CMSRN 1
You may see a slight increase in diastolic blood pressure early in shock because:
A. Concurrent brain injury is present
B. Stroke volume has increased
C. There is an increase in vascular tone
D. Left ventricular contractions have strengthened - Answer-C. There is an increase in vascular tone
A 62-year-old male patient with a remote history of rheumatic fever is admitted to the medical-surgical
unit with the following symptoms:
Subjective: Shortness of breath, chest pain, syncope
Objective: Peripheral edema, neck vein distension, weight gain, cyanosis, hepatomegaly, bounding
pulses, cardiac arrhythmia
Which of the following is most likely this patient's primary diagnosis?
A. Abdominal aortic aneurysm
B. Left heart failure
C. Aortic valve stenosis
D. Endocarditis - Answer-C. Aortic valve stenosis
You are caring for a patient who has been admitted to the hospital with an intestinal obstruction. All of
the following are appropriate nursing interventions for this patient except:
A. Monitor hemodynamics closely
, B. Educate the patient on enteral nutrition
C. Provide pain management as ordered
D. Prepare patient and family for surgical procedure and potential ostomy - Answer-B. Educate the
patient on enteral nutrition
A patient is admitted to the hospital with severe pain, guarding, and rigidity of the abdomen. Labs
indicate increased levels of amylase and leukocytosis. Cullen's sign is positive (bruising around the
umbilicus, indicative of intra-abdominal bleeding) and the patient is showing some signs of respiratory
distress. The patient has a history of alcohol abuse. Which of the following conditions is most likely to be
diagnosed?
A. Alcoholic cirrhosis
B. Pneumonia
C. Acute liver failure
D. Acute pancreatitis - Answer-D. Acute pancreatitis
Your male patient, who has a diagnosis of chronic liver failure, has deficient vitamin K absorption. Which
assessment findings indicate vitamin K deficiency?
A. Testicular atrophy and gynecomastia
B. Dyspnea and fatigue
C. Petechiae and ecchymoses
D. Ascites and orthopnea - Answer-C. Petechiae and ecchymoses
When performing an assessment on a patient with emphysema, you find that your patient has a barrel
chest. The alteration in the patient's chest is due to:
A. Hyperinflation of the lungs
B. Use of accessory muscles
C. Chronic hypoxia
D. Collapse of distal alveoli - Answer-A. Hyperinflation of the lungs
You may see a slight increase in diastolic blood pressure early in shock because:
A. Concurrent brain injury is present
B. Stroke volume has increased
C. There is an increase in vascular tone
D. Left ventricular contractions have strengthened - Answer-C. There is an increase in vascular tone
A 62-year-old male patient with a remote history of rheumatic fever is admitted to the medical-surgical
unit with the following symptoms:
Subjective: Shortness of breath, chest pain, syncope
Objective: Peripheral edema, neck vein distension, weight gain, cyanosis, hepatomegaly, bounding
pulses, cardiac arrhythmia
Which of the following is most likely this patient's primary diagnosis?
A. Abdominal aortic aneurysm
B. Left heart failure
C. Aortic valve stenosis
D. Endocarditis - Answer-C. Aortic valve stenosis
You are caring for a patient who has been admitted to the hospital with an intestinal obstruction. All of
the following are appropriate nursing interventions for this patient except:
A. Monitor hemodynamics closely
, B. Educate the patient on enteral nutrition
C. Provide pain management as ordered
D. Prepare patient and family for surgical procedure and potential ostomy - Answer-B. Educate the
patient on enteral nutrition
A patient is admitted to the hospital with severe pain, guarding, and rigidity of the abdomen. Labs
indicate increased levels of amylase and leukocytosis. Cullen's sign is positive (bruising around the
umbilicus, indicative of intra-abdominal bleeding) and the patient is showing some signs of respiratory
distress. The patient has a history of alcohol abuse. Which of the following conditions is most likely to be
diagnosed?
A. Alcoholic cirrhosis
B. Pneumonia
C. Acute liver failure
D. Acute pancreatitis - Answer-D. Acute pancreatitis
Your male patient, who has a diagnosis of chronic liver failure, has deficient vitamin K absorption. Which
assessment findings indicate vitamin K deficiency?
A. Testicular atrophy and gynecomastia
B. Dyspnea and fatigue
C. Petechiae and ecchymoses
D. Ascites and orthopnea - Answer-C. Petechiae and ecchymoses
When performing an assessment on a patient with emphysema, you find that your patient has a barrel
chest. The alteration in the patient's chest is due to:
A. Hyperinflation of the lungs
B. Use of accessory muscles
C. Chronic hypoxia
D. Collapse of distal alveoli - Answer-A. Hyperinflation of the lungs
