NR 324 Final Exam Review Practice Questions with answers

NR 324 Final Exam Review Practice
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Questions with answers |\ |\




A nurse is caring for a client who enters the emergency
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department complaining of severe chest pain. Which of the
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following interventions should the nurse implement to determine
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if the client is experiencing a myocardial infarction?
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A. Check the client's blood pressure.
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B. Auscultate heart tones.
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C. Perform a 12-lead ECG.
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D. Determine if pain radiates to the left arm. - CORRECT
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ANSWERS ✔✔C. Perform a 12-lead ECG. |\ |\ |\ |\ |\




Beta adrenergic blockers cause?
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A. Tachycardia
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B. Bradycardia
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C. Hypertension
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D. Tachypnea - CORRECT ANSWERS ✔✔B. Bradycardia
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A nurse is contributing to the plan of care for an older adult client
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who is at risk for osteoporosis. Which of the following
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interventions should the nurse include to prevent bone loss? - |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


CORRECT ANSWERS ✔✔Encourage weight-bearing exercises
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,A nurse is reinforcing discharge teaching to prevent dumping
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syndrome for a client following a partial gastrectomy for ulcers.
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Which of the following information should the nurse include in
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the teaching? - CORRECT ANSWERS ✔✔Avoid liquids at meal
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times


A nurse is collecting data on a client who is scheduled for a
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cardiac catheterization. Which of the following laboratory levels
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should review prior to the procedure? - CORRECT ANSWERS
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✔✔BUN


A nurse is caring for a client who is at risk for developing
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pressure ulcers. Which of the following actions should the nurse
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take? - CORRECT ANSWERS ✔✔Position pillows between the bony
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prominences.
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A nurse is caring for a client who has meningococcal pneumonia.
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Which of the following personal protective equipment should the
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nurse use? - CORRECT ANSWERS ✔✔Mask
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A nurse is caring for a client following cardiac catheterization.
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Which of the following is an appropriate nursing action?
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a. Monitor pedal pulses every 15 min.
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b. Perform passive range of motion to the affected extremity.
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c. Ambulate the client when he is awake and alert.
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,d. Keep the client in high-Fowler's position for 6 hr. - CORRECT
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ANSWERS ✔✔a. Monitor pedal pulses every 15 min.
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a nurse is collect data from a client who has right sided heart
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failure. which of the following findings should the nurse expect?
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a. frothy sputum
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b. dyspnea.
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c. orthopnea
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d. peripheral edema - CORRECT ANSWERS ✔✔d. peripheral
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edema


A nurse is collecting data from a client who has an acute
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myocardial infarction (MI). Which of the following clinical
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manifestations should the nurse expect to find? (Select all that
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apply.)
a. Orthopnea
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b. Headache
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c. Nausea
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d. Tachycardia
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e. Diaphoresis - CORRECT ANSWERS ✔✔Nausea
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Tachycardia
Diaphoresis


A client asks a nurse, "Why am I taking nitroglycerin?" Which of
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the following is the best response by the nurse?
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, a. "Nitroglycerin relieves nausea and prevents vomiting which
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could lead to aspiration."|\ |\ |\




b. "Nitroglycerin decreases chest pain by dissolving blood clots
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that are occluding the arteries."
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c. "Nitroglycerin acts as a bronchodilator to open small airways
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and decrease shortness of breath."
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d. "Nitroglycerin dilates cardiac blood vessels to deliver more
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oxygen to the heart." - CORRECT ANSWERS ✔✔"Nitroglycerin
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dilates cardiac blood vessels to deliver more oxygen to the
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heart."


A client comes to the emergency department via ambulance to
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report severe radiating chest pain and shortness of breath. The
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client appears restless, frightened, and slightly cyanotic. The
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provider prescribes oxygen by nasal cannula at 4 L/min stat,
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cardiac enzyme levels, IV fluids, and a 12-lead ECG. Which of the
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following actions should the nurse assisting with this client's care
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take first?
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a. Attach the leads for a 12-lead ECG.
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b. Obtain the blood sample.
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c. Initiate oxygen therapy.
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d. Insert the IV catheter. - CORRECT ANSWERS ✔✔c. Initiate
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oxygen therapy. |\