MEDSURG PRACTICE - UPDATED GUIDE
1. Why should an elevated PT/aPTT be reported to a physician prior to an invasive procedure?
a. All abnormal lab results should be reported to the physician.
b. The procedure will be cancelled.
c. The risk for post-procedure thrombus will increase.
d. There i...
1. Why should an elevated PT/aPTT be reported to a physician prior to an invasive procedure?
a. All abnormal lab results should be reported to the
physician.
b. The procedure will be cancelled.
c. The risk for post-procedure thrombus will increase.
d. There is increased risk for bleeding during and after the
procedure.
2. The telemetry nurse is differentiating between right- and left-sided heart failure in an assigned patie
sided heart failure, the patient presents with edematous extremities, nausea/vomiting, and:
a. anorexia.
b. change in level of
consciousness.
c. diuresis with exertion.
d. flat abdomen.
3. A patient has been admitted to the telemetry unit with infective endocarditis. During the nursing ass
nurse notes the confirmatory findings of petechiae, splinter hemorrhages, and:
a. elevated blood sugar.
b. negative/normal blood
cultures.
c. Osler’s nodes.
d. shortness of breath.
4. The most common lethal arrhythmia in the first hour of a myocardial infarction is:
a. asystole.
b. first-degree atrioventricular
(AV) block.
c. pulseless ventricular tachycardia.
d. ventricular fibrillation.
5. A patient will be discharged following placement of an implantable cardioverter/defibrillator (ICD). Th
nurse is completing the patient’s discharge education. The patient demonstrates that he understands
provided instructions when he makes the following statement:
a. “I can play football with my team next week.”
b. “I will report to my doctor fever, redness, soreness, or drainage at the
incision site.”
c. “I will wear tight clothing over the ICD device to keep it in place.”
d. “If I miss a dose of medication it is okay, because my ICD will take
care of any issue.”
6. Which of the following is considered an unreliable sign of heart failure?
a. Edema
b. Electrolyte imbalance
c. Microalbuminuria
d. Proportional pulse
pressure
7. Prior to administering digoxin (Lanoxin®) to a patient, the nurse assesses the:
, a. apical pulse for 1
minute.
b. radial pulse for 1
minute.
c. radial pulse for 2
minutes.
d. respiratory rate for 1
minute.
8. Of the brain, heart, kidney, and liver, which can tolerate hypoxia and anoxia for up to 1 hour without
damage?
a. Brain
b. Heart
c.
Kidney
d. Liver
9. Rather than impeding lung blood flow, pulmonary emboli composed of injure blood ves
cause acute respiratory distress syndrome (ARDS).
a. air
b. fat
c. foreign objects
d. infected blood
clots
10. The telemetry nurse is examining a rhythm strip and notices a repeated three-beat pattern, usually o
two sequential normal complexes followed by a premature complex and a pause, with the same patt
itself in triplicates. What is the name of this pattern?
a. Bigeminy
b.
Quadrigeminy
c. Sinus
rhythm
d. Trigeminy
11. Your patient was admitted for complications of diabetes mellitus and you note that the lab work reve
hyperlipidemia. You understand that for the patient with diabetes, hyperlipidemia is:
a. a genetic
predisposition.
b. a new finding.
c. an expected
finding.
d. irrelevant.
12. Which lab assessment is the single most important laboratory test in a patient who appears to be int
ethanol?
a. BUN
b. Serum creatinine
c. Serum ethanol
level
d. Serum glucose
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