NUR 2243 TEST BANK 2026 QUESTIONS WITH
DETAILED SOLUTIONS GRADED A+
◉Low MAP. Answer: < 60 mmHg
indicator of hemorrhagic shock
low blood vol = low MAP
◉A student nurse is caring for a client who suffered massive blood loss
after trauma. How does the student correlate the blood loss with the
client's mean arterial pressure?. Answer: Lower blood volume means
lower map
◉Heart transplants are the treatment of choice for patients with.
Answer: Dilated cardiomyopathy
End-stage heart disease
Congenital heart disease
◉Pt who has reduced MAP with no intervention would show. Answer:
kidney compensation; renin, ADH, aldosterone, epinephrine, and
norepinephrine released causes fluid retention and HTN
◉Reduced MAP means reduced. Answer: Perfusion to vital organs
,◉Pts receiving heart transplant have potential for which deadly cardiac
complication?. Answer: Tamponade; watch for fluid/bleeding in heart
◉Which meds would be held for a pt who just received a heart
transplant?. Answer: No digoxin, stropine, carotid sinus pressure
◉Teaching for a pt who just received a heart transplant. Answer: - Daily
weights at same time every day; notify if pt gains 2 lbs/1 day or 5 lbs/1
week
- Flu and pneumonia shots q1yr
- Transplanted heart is disconnected from ANS
- Immunosuppressants are needed lifelong to prevent transplant rejection
- Pt may experienced pronounced ortho. hypotension in post-op phase
◉After teaching a client recovering from a heart transplant to change
positions slowly , the client asks why. How should the nurse respond?.
Answer: Your new heart is not connected to the ANS and is unable to
respond to decreases in BP caused by position changes
◉Signs and symptoms of transplant rejection. Answer: SOB,
bradycardia, abdominal bloating, fatigue, weight gain/edema, a-
fib/flutter, activity intolerance, low EF
, ◉A nurse assesses a pt recovering from heart transplant. Which
assessment finding should alert the nurse to the possibility of heart
transplant rejection? (SATA). Answer: SOB
Abdominal bloating
New onset bradycardia
◉NSTEMI. Answer: - non-ST elevation myocardial infarction
- results from narrowed vessel
◉STEMI. Answer: - ST elevation MI, real-time
- ongoing death of heart tissue due to ischemia
- EMERGENCY
◉A patient with an inferior wall MI shows bradycardia on an ECG.
What is the nurse's priority action?. Answer: Check BP and LOC
(Inferior wall MI pts will have decreased perfusion due to bradycardia or
heart block)
◉STEMI ECG. Answer: ST elevation/depression
Abnormal T wave
MOST serious acute coronary syndrome
DETAILED SOLUTIONS GRADED A+
◉Low MAP. Answer: < 60 mmHg
indicator of hemorrhagic shock
low blood vol = low MAP
◉A student nurse is caring for a client who suffered massive blood loss
after trauma. How does the student correlate the blood loss with the
client's mean arterial pressure?. Answer: Lower blood volume means
lower map
◉Heart transplants are the treatment of choice for patients with.
Answer: Dilated cardiomyopathy
End-stage heart disease
Congenital heart disease
◉Pt who has reduced MAP with no intervention would show. Answer:
kidney compensation; renin, ADH, aldosterone, epinephrine, and
norepinephrine released causes fluid retention and HTN
◉Reduced MAP means reduced. Answer: Perfusion to vital organs
,◉Pts receiving heart transplant have potential for which deadly cardiac
complication?. Answer: Tamponade; watch for fluid/bleeding in heart
◉Which meds would be held for a pt who just received a heart
transplant?. Answer: No digoxin, stropine, carotid sinus pressure
◉Teaching for a pt who just received a heart transplant. Answer: - Daily
weights at same time every day; notify if pt gains 2 lbs/1 day or 5 lbs/1
week
- Flu and pneumonia shots q1yr
- Transplanted heart is disconnected from ANS
- Immunosuppressants are needed lifelong to prevent transplant rejection
- Pt may experienced pronounced ortho. hypotension in post-op phase
◉After teaching a client recovering from a heart transplant to change
positions slowly , the client asks why. How should the nurse respond?.
Answer: Your new heart is not connected to the ANS and is unable to
respond to decreases in BP caused by position changes
◉Signs and symptoms of transplant rejection. Answer: SOB,
bradycardia, abdominal bloating, fatigue, weight gain/edema, a-
fib/flutter, activity intolerance, low EF
, ◉A nurse assesses a pt recovering from heart transplant. Which
assessment finding should alert the nurse to the possibility of heart
transplant rejection? (SATA). Answer: SOB
Abdominal bloating
New onset bradycardia
◉NSTEMI. Answer: - non-ST elevation myocardial infarction
- results from narrowed vessel
◉STEMI. Answer: - ST elevation MI, real-time
- ongoing death of heart tissue due to ischemia
- EMERGENCY
◉A patient with an inferior wall MI shows bradycardia on an ECG.
What is the nurse's priority action?. Answer: Check BP and LOC
(Inferior wall MI pts will have decreased perfusion due to bradycardia or
heart block)
◉STEMI ECG. Answer: ST elevation/depression
Abnormal T wave
MOST serious acute coronary syndrome
