MIDTERM & FINAL EXAM
ACTUAL Questions with Answers
(Health and Illness Concepts III)
Drexel University
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NURS 420 - MIDTERM & FINAL EXAM - ACTUAL Questions with Answers - (Health and Illnes
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,Table of Contents
MIDTERM EXAM ................................................................... 2
FINAL EXAM ........................................................................ 40
MIDTERM EXAM
As a nurse on the code team, you are rushing to a pediatric code. In order to
determine appropriate resuscitation for the child, the first thing you need is
a. To put the child on the scale to get a weight
b. Contact the parents to ask how much the child weighs
c. Use the Broselow tap to estimate weight
d. Get the hospital pediatrician to look at the child to estimate weight
c. Use the Broselow tap to estimate weight
The patient's family heard the doctor say that he was going to perform an
atherectomy, but they do not understand what this means. The nurse explains:
A. "The surgeon is going to cut out and remove plaque buildup in the patient's
heart vessels with specialized heart catheters."
B.. "The doctor is going to insert special plastic tubing into the heart vessel to
keep it open and functioning."
C.. "A catheter with a balloon around it will be inserted into the damaged heart
vessel to push the cholesterol buildup back and enlarge the inside of the vessel."
D.. "This is a procedure to remove a tumor called an atheroma from the patient's
heart muscle."
A. "The surgeon is going to cut out and remove plaque buildup in the patient's heart
vessels with specialized heart catheters."
You are caring for a rule-out MI patient. When would you expect to see initial
elevation of troponin I levels?
a. 0 to 3 hrs post infarct
b. 3-6 hrs post infarct
, c. 12-24
c. 12-24hrs
hrspost
postinfarct
infarct
24-48hrspost
d. 24-48hrs postinfarct
infarct
3-6hrs
b. 3-6 hrspost
postinfarct
infarct
In caring forthe
caring for thepostoperative
postoperativecardiovascular
cardiovascular patient,
patient, thethe nurse
nurse knows
knows thatthat
the the
most frequent
most frequent cause
causeofofa adecreased
decreased cardiac
cardiac output
output is: is:
A. increasedcontractility.
A. increased contractility.
B. reducedpreload.
B. reduced preload.
C. increasedafterload.
C. increased afterload.
D. bradycardia.
bradycardia.
B. reducedpreload.
B. reduced preload.
When caringfor
When caring foraapatient
patientwith
withacute
acutecoronary
coronary syndrome
syndrome whowho
hashas returned
returned to the
to the
coronary careunit
coronary care unitafter
afterhaving
havingangioplasty
angioplasty with
with stent
stent placement,
placement, thethe nurse
nurse
obtains thefollowing
obtains the followingassessment
assessment data.
data. Which
Which data
data indicate
indicate thethe need
need for for
immediate action
actionbybythe
thenurse?
nurse?
a. Heart rate
rate 102
102beats/min
beats/min
b. Pedal
Pedalpulses
pulses1+1+ bilaterally
bilaterally
c. Bloodpressure
c. Blood pressure 103/54
103/54 mm mm HgHg
d. Chest
Chestpain
painlevel
level7 7onon
a 0a to
0 to
1010 point
point scale
scale
d. Chest
Chestpain
painlevel
level7 7onona 0
a to
0 to
1010 point
point scale
scale
Diltiazem (Cardizem)isisordered
Diltiazem (Cardizem) ordered
forfor a patient
a patient withwith newly
newly diagnosed
diagnosed Prinzmetal's
Prinzmetal's
(variant) angina.
angina.When
Whenteaching
teachingthethepatient,
patient,the
thenurse
nurse will
will include
include thethe information
information
that diltiazem will
will
a. reduce
reduceheart
heartpalpitations.
palpitations.
b. decrease
decreasespasm
spasm ofof the
the coronary
coronary arteries.
arteries.
c. increasethe
c. increase theforce
forceofofthe
the heart
heart contractions.
contractions.
d. help
help prevent
preventplaque
plaquefrom
fromforming
forminginin the
the coronary
coronary arteries
arteries
b. decrease
decreasespasm
spasmofofthe
thecoronary
coronary arteries.
arteries.
Which ofthe
Which of thefollowing
followingmay
maybebe symptomatic
symptomatic of of a myocardial
a myocardial infarction
infarction in a in
56-a 56-
year-old moderatelyobese
year-old moderately obesewoman?
woman? (Select
(Select all that
all that apply)
apply)
A. Decreasedpain
A. Decreased painwith
withrest
rest