medsurg exam 2
While obtaining assessment information on a patient with
hypertension, the nurse recognizes that a modifiable risk factor for
development of hypertension is:
a. low calcium diet
b. excessive alcohol intake
c. family history of hypertension
d. consumption of a high protein diet correct answersb. excessive
A patient
alcohol is admitted to the hospital with a hypertensive crisis. What would
intake
you when
see expectyouto assess the patient's blood
pressure?
a. BP
b. BP
196/116
150/90
c. BP
116/72
d. BP 170/98 correct answersa. BP
196/116
You are doing pre-procedural teaching for a patient who is scheduled for
a cardiac
catheterization. Which of the following statements should you include in
your patient
teaching
?
a. "you should have nothing to eat or drink for 12 hours prior to the
b. "you will be given general anesthesia during the
procedure."
procedure"
c. "you should not have this done if you are allergic
to "you
d. eggs"will need to keep your affected leg straight following the
procedure""you
answersd. correct
will need to keep your affected leg straight following the
procedure"
When administering an IV diuretic (furosemide) to a patient, what is
an expected
response to the
medication?
a. increased blood
b. increased urine
pressure
output
c. decreased
d. decreased dysrhythmias correct answersb. increased
pain
urine output
Which patient is at the greatest risk of coronary artery
disease.
a. 32 year old female who quit smoking 10
years
b. 43 year
ago old male with a family history of CAD and total cholesterol
level
c. 56 of 158
year old male who takes
d. 65 year old female who is obese and has a total cholesterol of 213 correct
atorvastatin
answersd.
65 year old female who is obese and has a total
cholesterol of 213
A patient comes to the Emergency Room for chest pain. They are also
nausea, and of
complaining have vomited prior to arrival. What diagnostic tool can you
expect
in ordertotouse,
see if the patient is having a STEMI vs.
a. Troponin
NSTEMI?
Level
, b. CK
c.
Level
Defibrillator
d. EKG correct answersd.
EKG
Early ambulation after open heart surgery is a necessary nursing
intervention
all of the following
to prevent
except:
a. deep vein
b. pulmonary
thrombosis
embolism
c.
d. hypotension correct answersd.
atelectasis
hypotension
You are caring for a patient who is diagnosed with a MI. Which of the
following
can activitiesto the unlicensed assistive
you delegate
personnel
a. auscultate (UAP).
lung
sounds
b. educate the patient on risk factors
of provide
c. CAD teaching on a 2 gm
sodium diet
d. document intake and output correct answersd. document intake
and output
A nurse is admitting a patient who has a suspected myocardial infarction
(MI) andofaangina. Which of the following findings helps the nurse to
history
distinguish
angina fromstable
a
a. table angina can be relieved by rest
MI?
and
b. TheNTGangina accompanying a MI resolves in less than 15
c. The type of activity that causes angina during an MI can be
minutes
identified.
d. Stable angina occurs for longer than 30 minutes. correct answersa. table
angina
be relieved
can by rest and
NTG
Your caring for a patient post-myocardial infarction. You see their
cardiac rhythm
changed to ventricular fibrillation. They are unresponsive and do not
have a pulse.
What's your next immediate
action?
a. notify the
b. start
physician
CPR
c. obtain IV
d. place oxygen on the patient correct answersb.
access
start CPR
A chest tube inserted into the pleural space
works by:
a. re-establishing negative pressure within the
pleural
b. re-establishing
space positive pressure within the
pleural
c. space
allowing the infusion of antibiotics into the pleural cavity to
d. draining
fight mucous from the lungs correct answersa. re-establishing
infection
negative
within thepressure
pleural
space
During the respiratory assessment of an older adult, the nurse would expect
the following
to find all of
except:
a. decreased chest wall
b. diminished lung sounds in the
movement
bases
While obtaining assessment information on a patient with
hypertension, the nurse recognizes that a modifiable risk factor for
development of hypertension is:
a. low calcium diet
b. excessive alcohol intake
c. family history of hypertension
d. consumption of a high protein diet correct answersb. excessive
A patient
alcohol is admitted to the hospital with a hypertensive crisis. What would
intake
you when
see expectyouto assess the patient's blood
pressure?
a. BP
b. BP
196/116
150/90
c. BP
116/72
d. BP 170/98 correct answersa. BP
196/116
You are doing pre-procedural teaching for a patient who is scheduled for
a cardiac
catheterization. Which of the following statements should you include in
your patient
teaching
?
a. "you should have nothing to eat or drink for 12 hours prior to the
b. "you will be given general anesthesia during the
procedure."
procedure"
c. "you should not have this done if you are allergic
to "you
d. eggs"will need to keep your affected leg straight following the
procedure""you
answersd. correct
will need to keep your affected leg straight following the
procedure"
When administering an IV diuretic (furosemide) to a patient, what is
an expected
response to the
medication?
a. increased blood
b. increased urine
pressure
output
c. decreased
d. decreased dysrhythmias correct answersb. increased
pain
urine output
Which patient is at the greatest risk of coronary artery
disease.
a. 32 year old female who quit smoking 10
years
b. 43 year
ago old male with a family history of CAD and total cholesterol
level
c. 56 of 158
year old male who takes
d. 65 year old female who is obese and has a total cholesterol of 213 correct
atorvastatin
answersd.
65 year old female who is obese and has a total
cholesterol of 213
A patient comes to the Emergency Room for chest pain. They are also
nausea, and of
complaining have vomited prior to arrival. What diagnostic tool can you
expect
in ordertotouse,
see if the patient is having a STEMI vs.
a. Troponin
NSTEMI?
Level
, b. CK
c.
Level
Defibrillator
d. EKG correct answersd.
EKG
Early ambulation after open heart surgery is a necessary nursing
intervention
all of the following
to prevent
except:
a. deep vein
b. pulmonary
thrombosis
embolism
c.
d. hypotension correct answersd.
atelectasis
hypotension
You are caring for a patient who is diagnosed with a MI. Which of the
following
can activitiesto the unlicensed assistive
you delegate
personnel
a. auscultate (UAP).
lung
sounds
b. educate the patient on risk factors
of provide
c. CAD teaching on a 2 gm
sodium diet
d. document intake and output correct answersd. document intake
and output
A nurse is admitting a patient who has a suspected myocardial infarction
(MI) andofaangina. Which of the following findings helps the nurse to
history
distinguish
angina fromstable
a
a. table angina can be relieved by rest
MI?
and
b. TheNTGangina accompanying a MI resolves in less than 15
c. The type of activity that causes angina during an MI can be
minutes
identified.
d. Stable angina occurs for longer than 30 minutes. correct answersa. table
angina
be relieved
can by rest and
NTG
Your caring for a patient post-myocardial infarction. You see their
cardiac rhythm
changed to ventricular fibrillation. They are unresponsive and do not
have a pulse.
What's your next immediate
action?
a. notify the
b. start
physician
CPR
c. obtain IV
d. place oxygen on the patient correct answersb.
access
start CPR
A chest tube inserted into the pleural space
works by:
a. re-establishing negative pressure within the
pleural
b. re-establishing
space positive pressure within the
pleural
c. space
allowing the infusion of antibiotics into the pleural cavity to
d. draining
fight mucous from the lungs correct answersa. re-establishing
infection
negative
within thepressure
pleural
space
During the respiratory assessment of an older adult, the nurse would expect
the following
to find all of
except:
a. decreased chest wall
b. diminished lung sounds in the
movement
bases
