medsurg exam 2 with verified answers
While |obtaining |assessment |information |on |a |patient |with |hypertension, |the |nurse |recognizes |that |
a |modifiable |risk |factor |for |development |of |hypertension |is:
a. |low |calcium |diet
b. |excessive |alcohol |intake
c. |family |history |of |hypertension
d. |consumption |of |a |high |protein |diet |- |correct |answer |-b. |excessive |alcohol |intake
A |patient |is |admitted |to |the |hospital |with |a |hypertensive |crisis. |What |would |you |expect |to |see |
when |you |assess |the |patient's |blood |pressure?
a. |BP |196/116
b. |BP |150/90
c. |BP |116/72
d. |BP |170/98 |- |correct |answer |-a. |BP |196/116
You |are |doing |pre-procedural |teaching |for |a |patient |who |is |scheduled |for |a |cardiac |catheterization. |
Which |of |the |following |statements |should |you |include |in |your |patient |teaching?
a. |"you |should |have |nothing |to |eat |or |drink |for |12 |hours |prior |to |the |procedure."
b. |"you |will |be |given |general |anesthesia |during |the |procedure"
c. |"you |should |not |have |this |done |if |you |are |allergic |to |eggs"
d. |"you |will |need |to |keep |your |affected |leg |straight |following |the |procedure" |- |correct |answer |-d.
|"you |will |need |to |keep |your |affected |leg |straight |following |the |procedure"
When |administering |an |IV |diuretic |(furosemide) |to |a |patient, |what |is |an |expected |response |to |the |
medication?
a. |increased |blood |pressure
b. |increased |urine |output
c. |decreased |pain
d. |decreased |dysrhythmias |- |correct |answer |-b. |increased |urine |output
, Which |patient |is |at |the |greatest |risk |of |coronary |artery |disease.
a. |32 |year |old |female |who |quit |smoking |10 |years |ago
b. |43 |year |old |male |with |a |family |history |of |CAD |and |total |cholesterol |level |of |158
c. |56 |year |old |male |who |takes |atorvastatin
d. |65 |year |old |female |who |is |obese |and |has |a |total |cholesterol |of |213 |- |correct |answer |-d. |65 |year |
old |female |who |is |obese |and |has |a |total |cholesterol |of |213
A |patient |comes |to |the |Emergency |Room |for |chest |pain. |They |are |also |complaining |of |nausea, |and |
have |vomited |prior |to |arrival. |What |diagnostic |tool |can |you |expect |to |use, |in |order |to |see |if |the |
patient |is |having |a |STEMI |vs. |NSTEMI?
a. |Troponin |Level
b. |CK |Level
c. |Defibrillator
d. |EKG |- |correct |answer |-d. |EKG
Early |ambulation |after |open |heart |surgery |is |a |necessary |nursing |intervention |to |prevent |all |of |the |
following |except:
a. |deep |vein |thrombosis
b. |pulmonary |embolism
c. |atelectasis
d. |hypotension |- |correct |answer |-d. |hypotension
You |are |caring |for |a |patient |who |is |diagnosed |with |a |MI. |Which |of |the |following |activities |can |you |
delegate |to |the |unlicensed |assistive |personnel |(UAP).
a. |auscultate |lung |sounds
b. |educate |the |patient |on |risk |factors |of |CAD
c. |provide |teaching |on |a |2 |gm |sodium |diet
d. |document |intake |and |output |- |correct |answer |-d. |document |intake |and |output
While |obtaining |assessment |information |on |a |patient |with |hypertension, |the |nurse |recognizes |that |
a |modifiable |risk |factor |for |development |of |hypertension |is:
a. |low |calcium |diet
b. |excessive |alcohol |intake
c. |family |history |of |hypertension
d. |consumption |of |a |high |protein |diet |- |correct |answer |-b. |excessive |alcohol |intake
A |patient |is |admitted |to |the |hospital |with |a |hypertensive |crisis. |What |would |you |expect |to |see |
when |you |assess |the |patient's |blood |pressure?
a. |BP |196/116
b. |BP |150/90
c. |BP |116/72
d. |BP |170/98 |- |correct |answer |-a. |BP |196/116
You |are |doing |pre-procedural |teaching |for |a |patient |who |is |scheduled |for |a |cardiac |catheterization. |
Which |of |the |following |statements |should |you |include |in |your |patient |teaching?
a. |"you |should |have |nothing |to |eat |or |drink |for |12 |hours |prior |to |the |procedure."
b. |"you |will |be |given |general |anesthesia |during |the |procedure"
c. |"you |should |not |have |this |done |if |you |are |allergic |to |eggs"
d. |"you |will |need |to |keep |your |affected |leg |straight |following |the |procedure" |- |correct |answer |-d.
|"you |will |need |to |keep |your |affected |leg |straight |following |the |procedure"
When |administering |an |IV |diuretic |(furosemide) |to |a |patient, |what |is |an |expected |response |to |the |
medication?
a. |increased |blood |pressure
b. |increased |urine |output
c. |decreased |pain
d. |decreased |dysrhythmias |- |correct |answer |-b. |increased |urine |output
, Which |patient |is |at |the |greatest |risk |of |coronary |artery |disease.
a. |32 |year |old |female |who |quit |smoking |10 |years |ago
b. |43 |year |old |male |with |a |family |history |of |CAD |and |total |cholesterol |level |of |158
c. |56 |year |old |male |who |takes |atorvastatin
d. |65 |year |old |female |who |is |obese |and |has |a |total |cholesterol |of |213 |- |correct |answer |-d. |65 |year |
old |female |who |is |obese |and |has |a |total |cholesterol |of |213
A |patient |comes |to |the |Emergency |Room |for |chest |pain. |They |are |also |complaining |of |nausea, |and |
have |vomited |prior |to |arrival. |What |diagnostic |tool |can |you |expect |to |use, |in |order |to |see |if |the |
patient |is |having |a |STEMI |vs. |NSTEMI?
a. |Troponin |Level
b. |CK |Level
c. |Defibrillator
d. |EKG |- |correct |answer |-d. |EKG
Early |ambulation |after |open |heart |surgery |is |a |necessary |nursing |intervention |to |prevent |all |of |the |
following |except:
a. |deep |vein |thrombosis
b. |pulmonary |embolism
c. |atelectasis
d. |hypotension |- |correct |answer |-d. |hypotension
You |are |caring |for |a |patient |who |is |diagnosed |with |a |MI. |Which |of |the |following |activities |can |you |
delegate |to |the |unlicensed |assistive |personnel |(UAP).
a. |auscultate |lung |sounds
b. |educate |the |patient |on |risk |factors |of |CAD
c. |provide |teaching |on |a |2 |gm |sodium |diet
d. |document |intake |and |output |- |correct |answer |-d. |document |intake |and |output