NS 126 medsurg exam 1 |245 questions with
verified answers
___________________ is the delivery of a mild electrical shock at a
specific time of the cardiac cycle to interrupt an abnormal rhythm and
to possibly initiate a normal rhythm.
1. Synchronized cardioversion
2. Unsynchronized defibrillation
3. Pacemaker initiation
4. Electrophysiology study Ans✓✓✓ 1. Synchronized cardioversion
_______________________ involves a set monthly fee charged by the
provider of health care services for each member of the insurance
group for a specific set of services. Ans✓✓✓ Capitation
(Phase I) Acute inflammatory reaction (3-4 days) Ans✓✓✓ Process of
hemostasis. Constriction of blood vessels, platelet aggregation and the
formation of fibrin, and epithelial cell migration. Phagocytosis occurs.
Scab forms.
(Phase II) Proliferation and granulation (third or fourth day to 2-3 wk)
Ans✓✓✓ Macrophages clear debris, fibroblasts synthesize collagen,
capillary networks are built, granulation tissue is formed. Closure by
contracture begins.
,(Phase III) Scar maturation and contracture (3-6 wk) Ans✓✓✓
Remodeling with collagen lysis and synthesis; scar tissue thins and
becomes paler, but stronger.
A 38-year-old woman who has undergone bilateral radical mastectomy
is withdrawn and quiet. She is afebrile with no apparent complaints of
pain. Her dressings are dry and intact. Pulses are full on both upper
extremities. Considering the data, the major problem at this time would
be:
1. Pain in the surgical area.
2. Potential surgical site infection
3. Distress over loss of her breasts.
4. Concern about her children at home. Ans✓✓✓ 3. Distress over loss
of her breasts.
A 40-year-old woman complains of leg pains that are associated with
fullness during walking. She describes itching on the lower leg and on
inspection has a twisted-appearing swelling in her legs. The patient
most likely will be treated for:
1. venous stasis ulcers.
2. deep vein thrombosis.
3. arterial insufficiency.
4. varicose veins. Ans✓✓✓ 4. varicose veins.
,A 44-year-old patient is admitted with a sudden, severe chest tightness
unrelieved by rest or nitroglycerin and profuse sweating. Which test
would exhibit an elevated level only if the patient has had an MI?
1. Serum troponin
2. Blood urea nitrogen
3. Myoglobin level
4. Prothrombin time Ans✓✓✓ 1. Serum troponin
A 48-year-old patient is admitted for tachycardia, shortness of breath,
and chest pain eased by sitting up and leaning forward. The nurse
auscultates a high-pitched scratchy sound at the left sternal border of
the chest. The patient most likely has:
1. heart failure.
2. pericarditis.
3. pneumonia.
4. aortic stenosis. Ans✓✓✓ 2. pericarditis
A 54-year-old man complains of pain when walking and numbness of
his lower extremities. On examination, the nurse notes that both
extremities are pale and cool to touch. The highest priority nursing
diagnosis would be:
1. Altered peripheral tissue perfusion.
2. Altered activity tolerance.
3. Altered fluid volume.
, 4. Potential for injury. Ans✓✓✓ 1. Altered peripheral tissue perfusion.
A continuous quality improvement program sets
__________________________________________. Ans✓✓✓
Standards of Care
A new client has arrived, and the RN has asked you to begin data
collection while she finishes taking the health care provider's orders.
Prioritize the following steps.
a. Identify the client
b. Measure vital signs.
c. Introduce yourself to the client.
d. Explain what you are planning to do.
e. Report information to the RN and ask for further instructions.
Ans✓✓✓ a, c, d, b, e
A nurse answers the call light of a patient admitted with HF. The patient
states he is short of breath and appears to be in distress. Identify the
actions of the nurse in priority order.
1. Apply supplemental oxygen.
2. Raise the head of the bed.
3. Notify the provider.
4. Check vital signs.
5. Listen to lung sounds. Ans✓✓✓ 2,1,4,5,3
verified answers
___________________ is the delivery of a mild electrical shock at a
specific time of the cardiac cycle to interrupt an abnormal rhythm and
to possibly initiate a normal rhythm.
1. Synchronized cardioversion
2. Unsynchronized defibrillation
3. Pacemaker initiation
4. Electrophysiology study Ans✓✓✓ 1. Synchronized cardioversion
_______________________ involves a set monthly fee charged by the
provider of health care services for each member of the insurance
group for a specific set of services. Ans✓✓✓ Capitation
(Phase I) Acute inflammatory reaction (3-4 days) Ans✓✓✓ Process of
hemostasis. Constriction of blood vessels, platelet aggregation and the
formation of fibrin, and epithelial cell migration. Phagocytosis occurs.
Scab forms.
(Phase II) Proliferation and granulation (third or fourth day to 2-3 wk)
Ans✓✓✓ Macrophages clear debris, fibroblasts synthesize collagen,
capillary networks are built, granulation tissue is formed. Closure by
contracture begins.
,(Phase III) Scar maturation and contracture (3-6 wk) Ans✓✓✓
Remodeling with collagen lysis and synthesis; scar tissue thins and
becomes paler, but stronger.
A 38-year-old woman who has undergone bilateral radical mastectomy
is withdrawn and quiet. She is afebrile with no apparent complaints of
pain. Her dressings are dry and intact. Pulses are full on both upper
extremities. Considering the data, the major problem at this time would
be:
1. Pain in the surgical area.
2. Potential surgical site infection
3. Distress over loss of her breasts.
4. Concern about her children at home. Ans✓✓✓ 3. Distress over loss
of her breasts.
A 40-year-old woman complains of leg pains that are associated with
fullness during walking. She describes itching on the lower leg and on
inspection has a twisted-appearing swelling in her legs. The patient
most likely will be treated for:
1. venous stasis ulcers.
2. deep vein thrombosis.
3. arterial insufficiency.
4. varicose veins. Ans✓✓✓ 4. varicose veins.
,A 44-year-old patient is admitted with a sudden, severe chest tightness
unrelieved by rest or nitroglycerin and profuse sweating. Which test
would exhibit an elevated level only if the patient has had an MI?
1. Serum troponin
2. Blood urea nitrogen
3. Myoglobin level
4. Prothrombin time Ans✓✓✓ 1. Serum troponin
A 48-year-old patient is admitted for tachycardia, shortness of breath,
and chest pain eased by sitting up and leaning forward. The nurse
auscultates a high-pitched scratchy sound at the left sternal border of
the chest. The patient most likely has:
1. heart failure.
2. pericarditis.
3. pneumonia.
4. aortic stenosis. Ans✓✓✓ 2. pericarditis
A 54-year-old man complains of pain when walking and numbness of
his lower extremities. On examination, the nurse notes that both
extremities are pale and cool to touch. The highest priority nursing
diagnosis would be:
1. Altered peripheral tissue perfusion.
2. Altered activity tolerance.
3. Altered fluid volume.
, 4. Potential for injury. Ans✓✓✓ 1. Altered peripheral tissue perfusion.
A continuous quality improvement program sets
__________________________________________. Ans✓✓✓
Standards of Care
A new client has arrived, and the RN has asked you to begin data
collection while she finishes taking the health care provider's orders.
Prioritize the following steps.
a. Identify the client
b. Measure vital signs.
c. Introduce yourself to the client.
d. Explain what you are planning to do.
e. Report information to the RN and ask for further instructions.
Ans✓✓✓ a, c, d, b, e
A nurse answers the call light of a patient admitted with HF. The patient
states he is short of breath and appears to be in distress. Identify the
actions of the nurse in priority order.
1. Apply supplemental oxygen.
2. Raise the head of the bed.
3. Notify the provider.
4. Check vital signs.
5. Listen to lung sounds. Ans✓✓✓ 2,1,4,5,3
