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Med Surg 2 Exam 2 Cardiac/Respiratory|16 Questions with 100% Answers
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Med Surg 2 Exam 2 Cardiac/Respiratory|16Questions with 100% Answers
1.Myocardial oxygen consumption increases as which of the following
parameters increase?
A. Preload, afterload, and cerebral blood flow
B. Preload, afterload, and renal blood flow
C. Preload, afterload, contractility, and heart rate.
D. Preload, afterload, cerebral blood flow, and heart rate. - -C
-2. Which of the following is an example of a female patient experiencing
angina?
A. "I have chest pain, jaw pain and left arm pain."
B. "I feel like I can't breathe and an elephant is sitting on my chest."
C. "I can't feel my right jaw and right arm".
D. "I feel really nauseated and I have terrible pain between my shoulder
blades." - -D
-3. A patient presents to the hospital with right sided chest pain. The
patient's assessment data is the following: A&O x 3, BP 110/60 mm Hg, HR
105, RR 22, SpO2 88%, temperature 37.5 C, S1S2 WNL, S3 present, +heave
at the apex, bilateral crackles to bases, cap refill +5 sec. Based on these
findings, the nurse will first:
A. Read the report of the 2D echocardiogram.
B. Administer oxygen via nasal cannula.
C. Obtain a 12 lead electrocardiogram.
D. Send the patient for a chest radiograph. - -B
-4. The nurse suspects that a patient is experiencing acute myocardial
infarction based on which data?
A. Chest pain on inspiration and Troponin of 0.01 ng/mL.
B. Dyspnea and EKG
(ST elevation)
C. Troponin #1: 0.9 ng/ml, Troponin #2: 0.8, ng/ml, and Troponin #3: 0.9
ng/ml.
D. Dizziness and Creatine kinase (CK-MB) of 2.0 ng/ml. - -B
, -5. The nurse is educating the patient with MI on the primary reason for
administering morphine? Which statement by the nurse is correct?
A. "You will be able to sleep for a few hours."
B. "Your chest pain will decrease."
C. "Your anxiety level will decrease."
D. "Your breathing will not be so labored." - -B
-6. The nurse reviews the laboratory test results (see chart below) of a
patient
diagnosed with acute MI. Which of the following laboratory results would lead
to questioning of Clopidogrel (Plavix) administration to this patient ?
A. Hemoglobin and Platelets.
B. Renal labs and WBC.
C. Hemoglobin and Potassium.
D. Sodium and Potassium. - -A
-7. A patient diagnosed with a large left anterior MI asks the nurse if he is
going to die. What is the best reply from the nurse?
A. "We will not let you die!"
B. "Would you like me to call your pastor?"
C. "This is something you need to discuss with the doctor."
D. "What makes you think that you will die?" - -D
-8.Which of the following patients is most likely to suffer from an impending
MI?
A. A 75-year-old man whose chest pain is relieved after one sublingual Nitro
tablet.
B. A 70-year old woman who always develops chest pain after climbing 7
steps.
C. A 65-year old man who has not experienced chest pain relief after a third
sublingual Nitro tablet.
D. A 80-year old with chronic angina who developed chest pain after mowing
the lawn. - -C
, -9. A patient with history of obesity is admitted with a diagnosis of acute
myocardial infarction. When considering discharge teaching after MI, the
nurse will include which one of the following laboratory test results?
A. Troponin of 2.0 mg/dl.
B. AST of 20.
C. LDL of 200 mg/dl.
D. Creatinine of 1.0 mg/dl. - -C
-10.The physician orders continuous intravenous nitroglycerin infusion for
the client with MI. Essential nursing actions include which of the following?
A. Obtaining an infusion pump for the medication.
B. Monitoring BP q4h.
C. Monitoring urine output hourly.
D. Obtaining serum potassium levels daily. - -A
-11. Which of the following is an expected outcome for a client on the
second day of hospitalization after an MI?
A. Has severe chest pain.
B. Can identify risks factors for MI.
C. Agrees to participate in a cardiac rehabilitation walking program.
D. Can perform personal self-care activities without pain. - -D
-12. Which of the following meals are appropriate for the patient post
cardiac catheterization?
A. Pork sausages, bacon, bagel with cream cheese and scrambled eggs.
B. A boiled egg, one slice of toasted bread with margarine, and a cup of low
fat yogurt.
C. Orange juice and a cup of jello.
D. NPO. - -B
-13. The nurse observes a streak of blood flowing from the transradial band
of the patient who had cardiac catheterization 4 hours ago. What is the next
nursing action?
A. Call the physician.
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