medsurg exam 2 study guide with practice questions and correct answers
2 views 0 purchase
Course
Emergency nursing
Institution
Emergency Nursing
1. Mrs. Chua a 78 year old client is admitted with the diagnosis of mild chronic heart failure. The nurse expects to hear when listening to client’s lungs indicative of chronic heart failure would be:
A. Stridor
B. Crackles
C. Wheezes
D. Friction rubs
2. Patrick who is hospitalized fol...
BOARD TOPNOCHR
RN BY THE YEAR ENDS
“IN CHRIST WE CAN DO ALL THINGS”
1. Mrs. Chua a 78 year old client is admitted with the diagnosis of mild chronic heart failure. The nurse expects to
hear when listening to client’s lungs indicative of chronic heart failure would be:
A. Stridor
B. Crackles
C. Wheezes
D. Friction rubs
2. Patrick who is hospitalized following a myocardial infarction asks the nurse why he is taking morphine. The nurse
explains that morphine:
A. Decrease anxiety and restlessness
B. Prevents shock and relieves pain
C. Dilates coronary blood vessels
D. Helps prevent fibrillation of the heart
3. Which of the following should the nurse teach the client about the signs of digitalis toxicity?
A. Increased appetite
B. Elevated blood pressure
C. Skin rash over the chest and back
D. Visual disturbances such as seeing yellow spots
4. Nurse Trisha teaches a client with heart failure to take oral Furosemide in the morning. The reason for this is to
help…
A. Retard rapid drug absorption
B. Excrete excessive fluids accumulated at night
C. Prevents sleep disturbances during night
D. Prevention of electrolyte imbalance
5. What would be the primary goal of therapy for a client with pulmonary edema and heart failure?
A. Enhance comfort
B. Increase cardiac output
C. Improve respiratory status
D. Peripheral edema decreased
6. Nurse Linda is caring for a client with head injury and monitoring the client with decerebrate posturing. Which of
the following is a characteristic of this type of posturing?
A. Upper extremity flexion with lower extremity flexion
B. Upper extremity flexion with lower extremity extension
C. Extension of the extremities after a stimulus
D. Flexion of the extremities after stimulus
7. A female client is taking Cascara Sagrada. Nurse Betty informs the client that the following maybe experienced
as side effects of this medication:
A. GI bleeding
B. Peptic ulcer disease
C. Abdominal cramps
D. Partial bowel obstruction
8. Dr. Marquez orders a continuous intravenous nitroglycerin infusion for the client suffering from myocardial
infarction. Which of the following is the most essential nursing action?
A. Monitoring urine output frequently
B. Monitoring blood pressure every 4 hours
C. Obtaining serum potassium levels daily
D. Obtaining infusion pump for the medication
9. During the second day of hospitalization of the client after a Myocardial Infarction. Which of the following is an
expected outcome?
Downloaded by kevin wacira (almaedakevin18@gmail.com)
, lOMoARcPSD|25973474
BOARD TOPNOCHR
RN BY THE YEAR ENDS
“IN CHRIST WE CAN DO ALL THINGS”
A. Able to perform self-care activities without pain
B. Severe chest pain
C. Can recognize the risk factors of Myocardial Infarction
D. Can Participate in cardiac rehabilitation walking program
10. A 68 year old client is diagnosed with a right-sided brain attack and is admitted to the hospital. In caring for this
client, the nurse should plan to:
A. Application of elastic stockings to prevent flaccid by muscle
B. Use hand roll and extend the left upper extremity on a pillow to prevent contractions
C. Use a bed cradle to prevent dorsiflexion of feet
D. Do passive range of motion exercise
11. Nurse Liza is assigned to care for a client who has returned to the nursing unit after left nephrectomy. Nurse
Liza’s highest priority would be…
A. Hourly urine output
B. Temperature
C. Able to turn side to side
D. Able to sips clear liquid
12. A 64 year old male client with a long history of cardiovascular problem including hypertension and angina is to
be scheduled for cardiac catheterization. During pre cardiac catheterization teaching, Nurse Cherry should inform
the client that the primary purpose of the procedure is…..
A. To determine the existence of CHD
B. To visualize the disease process in the coronary arteries
C. To obtain the heart chambers pressure
D. To measure oxygen content of different heart chambers
13. During the first several hours after a cardiac catheterization, it would be most essential for nurse Cherry to…
A. Elevate clients bed at 45°
B. Instruct the client to cough and deep breathe every 2 hours
C. Frequently monitor client’s apical pulse and blood pressure
D. Monitor clients temperature every hour
14. Kate who has undergone mitral valve replacement suddenly experiences continuous bleeding from the surgical
incision during postoperative period. Which of the following pharmaceutical agents should Nurse Aiza prepare to
administer to Kate?
A. Protamine Sulfate
B. Quinidine Sulfate
C. Vitamin C
D. Coumadin
15. In reducing the risk of endocarditis, good dental care is an important measure. To promote good dental care in
client with mitral stenosis in teaching plan should include proper use of…
A. Dental floss
B. Electric toothbrush
C. Manual toothbrush
D. Irrigation device
16. Among the following signs and symptoms, which would most likely be present in a client with mitral
gurgitation?
A. Altered level of consciousness
B. Exceptional Dyspnea
C. Increase creatine phospholinase concentration
D. Chest pain
17.Kris with a history of chronic infection of the urinary system complains of urinary frequency and burning
sensation. To figure out whether the current problem is in renal origin, the nurse should assess whether the client
has discomfort or pain in the…
A. Urinary meatus
, Downloaded by kevin wacira (almaedakevin18@gmail.com)
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller kevwac. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $15.49. You're not tied to anything after your purchase.
