Download ADVANCED MEDSURG 2 FINAL EXAM|2025-2026|100 QUESTIONS&CORRECT ANSWERS|RATED A+ and more Exams Nursing in PDF only on Docsity!
ADVANCED MEDSURG 2 FINAL EXAM| 2025 - 2026| 100
QUESTIONS&CORRECT ANSWERS|RATED A+
- A nurse is assessing a male client who has advanced peripheral artery disease (PAD). Which of the following findings should the nurse expect? a. Thin, pliable toenails b. Leg pain at rest c. Hairy legs d. Flushed, warm legs. b. Leg pain at rest A nurse is caring for a client who has peripheral arterial disease (PAD). Which of the following symptoms should the nurse expect to find in the early stage of this disease? a. Intermittent claudication b. Dependent rubor c. Rest pain d. Foot ulcers a. Intermittent claudication A nurse is preparing to administer verapamil by IV bolus to a client who is having cardiac dysrhythmias. For which of the following adverse effects should the nurse monitor when giving this medication? a. Hyperthermia b. Hypotension c. Ototoxicity d. Muscle pain Hypotension
A nurse is assessing a client who has atrial fibrillation. Which of the following pulse characteristics should the nurse expect? a. Slow b. Not palpable c. Irregular d. Bounding c. Irregular A nurse is caring for a client who has a cardiopulmonary arrest. The nurse anticipates the emergency response team will administer which of the following medications if the client's restored rhythm is symptomatic bradycardia? a. Epinephrine b. Magnesium c. Atropine d. Sodium bicarbonate c. Atropine A nurse is monitoring a client who is on telemetry. Which of the following findings on the ECG strip should the nurse recognize as normal sinus rhythm? a. The P wave falls before the QRS complex. b. The T wave is in the inverted position. c. The P-R interval measures 0.22 seconds. d. The QRS duration is 0.20 seconds. a. The P wave falls before the QRS complex.
- A nurse is reviewing the EKG strip of a client who has prolonged vomiting. Which of the following abnormalities on the client's EKG should the nurse interpret as a sign of hypokalemia? a. Abnormally prominent U wave
b. I eat two eggs for breakfast each morning.
- A nurse is interpreting a client's ECG strip. Which of the following components of the ECG should the nurse examine to determine the time it takes for ventricular depolarization and repolarization? a. PR interval b. QT interval c. ST segment d. QRS complex b. QT interval A nurse on a telemetry unit is caring for a client who has unstable angina and is reporting chest pain with a severity of 6 on a 0 to 10 scale. The nurse administers 1 sublingual nitroglycerin tablet. After 5 min, the client stated his chest pain is now a severity 2. Which of the following actions should the nurse take? a. Administer another nitroglycerin tablet. b. Initiate a peripheral IV. c. Call the rapid response team. d. Obtain an ECG. a. Administer another nitroglycerin tablet.
- A nurse is teaching a client who has angina pectoris about starting therapy with SL nitroglycerin tablets. The nurse should include which of the following instructions regarding how to take the medication? a. Take this medication after each meal and at bedtime. b. Take one tablet every 15min during an acute attack. c. Take one tablet at the first indication of chest pain. d. Take this medication with 8 ounces of water. c. Take one tablet at the first indication of chest pain. A nurse is teaching a client who has a new prescription for transdermal nitroglycerin to treat angina pectoris. Which of the following instructions should the nurse include in the teaching?
a. Apply a new transdermal patch once a week. b. Appy the transdermal patch in the morning. c. Apply the transdermal patch in the same location as the pervious patch. d. Appy a new transdermal patch when chest pain is experienced. b. Appy the transdermal patch in the morning. A nurse is reviewing the health history for a client who has angina pectoris and a prescription for propranolol hydrochloride PO 40 mg twice daily. Which of the following findings in the history should the nurse report to the provider? a. The client has a history of hypothyroidism. b. The client has a history of bronchial asthma. c. The client has a history of hypertension. d. The client has a history of migraine headaches. b. The client has a history of bronchial asthma. A nurse is providing instructions to a client who has a new prescription for sublingual nitroglycerin to treat angina pectoris. Which of the following instructions should the nurse include? a. Place the tablet under your tongue and then take a small sip of water. b. The medication can take up to 15 minutes to take effect. c. Avoid taking the medication prior to exercising. d. Stop taking the medication and notify your provider if you develop a headache. a. Place the tablet under your tongue and then take a small sip of water. A nurse is teaching a client who has septic shock about the development of disseminated intravascular coagulation (DIC). Which of the following statements should the nurse make? a. DIC is controllable with lifelong heparin usage. b. DIC is characterized by an elevated platelet count. c. DIC is caused by abnormal coagulation involving fibrinogen. d. DIC is a genetic disorder involving a vitamin K deficiency. c. DIC is caused by abnormal coagulation involving fibrinogen.
A nurse is caring for a client who has cancer and is receiving total parental nutrition (TPN). Which of the following lab values indicate the treatment is effective? a. Hct 43% b. WBC 8,000/uL c. Albumin 4.2g/dL d. Calcium 9.4 mg/dL c. Albumin 4.2g/dL A nurse prepares to replace the nearly empty container of total parental nutrition (TPN) for a client when she finds that there has been a delay in receiving the new container of solution from the pharmacy. Which of the following solutions should the nurse infuse until the next container of TPN solution becomes available? a. Lactated Ringer's b. 3% sodium chloride c. Dextrose 10% in water d. 0.9% sodium chloride c. Dextrose 10% in water A nurse is assessing a client who is receiving total parental nutrition (TPN). Which of the following findings should the nurse recognize as a complication of this therapy? a. Hyperglycemia b. Aspiration c. Diarrhea d. Stomatitis a. Hyperglycemia
The nurse is evaluating a client who had a cardiac catheterization with a left antecubital insertion site. Which of the following pulses should the nurse palpate? a. Brachial pulse in the left arm b. Brachial pulse in the right arm c. Radial pulse in the left arm d. Radial pulse in the right arm c. Radial pulse in the left arm A nurse is caring for a client 4 hour following a cardiac catheterization. Which of the following actions should the nurse take? a. Have the client lie flat in bed. b. Keep the affected leg slightly flexed. c. Elevate the head of the bed to 45 degrees. d. Keep the client NPO for four hours. a. Have the client lie flat in bed. A nurse is preparing a client for a catheter for total parental nutrition. Which of the following access sites should the nurse plan to prepare for a catheter insertion? a. Left antecubital vein. b. Right subclavian vein. c. Right femoral artery. d. Left arm radial artery. b. Right subclavian vein. A nurse is caring for a client who has cirrhosis and a prothrombin time of 30 seconds. Which of the following medications should the nurse plan to administer?
a. Warfarin takes several days to work so the IV heparin will be used until the warfarin reaches a therapeutic level.
- A nurse is caring for a client who is prescribed warfarin therapy for an artificial heart valve. Which of the following laboratory values should the nurse monitor for a therapeutic effect of warfarin? a. Hemoglobin b. Prothrombin time c. Bleeding time d. Activated partial thromboplastin time b. Prothrombin time A nurse is completing a medical interview with a client who has elevated cholesterol levels and takes warfarin. The nurse should recognize that which of the following actions by the client can potentiate the effects of warfarin? a. The client follows a low-fat diet to reduce cholesterol. b. The client drinks a glass of grapefruit juice every day. c. The client sprinkles flaxseed on food one hour before taking the anticoagulant. d. The client uses garlic to lower cholesterol levels. d. The client uses garlic to lower cholesterol levels.
- A nurse is providing discharge teaching for a client who has a new prescription for warfarin. Which of the following instructions should the nurse include in the teaching? a. Mild nosebleeds are common during initial treatment. b. Use an electric razor while on this medication. c. If a dose of the medication is missed double the dose at the next scheduled time.
d. Increase fiber intake to reduce the adverse effect of constipation. b. Use an electric razor while on this medication.
- A nurse is caring for a client who has thrombophlebitis and is receiving continuous heparin infusion. Which of the following medications should the nurse have available to reverse heparin's effect? a. Vitamin K b. Protamine sulfate c. Acetylcysteine d. Deferasirox b. Protamine sulfate
- A nurse is planning care for a client who has end stage cirrhosis of the liver with encephalopathy. Which of the following interventions should the nurse plan to implement to decrease the client's ammonia level? a. Administer diuretics. b. Restrict the client's intake of fluids. c. Reduce the client's intake of protein. d. Administer vitamin K. c. Reduce the client's intake of protein.
- A nurse is assessing a client who has advanced cirrhosis. Which of the following manifestations should the nurse expect? a. Petechiae b. Hypertension c. Osteoarthritis d. Peripheral ulcers a. Petechiae
- A nurse is teaching the partner of a client who has acute myocardial infraction (MI) about the reason blood was drawn from the client. Which of the following statements should the nurse make regarding cardiac enzyme studies? a. These tests help determine the degree of damage to the heart tissue. b. Cardiac enzymes will identify the location of the MI. c. These tests will enable the provider to determine the heart structure and mobility of the heart valves. d. Cardiac enzymes assist in diagnosing the presence of pulmonary congestion. a. These tests help determine the degree of damage to the heart tissue.
- A nurse is caring for a client who came to the emergency department reporting chest pain. The provider suspects a myocardial infraction. While waiting for the troponin levels report the client asked what this blood test will show. Which of the following explanations should the nurse provide to the client? a. Troponin is an enzyme that indicates damage to the brain, heart, and skeletal muscle tissues. b. Troponin is a lipid whose levels reflect the risk of coronary artery disease. c. Troponin is a heart muscle protein that appears in the bloodstream when there is damage to the heart. d. Troponin is a protein that helps transport oxygen throughout the body. c. Troponin is a heart muscle protein that appears in the bloodstream when there is damage to the heart.
- A nurse in the emergency department is caring for a client who reports chest pressure and shortness of breath. Which of the following laboratory tests should the nurse anticipate the provider to prescribe? a. Troponin I b. Lipase c. B type natriuretic peptide (BNP)
d. Aspartate aminotransferase (AST) a. Troponin I
- A nurse on a medical surgical unit is caring for a client who reports pain in the jaw, back, and shoulder, and shortness of breath and nausea. Which of the following actions should the nurse take? a. Obtain an EKG. b. Administer enteric coated acetaminophen. c. Administer ibuprofen. d. Maintain oxygen saturation greater than or equal to 92%. a. Obtain an EKG.
- A nurse in the emergency room is caring for a client who presents with manifestations that indicate a myocardial infraction. Which of the following prescriptions should the nurse take first? a. Attach the leads for a 12 lead ECG. b. Obtain a blood sample. c. Initiate oxygen therapy. d. Insert the IV catheter. c. Initiate oxygen therapy.
- A nurse in an emergency department is planning care for a client who is having an acute myocardial infraction (MI). The nurse should plan to administer which of the following medications after the initial acute phase to manage the client's pain and anxiety? a. Nitroglycerin b. Aspirin c. Oxygen
- A nurse is the meeting a client who has acute pancreatitis which of the following provider prescription should the nurse anticipate? a. Initiate a low residue diet. b. Pantoprazole 80 mg IV twice daily. c. Ambulates twice daily. d. Pancrelipase 500 units/kg PO three times daily with meals. b. Pantoprazole 80 mg IV twice daily.
- A client tells the nurse that he is concerned because his provider told him he has a heart murmur. The nurse should explain to the client that a murmur? a. Is a high-pitched sound due to a narrow valve. b. Is an extra sound due to blood entering an inflexible chamber. c. Means that there is some inflammation around the heart. d. Indicates turbulent blood flow through a valve. d. Indicates turbulent blood flow through a valve.
- A nurse is interviewing a client who has acute pancreatitis. Which of the following factors should the nurse anticipate finding in the client's history? a. Gallstones b. Hypolipidemia c. COPD d. diabetes mellitus a. Gallstones A nurse is caring for a client who recently had surgery for insertion of a permanent pacemaker. Which of the following prescriptions should the nurse clarify?
a. Serum cardiac enzyme levels b. MRI of the chest c. physical therapy d. low sodium diet b. MRI of the chest
- A nurse is teaching an older adult client who is postoperative following insertion of a permanent pacemaker. The nurse should instruct the client to notify the provider about which of the following manifestations? a. Increase the urine output. b. rapid pulse c. fatigue d. sneezing c. fatigue
- A nurse is caring for a client with a ventricular pacemaker who is on ECG monitoring. The nurse understands that the pacemaker is functioning properly when which of the following appears on the monitor strip? a. Pacemaker spikes after each QRS complex. b. Pacemaker spikes before each P wave. c. Pacemaker spikes before each QRS complex. d. Pacemaker spikes with each T wave. c. Pacemaker spikes before each QRS complex.
- A nurse is caring for a client who has atrial fibrillation and receives digoxin daily. Before administering this medication which of the following actions should the nurse take?
b. Fatigue c. Dyspnea d. Oliguria b. Fatigue
- A nurse is caring for an older adult client who has left sided heart failure. Which of the following assessment findings should the nurse expect? a. Frothy sputum b. dependent edema c. nocturnal polyuria d. jugular distinction a. Frothy sputum
- A nurse in the ICU is caring for a client who has heart failure and is receiving a dobutamine drip. The nurse should identify that which of the following indicates that the medication is effective? a. Increased heart rate b. increase the urine output. c. decrease blood pressure. d. decrease blood glucose level. b. increase the urine output. A nurse is assessing a client who has left sided heart failure. Which of the following findings should the nurse expect? a. Jugular venous distension b. abdominal distinction c. dependent edema d. hacking cough
d. hacking cough
- A nurse is assessing a client who has right ventricular failure which of the following findings should the nurse expect? a. Dry hacking cough b. Hepatomegaly c. Dizziness d. crackles in the lungs b. Hepatomegaly A nurse in a provider's office is assessing a client who reports dyspnea and fatigue. Physical assessment reveals tachycardia and weak peripheral pulses. The nurse should recognize these findings as manifestations of which of the following conditions? a. Asthma b. aortic valve regurgitation c. heart failure d. aortic stenosis c. heart failure
- A nurse is providing instructions to a new nurse about caring for a client who is receiving diuretic therapy to treat heart failure. The nurse should explain that which of the following medications puts clients at risk for both hyperkalemia and hyponatremia? a. Furosemide b. Hydrochlorothiazide c. Metolazone d. Spironolactone
