NUR 425 EXAM 2 NEWEST 2024-2025 COMPLETE 100 QUESTIONS AN
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRA
ED A+
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Which patient is most at risk for develop-
ing delirium?
a. A 50-yr-old woman with cholecystitis
b. A 19-yr-old man with a fractured femur
c. A 42-yr-old woman having an elective D
hysterectomy
d. A 78-yr-old man admitted to the med-
ical unit with complications related to
heart failure
You are caring for a patient who is expe-
riencing delirium due to a lack of sleep.
Which of the following nursing interven-
tions would be *inappropriate* in treating
this patients' condition?
a. You treat the patients' primary diagno-
B (For treating delirium, the nurse should
sis that is causing the delirium.
reduce environmental stimuli by de-
b. You turn on the lights and a radio next
creasing noise and light levels.)
to the patients' bed to reorient them.
c. You use appropriate touch and verbal
communication to help reorient the pa-
tient.
d. You put an easy-to-read clock in the
patients' room and a calendar close to
their bed.
Normal Potassium level 3.5-5.0
Normal PR interval length <0.2 seconds
Normal QRS interval length <0.12 seconds
Normal CVP (Central venous pressure)
2-8 mmHg
in adults
Normal cardiac output in adults 4-8 L/min
Normal cardiac index in adults 2.2-4 L/min/m squared
Normal MAP in adults 70-105 mmHg
, NUR 425 EXAM 2 NEWEST 2024-2025 COMPLETE 100 QUESTIONS AN
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRA
ED A+
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The action of medication is inotropic C (Inotropic drugs increase the force
when it: of contraction. Preload, not afterload, is
A. Decreased afterload decreased. Chronotropic drugs increase
B. Increases heart rate heart rate. Treatment of CHF is an indi-
C. Increases the force of contraction cation for use not an action of inotropic
D. Is used to treat CHF drug.)
D (Ventricular ectopy can be a life-threat-
ening arrhythmia; therefore, the client
Which of the following ECG findings needs an arrhythmic. Other choices are
alerts the nurse that the client needs an not arrhythmias that need to be treated.
antiarrhythmic? An ectopic rhythm is an irregular heart
A. Normal sinus rhythm rhythm due to a premature heartbeat. Ec-
B. Sinus bradycardia topic rhythm is also known as premature
C. Sinus arrhythmia atrial contraction, premature ventricular
D. Frequent ventricular ectopy contraction, and extrasystole. When your
heart experiences an early beat, a brief
pause usually follows.)
When administering an antiarrhythmic
agent, which of the following assessment
parameters is the most important for the A (The ECG is the most important pa-
nurse to evaluate? rameter to assess. B, C, and D need to
A. ECG be monitored, but the ECG is the most
B. Pulse rate important.)
C. Respiratory rate
D. Blood pressure
Epinephrine is used to treat cardiac ar-
rest and status asthmaticus because of
B (Bronchodilation results from stimulat-
which of the following actions?
ed beta receptors, and cardiac effects
result from the stimulation of ß1 recep-
A. Increased speed of conduction and
tors. Choice A does not address respi-
gluconeogenesis
ratory effects of medication. Choice C
B. Bronchodilation and increased heart
is incorrect because ±-
stimulating drugs
rate, contractility, and conduction
cause vasoconstriction. Bronchodilation,
C. Increased vasodilation and enhanced
not bronchoconstriction, results from ß2
myocardial contractility
activity.)
D. Bronchoconstriction and increased
heart rate
, NUR 425 EXAM 2 NEWEST 2024-2025 COMPLETE 100 QUESTIONS AN
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRA
ED A+
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Following norepinephrine (Levophed)
administration, it is essential to the nurse B (Because decreased perfusion is
to assess: a side effect of norepinephrine
(Levophed), the nurse must check circu-
A. electrolyte status lation frequently. Capillary refill is not a
B. color and temperature of toes and fin- reliable indication of perfusion in a shock
gers state. Choices A and D are not specific
C. capillary refill for norepinephrine.)
D. ventricular arrhythmias
When administering dopamine (In- C (The nurse is responsible for know-
tropin), it is most important for the nurse ing compatible solutions before admin-
to know that: istering dopamine (Intropin). It is impor-
A. the drug's action varies according to tant to know that drug action varies by
the dose. dose, but the physician is responsible for
B. the drug may be used instead of fluid determining the dose. Dopamine should
replacement. not be used instead of fluid replacement.
C. the drug cannot be directly mixed Choice D is incorrect because, although
in solutions containing bicarbonate or it is true, it is not the nurse's primary con-
aminophylline. cern. It is a collaborative action in which
D. the lowest dose to produce the desired the physician is involved in determining
effect should be used. the rate.)
Dobutamine (Dobutrex) improves car-
diac output and is indicated for use in all
C (Dobutamine (Dobutrex) is not used
of the following conditions except:
to treat arrhythmias. Choices A, B, and
A. septic shock
D are conditions are conditions that re-
B. congestive heart failure
spond to dobutamine.)
C. arrhythmias
D. pulmonary congestion
Which of the following effects of calcium
channel blockers causes a reduction in
blood pressure?
A. Increased cardiac output
B
B. Decreased peripheral vascular resis-
tance
C. Decreased renal blood flow
D. Calcium influx into cardiac muscles
, NUR 425 EXAM 2 NEWEST 2024-2025 COMPLETE 100 QUESTIONS AN
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRA
ED A+
Study online at https://quizlet.com/_fpfj71
A preoperative patient receives atropine B (Atropine, an anticholinergic drug, is
before induction of anesthesia. The used as an adjunct to anesthesia to
nurse caring for this patient understands counter the effects of vagal stimulation,
that this agent is used to prevent: which is caused by surgical manipula-
tions that trigger parasympathetic reflex-
A. anxiety. es, resulting in bradycardia. Atropine is
B. bradycardia. not an anxiolytic. Atropine causes dry
C. dry mouth. mouth and sometimes is used to mini-
D. hypertension. mize bronchial secretions.)
When titrating an analgesic to manage
A (The goal is to control pain while min-
pain, what is the priority goal?
imizing side effects. For severe pain, the
A. Administer smallest dose that pro-
medication can be titrated upward until
vides relief with the fewest side effects.
pain is controlled. Downward titration oc-
B. Titrate upward until the client is pain
curs when the pain begins to subside.
free.
Adequate dosing is important; however,
C. Titrate downwards to prevent toxicity.
the concept of controlled dosing applies
D. Ensure that the drug is adequate to
more to potent vasoactive drugs.)
meet the client's subjective needs.
For a cognitively impaired client who
cannot accurately report pain, what is
B (Complete information from the fam-
the first action that you should take?
ily should be obtained during the initial
A. Closely assess for nonverbal signs
comprehensive history and assessment.
such as grimacing or rocking.
If this information is not obtained, the
B. Obtain baseline behavioral indicators
nursing staff will have to rely on obser-
from family members.
vation of nonverbal behavior and careful
C. Look at the MAR and chart, to note the
documentation to determine pain and re-
time of the last dose and response.
lief patterns.)
D. Give the maximum PRS dose within
the minimum time frame for relief.
A nurse is assessing an electrocardio-
gram rhythm strip. The P waves and QRS
A (This rhythm is NSR. The P waves and
complexes are regular. The PR interval is
QRS complexes are regular. The PR in-
0.16 second, and QRS complexes mea-
terval is less than 0.2 seconds. The QRS
sure 0.06 second. The overall heart rate
complex is less than 0.12 seconds. The
is 64 beats per minute. The nurse as-
heart rate is between 60-100 BPM.)
sesses the cardiac rhythm as:
A. Normal sinus rhythm
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