NURSING 496A EXAM 2 MEDSURG 3 Questions
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New Update 2025
Question 1
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Question text
When the nurse educator is evaluating the skills of a new registered nurse (RN)
caring for patients experiencing shock, which action by the new RN indicates a
need for more education? Select one:
a. Placing the pulse oximeter on the ear for a patient with septic shock
b. Keeping the head of the bed flat for a patient with hypovolemic shock
c. Increasing the nitroprusside (Nipride) infusion rate for a patient with a high SVR
d. Maintaining the room temperature at 66° to 68° F for a patient with neurogenic
shock
Patients with neurogenic shock may have poikilothermia. The room temperature
should be kept warm to avoid hypothermia. The other actions by the new RN are
appropriate.
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The correct answer is: Maintaining the room temperature at 66° to 68° F for a
patient with neurogenic shock
Question 16
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,Question text
A 78-kg patient with septic shock has a urine output of 30 mL/hr for the past 3
hours. The pulse rate is 120/minute and the central venous pressure and pulmonary
artery wedge pressure are low. Which order by the health care provider will the
nurse question?
Select one:
a. Titrate norepinephrine (Levophed) to keep systolic BP >90 mm Hg.
b. Give PRN furosemide (Lasix) 40 mg IV.
Furosemide will lower the filling pressures and renal perfusion further for the
patient with septic shock. The other orders are appropriate.
c. Administer hydrocortisone (Solu-Cortef) 100 mg IV.
d. Increase normal saline infusion to 250 mL/hr.
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The correct answer is: Give PRN furosemide (Lasix) 40 mg IV.
Question 3
Correct
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Question text
After reviewing the information shown in the accompanying figure for a patient
with pneumonia and sepsis, which information is most important to report to the
health care provider?
Select one:
a. Oxygen saturation and breath sounds
b. Blood pressure, pulse rate, respiratory rate.
c. Temperature and IV site appearance
d. Platelet count and presence of petechiae
,The low platelet count and presence of petechiae suggest that the patient may have
disseminated intravascular coagulation and that multiple organ dysfunction
syndrome (MODS) is developing. The other information will also be discussed
with the health care provider but does not indicate that the patient's condition is
deteriorating or that a change in therapy is needed immediately.
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The correct answer is: Platelet count and presence of petechiae
Question 4
Correct
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Question text
, A nurse is caring for a patient with shock of unknown etiology whose
hemodynamic monitoring indicates BP 92/54, pulse 64, and an elevated
pulmonary artery wedge pressure. Which collaborative intervention ordered by
the health care provider should the nurse question?
Select one:
a. Hold nitroprusside (Nipride) if systolic BP <90 mm Hg.
b. Titrate dobutamine (Dobutrex) to keep systolic BP >90 mm Hg.
c. Infuse normal saline at 250 mL/hr.
The patient's elevated pulmonary artery wedge pressure indicates volume excess.
A saline infusion at 250 mL/hr will exacerbate the volume excess. The other
actions are appropriate for the patient.
d. Keep head of bed elevated to 30 degrees.
Feedback
The correct answer is: Infuse normal saline at 250 mL/hr.
Question 5
Correct
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Question text
Which drug is not considered a positive
inotrope? Select one:
a. Metoprolol (Lopressor)
Correct; Metoprolol is a negative inotrope, it decreases the contractility of the
myocardium
b. Epinephrine (Adrenalin)
c. Digoxin (Lanoxin)
d. Dobutamine (Dobutrex)
Feedback
Your answer is correct.
The correct answer is: Metoprolol (Lopressor)
Question 6
and Answers Best Rated A+ guaranteed success
New Update 2025
Question 1
Correct
Mark 1.00 out of
1.00 Flag question
Question text
When the nurse educator is evaluating the skills of a new registered nurse (RN)
caring for patients experiencing shock, which action by the new RN indicates a
need for more education? Select one:
a. Placing the pulse oximeter on the ear for a patient with septic shock
b. Keeping the head of the bed flat for a patient with hypovolemic shock
c. Increasing the nitroprusside (Nipride) infusion rate for a patient with a high SVR
d. Maintaining the room temperature at 66° to 68° F for a patient with neurogenic
shock
Patients with neurogenic shock may have poikilothermia. The room temperature
should be kept warm to avoid hypothermia. The other actions by the new RN are
appropriate.
Feedback
The correct answer is: Maintaining the room temperature at 66° to 68° F for a
patient with neurogenic shock
Question 16
Correct
Mark 1.00 out of
1.00 Flag question
,Question text
A 78-kg patient with septic shock has a urine output of 30 mL/hr for the past 3
hours. The pulse rate is 120/minute and the central venous pressure and pulmonary
artery wedge pressure are low. Which order by the health care provider will the
nurse question?
Select one:
a. Titrate norepinephrine (Levophed) to keep systolic BP >90 mm Hg.
b. Give PRN furosemide (Lasix) 40 mg IV.
Furosemide will lower the filling pressures and renal perfusion further for the
patient with septic shock. The other orders are appropriate.
c. Administer hydrocortisone (Solu-Cortef) 100 mg IV.
d. Increase normal saline infusion to 250 mL/hr.
Feedback
The correct answer is: Give PRN furosemide (Lasix) 40 mg IV.
Question 3
Correct
Mark 1.00 out of
1.00 Flag question
Question text
After reviewing the information shown in the accompanying figure for a patient
with pneumonia and sepsis, which information is most important to report to the
health care provider?
Select one:
a. Oxygen saturation and breath sounds
b. Blood pressure, pulse rate, respiratory rate.
c. Temperature and IV site appearance
d. Platelet count and presence of petechiae
,The low platelet count and presence of petechiae suggest that the patient may have
disseminated intravascular coagulation and that multiple organ dysfunction
syndrome (MODS) is developing. The other information will also be discussed
with the health care provider but does not indicate that the patient's condition is
deteriorating or that a change in therapy is needed immediately.
Feedback
The correct answer is: Platelet count and presence of petechiae
Question 4
Correct
Mark 1.00 out of
1.00 Flag question
Question text
, A nurse is caring for a patient with shock of unknown etiology whose
hemodynamic monitoring indicates BP 92/54, pulse 64, and an elevated
pulmonary artery wedge pressure. Which collaborative intervention ordered by
the health care provider should the nurse question?
Select one:
a. Hold nitroprusside (Nipride) if systolic BP <90 mm Hg.
b. Titrate dobutamine (Dobutrex) to keep systolic BP >90 mm Hg.
c. Infuse normal saline at 250 mL/hr.
The patient's elevated pulmonary artery wedge pressure indicates volume excess.
A saline infusion at 250 mL/hr will exacerbate the volume excess. The other
actions are appropriate for the patient.
d. Keep head of bed elevated to 30 degrees.
Feedback
The correct answer is: Infuse normal saline at 250 mL/hr.
Question 5
Correct
Mark 1.00 out of
1.00 Flag question
Question text
Which drug is not considered a positive
inotrope? Select one:
a. Metoprolol (Lopressor)
Correct; Metoprolol is a negative inotrope, it decreases the contractility of the
myocardium
b. Epinephrine (Adrenalin)
c. Digoxin (Lanoxin)
d. Dobutamine (Dobutrex)
Feedback
Your answer is correct.
The correct answer is: Metoprolol (Lopressor)
Question 6
