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NUR-513 Introduction to Advanced Registered Nursing Q
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NUR-513 Introduction to AdvancedRegistered Nursing
A barrier to hospice referrals for patient with stage D heart failure is
a. Family member refusal
b. Scarcity of hospice facilities
c. History of pacemaker placement
d. Difficulty in estimating prognosis - ANSd. Difficulty in estimating prognosis
(Ch. 34 Heart Failure)
A chemical explosion occurs at a nearby industrial site. The first responders report that
victims are being decontaminated at the scene and approximately 125 workers will need
medical evaluation and care. The first action of the nurse receiving this report should be
to
a. Issue a code blue alert.
b. Activate the hospital's emergency response plan
c. Notify the Federal Emergency Management Agency (FEMA)
d. Arrange for the American Red Cross to provide aid to victims - ANSb. Activate the
hospital's emergency response plan
(Ch. 68 Emergency Disaster Nursing)
A hospitalized patient with a history of chronic stable angina tells the nurse that she is
having chest pain. The nurse bases his actions on the knowledge that ischemia
a. Will always progress to myocardial infarction
b. Can be relieved by rest, nitroglycerin, or both
c. Is often associated with vomiting and extreme fatigue
d. Indicates that irreversible myocardial damage is occurring - ANSb. Can be relieved
by rest, nitroglycerin, or both
(Ch. 33 Coronary Artery Disease and Acute Coronary Syndrome)
A nurse working on the medical-surgical unit at an urban hospital would like to become
certified in medical-surgical nursing. The nurse knows that this process would most
likely require
a. A bachelor's degree in nursing
b. Formal education in advanced nursing practice
c. Experience for a specific period in medical-surgical nursing
d. Membership in a medical-surgical nursing specialty organization - ANSc. Experience
for a specific period in medical-surgical nursing
(Ch. 1 Professional Nursing)
,NUR-513 Introduction to Advanced
Registered Nursing
A P wave on an ECG represents an impulse arising at the
a. SA node and repolarizing the atria
b. SA node and depolarizing the atria
c. AV node and depolarizing the atria
d. AV node and spreading to the bundle of His - ANSb. SA node and depolarizing the
atria
(Ch. 31 Assessment: Cardiovascular System)
A patient admitted with syncope has continuous ECG monitoring. An examination of the
rhythm strip reveals the following: atrial rate 74 beats/min and regular; ventricular rate
62 beats/min and irregular; P wave normal shape; PR interval lengthens progressively
until a P wave is not conducted; QRS normal shape. The priority nursing intervention
would be to
a. Give epinephrine 1 mg IV push
b. Prepare for synchronized cardioversion
c. Observe for symptoms of hypotension or angina
d. Apply transcutaneous pacemaker pads on the patient - ANSc. Observe for symptoms
of hypotension or angina
(Ch. 35 Dysrhythmias)
A patient asks, "How does air get into my lungs?" The nurse bases her answer on
knowledge that air moves into the lungs because of
a. Positive intrathoracic pressure
b. Contraction of the accessory abdominal muscles
c. Stimulation of the respiratory muscles by the chemoreceptors
d. A decrease in intrathoracic pressure from an increase in thoracic cavity size - ANSd.
A decrease in intrathoracic pressure from an increase in thoracic cavity size
(Ch. 25 Assessment: Respiratory System)
A patient has a core temperature of 90 F (32.2 C). The most appropriate rewarming
technique would be
a. Passive rewarming with warm blankets
b. Active internal rewarming using warmed IV fluids
c. Passive rewarming using air-filled warming blankets
d. Active external rewarming by submersing in a warm bath - ANSb. Active internal
rewarming using warmed IV fluids
(Ch. 68 Emergency Disaster Nursing)
,NUR-513 Introduction to Advanced
Registered Nursing
A patient has a severe blockage in his right coronary artery. Which heart structures are
most likely to be affected by this blockage? (select all that apply)
a. AV node
b. Left ventricle
c. Coronary sinus
d. Right ventricle
e. Pulmonic valve - ANSa. AV node
b. Left ventricle
d. Right ventricle
(Ch. 31 Assessment: Cardiovascular System)
A patient has been receiving high dose corticosteroids and broad spectrum antibiotics
for treatment of an infection after a traumatic injury. The nurse plans care for the patient
knowing that the patient is most susceptible to
a. Candidiasis
b. Cryptococcosis
c. Histoplasmosis
d. Coccidioidomycosis - ANSa. Candidiasis
(Ch. 27 Lower Respiratory Problems)
A patient is admitted to the hospital in a hypertensive emergency (BP 244/124 mm Hg).
Sodium nitroprusside is started to treat the elevated BP. Which management strategies
would be most appropriate for this patient? (select all that apply)
a. Measuring hourly urine output
b. Continuous BP monitoring with an arterial line
c. Decreasing the MAP by 50% within the first hour
d. Maintaining bed rest and giving tranquilizers to lower the BP
e. Assessing the patient for signs and symptoms of heart failure and changes in mental
status - ANSa. Measuring hourly urine output
b. Continuous BP monitoring with an arterial line
e. Assessing the patient for signs and symptoms of heart failure and changes in mental
status
(Ch. 32 Hypertension)
A patient is admitted to the ICU with a diagnosis of NSTEMI. Which drug(s) would the
nurse expect the patient to receive? (select all that apply)
a. Oral statin therapy
, NUR-513 Introduction to Advanced
Registered Nursing
b. Antiplatelet therapy
c. Thrombolytic therapy
d. Prophylactic antibiotics
e. Intravenous nitroglycerin - ANSa. Oral statin therapy
b. Antiplatelet therapy
e. Intravenous nitroglycerin
(Ch. 33 Coronary Artery Disease and Acute Coronary Syndrome)
A patient is concerned that he may have asthma. Of the symptoms that he describes to
the nurse, which ones suggest asthma or risk factors for asthma? (select all that apply)
a. Allergic rhinitis
b. Prolonged inhalation
c. Cough, especially at night
d. Gastric reflux or heartburn
e. History of chronic sinusitis - ANSa. Allergic rhinitis
c. Cough, especially at night
d. Gastric reflux or heartburn
e. History of chronic sinusitis
(Ch. 28 Obstructive Pulmonary Diseases)
A patient is recovering from an uncomplicated MI. Which rehabilitation guideline is a
priority to include in the teaching plan?
a. Refrain from sexual activity for a minimum of 3 weeks
b. Plan a diet program that aims for a 1 to 2 lb weight loss per week
c. Begin an exercise program that aims for at least five 30 minute sessions per week
d. Consider the use of erectile agents and prophylactic NTG before engaging in sexual
activity - ANSc. Begin an exercise program that aims for at least five 30 minute sessions
per week
(Ch. 33 Coronary Artery Disease and Acute Coronary Syndrome)
A patient is seen at the clinic with fever, muscle aches, sore throat with yellowish
exudate, and headache. The nurse anticipates that the interprofessional management
will include (select all that apply)
a. Antiviral agents to treat influenza
b. Treatment with antibiotics starting ASAP
c. A throat culture or rapid strep antigen test
d. Supportive care, including cool, bland liquids
e. Comprehensive history to determine possible cause - ANSc. A throat culture or rapid
strep antigen test
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