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MS3 EXAM 2 PRACTICE QUESTIONS AND ANSWERS
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MS3 EXAM 2 PRACTICE QUESTIONS AND ANSWERS
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MS3 EXAM 2 PRACTICE QUESTIONS AND ANSWERSThe nurse is preparing an educational session on sepsis. Which should the nurse
include as a major risk factor for the development of this health problem?
1) Immunosuppression
2) Elevated temperature
3) Pneumococcal bacteria
4) Leukocytosis on the complete blood count
1. Immunosuppression
The nurse identifies the nursing diagnosis of Ineffective Peripheral Tissue Perfusion as
being appropriate for a patient with septicemia. Which intervention will address this
patient's health problem?
1) Monitor for cyanosis.
2) Monitor heart rate every hour.
3) Assess temperature every four hours.
4) Monitor pupil reactions every eight hours.
1) Monitor for cyanosis.
An older adult patient is recovering in the intensive care unit (ICU) from septicemia.
Which intervention will help prevent further infection for this patient?
1) Provide oral and skin care
2) Implement sterile wound care
3) Encourage turn, cough, and deep breathe every shift.
4) Place the Foley drainage on the bed at the patient's feet
1) Provide oral and skin care
An older adult patient is experiencing hypovolemic shock. Which is the priority
intervention for this patient?
1) Assessing the cause of bleeding
2) Providing replacement of volume
3) Establishing invasive cardiac monitoring
4) Administering analgesics for control of pain
3) Establishing invasive cardiac monitoring
With aging, there is a decrease in cardiac sympathetic activity. Older patients can have
secondary volume depletion because of diuretics or malnutrition, and if prescribed a
beta blocker, tachycardia may not occur as an early sign of hypovolemic shock. The
older patient will require early invasive monitoring in order to avoid excessive or
inadequate volume restoration. This should be done early in the treatment phase.
,The nurse has just completed the assessment of a patient admitted with a gunshot
wound to the femoral artery. Which is the priority nursing diagnosis for this patient?
1) Ineffective Coping
2) Deficient Fluid Volume
3) Decreased Cardiac Output
4) Ineffective Airway Clearance
3) Decreased Cardiac Output
The nurse is administering albumin 5% to a patient in shock. Which nursing action is
appropriate when assessing this patient?
1) Auscultate breath sounds for crackles
2) Auscultate breath sounds for hyperresonance
3) Auscultate breath sounds for inspiratory stridor
4) Auscultate for an absence of breath sounds in the lower lobes
ANS: 1
Because albumin 5% is a volume expander and pulls fluid into the vascular space,
circulatory overload is a serious complication. The nurse must monitor breath sounds;
crackles will be heard with pulmonary congestion
The nurse explains the purpose of an infusion of albumin 5% to a patient recovering
from hypovolemic shock. Which statement indicates that the patient understands the
instructions?
1) "It is a protein that pulls water into my blood vessels."
2) "It is a protein that causes my kidneys to conserve fluid."
3) "It is a super-concentrated salt solution that helps me conserve body fluid."
4) "It is a liquid that has electrolytes in it to pull water into my blood vessels."
1) "It is a protein that pulls water into my blood vessels."
A patient being treated for hypovolemic shock is prescribed a low dose of dopamine.
Which outcome does the nurse anticipate for this patient?
1) Increased cardiac output
2) Stabilization of fluid loss
3) Urinary output of at least 30 mL/hour
4) Vasoconstriction and increased blood pressure
ANS: 3
At low doses, dopamine stimulates dopaminergic receptors, especially in the kidneys,
leading to vasodilation and an increased blood flow through the kidneys
The nurse is preparing to administer diphenhydramine to a patient who is experiencing
a severe allergic reaction to peanuts. Which information about the drug should the
, nurse provide to the patient?
1) "This is the medication of choice to treat airway obstruction."
2) "This medication will help relieve your itching and runny nose."
3) "This medication will prevent you from going into anaphylactic shock."
4) "This medication will take a while to be effective but will control your symptoms for
se
2) "This medication will help relieve your itching and runny nose."
The nurse is providing care to a patient who is admitted to the emergency department
with symptoms of a myocardial infarction (MI). Which is the primary purpose of the
interventions administered to this patient?
1) Providing pain relief
2) Preventing extension of damage
3) Preventing cardiogenic shock
4) Reducing blood pressure
3) Preventing cardiogenic shock
The nurse is providing care for a patient receiving treatment for cardiogenic shock.
Which assessment finding indicates that the compensatory mechanism of
vasoconstriction has occurred in this patient?
1) Increased heart rate
2) Increased injection fraction
3) Decreased urine output
4) Decreased temperature
3. decreased urine output
The nurse is providing care to a patient who is admitted with cardiogenic shock. The
nurse administers the prescribed atropine with no results. Which prescription does the
nurse anticipate from the health-care provider based on this data?
1) A beta blocker
2) Transcutaneous pacing
3) Cardiac defibrillation
4) A preload reducer
2) Transcutaneous pacing
The nurse is providing care to a patient diagnosed with hypovolemic shock. Which
nursing action is appropriate for this patient during the initial compensatory phase?
1) Placing a cool blanket over the patient
2) Raising the patient's head to a 30-degree angle
3) Positioning the patient in the left-lateral recumbent position
4) Turning the patient's head to one side if no neck injury is suspected
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