Med Surg 2 Exam 1 Practice
Questions
A 19 yo patient with rheumatic coronary heart sickness is admitted to the sanatorium with a
recurrence of rheumatic fever. In planning care for the patient, which nursing analysis must
the nurse consist of?
A. Ineffective coping r/t refusal to perform fitness promoting sports
B. Risk for contamination r/t latest exposure to group A beta-hemolytic streptococci
C. Impaired adjustment r/t unsuccessful way of life modifications, intention setting, and
problem solving
D. Ineffective health management r/t lack of expertise about lengthy-time period prophylactic
antibiotic remedy - ANS-D. Ineffective health management r/t lack of know-how
approximately lengthy-time period prophylactic antibiotic remedy
A a couple of gated acquisition (MUGA) test has been prescribed to a patient with cardiac
problems to decide what?
A. The patient's ejection fraction
B. The presence of conduction disturbances
C. The effectiveness of dilated cardiomyopathy
D. The presence of infectious organisms in the coronary heart tissue - ANS-A. The affected
person's ejection fraction
A patient develops atrial flutter with a rapid ventricular reaction. The nurse anticipates that
what remedy can be prescribed?
A. Defibrillation
B. ICD
C. AED
D. Synchronized cardioversion - ANS-D. Synchronized cardioversion
A affected person develops symptomatic sinus tachycardia. The nurse acknowledges that
which drug will likely be included in the patient's remedy plan?
A. Atropine
B. Dopamine
C. Adenosine
D. Epinephrine - ANS-C. Adenosine
A patient experiences anginal ache. What is the proper nursing intervention?
A. Place the patient in the recumbent role at some stage in the attack
B. Encourage a salt-wealthy weight loss plan to save you orthostatic hypotension
C. Position the affected person upright and administer oxygen
D. Encourage the patient to do isometric sporting events - ANS-C. Position the affected
person upright and administer oxygen
, A patient has a analysis of acute MI, and his cardiac rhythm is sinus bradycardia with 6-8
PVCs per minute. The pattern that the nurse acknowledges as the maximum function of
PVCs is
A. An abnormal rhythm
B. An inverted T wave
C. A extensive, distorted QRS complicated
D. An increasingly lengthy PR c language - ANS-C. A extensive, distorted QRS complex
A affected person has been within the sanatorium for 1 wk and is being discharged with a
prognosis of sub-acute infective endocarditis (IE), afebrile, and no signs and symptoms of
heart damage. The affected person will move domestic on antibiotics. What is maximum
important for the nurse to take into account in discharge planning?
A. Plan how his needs may be met whilst he's on mattress relaxation
B. Teach the patient to avoid outdoor activities to alleviate restlessness and boredom
C. Assess the patient's domestic environment in phrases of own family assistance and clinic
get entry to
D. Encourage use of diversional activities to alleviate restlessness and boredom - ANS-C.
Assess the patient's home environment in terms of family help and hospital get admission to
A affected person has sought care following a syncopal episode of unknown etiology. The
nurse anticipates that what will be covered in the affected person's treatment plan?
A. IV beta blocker
B. Head-up tilt-check
C. Pacemaker insertion
D. Antiplatelet therapy - ANS-B. Head-up tilt-check
A affected person in asystole is probably to acquire which drug treatment?
A. Epi and vasopressin
B. Lidocaine and amiodarone
C. Digoxin and procainamide
D. Beta blockers and dopamine - ANS-A. Epi and vasopressin
A affected person in teh coronary care unit develops Vfib. The first motion the nurse should
take is to
A. Perform defibrillation
B. Initiate CPR
C. Prepare for synchronized cardioversion
D. Administer IV antidysrhythmic capsules according to protocol - ANS-B. Initiate CPR
A affected person is admitted to the coronary care unit following a cardiac arrest and a
success CPR. When reviewing the HCP's admission orders, which order ought to the nurse
question?
A. Oxygen at 4 L/min through NC
B. Morphine sulfate 2 mg IV each 10 min till pain is relieved
C. T-PA a hundred mg IV infused over 3 hr
D. IV nitroglycerin at 5 mcg/min and increase 5 mcg/min each 3-five min - ANS-C. T-PA one
hundred mg IV infused over 3 hr
Questions
A 19 yo patient with rheumatic coronary heart sickness is admitted to the sanatorium with a
recurrence of rheumatic fever. In planning care for the patient, which nursing analysis must
the nurse consist of?
A. Ineffective coping r/t refusal to perform fitness promoting sports
B. Risk for contamination r/t latest exposure to group A beta-hemolytic streptococci
C. Impaired adjustment r/t unsuccessful way of life modifications, intention setting, and
problem solving
D. Ineffective health management r/t lack of expertise about lengthy-time period prophylactic
antibiotic remedy - ANS-D. Ineffective health management r/t lack of know-how
approximately lengthy-time period prophylactic antibiotic remedy
A a couple of gated acquisition (MUGA) test has been prescribed to a patient with cardiac
problems to decide what?
A. The patient's ejection fraction
B. The presence of conduction disturbances
C. The effectiveness of dilated cardiomyopathy
D. The presence of infectious organisms in the coronary heart tissue - ANS-A. The affected
person's ejection fraction
A patient develops atrial flutter with a rapid ventricular reaction. The nurse anticipates that
what remedy can be prescribed?
A. Defibrillation
B. ICD
C. AED
D. Synchronized cardioversion - ANS-D. Synchronized cardioversion
A affected person develops symptomatic sinus tachycardia. The nurse acknowledges that
which drug will likely be included in the patient's remedy plan?
A. Atropine
B. Dopamine
C. Adenosine
D. Epinephrine - ANS-C. Adenosine
A patient experiences anginal ache. What is the proper nursing intervention?
A. Place the patient in the recumbent role at some stage in the attack
B. Encourage a salt-wealthy weight loss plan to save you orthostatic hypotension
C. Position the affected person upright and administer oxygen
D. Encourage the patient to do isometric sporting events - ANS-C. Position the affected
person upright and administer oxygen
, A patient has a analysis of acute MI, and his cardiac rhythm is sinus bradycardia with 6-8
PVCs per minute. The pattern that the nurse acknowledges as the maximum function of
PVCs is
A. An abnormal rhythm
B. An inverted T wave
C. A extensive, distorted QRS complicated
D. An increasingly lengthy PR c language - ANS-C. A extensive, distorted QRS complex
A affected person has been within the sanatorium for 1 wk and is being discharged with a
prognosis of sub-acute infective endocarditis (IE), afebrile, and no signs and symptoms of
heart damage. The affected person will move domestic on antibiotics. What is maximum
important for the nurse to take into account in discharge planning?
A. Plan how his needs may be met whilst he's on mattress relaxation
B. Teach the patient to avoid outdoor activities to alleviate restlessness and boredom
C. Assess the patient's domestic environment in phrases of own family assistance and clinic
get entry to
D. Encourage use of diversional activities to alleviate restlessness and boredom - ANS-C.
Assess the patient's home environment in terms of family help and hospital get admission to
A affected person has sought care following a syncopal episode of unknown etiology. The
nurse anticipates that what will be covered in the affected person's treatment plan?
A. IV beta blocker
B. Head-up tilt-check
C. Pacemaker insertion
D. Antiplatelet therapy - ANS-B. Head-up tilt-check
A affected person in asystole is probably to acquire which drug treatment?
A. Epi and vasopressin
B. Lidocaine and amiodarone
C. Digoxin and procainamide
D. Beta blockers and dopamine - ANS-A. Epi and vasopressin
A affected person in teh coronary care unit develops Vfib. The first motion the nurse should
take is to
A. Perform defibrillation
B. Initiate CPR
C. Prepare for synchronized cardioversion
D. Administer IV antidysrhythmic capsules according to protocol - ANS-B. Initiate CPR
A affected person is admitted to the coronary care unit following a cardiac arrest and a
success CPR. When reviewing the HCP's admission orders, which order ought to the nurse
question?
A. Oxygen at 4 L/min through NC
B. Morphine sulfate 2 mg IV each 10 min till pain is relieved
C. T-PA a hundred mg IV infused over 3 hr
D. IV nitroglycerin at 5 mcg/min and increase 5 mcg/min each 3-five min - ANS-C. T-PA one
hundred mg IV infused over 3 hr
