10/21/24, 7:27 AM Med Surg Success Test 1/Med-Surg Success 2024-2025 update/COMPREHENSIVE FREQUENTLY TESTED QUESTIONS …
Med Surg Success Test 1/Med-Surg Success
2024-2025 update/COMPREHENSIVE
FREQUENTLY TESTED QUESTIONS AND
VERIFIED ANSWERS/ GET IT 100% ACCURATE
Terms in this set (72)
The client is admitted to 1. Apical pulse rate of 110 and 4+ pitting edema of
the telemetry unit feet.
diagnosed with acute
exacerbation of
congestive heart failure
(CHF). Which
signs/symptoms would
the nurse expect to find
when assessing this
client?
1. Apical pulse rate of 110
and 4+ pitting edema of
feet.
2. Thick white sputum and
crackles that clear with
cough.
3. The client sleeping with
no pillow and eupnea.
4. Radial pulse rate of 90
and capillary refill time <3
seconds.
,10/21/24, 7:27 AM Med Surg Success Test 1/Med-Surg Success 2024-2025 update/COMPREHENSIVE FREQUENTLY TESTED QUESTIONS …
The nurse is developing a 2. Have an audible S1 and S2 with no S3 heard by
nursing care plan for a end of shift.
client diagnosed with
congestive heart failure. Reason: Audible S1 & S2 are normal for a heart with
A nursing diagnosis of adequate output, an audible S3 may indicate left
"decreased cardiac ventricular heart failure
output related to inability
of the heart to pump
effectively" is written.
Which short-term goal
would be best for the
client? The client will:
1. Be able to ambulate in
the hall by date of
discharge.
2. Have an audible S1 and
S2 with no S3 heard by
end of shift.
3. Turn, cough, and deep
breathe every two (2)
hours.
4. Have a pulse oximeter
reading of 98% by day
two (2) of care.
,10/21/24, 7:27 AM Med Surg Success Test 1/Med-Surg Success 2024-2025 update/COMPREHENSIVE FREQUENTLY TESTED QUESTIONS …
The nurse is developing a 2. Teach client how to count the radial pulse when
discharge-teaching plan taking digoxin, a cardiac glycoside.
for the client diagnosed
with congestive heart 3. Instruct client to remove the saltshaker from the
failure. Which dinner table.
interventions should be
included in the plan? #4 is not a choice because the patient should be on
Select all that apply. a diuretic and urine should be more frequent &
1. Notify health-care lighter
provider of a weight gain
of more than one (1)
pound in a week.
2. Teach client how to
count the radial pulse
when taking digoxin, a
cardiac glycoside.
3. Instruct client to
remove the saltshaker
from the dinner table.
4. Encourage client to
monitor urine output for
change in color to
become dark.
5. Discuss the importance
of taking the loop
diuretic furosemide at
bedtime.
, 10/21/24, 7:27 AM Med Surg Success Test 1/Med-Surg Success 2024-2025 update/COMPREHENSIVE FREQUENTLY TESTED QUESTIONS …
The nurse enters the 4. Assist the client to a sitting position
room of the client
diagnosed with
congestive heart failure.
The client is lying in bed
gasping for breath, is
cool and clammy, and
has buccal cyanosis.
Which intervention would
the nurse implement
first?
1. Sponge the client's
forehead.
2. Obtain a pulse
oximetry reading.
3. Take the client's vital
signs.
4. Assist the client to a
sitting position.
The nurse is assessing the 3. The client is able to perform ADLs without
client diagnosed with dyspnea.
congestive heart failure.
Which signs/symptoms
would indicate that the
medical treatment has
been effective?
1. The client's peripheral
pitting edema has gone
from 3+ to 4+.
2. The client is able to
take the radial pulse
accurately.
3. The client is able to
perform ADLs without
dyspnea.
4. The client has minimal
jugular vein distention.
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