MS2 NCLEX Style Qs Questions with Answers (100%
Correct Answers)
After teaching a patient with chronic stable angina about nitroglycerin,
the nurse recognizes the need for further teaching when the patient
makes which statement?
a."I will replace my nitroglycerin supply every 6 months."
b."I can take up to five tablets every 3 minutes for relief of my chest
pain."
c."I will take acetaminophen to treat the headache caused by
nitroglycerin."
d."I will take the nitroglycerin 10 minutes before planned activity that
usually causes chest pain." Answer: B-1 tablet if CP is unchanged or
worse at 5 mins, call 911, repeat every 5 mins for maximum of 3 doses
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A nurse if caring for a client who is 4 hours postoperative following
coronary artery bypass grafting (CABG) surgery. He is able to inspire
200 mL with the incentive spirometer, then refuses to cough because
he is tired and it hurts too much. Which of the following is an
appropriate nursing intervention?
a.Allow the client to rest, and return in 1 hour.
b.Administer IV bolus analgesic, and return in 15 min.
c.Document the 200 mL as an appropriate inspired volume.
d.Tell the client that he must try to cough if he does not want to get
pneumonia. Answer: B-reduce pain & improve coughing
effectiveness; TCDB q2hr to promote oxygenation & circulation; 200
mL isn't adequate inspired air volume, D-nontherapeutic
communication
A 74 year old woman who is admitted with severe dyspnea has a
history of heart failure and chronic obstructive lung disease. Which
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diagnostic study would the nurse expect to be elevated if the cause of
dyspnea was cardiac related?
a.Serum potassium
b.Serum homocysteine
c.High density lipoprotein
d.B-type natriuretic peptide (BNP) Answer: D-indicates HF, elevations
distinguish between the 2, A, B, & C indicate inc. risk for
cardiovascular disorders but not that they are present (homocysteine is
an amino acid in the blood, is elevated when protein is broken down
like in atherosclerosis)
On return from surgery, the patient is wearing intermittent sequential
compression stockings that he does not want to keep on. How should
the nurse explain their necessity to the patient while he is on bedrest?
a.The socks keep the legs warm while the patient is not moving much.
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b.The socks maintain the blood flow to the legs while the patient is on
bedrest.
c.The socks keep the blood pressure down while the patient is stressed
after surgery.
d.The socks provide compression of the veins to keep the blood
moving back to the heart. Answer: D-Compress veins while patient
isn't using skeletal muscles, which keeps blood moving back to the
heart & prevents pooling in legs that could cause DVT, warmth isn't
important, blood flow to legs isn't maintained, BP is not dec. with use
of compression stockings
A home health nurse is teaching a client who has active tuberculosis.
The provider has prescribed the following medication regimen:
isoniazid 250 mg PO daily, rifampin 500 mg PO daily, pyrazinamide
750 mg PO daily and ethambutol 1 mg PO daily. Which of the
following client statements indicate understanding of the teaching?
(Select all that apply)
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