) administer the medication as ordered
b) call the healthcare provider
c) withhold captopril
d) withhold furosemide
Answer> c
2. the nurse is completing ana assessment on a heart failure pt which of the
following findings should receive the highest priority
a) bp 100/62 hr 92 with a fib and bibasilar crackles
b) confusion, wet cough, orthopnea
1/5
c) 02 sat 92% on 2l, rr 22 , +1 le edema
d) weight gain of 1kg in 3 days. bp 150/80
Answer> B
, b) notify the md
c) review the clients medication record
d) take the clients BP
Answer> D
4. which rhythms should be defibrillated
Answer> ventricular fibulation and pulseless vtach
5. the nurse suspects arterial insuff in the 50 year old pt when the feet and legs
exhibit
a) equal warmth
b) shiny hairless skin
c) brown discoloration
d) pedal edema
Answer> B , hair follicles need oxygenated blood
6. a nurse asses a pt with AFIB which manifestation requires immediate f/u by
the nurse
a) sinus tachycardia
b) speech alterations
c) fatigue
d) dyspnea with activity
Answer> B
7. a nurse is assessing a client admitted to the cardiac unit which
statement by the client alerts the nurse
to the possibility of RT sided heart
failure
a) " i sleep with four pillows at night"
Medical-Surgical Nursing Concepts
Guarantee passing score of 90% or higher
Consist of 50 Questions with Answers
1. captopril, furosemide, and metoprolol are all rx for a pt with HF the clients
BP is 1636/82 HR 65 prior to 0900 medications the nurse reviews the clients
most recent labs sodium 146, pot 5.8 bun 18 creatinine 1.0 which should
the nurse do first
a) administer the medication as ordered
b) call the healthcare provider
c) withhold captopril
d) withhold furosemide
Answer> c
2. the nurse is completing ana assessment on a heart failure pt which of the
following findings should receive the highest priority
a) bp 100/62 hr 92 with a fib and bibasilar crackles
b) confusion, wet cough, orthopnea
1/5
c) 02 sat 92% on 2l, rr 22 , +1 le edema
d) weight gain of 1kg in 3 days. bp 150/80
Answer> B
, b) notify the md
c) review the clients medication record
d) take the clients BP
Answer> D
4. which rhythms should be defibrillated
Answer> ventricular fibulation and pulseless vtach
5. the nurse suspects arterial insuff in the 50 year old pt when the feet and legs
exhibit
a) equal warmth
b) shiny hairless skin
c) brown discoloration
d) pedal edema
Answer> B , hair follicles need oxygenated blood
6. a nurse asses a pt with AFIB which manifestation requires immediate f/u by
the nurse
a) sinus tachycardia
b) speech alterations
c) fatigue
d) dyspnea with activity
Answer> B
7. a nurse is assessing a client admitted to the cardiac unit which
statement by the client alerts the nurse
to the possibility of RT sided heart
failure
a) " i sleep with four pillows at night"
