Brookdale Community College Nursing 172 Final (from
davis med-surg) Questions With Complete Solutions
A client diagnosed with CHF is complaining of leg cramps at
night. Which interventions should be implemented? Correct
Answers Monitor K+ levels and assess patient's intake of
bananas and orange juice. Patient's with CHF are usually on a
diuretic and often have hypokalemia. If edema is suspected the
patient would feel more of a tightness than a cramp.
Along with persistent, crushing chest pain, which s/s would
make the nurse suspect that her client is experiencing an MI?
Correct Answers Cool clammy skin
An elderly client has Coronary Artery Disease. What questions
should a nurse ask when assessing the client? Correct Answers
The nurse should ask if the client is sexually active. The nurse
must not neglect this question because of age. Sexual activity is
a risk factor for angina resulting from CAD.
I 66-year-old male client has his blood pressure checked at a
health fair. Blood pressure is 168/98. What action should the
nurse implement first? Correct Answers Instruct the client to
see his healthcare provider a soon as possible.
medsurg cardiac Correct Answers
That client diagnosed with essential hypertension asked the
nurse, "I don't know why the doctor is worried about my blood
pressure. I feel just great. "Which statement by the nurse would
be most appropriate during this time? Correct Answers
,Damage can be occurring to your heart and kidneys even if you
feel great.
The charge nurse is making assignments for clients on a cardiac
unit. Which client should the charge nurse assign to a new
graduate nurse?
a. The 44 year old client diagnosed with a myocardial
infarction?
b. The 65 year old client admitted with unstable angina
c. The 75 year old client scheduled for a cardiac catheterization
d. The 50 year old client complaining of chest pain Correct
Answers The 75 year old client scheduled for a cardiac
catheterization.
The charge nurse is making shift assignments for the medical
floor. Which client should be assigned to the most experienced
RN?
a. The client diagnosed with CHF who is being discharged in the
morning.
b. The client who is having frequent incontinent liquid bowel
movements and vomiting.
c. The client with an apical pulse of 116, RR of 126 and BP
94/62.
d. Client who is complain of chest pain upon inspiration and a
nonproductive cough. Correct Answers The client with an
apical pulse of 116, RR of 126 and BP 94/62. Tachycardia,
tachypnea, and bradycardia are all signs of shock.
The charge nurse is making shift assignments. Which client
would be most appropriate for the nurse to assign to a new
graduate who just completed orientation to the medical floor?
, a. The client admitted for diagnostic tests to rule out valvular
heart disease.
b. The client 3 days post-myocardial infarction being discharged
tomorrow.
c. The client exhibiting supraventricular tachycardia (SVT) on
telemetry.
d. The client diagnosed with atrial fibrilation who has an INR of
5. Correct Answers The client 3 days post-myocardial
infarction being discharged tomorrow.
The client comes to the clinic complaining of muscle cramping
in both legs when walking for short periods of time. Which
medical term with the nurse used to document the clients
record? Correct Answers Intermittent claudication
The client diagnosed with an MI is on bed rest. The unlicensed
assistive personnel (UAP) is encouraging the client to move the
legs. WHat should the nurse's response be to this action?
Correct Answers The nurse should praise the UAP. Patient's on
bed rest are at risk for DVTs so movement of the legs is a
precaution taken to avoid this.
The client diagnosed with an MI is six hours post right femoral
per-cutaneous transluminal coronary angioplasty (PTCA), also
known as a balloon surgery. Which assessment data would
require immediate interventions by the nurse?
a. The client is keeping the affected extremity straight.
b. The pressure dressing to the right femoral area is intact.
c. The client is complaining of numbness in the right foot.
d. The clients right pedal pulse is 3+ and bounding. Correct
Answers Any complaints of neurological abnormalcy
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