NSG 320 EXAM 2 /NSG320 Exam 2 Actual Exam
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When a pt with heart failure is receiving loop diuretics, the RN would be
sure to monitor serum
a. calcium levels.
b. enzyme levels.
c. potassium levels.
d. sodium levels. - ANSWER-c
A nurse is about to administer IV digoxin to a client with CHF. Which
action takes priority?
a. Ask the client if he/she has ever had digoxin before.
b. Assess the pt's pulse & hold the med if it is <60 beats/min.
c. Prepare the client for any side effects of the medication.
d. Provide info to the client on the med's expected effects. - ANSWER-b
The nurse would assess a heart rate of 55 beats/min as a normal finding
in a client who:
a. is an athlete.
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b. is obese.
c. takes a diuretic.
d. weighs less than 90 pounds. - ANSWER-a
A nurse quickly calculating a pt's heart rate by examining the ECG
would count the number of
a. large squares between P waves and multiply by 10.
b. large squares between R waves and multiply by 10.
c. P waves in a 6-inch strip and multiply by 5.
d. R waves in a 6-inch strip and multiply by 10. - ANSWER-d
A client with a potassium level of 6.6 mEq/L would have a characteristic
ECG configuration of
a. increased PR interval.
b. inverted QRS complex.
c. no change.
d. tall T wave. - ANSWER-d
A pt goes into sudden ventricular fibrillation. The priority action would
be to immediately:
a. administer a lidocaine bolus.
b. administer atropine.
c. administer cardiopulmonary resuscitation (CPR).
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d. administer intravenous (IV) magnesium. - ANSWER-c
A RN would explain to a pt who has a demand pacemaker in place that
this pacemaker functions by
a. demanding the heart to contract at a preset rate.
b. firing after the SA node has started the cycle.
c. firing if the heart rate drops below a preset rate.
d. stimulating the SA node to fire. - ANSWER-c
A RN instructing a pt in the proper administration of sublingual
nitroglycerin would include:
a. assess blood pressure for hypertension after each dose.
b. repeat the dose every 5 minutes up to 3 times for chest pain
c. store NTG tablets in the refrigerator for up to 6 months.
d. take an aspirin before taking the first dose of NTG. - ANSWER-b
A RN knows that some goals have been met when a pt admitted for
angina makes which menu choices
a. Bran flakes with skim milk, apple slices, and orange juice
b. French toast with syrup, grapefruit half, and skim milk
c. Oatmeal with skim milk, one bacon slice, and hot tea
d. Scrambled eggs, whole-wheat toast, and prune juice - ANSWER-a