1
Med Surg 3: EXAM 1 Questions with Answers (100%
Correct Answers)
An ICU patient is on arterial pressure monitoring. The nurse noticed
the physiologic monitor alarm sounds. Which of the following indicate
correct nursing actions? Select all that apply— Answer: -check to see
whether the catheter is kinked
-make sure that there is sufficient pressure in the pressure bag
-check the patency of the catheter
-check to see whether the stopcocks are turned the wrong way
A patient requires the insertion of an arterial catheter. Which nursing
action is indicated?— Answer: Obtain sterile gowns, gloves, caps, and
masks for all persons who will be present during the insertion
A patient who was stabbed multiple times in the chest and abdomen
has just returned from emergency surgery. Hemodynamic monitoring
was initiated during surgery and now reveals that the patient's central
venous pressure has dropped to 2 mmHg. The nurse would assess for
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,2
findings of which conditions? Select all that apply.— Answer: -internal
hemorrhage
-vasodilation from drugs administered during surgery
-fluid loss during surgery
The nurse is assessing a patient's arterial waveform and notes a notch
on the descending portion of the waveform. The nurse associates this
notch with which physiological events?— Answer: closure of the aortic
valve
Which of the following was prescribed to decrease cardiac preload and
afterload and to increase the blood flow to the myocardium?
Mr. Ethan Gruppman, a 55-year-old businessman on a business trip,
has been brought to the ED by a colleague with SOB and chest pain.
One hour ago, Mr. Gruppman began to experience "indigestion,"
which was unrelieved by antacid, after a heavy meal. Mr. Gruppman is
5'6" tall and weighs 175 pounds. He has a history of hypertension and
high cholesterol for which he takes captopril 50 mg twice a day and
© 2025 All rights reserved
, 3
simvastatin 20 mg once daily. His father, 74, has had two MIs; his
mother recently died of a CVA at age 72. Mr. Gruppman takes
frequent business trips, eats fast food and "banquet meals," and works
out sporadically. His BP is 178/90, P 104, R 26, and T 98.8°C. His 12-
lead ECG is unremarkable. Orders are given for CXR, continuous ECG
monitoring, serial CK-MB, Troponin & Myoglobin as well as a C—
Answer: Nitroglycerin
One hour later, Mr. Gruppman's 12-lead ECG shows an elevated ST-
segment in leads V2-V4with a T wave inversion. His CK-MB, troponin
I, and myoglobin levels are elevated. His troponin T is normal. Mr.
Gruppman is given a diagnosis of anterior wall MI. He is told he has
had "a mild heart attack" and will be given a "clot buster" to help
restore circulation to his heart. He is started on a 3-hour infusion of
alteplase. He is stabilized and transferred to CCU with an hour
remaining on his alteplase IV, a heparin drip, and a Foley catheter in
place.
An anterior wall MI indicates occlusion of which of the following
coronary arteries?— Answer: Left anterior defending artery
© 2025 All rights reserved
Med Surg 3: EXAM 1 Questions with Answers (100%
Correct Answers)
An ICU patient is on arterial pressure monitoring. The nurse noticed
the physiologic monitor alarm sounds. Which of the following indicate
correct nursing actions? Select all that apply— Answer: -check to see
whether the catheter is kinked
-make sure that there is sufficient pressure in the pressure bag
-check the patency of the catheter
-check to see whether the stopcocks are turned the wrong way
A patient requires the insertion of an arterial catheter. Which nursing
action is indicated?— Answer: Obtain sterile gowns, gloves, caps, and
masks for all persons who will be present during the insertion
A patient who was stabbed multiple times in the chest and abdomen
has just returned from emergency surgery. Hemodynamic monitoring
was initiated during surgery and now reveals that the patient's central
venous pressure has dropped to 2 mmHg. The nurse would assess for
© 2025 All rights reserved
,2
findings of which conditions? Select all that apply.— Answer: -internal
hemorrhage
-vasodilation from drugs administered during surgery
-fluid loss during surgery
The nurse is assessing a patient's arterial waveform and notes a notch
on the descending portion of the waveform. The nurse associates this
notch with which physiological events?— Answer: closure of the aortic
valve
Which of the following was prescribed to decrease cardiac preload and
afterload and to increase the blood flow to the myocardium?
Mr. Ethan Gruppman, a 55-year-old businessman on a business trip,
has been brought to the ED by a colleague with SOB and chest pain.
One hour ago, Mr. Gruppman began to experience "indigestion,"
which was unrelieved by antacid, after a heavy meal. Mr. Gruppman is
5'6" tall and weighs 175 pounds. He has a history of hypertension and
high cholesterol for which he takes captopril 50 mg twice a day and
© 2025 All rights reserved
, 3
simvastatin 20 mg once daily. His father, 74, has had two MIs; his
mother recently died of a CVA at age 72. Mr. Gruppman takes
frequent business trips, eats fast food and "banquet meals," and works
out sporadically. His BP is 178/90, P 104, R 26, and T 98.8°C. His 12-
lead ECG is unremarkable. Orders are given for CXR, continuous ECG
monitoring, serial CK-MB, Troponin & Myoglobin as well as a C—
Answer: Nitroglycerin
One hour later, Mr. Gruppman's 12-lead ECG shows an elevated ST-
segment in leads V2-V4with a T wave inversion. His CK-MB, troponin
I, and myoglobin levels are elevated. His troponin T is normal. Mr.
Gruppman is given a diagnosis of anterior wall MI. He is told he has
had "a mild heart attack" and will be given a "clot buster" to help
restore circulation to his heart. He is started on a 3-hour infusion of
alteplase. He is stabilized and transferred to CCU with an hour
remaining on his alteplase IV, a heparin drip, and a Foley catheter in
place.
An anterior wall MI indicates occlusion of which of the following
coronary arteries?— Answer: Left anterior defending artery
© 2025 All rights reserved
