Nursing 301 Exam 2 – Actual
Questions & Answers 100% Guarantee
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A 48-year-old man presents to the ED complaining of severe substernal
chest pain radiating down his left arm. He is admitted to the coronary
care unit (CCU) with a diagnosis of myocardial infarction (MI). What
nursing assessment activity is a priority on admission to the CCU?
A. obtain family history
B. auscultate lung fields
C. obtain ECG
D. assess all pulses - ------------ANS: C. obtain ECG
A client hospitalised for treatment of hypertension is being prepared for
discharge. Which teaching topic should the nurse should be sure to
cover?
a. receiving IV antihypertensive medications
b. maintaining a low-sodium diet
c. maintaining a low-potassium diet
d. skipping a medication dose if dizziness occurs - ------------ANS: B.
maintaining a low-sodium diet
A client is recovering from coronary artery bypass graft (CABG) surgery.
Which nursing diagnosis takes highest priority at this time?
A)Decreased cardiac output related to depressed myocardial function,
fluid volume deficit, or impaired electrical conduction 9%
b) Anxiety related to an actual threat to health status, invasive
procedures, and pain 1%
c) Disabled family coping related to knowledge deficit and a temporary
change in family dynamics 8%
d) Hypothermia related to exposure to cold temperatures and a long
cardiopulmonary bypass time - ------------ANS: A)Decreased cardiac
,output related to depressed myocardial function, fluid volume deficit, or
impaired electrical conduction 9%
A client who has a history of myocardial infarction (MI) is prescribed
aspirin (Ecotrin) 325 mg. The nurse correctly understands that the
aspirin is ordered due to its action as an:
A. antiplatlet
B. anti-inflammatory
C. analgesic
D. antipyretic - ------------ANS: A. antiplatlet
A client who has a long leg cast for a fractured bone is to be discharged
from the emergency department. When discussing pain management,
when does the nurse advise the client to take the prescribed as-needed
oxycodone?
A. only as a last resort
B. when the pain becomes intense
C. when the pain begins
D. only before activity - ------------ANS: C. When the pain begins
A client with a fracture is found to have compartment syndrome. Which
interventions will be contraindicated? Select all that apply.
A. elevating the extremity above heart level
B. reducing the traction weight
C. loosening the client's bandage
D. applying cold compresses
E. splitting the cast in half - ------------ANS: A. elevating the extremity
above heart level
D. applying cold compresses
A client with a strong family history of coronary artery disease asks the
nurse how to reduce the risk of developing the disorder. Which is the
best response by the nurse?
, A. "ask your physician to prescribe the new reverse lipid drug."
B. "increase the soy in your diet."
C. "moderation with alcohol"
D. "exercise, keep your cholesterol in check, and manage your stress." -
------------ANS: D. "Exercise, keep your cholesterol in check, and manage
your stress."
A client, newly prescribed a low-sodium diet due to hypertension, is
asking for help with meal choices. The client provides four meal choices,
which are favorites. Which selection would be best?
a) Toasted cheese sandwich on whole wheat toast with tomato soup
b) Creamed chipped beef over with mashed potatoes
c) Hot dog with ketchup on whole wheat bun
d) Green pepper stuffed with fresh tomatoes and chicken -
------------ANS: D. green pepper stuffed with fresh tomatoes and chicken
A home health nurse is teaching a client with peripheral arterial disease
ways to improve circulation to the lower extremities. The nurse
encourages which of the following in teaching?
A. elevation of the legs above the heart
B. application of ace wraps from the toe to below the knees
C. keeping the legs in a neutral or dependent position
D. use of antiemolytic stockings - ------------ANS: C. keeping the legs in a
neutral or dependent position
A nurse enters the room of a client and finds the on the floor in the clonic
phase of a tonic-clonic seizure. Which of the following interventions is
appropriate?
A. insert a padded tongue blade into the client's mouth
B. place a pillow under the client's head
C. apply a face mask for oxygen administration
D. gently restrain the client's extremities - ------------ANS: B. place a
pillow under the client's head
Questions & Answers 100% Guarantee
Pass
A 48-year-old man presents to the ED complaining of severe substernal
chest pain radiating down his left arm. He is admitted to the coronary
care unit (CCU) with a diagnosis of myocardial infarction (MI). What
nursing assessment activity is a priority on admission to the CCU?
A. obtain family history
B. auscultate lung fields
C. obtain ECG
D. assess all pulses - ------------ANS: C. obtain ECG
A client hospitalised for treatment of hypertension is being prepared for
discharge. Which teaching topic should the nurse should be sure to
cover?
a. receiving IV antihypertensive medications
b. maintaining a low-sodium diet
c. maintaining a low-potassium diet
d. skipping a medication dose if dizziness occurs - ------------ANS: B.
maintaining a low-sodium diet
A client is recovering from coronary artery bypass graft (CABG) surgery.
Which nursing diagnosis takes highest priority at this time?
A)Decreased cardiac output related to depressed myocardial function,
fluid volume deficit, or impaired electrical conduction 9%
b) Anxiety related to an actual threat to health status, invasive
procedures, and pain 1%
c) Disabled family coping related to knowledge deficit and a temporary
change in family dynamics 8%
d) Hypothermia related to exposure to cold temperatures and a long
cardiopulmonary bypass time - ------------ANS: A)Decreased cardiac
,output related to depressed myocardial function, fluid volume deficit, or
impaired electrical conduction 9%
A client who has a history of myocardial infarction (MI) is prescribed
aspirin (Ecotrin) 325 mg. The nurse correctly understands that the
aspirin is ordered due to its action as an:
A. antiplatlet
B. anti-inflammatory
C. analgesic
D. antipyretic - ------------ANS: A. antiplatlet
A client who has a long leg cast for a fractured bone is to be discharged
from the emergency department. When discussing pain management,
when does the nurse advise the client to take the prescribed as-needed
oxycodone?
A. only as a last resort
B. when the pain becomes intense
C. when the pain begins
D. only before activity - ------------ANS: C. When the pain begins
A client with a fracture is found to have compartment syndrome. Which
interventions will be contraindicated? Select all that apply.
A. elevating the extremity above heart level
B. reducing the traction weight
C. loosening the client's bandage
D. applying cold compresses
E. splitting the cast in half - ------------ANS: A. elevating the extremity
above heart level
D. applying cold compresses
A client with a strong family history of coronary artery disease asks the
nurse how to reduce the risk of developing the disorder. Which is the
best response by the nurse?
, A. "ask your physician to prescribe the new reverse lipid drug."
B. "increase the soy in your diet."
C. "moderation with alcohol"
D. "exercise, keep your cholesterol in check, and manage your stress." -
------------ANS: D. "Exercise, keep your cholesterol in check, and manage
your stress."
A client, newly prescribed a low-sodium diet due to hypertension, is
asking for help with meal choices. The client provides four meal choices,
which are favorites. Which selection would be best?
a) Toasted cheese sandwich on whole wheat toast with tomato soup
b) Creamed chipped beef over with mashed potatoes
c) Hot dog with ketchup on whole wheat bun
d) Green pepper stuffed with fresh tomatoes and chicken -
------------ANS: D. green pepper stuffed with fresh tomatoes and chicken
A home health nurse is teaching a client with peripheral arterial disease
ways to improve circulation to the lower extremities. The nurse
encourages which of the following in teaching?
A. elevation of the legs above the heart
B. application of ace wraps from the toe to below the knees
C. keeping the legs in a neutral or dependent position
D. use of antiemolytic stockings - ------------ANS: C. keeping the legs in a
neutral or dependent position
A nurse enters the room of a client and finds the on the floor in the clonic
phase of a tonic-clonic seizure. Which of the following interventions is
appropriate?
A. insert a padded tongue blade into the client's mouth
B. place a pillow under the client's head
C. apply a face mask for oxygen administration
D. gently restrain the client's extremities - ------------ANS: B. place a
pillow under the client's head
