MEDSURG EXAM 2 33.pdf

MEDSURG EXAM 2 33, 34, 35, 36, 37 + ATI
QUESTIONS WITH CORRECT ANSWERS
GRADED A+ FOR 2025-2026 ASSURED
EXCEL!!
Agnursegassessesgagclientgwhoghadgagmyocardialginfarctiongandgisghypotensive.gWhichgadditionalgassessme
ntgfindinggshouldgthegnursegexpect?g

a.Heartgrategofg120gbeats/ming

b.Cool,gclammygsking

c.Oxygengsaturationgofg90%g

d.gRespiratorygrategofg8gbreaths/ming-ggCORRECTgANSWERSANS:gAg

Whengagclientgexperiencesghypotension,gbaroreceptorsgingthegaorticgarchgsensegagpressuregdecreasegingth
egvessels.gThegparasympatheticgsystemgrespondsgbyglesseninggtheginhibitorygeffectgongthegsinoatrialgnode.
gThisgresultsgingangincreasegingheartgrategandgrespiratorygrate.gThisgtachycardiagisgangearlygresponsegandgisgs

eengevengwhengbloodgpressuregisgnotgcriticallyglow.gAngincreasedgheartgrategandgrespiratorygrategwillgcom
pensategforgtheglowgbloodgpressuregandgmaintaingoxygengsaturationsgandgperfusion.gThegclientgmaygnotgb
egablegtogcompensategforglong,gandgdecreasedgoxygenationgandgcool,gclammygskingwillgoccurglater.



Agnursegassessesgagclientgaftergadministeringgagprescribedgbetagblocker.gWhichgassessmentgshouldgthegnur
segexpectgtogfind?g

a.Bloodgpressuregincreasedgfromg98/42gmmgHggtog132/60gmmgHgg

b.Respiratorygrategdecreasedgfromg25gbreaths/mingtog14gbreaths/ming

c.Oxygengsaturationgincreasedgfromg88%gtog96%g

d.Pulsegdecreasedgfromg100gbeats/mingtog80gbeats/ming-ggCORRECTgANSWERSANS:gDg

Betagblockersgblockgthegstimulationgofgbeta1-adrenergicgreceptors.gTheygblockgthegsympatheticg(fight-or-
flight)gresponsegandgdecreasegthegheartgrateg(HR).gThegbetagblockergwillgdecreasegHRgandgbloodgpressure,g
increasinggventriculargfillinggtime.gItgusuallygdoesgnotghavegeffectsgongbeta2-
adrenergicgreceptorgsites.gCardiacgoutputgwillgdropgbecausegofgdecreasedgHR.



Agnursegassessesgclientsgongagmedical-
surgicalgunit.gWhichgclientgshouldgthegnursegidentifygasghavinggtheggreatestgriskgforgcardiovasculargdisease
?g

,a.Ang86-year-oldgmangwithgaghistorygofgasthmag

b.Ag32-year-oldgAsian-Americangmangwithgcolorectalgcancer

c.Ag45-year-oldgAmericangIndiangwomangwithgdiabetesgmellitusg

d.Ag53-year-oldgpostmenopausalgwomangwhogisgonghormonegtherapyg-ggCORRECTgANSWERSANS:gCg

ThegincidencegofgcoronarygarterygdiseasegandghypertensiongisghighergingAmericangIndiansgthangingwhitesgo
rgAsiangAmericans.gDiabetesgmellitusgincreasesgthegriskgforghypertensiongandgcoronarygarterygdiseasegingp
eoplegofganygracegorgethnicity.gAsthma,gcolorectalgcancer,gandghormonegtherapygdognotgincreasegriskgforgc
ardiovasculargdisease.



Agnursegassessesgangoldergadultgclientgwhoghasgmultiplegchronicgdiseases.gThegclient'sgheartgrategisg48gbeat
s/min.gWhichgactiongshouldgthegnursegtakegfirst?g

a.Documentgthegfindinggingthegchart.g

b.Initiategexternalgpacing.g

c.Assessgthegclient'sgmedications.g

d.Administerg1gmggofgatropine.g-ggCORRECTgANSWERSANS:gCg

Pacemakergcellsgingthegconductiongsystemgdecreasegingnumbergasgagpersongages,gresultinggingbradycardia.g
Thegnursegshouldgcheckgthegmedicationgreconciliationgforgmedicationsgthatgmightgcausegsuchgagdropginghe
artgrate,gthengshouldginformgtheghealthgcaregprovider.gDocumentationgisgimportant,gbutgitgisgnotgthegpriori
tygaction.gThegheartgrategisgnotglowgenoughgforgatropinegorgangexternalgpacemakergtogbegneeded.



Angemergencygroomgnursegobtainsgtheghealthghistorygofgagclient.gWhichgstatementgbygthegclientgshouldgal
ertgthegnursegtogthegoccurrencegofgheartgfailure?g

a."gIggetgshortgofgbreathgwhengIgclimbgstairs."g

b."gIgseeghalosgfloatinggaroundgmyghead."g

c."gIghavegtroublegrememberinggthings."g

d."gIghaveglostgweightgovergthegpastgmonth."g-ggCORRECTgANSWERSANS:gAg

Dyspneagongexertiongisgangearlygmanifestationgofgheartgfailuregandgisgassociatedgwithgangactivitygsuchgasgst
airgclimbing.gThegothergfindingsgaregnotgspecificgtogearlygoccurrencegofgheartgfailure.



Agnursegobtainsgtheghealthghistorygofgagclientgwhogisgnewlygadmittedgtogthegmedicalgunit.gWhichgstatemen
tgbygthegclientgshouldgalertgthegnursegtogthegpresencegofgedema?g

a."gIgwakegupgtoggogtogthegbathroomgatgnight."g

,b."gMygshoesgfitgtightergbygthegendgofgthegday."g

c."gIgseemgtogbegfeelinggmoreganxiousglately."g

d."gIgdrinkgatgleastgeightgglassesgofgwatergagday."g-ggCORRECTgANSWERSANS:gBg

Weightggaingcangresultgfromgfluidgaccumulationgingtheginterstitialgspaces.gThisgisgknowngasgedema.gThegnur
segshouldgnotegwhethergthegclientgfeelsgthatghisgorghergshoesgorgringsgaregtight,gandgshouldgobserve,gwheng
present,gangindentationgaroundgthegleggwheregthegsocksgend.gThegotherganswersgdognotgdescribegedema.



Agnursegassessesgangoldergadultgclientgwhogisgexperiencinggagmyocardialginfarction.gWhichgclinicalgmanifes
tationgshouldgthegnursegexpect?g

a.Excruciatinggpaingonginspirationg

b.Leftglateralgchestgwallgpaing

c.Disorientationgandgconfusiong

d.Numbnessgandgtinglinggofgthegarmg-ggCORRECTgANSWERSANS:gCg

Ingoldergadults,gdisorientationgorgconfusiongmaygbegthegmajorgmanifestationgofgmyocardialginfarctiongcaus
edgbygpoorgcardiacgoutput.gPaingmanifestationsgandgnumbnessgandgtinglinggofgthegarmgcouldgalsogbegrelat
edgtogthegmyocardialginfarction.gHowever,gthegnursegshouldgbegmoregconcernedgaboutgthegnewgonsetgofgd
isorientationgorgconfusiongcausedgbygdecreasedgperfusion



Agnursegassessesgagclientg2ghoursgaftergagcardiacgangiographygviagthegleftgfemoralgartery.gThegnursegnotesgt
hatgthegleftgpedalgpulsegisgweak.gWhichgactiongshouldgthegnursegtake?g

a.Elevategthegleggandgapplygagsandbaggtogthegentrancegsite.g

b.Increasegthegflowgrategofgintravenousgfluids.g

c.Assessgthegcolorgandgtemperaturegofgthegleftgleg.gd.Documentgthegfindinggasg"gleftgpedalgpulsegofg+1/4."g-
ggCORRECTgANSWERSANS:gC



Lossgofgagpulsegdistalgtogangangiographygentrygsitegisgserious,gindicatinggagpossiblegarterialgobstruction.gThe
gpulsegmaygbegfaintgbecausegofgedema.gThegleftgpulsegshouldgbegcomparedgwithgthegright,gandgpulsesgshou

ldgbegcomparedgwithgpreviousgassessments,gespeciallygbeforegthegprocedure.gAssessinggcolorg(pale,gcyano
sis)gandgtemperatureg(cool,gcold)gwillgidentifygagdecreasegingcirculation.gOncegallgperipheralgandgvascularga
ssessmentgdatagaregacquired,gthegprimaryghealthgcaregprovidergshouldgbegnotified.gSimplygdocumentinggt
hegfindingsgisginappropriate.gThegleggshouldgbegpositionedgbelowgtheglevelgofgthegheartgorgdanglinggtogincr
easegbloodgflowgtogthegdistalgportiongofgthegleg.gIncreasinggintravenousgfluidsgwillgnotgaddressgthegclient'sg
problem.

, Agnursegassessesgagclientgwhogisgrecoveringgaftergagleft-
sidedgcardiacgcatheterization.gWhichgassessmentgfindinggrequiresgimmediategintervention?g

a.Urinarygoutputglessgthangintakeg

b.Bruisinggatgtheginsertiongsiteg

c.Slurredgspeechgandgconfusiong

d.Discomfortgingthegleftglegg-ggCORRECTgANSWERSANS:gCg

Agleft-
sidedgcardiacgcatheterizationgspecificallygincreasesgthegriskgforgagcerebralgvasculargaccident.gAgchangegingn
eurologicgstatusgneedsgtogbegactedgongimmediately.gDiscomfortgandgbruisinggaregexpectedgatgthegsite.gIfgin
takegdecreases,gagclientgcangbecomegdehydratedgbecausegofgdyegexcretion.gThegsecondginterventiongwoul
dgbegtogincreasegthegclient'sgfluidgstatus.gNeurologicgchangesgwouldgtakegpriority.



Agnursegassessesgagclientgwhogisgscheduledgforgagcardiacgcatheterization.gWhichgassessmentgshouldgthegnu
rsegcompletegpriorgtogthisgprocedure?g

a.Client'sglevelgofganxietyg

b.Abilitygtogturngselfgingbedg

c.Cardiacgrhythmgandgheartgrateg

d.Allergiesgtogiodine-basedgagentsg-ggCORRECTgANSWERSANS:gDg

Beforegthegprocedure,gthegnursegshouldgascertaingwhethergthegclientghasgangallergygtogiodine-
containinggpreparations,gsuchgasgseafoodgorglocalganesthetics.gThegcontrastgmediumgusedgduringgthegproc
eduregisgiodinegbased.gThisgallergygcangcausegaglife-
threateninggreaction,gsogitgisgaghighgpriority.gSecond,gitgisgimportantgforgthegnursegtogassessganxiety,gmobili
ty,gandgbaselinegcardiacgstatus.



Agnursegcaresgforgagclientgwhogisgprescribedgmagneticgresonancegimagingg(MRI)gofgthegheart.gThegclient'sgh
ealthghistorygincludesgagpreviousgmyocardialginfarctiongandgpacemakergimplantation.gWhichgactiongshould
gthegnursegtake?g



a.SchedulegangelectrocardiogramgjustgbeforegthegMRI.gb.Notifygtheghealthgcaregprovidergbeforegschedulin
ggthegMRI.g

c.Callgthegphysiciangandgrequestgaglaboratorygdrawgforgcardiacgenzymes.g

d.InstructgthegclientgtogincreasegfluidgintakegthegdaygbeforegthegMRI.g-ggCORRECTgANSWERSANS:gBg

ThegmagneticgfieldsgofgthegMRIgcangdeactivategthegpacemaker.gThegnursegshouldgcallgtheghealthgcaregprovi
dergandgreportgthatgthegclientghasgagpacemakergsogthegprovidergcangordergothergdiagnosticgtests.gThegclien
tgdoesgnotgneedgangelectrocardiogram,gcardiacgenzymes,gorgincreasedgfluids.