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NUR242 / NUR 242 Exam 4: Medical-Surgical Nursing Concepts, Exams of Nursing

A series of multiple-choice questions and answers related to medical-surgical nursing concepts. It covers topics such as heart failure, peripheral arterial disease, dysrhythmias, and more. The questions are designed to test understanding of key concepts and clinical applications in the field of medical-surgical nursing.

Typology: Exams

2024/2025

Available from 01/17/2025

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NUR242 / NUR 242 Exam 4
Medical-Surgical Nursing Concepts
Guarantee passing score of 90% or higher
Consist of 50 Questions with Answers
1. captopril, furosemide, and metoprolol are all rx for a pt with HF the clients
BP is 1636/82 HR 65 prior to 0900 medications the nurse reviews the clients
most recent labs sodium 146, pot 5.8 bun 18 creatinine 1.0 which should
the nurse do first
a) administer the medication as ordered
b) call the healthcare provider
c) withhold captopril
d) withhold furosemide
Answer>
c
2. the nurse is completing ana assessment on a heart failure pt which of the
following findings should receive the highest priority
a) bp 100/62 hr 92 with a fib and bibasilar crackles
b) confusion, wet cough, orthopnea
c) 02 sat 92% on 2l, rr 22 , +1 le edema
d) weight gain of 1kg in 3 days. bp 150/80
Answer>
B
3. the nurse notices that the clients HR dropped from 63 to 50 in the two hours
since their initial assessment. the nurse should first
a) administer atropine per standing order
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NUR242 / NUR 242 Exam 4

Medical-Surgical Nursing Concepts

Guarantee passing score of 90% or higher

Consist of 50 Questions with Answers

  1. captopril, furosemide, and metoprolol are all rx for a pt with HF the clients BP is 1636/82 HR 65 prior to 0900 medications the nurse reviews the clients most recent labs sodium 146, pot 5.8 bun 18 creatinine 1.0 which should the nurse do first a) administer the medication as ordered b) call the healthcare provider c) withhold captopril d) withhold furosemide

Answer> c

  1. the nurse is completing ana assessment on a heart failure pt which of the following findings should receive the highest priority a) bp 100/62 hr 92 with a fib and bibasilar crackles b) confusion, wet cough, orthopnea c) 02 sat 92% on 2l, rr 22 , +1 le edema d) weight gain of 1kg in 3 days. bp 150/

Answer> B

  1. the nurse notices that the clients HR dropped from 63 to 50 in the two hours since their initial assessment. the nurse should first a) administer atropine per standing order

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b) notify the md c) review the clients medication record d) take the clients BP

Answer> D

  1. which rhythms should be defibrillated

Answer> ventricular fibulation and pulseless vtach

  1. the nurse suspects arterial insuff in the 50 year old pt when the feet and legs exhibit a) equal warmth b) shiny hairless skin c) brown discoloration d) pedal edema

Answer> B , hair follicles need oxygenated blood

  1. a nurse asses a pt with AFIB which manifestation requires immediate f/u by the nurse a) sinus tachycardia b) speech alterations c) fatigue d) dyspnea with activity

Answer> B

  1. a nurse is assessing a client admitted to the cardiac unit which statement by the client alerts the nurse to the possibility of RT sided heart failure a) " i sleep with four pillows at night" b) my shoes fit really tight c) i wake up coughing every night d) i have trouble catching my breath

Answer> B

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  1. a pt has peripheral arterial disease what statement by the pt indicates misunderstanding about self management activities a) " i can use a heating pad on my legs if its set on low " b)" i should not cross my legs when sitting or lying down" c) i will go out and buy some warm heavy socks to wear" d) its going to be really hard, but i will stop smoking"

Answer> A

  1. after receiving change of shift report on a HF unit which pt should the nurse asses first a) pt who is taking carvedilol and has a hr of 50 b) pt who is taking digoxin and has a potassium level of 3. c) pt who is taking captopril and has a frequent nonproductive cough d) pt who is taking isosorbide dinitrate and has a headache

Answer> B

  1. a tele nurse asses a pt who has a HR of 155 on cardiac monitor which assessment would the nurse complete next a) pulmonary auscultation b) pulse strength c)level of consciousness c) mobility and gait stability

Answer> c

  1. a nurse is educating a newly dx pt with Raynaud's phenomenon which of the following statements made by the pt indicates correct understanding a) " ill have to cut back to only one cup of coffee per day" b) i may have to wear mittens when retrieving items from my freezer" c) i guess ill have to stop drinking alcohol because of this d) this medication i will be taking for this condition helps by constricting the

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vessels in my fingers

Answer> B

  1. Pr interval normal waveform

Answer> .12 to.

  1. Qrs normal wave form

Answer>. 12 seconds or lower

  1. Arteries and veins blood delivery system

Answer> Arteries- carry oxygenated blood Veins - carry deoxygenated blood

  1. Small block and large block seconds

Answer> Small block .4 seconds Large block. 2 se ones

  1. Risk factors for dysrhyrhmias

Answer> MI HTN

HEART VALVE DISEASE

HEART FAILURE

CARDIOMYOPATHY

INFECTIONS

DM

  1. S/ s of dysfhythmias

Answer> palpitations, anxiety, sob , hypotension, diaphoresis, fainting,

lightheadedness , dizziness, weakness, fatigue

  1. Bradycardia s/s

Answer> Restlessness , anxiety , confision, dizziness, syncope sob, pale, cool,

clammy skin, chest pain, hypotension

  1. S/ s of tachycardia

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Answer> Dvt

  1. This is the priority for the nurse upon witnessing vfib on monitor

Answer> Check pulse

  1. This valve is located in the second intercostal space in the left eternal border

Answer> Pulmonic

  1. Pt taking St johns wart should be re educated when taking what medication for migraines

Answer> Sumatriptan

  1. This systemic auttimmune disease in late stages exhibit swan neck

Answer> -

Rheumatoid arthritis

  1. This nutritional supplement helps with bone density

Answer> Dairy rich like milk and fish

  1. This is the priority if nurse observes a family member knocks off traction weight

Answer> Call provider

  1. This commonly rx eyedrop can cause sob

Answer> Atemolol for glaucoma

  1. This bp emergency is sx of headch, dyspnea, dizziness

Answer> Hypertensive crisis

  1. The goal of this therapy is managing ms is to reduce relapse

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Answer> Interferon

  1. The nurse is caring for assigned clients, its important to put an interdisci- plinary care plan for which pt

Answer> Multiple sclerosis single mother

  1. The nurse is preparing to teach older adults about osteoporosis shat should she include

Answer> Walking daily

Increase salmon and vitamin d Caffeine and carbonated drink limited Osteoporosis isnprimary found in adult older population Use of steroids can increase risk

  1. The nurse is caring for client with pad with suspected claudication which sx. Is consistent with dx

Answer> Pain when walking

  1. The nurse has attended staff education about clinical manifestations for htn crisis which isn't correct

Answer> Carotid bruit

  1. The nurse is at bedside of client that came unresponsive, which action is priority for vfib

Answer> Asses pulse

  1. The nurse is working in pcp office and is assessing client 6 weeks post op aka pt is experiencing phantom pains

Answer> Take gabapentin for nerve pain