NSG$3130$–$Fundamentals$II$
Practice$Questions$
Exam$4$
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1.$The$patient$has$experienced$a$myocardial$infarction$resulting$in$damage$to$the$$
$$$$$left$ventricle.$A$possible$complication$the$patient$may$experience$that$the$nurse$is$$
$$$$$alert$to$is:$
a. jugular$neck$vein$distention$
b. pulmonary$congestion$
c. peripheral$edema$
d. liver$enlargement$
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2.$All$of$the$following$patients$are$experiencing$increased$respiratory$secretions$and$$
$$$$$require$intervention$to$assist$in$their$removal.$Chest$percussion$is$indicated$and$$
$$$$$appropriate$for$the$patient$experiencing$which$of$the$following?$
a. Thrombocytopenia$
b. Cystic$fibrosis$
c. Osteoporosis$
d. Spinal$fracture$
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3.$The$nurse$is$working$on$a$pulmonary$unit$at$the$local$hospital.$The$nurse$is$alert$$
$$$$$to$one$of$the$early$signs$of$hypoxia$in$the$patients,$which$is:$
a. cyanosis$
b. restlessness$
c. a$decreased$respiratory$rate$
d. a$decreased$blood$pressure$
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4.$The$unit$manager$is$orienting$a$new$staff$nurse$and$evaluates$which$of$the$$
$$$$$following$as$an$appropriate$technique$for$nasotracheal$suctioning?$
a. Placing$the$patient$in$supine$position$
b. Preparing$for$a$clean$or$nonsterile$technique$
c. Suctioning$the$oropharyngeal$area$first,$then$the$nasotracheal$area$
d. Applying$intermittent$suction$for$10$to$15$seconds$during$catheter$removal$
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5.$The$patient$is$admitted$to$the$medical$center$with$a$diagnosis$of$left-sided$heart$$
$$$$$failure.$In$assessment$of$this$patient,$the$nurse$expects$to$find:$
a. Ascites$
b. Orthopnea$
c. Anorexia$
d. Enlarged$liver$and$spleen$
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, 6.$A$flow$rate$of$oxygen$of$2$L/minute$is$providing$what$percent$of$oxygenation?$
a. 24%$
b. 28%$
c. 32%$
d. 36%$
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7.$The$nurse$teaches$a$client$about$compression$stockings.$Which$of$the$following$$
$$$$$statements,$if$made$by$the$client,$indicates$to$the$nurse$that$the$teaching$was$$
$$$$$successful?$
a. “I$will$wear$the$stockings$until$the$physician$tells$me$to$remove$them.”$
b. “I$should$wear$the$stockings$even$when$I$am$asleep.”$
c. “Every$four$hours$I$should$remove$the$stockings$for$a$half$hour.”$
d. “I$should$put$on$the$stockings$before$getting$out$of$bed$in$the$morning.”$
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8.$A$client$is$wearing$a$continuous$cardiac$monitor,$which$begins$to$sound$its$alarm.$$
$$$$A$nurse$sees$no$electrocardiogram$complexes$on$the$screen.$The$first$action$of$the$$$$$$
$$$$nurse$is$to:$
a. Check$the$client$status$and$lead$placement.$
b. Press$the$recorder$button$on$the$electrocardiogram$console.$
c. Call$the$physician.$
d. Call$a$code$blue.$
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9.$A$60-year-old$male$client$comes$into$the$emergency$department$with$complaints$$
$$$$$of$crushing$chest$pain$that$radiates$to$his$shoulder$and$left$arm.$The$admitting$$
$$$$$diagnosis$is$acute$myocardial$infarction.$Immediate$admission$orders$include$$
$$$$$oxygen$via$nasal$cannula$at$4L/minute,$blood$work,$chest$x-ray,$ECG,$and$2$mg$of$$
$$$$$morphine$given$IV.$The$nurse$should$first:$
a. Administer$morphine$
b. Obtain$a$12-lead$ECG$
c. Obtain$the$lab$work$
d. Order$the$chest$x-ray$
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10.$Which$of$the$following$arteries$primarily$feeds$the$anterior$wall$of$the$heart?$
a. Circumflex$artery$
b. Internal$mammary$artery$
c. Left$anterior$descending$artery$
d. Right$coronary$artery$
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11.$Which$of$the$following$blood$tests$is$most$indicative$of$cardiac$damage?$
a. Lactate$dehydrogenase$
b. Complete$blood$count$(CBC)$
c. Troponin$level$
d. Creatine$kinase$(CK)$
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Practice$Questions$
Exam$4$
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1.$The$patient$has$experienced$a$myocardial$infarction$resulting$in$damage$to$the$$
$$$$$left$ventricle.$A$possible$complication$the$patient$may$experience$that$the$nurse$is$$
$$$$$alert$to$is:$
a. jugular$neck$vein$distention$
b. pulmonary$congestion$
c. peripheral$edema$
d. liver$enlargement$
$
2.$All$of$the$following$patients$are$experiencing$increased$respiratory$secretions$and$$
$$$$$require$intervention$to$assist$in$their$removal.$Chest$percussion$is$indicated$and$$
$$$$$appropriate$for$the$patient$experiencing$which$of$the$following?$
a. Thrombocytopenia$
b. Cystic$fibrosis$
c. Osteoporosis$
d. Spinal$fracture$
$
3.$The$nurse$is$working$on$a$pulmonary$unit$at$the$local$hospital.$The$nurse$is$alert$$
$$$$$to$one$of$the$early$signs$of$hypoxia$in$the$patients,$which$is:$
a. cyanosis$
b. restlessness$
c. a$decreased$respiratory$rate$
d. a$decreased$blood$pressure$
$
4.$The$unit$manager$is$orienting$a$new$staff$nurse$and$evaluates$which$of$the$$
$$$$$following$as$an$appropriate$technique$for$nasotracheal$suctioning?$
a. Placing$the$patient$in$supine$position$
b. Preparing$for$a$clean$or$nonsterile$technique$
c. Suctioning$the$oropharyngeal$area$first,$then$the$nasotracheal$area$
d. Applying$intermittent$suction$for$10$to$15$seconds$during$catheter$removal$
$
5.$The$patient$is$admitted$to$the$medical$center$with$a$diagnosis$of$left-sided$heart$$
$$$$$failure.$In$assessment$of$this$patient,$the$nurse$expects$to$find:$
a. Ascites$
b. Orthopnea$
c. Anorexia$
d. Enlarged$liver$and$spleen$
$
$
$
$
$
, 6.$A$flow$rate$of$oxygen$of$2$L/minute$is$providing$what$percent$of$oxygenation?$
a. 24%$
b. 28%$
c. 32%$
d. 36%$
$
7.$The$nurse$teaches$a$client$about$compression$stockings.$Which$of$the$following$$
$$$$$statements,$if$made$by$the$client,$indicates$to$the$nurse$that$the$teaching$was$$
$$$$$successful?$
a. “I$will$wear$the$stockings$until$the$physician$tells$me$to$remove$them.”$
b. “I$should$wear$the$stockings$even$when$I$am$asleep.”$
c. “Every$four$hours$I$should$remove$the$stockings$for$a$half$hour.”$
d. “I$should$put$on$the$stockings$before$getting$out$of$bed$in$the$morning.”$
$
8.$A$client$is$wearing$a$continuous$cardiac$monitor,$which$begins$to$sound$its$alarm.$$
$$$$A$nurse$sees$no$electrocardiogram$complexes$on$the$screen.$The$first$action$of$the$$$$$$
$$$$nurse$is$to:$
a. Check$the$client$status$and$lead$placement.$
b. Press$the$recorder$button$on$the$electrocardiogram$console.$
c. Call$the$physician.$
d. Call$a$code$blue.$
$
9.$A$60-year-old$male$client$comes$into$the$emergency$department$with$complaints$$
$$$$$of$crushing$chest$pain$that$radiates$to$his$shoulder$and$left$arm.$The$admitting$$
$$$$$diagnosis$is$acute$myocardial$infarction.$Immediate$admission$orders$include$$
$$$$$oxygen$via$nasal$cannula$at$4L/minute,$blood$work,$chest$x-ray,$ECG,$and$2$mg$of$$
$$$$$morphine$given$IV.$The$nurse$should$first:$
a. Administer$morphine$
b. Obtain$a$12-lead$ECG$
c. Obtain$the$lab$work$
d. Order$the$chest$x-ray$
$
10.$Which$of$the$following$arteries$primarily$feeds$the$anterior$wall$of$the$heart?$
a. Circumflex$artery$
b. Internal$mammary$artery$
c. Left$anterior$descending$artery$
d. Right$coronary$artery$
$
11.$Which$of$the$following$blood$tests$is$most$indicative$of$cardiac$damage?$
a. Lactate$dehydrogenase$
b. Complete$blood$count$(CBC)$
c. Troponin$level$
d. Creatine$kinase$(CK)$
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