MSN 277 Exam One Study Guide
Questions and Answers Latest Version
Already Passed
What is the primary purpose of assessing vital signs before administering antihypertensive
medication?
✔✔To prevent complications like hypotension
What is the priority intervention for a patient experiencing shortness of breath and low oxygen
saturation?
✔✔Apply supplemental oxygen
What lab value is most important to monitor in a patient on a diuretic?
✔✔Potassium level
What does an S3 heart sound usually indicate in adults?
✔✔Heart failure
What should a nurse do first if a patient receiving IV furosemide reports ringing in the ears?
1
,✔✔Stop the infusion
Why is weight monitoring important in heart failure patients?
✔✔To detect fluid retention
What is the most reliable indicator of fluid volume status?
✔✔Daily weight
What symptom suggests worsening left-sided heart failure?
✔✔Dyspnea on exertion
What is the immediate action if a patient has chest pain unrelieved by rest?
✔✔Administer nitroglycerin
What is a common early sign of hypoxia?
✔✔Restlessness
Why are compression stockings used for patients with chronic venous insufficiency?
2
,✔✔To improve venous return
What is the goal of treatment in a patient with peripheral arterial disease?
✔✔Improve blood flow to the extremities
What is the first action for a patient with suspected deep vein thrombosis (DVT)?
✔✔Keep the leg elevated and still
What lab test is monitored to evaluate warfarin therapy?
✔✔INR
What dietary teaching is important for a patient on warfarin?
✔✔Maintain consistent vitamin K intake
Why is it important to assess pedal pulses in a patient after femoral cardiac catheterization?
✔✔To monitor for arterial occlusion
What does crackles on lung auscultation suggest in a patient with heart failure?
3
, ✔✔Pulmonary congestion
Why is it important to elevate the legs in a patient with venous stasis ulcers?
✔✔To reduce swelling
What is a typical symptom of stable angina?
✔✔Chest pain relieved by rest
What should a nurse monitor for in a patient taking lisinopril?
✔✔Cough and hyperkalemia
Why is low sodium diet recommended in heart failure?
✔✔To reduce fluid retention
What is the most concerning finding after a cardiac catheterization?
✔✔Bleeding at the insertion site
What is the reason to avoid sudden position changes in patients on antihypertensives?
4
Questions and Answers Latest Version
Already Passed
What is the primary purpose of assessing vital signs before administering antihypertensive
medication?
✔✔To prevent complications like hypotension
What is the priority intervention for a patient experiencing shortness of breath and low oxygen
saturation?
✔✔Apply supplemental oxygen
What lab value is most important to monitor in a patient on a diuretic?
✔✔Potassium level
What does an S3 heart sound usually indicate in adults?
✔✔Heart failure
What should a nurse do first if a patient receiving IV furosemide reports ringing in the ears?
1
,✔✔Stop the infusion
Why is weight monitoring important in heart failure patients?
✔✔To detect fluid retention
What is the most reliable indicator of fluid volume status?
✔✔Daily weight
What symptom suggests worsening left-sided heart failure?
✔✔Dyspnea on exertion
What is the immediate action if a patient has chest pain unrelieved by rest?
✔✔Administer nitroglycerin
What is a common early sign of hypoxia?
✔✔Restlessness
Why are compression stockings used for patients with chronic venous insufficiency?
2
,✔✔To improve venous return
What is the goal of treatment in a patient with peripheral arterial disease?
✔✔Improve blood flow to the extremities
What is the first action for a patient with suspected deep vein thrombosis (DVT)?
✔✔Keep the leg elevated and still
What lab test is monitored to evaluate warfarin therapy?
✔✔INR
What dietary teaching is important for a patient on warfarin?
✔✔Maintain consistent vitamin K intake
Why is it important to assess pedal pulses in a patient after femoral cardiac catheterization?
✔✔To monitor for arterial occlusion
What does crackles on lung auscultation suggest in a patient with heart failure?
3
, ✔✔Pulmonary congestion
Why is it important to elevate the legs in a patient with venous stasis ulcers?
✔✔To reduce swelling
What is a typical symptom of stable angina?
✔✔Chest pain relieved by rest
What should a nurse monitor for in a patient taking lisinopril?
✔✔Cough and hyperkalemia
Why is low sodium diet recommended in heart failure?
✔✔To reduce fluid retention
What is the most concerning finding after a cardiac catheterization?
✔✔Bleeding at the insertion site
What is the reason to avoid sudden position changes in patients on antihypertensives?
4
