NUR 2243 Exam 2
1. The older patient with coronary artery disease (CAD) is more likely to have what symptom
ifexperiencing gcardiac ischemia?
A. Syncope
B. Dyspnea
C. Chest pain
D. Depression
Answer
dyspnea
2. Identify appropriate interventions for a patient experiencing in adequate oxygenation and
tissue perfusion as a result of coronary artery disease. (Select all that apply.)
A. Notify the physician.
B. Administer Tylenol for pain.
C. Maintain or initiate an IV line.
D. Apply oxygen via nasal cannula.
E. Encourage interaction with family.
F. Administer nitroglycerin sublingually.42
Answer
A,c,d,f
3. A patient presents to the ED and is diagnosed with anacute MI. The patient's spouse asks what
type of damage has been caused by the "heart attack." What is the appropriate nursing response?
A."The pain is controlled, so there is no damage."
B. "It will take years to know the extent of the damage to the heart muscle."
C. "The medication will dilate the blood vessels and any damage will be corrected."
D. "A heart attack evolves over several hours. We won't know the extent of the damage
immediately."
Answer
d
, 4. A 37-year-old male is admitted with a severely abscessed tooth, BP 90/42, HR 136, RR 28,
Spo2 90% on room air, temperature 38.7º C. The nurse suspects that the patient has developed
sepsis. What is the priority nursing intervention?
A. Insert an indwelling urinary catheter.
B. Initiate intravenous fluid resuscitation.
C. Obtain a complete chemistry for laboratory analysis.
D. Administer prescribed antibioticsprior to blood cultures.
Answer
B
5. When assessing a patient for shock, the nurse knows that which symptom is the earliest
manifestation of shock?
A. Anuria
B. Increased heart rate
C. A decrease in respiratory rate and depth
D. A change in both systolic and diastolic blood pressure
Answer
B
6. Which clinical manifestations does the nurse recognize that indicates worsening in the
condition of a patient in the refractory phase of shock?
A. Warm, flushed skin B.Urine output of 20 mL/hr C.Increasing respiratory rate
D.Bleeding, oozing from IV sites
Answer
D
7. WNL Cardiac output
1. The older patient with coronary artery disease (CAD) is more likely to have what symptom
ifexperiencing gcardiac ischemia?
A. Syncope
B. Dyspnea
C. Chest pain
D. Depression
Answer
dyspnea
2. Identify appropriate interventions for a patient experiencing in adequate oxygenation and
tissue perfusion as a result of coronary artery disease. (Select all that apply.)
A. Notify the physician.
B. Administer Tylenol for pain.
C. Maintain or initiate an IV line.
D. Apply oxygen via nasal cannula.
E. Encourage interaction with family.
F. Administer nitroglycerin sublingually.42
Answer
A,c,d,f
3. A patient presents to the ED and is diagnosed with anacute MI. The patient's spouse asks what
type of damage has been caused by the "heart attack." What is the appropriate nursing response?
A."The pain is controlled, so there is no damage."
B. "It will take years to know the extent of the damage to the heart muscle."
C. "The medication will dilate the blood vessels and any damage will be corrected."
D. "A heart attack evolves over several hours. We won't know the extent of the damage
immediately."
Answer
d
, 4. A 37-year-old male is admitted with a severely abscessed tooth, BP 90/42, HR 136, RR 28,
Spo2 90% on room air, temperature 38.7º C. The nurse suspects that the patient has developed
sepsis. What is the priority nursing intervention?
A. Insert an indwelling urinary catheter.
B. Initiate intravenous fluid resuscitation.
C. Obtain a complete chemistry for laboratory analysis.
D. Administer prescribed antibioticsprior to blood cultures.
Answer
B
5. When assessing a patient for shock, the nurse knows that which symptom is the earliest
manifestation of shock?
A. Anuria
B. Increased heart rate
C. A decrease in respiratory rate and depth
D. A change in both systolic and diastolic blood pressure
Answer
B
6. Which clinical manifestations does the nurse recognize that indicates worsening in the
condition of a patient in the refractory phase of shock?
A. Warm, flushed skin B.Urine output of 20 mL/hr C.Increasing respiratory rate
D.Bleeding, oozing from IV sites
Answer
D
7. WNL Cardiac output
