NSG 223 Med Surg 2 Exam 1 Practice
Questions With COMPLETE Solutions
A 19 yo patient with rheumatic heart disease is
admitted to the hospital with a recurrence of
rheumatic fever. In planning care for the patient,
which nursing diagnosis should the nurse include?
A. Ineffective coping r/t refusal to carry out health
promotion activities
B. Risk for infection r/t recent exposure to group A
beta-hemolytic streptococci
C. Impaired adjustment r/t unsuccessful lifestyle
modifications, goal setting, and problem solving
D. Ineffective health management r/t lack of
knowledge about long-term prophylactic antibiotic
therapy Correct Answers D. Ineffective health
management r/t lack of knowledge about long-term
prophylactic antibiotic therapy
A multiple gated acquisition (MUGA) scan has been
prescribed to a patient with cardiac problems to
determine what?
A. The patient's ejection fraction
B. The presence of conduction disturbances
C. The effectiveness of dilated cardiomyopathy
D. The presence of infectious organisms in the
heart tissue Correct Answers A. The patient's
ejection fraction
,A patient develops atrial flutter with a rapid
ventricular response. The nurse anticipates that
what treatment will be prescribed?
A. Defibrillation
B. ICD
C. AED
D. Synchronized cardioversion Correct Answers D.
Synchronized cardioversion
A patient develops symptomatic sinus tachycardia.
The nurse recognizes that which drug will likely be
included in the patient's treatment plan?
A. Atropine
B. Dopamine
C. Adenosine
D. Epinephrine Correct Answers C. Adenosine
A patient experiences anginal pain. What is an
appropriate nursing intervention?
A. Place the patient in the recumbent position
during the attack
B. Encourage a salt-rich diet to prevent orthostatic
hypotension
C. Position the patient upright and administer
oxygen
D. Encourage the patient to do isometric exercises
Correct Answers C. Position the patient upright
and administer oxygen
,A patient has a diagnosis of acute MI, and his
cardiac rhythm is sinus bradycardia with 6-8 PVCs
per minute. The pattern that the nurse recognizes
as the most characteristic of PVCs is
A. An irregular rhythm
B. An inverted T wave
C. A wide, distorted QRS complex
D. An increasingly long PR interval Correct
Answers C. A wide, distorted QRS complex
A patient has been in the hospital for 1 wk and is
being discharged with a diagnosis of sub-acute
infective endocarditis (IE), afebrile, and no signs of
heart damage. The patient will go home on
antibiotics. What is most important for the nurse to
consider in discharge planning?
A. Plan how his needs will be met while he is on
bed rest
B. Teach the patient to avoid outdoor activities to
relieve restlessness and boredom
C. Assess the patient's home environment in terms
of family assistance and hospital access
D. Encourage use of diversional activities to relieve
restlessness and boredom Correct Answers C.
Assess the patient's home environment in terms of
family assistance and hospital access
A patient has sought care following a syncopal
episode of unknown etiology. The nurse anticipates
, that what will be included in the patient's
treatment plan?
A. IV beta blocker
B. Head-up tilt-test
C. Pacemaker insertion
D. Antiplatelet therapy Correct Answers B. Head-
up tilt-test
A patient in asystole is likely to receive which drug
treatment?
A. Epi and vasopressin
B. Lidocaine and amiodarone
C. Digoxin and procainamide
D. Beta blockers and dopamine Correct Answers
A. Epi and vasopressin
A patient in teh coronary care unit develops Vfib.
The first action the nurse should take is to
A. Perform defibrillation
B. Initiate CPR
C. Prepare for synchronized cardioversion
D. Administer IV antidysrhythmic drugs per
protocol Correct Answers B. Initiate CPR
A patient is admitted to the coronary care unit
following a cardiac arrest and successful CPR.
When reviewing the HCP's admission orders, which
order should the nurse question?
A. Oxygen at 4 L/min via NC
Questions With COMPLETE Solutions
A 19 yo patient with rheumatic heart disease is
admitted to the hospital with a recurrence of
rheumatic fever. In planning care for the patient,
which nursing diagnosis should the nurse include?
A. Ineffective coping r/t refusal to carry out health
promotion activities
B. Risk for infection r/t recent exposure to group A
beta-hemolytic streptococci
C. Impaired adjustment r/t unsuccessful lifestyle
modifications, goal setting, and problem solving
D. Ineffective health management r/t lack of
knowledge about long-term prophylactic antibiotic
therapy Correct Answers D. Ineffective health
management r/t lack of knowledge about long-term
prophylactic antibiotic therapy
A multiple gated acquisition (MUGA) scan has been
prescribed to a patient with cardiac problems to
determine what?
A. The patient's ejection fraction
B. The presence of conduction disturbances
C. The effectiveness of dilated cardiomyopathy
D. The presence of infectious organisms in the
heart tissue Correct Answers A. The patient's
ejection fraction
,A patient develops atrial flutter with a rapid
ventricular response. The nurse anticipates that
what treatment will be prescribed?
A. Defibrillation
B. ICD
C. AED
D. Synchronized cardioversion Correct Answers D.
Synchronized cardioversion
A patient develops symptomatic sinus tachycardia.
The nurse recognizes that which drug will likely be
included in the patient's treatment plan?
A. Atropine
B. Dopamine
C. Adenosine
D. Epinephrine Correct Answers C. Adenosine
A patient experiences anginal pain. What is an
appropriate nursing intervention?
A. Place the patient in the recumbent position
during the attack
B. Encourage a salt-rich diet to prevent orthostatic
hypotension
C. Position the patient upright and administer
oxygen
D. Encourage the patient to do isometric exercises
Correct Answers C. Position the patient upright
and administer oxygen
,A patient has a diagnosis of acute MI, and his
cardiac rhythm is sinus bradycardia with 6-8 PVCs
per minute. The pattern that the nurse recognizes
as the most characteristic of PVCs is
A. An irregular rhythm
B. An inverted T wave
C. A wide, distorted QRS complex
D. An increasingly long PR interval Correct
Answers C. A wide, distorted QRS complex
A patient has been in the hospital for 1 wk and is
being discharged with a diagnosis of sub-acute
infective endocarditis (IE), afebrile, and no signs of
heart damage. The patient will go home on
antibiotics. What is most important for the nurse to
consider in discharge planning?
A. Plan how his needs will be met while he is on
bed rest
B. Teach the patient to avoid outdoor activities to
relieve restlessness and boredom
C. Assess the patient's home environment in terms
of family assistance and hospital access
D. Encourage use of diversional activities to relieve
restlessness and boredom Correct Answers C.
Assess the patient's home environment in terms of
family assistance and hospital access
A patient has sought care following a syncopal
episode of unknown etiology. The nurse anticipates
, that what will be included in the patient's
treatment plan?
A. IV beta blocker
B. Head-up tilt-test
C. Pacemaker insertion
D. Antiplatelet therapy Correct Answers B. Head-
up tilt-test
A patient in asystole is likely to receive which drug
treatment?
A. Epi and vasopressin
B. Lidocaine and amiodarone
C. Digoxin and procainamide
D. Beta blockers and dopamine Correct Answers
A. Epi and vasopressin
A patient in teh coronary care unit develops Vfib.
The first action the nurse should take is to
A. Perform defibrillation
B. Initiate CPR
C. Prepare for synchronized cardioversion
D. Administer IV antidysrhythmic drugs per
protocol Correct Answers B. Initiate CPR
A patient is admitted to the coronary care unit
following a cardiac arrest and successful CPR.
When reviewing the HCP's admission orders, which
order should the nurse question?
A. Oxygen at 4 L/min via NC
