Med-Surg 3 Final Exam | COMPREHENSIVE EXAM
WITH OVER 200+ ACTUAL QUESTIONS WITH THEIR
CORRECT ANSWERS. GRADED A+
Which of the following is a common symptom of pericardial effusion?
a. shortness of breath
b. cough
c. fatigue
d. fever
a. shortness of breath
Shortness of breath is a common symptom of pericardial effusion. The accumulation of fluid in the
pericardial sac can compress the heart and impede its ability to fill and pump blood effectively, leading
to shortness of breath
A nurse is analyzing a client's electrocardiogram (ECG) strip and identifies the following information:
- Heart rate: 92/min
- Rhythm: Irregular
- P wave: Unable to identify
- PR interval: Unable to measure
- QRS duration: 0.10 seconds
Based on this information, the nurse should interpret the client's rhythm as indicating which of the
following?
,a. sinus bradycardia
b. atrial fibrillation
c. first-degree heart block
d. supraventricular tachycardia
b. atrial fibrillation
Atrial fibrillation is indicated in ECG analysis by an irregular rhythm, the absence of identifiable P waves,
and the inability to measure PR interval
Which of the following are common manifestations of a stroke?
(select all that apply)
a. ataxia
b. polyuria
c. facial drooping
d. hemiparesis
e. elevated WBC count
a. ataxia
c. facial drooping
d. hemoparesis
A nurse is caring for a postoperative client following abdominal surgery. Which of the following findings
should cause the nurse to anticipate the client might be experiencing a hemorrhage?
(select all that apply)
,a. hypotension
b. diaphoresis
c. tachypnea
d. bradycardia
e. diarrhea
a. hypotension
b. diaphoresis
c. tachypnea
A nurse is assessing a client who has a pericardial effusion and has developed hypotension and muffled
heart sounds. Which of the following procedures should the nurse anticipate for this client?
a. septal myectomy
b. left ventricular assist device
c. pericardiocentesis
d. synchronized electrical cardioversion
c. pericardiocentesis
Clients who have pericarditis and become hypotensive and have muffled heart sounds indicate the
development of pericardial effusion. Pericardial effusion will require a pericardiocentesis to remove the
fluid accumulation surrounding the heart
Which of the following is a risk factor for developing blood cancers?
, a. being 65 years old
b. obesity
c. type 2 diabetes mellitus
d. previous exposure to radiation
d. previous exposure to radiation
A nurse is monitoring a client who is receiving packed RBCs. The nurse identifies which of the following
as an expected finding?
a. the drip chamber with filter is filled completely with blood
b. the packed RBCs are connected by Y tubing to normal saline
c. the blood has been infusing steadily for 5 hours with no client symptoms
d. a medication is being administered IV through injection site closest to the client
b. the packed RBCs are connected by Y tubing to normal saline
The only intravenous fluid that can be used in the blood administration tubing is normal saline. It is used
to prime the tube, and when the infusion is complete, it should also be used to clear the line. Y tubing
allows for normal saline to infuse through one branch of the Y and packed RBCs through the other
A nurse is reviewing the laboratory test results from a client who has prerenal acute kidney injury (AKI).
Which of the following electrolyte imbalances should the nurse expect?
a. hyperkalemia
b. hypernatremia
c. hypercalcemia
WITH OVER 200+ ACTUAL QUESTIONS WITH THEIR
CORRECT ANSWERS. GRADED A+
Which of the following is a common symptom of pericardial effusion?
a. shortness of breath
b. cough
c. fatigue
d. fever
a. shortness of breath
Shortness of breath is a common symptom of pericardial effusion. The accumulation of fluid in the
pericardial sac can compress the heart and impede its ability to fill and pump blood effectively, leading
to shortness of breath
A nurse is analyzing a client's electrocardiogram (ECG) strip and identifies the following information:
- Heart rate: 92/min
- Rhythm: Irregular
- P wave: Unable to identify
- PR interval: Unable to measure
- QRS duration: 0.10 seconds
Based on this information, the nurse should interpret the client's rhythm as indicating which of the
following?
,a. sinus bradycardia
b. atrial fibrillation
c. first-degree heart block
d. supraventricular tachycardia
b. atrial fibrillation
Atrial fibrillation is indicated in ECG analysis by an irregular rhythm, the absence of identifiable P waves,
and the inability to measure PR interval
Which of the following are common manifestations of a stroke?
(select all that apply)
a. ataxia
b. polyuria
c. facial drooping
d. hemiparesis
e. elevated WBC count
a. ataxia
c. facial drooping
d. hemoparesis
A nurse is caring for a postoperative client following abdominal surgery. Which of the following findings
should cause the nurse to anticipate the client might be experiencing a hemorrhage?
(select all that apply)
,a. hypotension
b. diaphoresis
c. tachypnea
d. bradycardia
e. diarrhea
a. hypotension
b. diaphoresis
c. tachypnea
A nurse is assessing a client who has a pericardial effusion and has developed hypotension and muffled
heart sounds. Which of the following procedures should the nurse anticipate for this client?
a. septal myectomy
b. left ventricular assist device
c. pericardiocentesis
d. synchronized electrical cardioversion
c. pericardiocentesis
Clients who have pericarditis and become hypotensive and have muffled heart sounds indicate the
development of pericardial effusion. Pericardial effusion will require a pericardiocentesis to remove the
fluid accumulation surrounding the heart
Which of the following is a risk factor for developing blood cancers?
, a. being 65 years old
b. obesity
c. type 2 diabetes mellitus
d. previous exposure to radiation
d. previous exposure to radiation
A nurse is monitoring a client who is receiving packed RBCs. The nurse identifies which of the following
as an expected finding?
a. the drip chamber with filter is filled completely with blood
b. the packed RBCs are connected by Y tubing to normal saline
c. the blood has been infusing steadily for 5 hours with no client symptoms
d. a medication is being administered IV through injection site closest to the client
b. the packed RBCs are connected by Y tubing to normal saline
The only intravenous fluid that can be used in the blood administration tubing is normal saline. It is used
to prime the tube, and when the infusion is complete, it should also be used to clear the line. Y tubing
allows for normal saline to infuse through one branch of the Y and packed RBCs through the other
A nurse is reviewing the laboratory test results from a client who has prerenal acute kidney injury (AKI).
Which of the following electrolyte imbalances should the nurse expect?
a. hyperkalemia
b. hypernatremia
c. hypercalcemia
