MS3 Exam 1 Questions With Correct
Answers
A 74-yr-old patient has just arrived in the emergency department. After
| | | | | | | | | | |
assessment reveals a pulse deficit of 46 beats, the nurse will anticipate that the
| | | | | | | | | | | | | |
patient may require
| |
a. emergent cardioversion.
| |
b. a cardiac catheterization.
| | |
c. hourly blood pressure (BP) checks.
| | | | |
d. electrocardiographic (ECG) monitoring - CORRECT ANSWER✔✔-D
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The nurse is reviewing the 12-lead electrocardiograph (ECG) for a healthy 74-yr-
| | | | | | | | | | |
old
patient who is having an annual physical examination. What finding is of most
| | | | | | | | | | | | |
concern to the nurse?| | |
a. A right bundle-branch block.
| | | | |
b. The PR interval is 0.21 seconds.
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c. The QRS duration is 0.13 seconds.
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d. The heart rate (HR) is 41 beats/min. - CORRECT ANSWER✔✔-D
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,During a physical examination of an older patient, the nurse palpates the point of
| | | | | | | | | | | | | |
maximal impulse (PMI) in the sixth intercostal space lateral to the left
| | | | | | | | | | | |
midclavicular line. The best follow-up action for the nurse to take will be to
| | | | | | | | | | | | |
a. ask about risk factors for atherosclerosis.
| | | | | |
b. determine family history of heart disease.
| | | | | |
c. assess for symptoms of left ventricular hypertrophy.
| | | | | | |
d. auscultate carotid arteries for the presence of a bruit. - CORRECT ANSWER✔✔-
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C
To auscultate for S3 or S4 gallops in the mitral area, the nurse listens with the
| | | | | | | | | | | | | | |
a. diaphragm of the stethoscope with the patient lying flat.
| | | | | | | | |
b. bell of the stethoscope with the patient in the left lateral position.
| | | | | | | | | | | |
c. diaphragm of the stethoscope with the patient in a supine position.
| | | | | | | | | | |
d. bell of the stethoscope with the patient sitting and leaning forward. - CORRECT
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ANSWER✔✔-B
To determine the effects of therapy for a patient who is being treated for heart
| | | | | | | | | | | | | | |
failure, which laboratory test result will the nurse plan to review?
| | | | | | | | | |
a. Troponin
| |
b. Homocysteine (Hcy)
| | |
c. Low-density lipoprotein (LDL)
| | |
d. B-type natriuretic peptide (BNP) - CORRECT ANSWER✔✔-D
| | | | | | |
,While doing the hospital admission assessment for a thin older adult, the nurse
| | | | | | | | | | | | |
observes pulsation of the abdominal aorta in the epigastric area. Which action
| | | | | | | | | | | |
should the nurse take next?
| | | |
a. Teach the patient about aneurysms.
| | | | |
b. Notify the hospital rapid response team.
| | | | | |
c. Instruct the patient to remain on bed rest.
| | | | | | | |
d. Document the finding in the patient chart. - CORRECT ANSWER✔✔-D
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A patient is scheduled for a cardiac catheterization with coronary angiography.
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Before the test, the nurse informs the patient that
| | | | | | | |
a. it will be important not to move at all during the procedure.
| | | | | | | | | | | |
b. monitored anesthesia care will be provided during the procedure.
| | | | | | | | |
c. a flushed feeling may be noticed when the contrast dye is injected.
| | | | | | | | | | | |
d. arterial pressure monitoring will be required for 24 hours after the test. -
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CORRECT ANSWER✔✔-C |
The nurse notes that a patient who was admitted with heart failure has jugular
| | | | | | | | | | | | | |
venous distention (JVD) when lying flat in bed. Which follow-up action should the
| | | | | | | | | | | | |
nurse take next?
| |
a. Obtain vital signs, including oxygen saturation.
| | | | | |
b. Have the patient perform the Valsalva maneuver.
| | | | | | |
, c. Document this JVD finding in the patient's record.
| | | | | | | |
d. Observe for JVD with the patient elevated 45 degrees. - CORRECT
| | | | | | | | | | | |
ANSWER✔✔-D
The nurse teaches the patient being evaluated for rhythm disturbances with a
| | | | | | | | | | | |
Holter monitor to
| |
a. connect the recorder to a computer once daily.
| | | | | | | |
b. exercise more than usual while the monitor is in place.
| | | | | | | | | |
c. remove the electrodes when taking a shower or tub bath.
| | | | | | | | | |
d. keep a diary of daily activities while the monitor is worn. - CORRECT
| | | | | | | | | | | | | |
ANSWER✔✔-D
When auscultating over the patient's abdominal aorta, the nurse hears a loud
| | | | | | | | | | | |
humming
sound. The nurse documents this finding as a
| | | | | | |
a. thrill.
| |
b. bruit.
| |
c. murmur.
|
d. normal finding - CORRECT ANSWER✔✔-B
| | | | |
The nurse has received the laboratory results for a patient who developed chest
| | | | | | | | | | | | |
pain 4 |
Answers
A 74-yr-old patient has just arrived in the emergency department. After
| | | | | | | | | | |
assessment reveals a pulse deficit of 46 beats, the nurse will anticipate that the
| | | | | | | | | | | | | |
patient may require
| |
a. emergent cardioversion.
| |
b. a cardiac catheterization.
| | |
c. hourly blood pressure (BP) checks.
| | | | |
d. electrocardiographic (ECG) monitoring - CORRECT ANSWER✔✔-D
| | | | | |
The nurse is reviewing the 12-lead electrocardiograph (ECG) for a healthy 74-yr-
| | | | | | | | | | |
old
patient who is having an annual physical examination. What finding is of most
| | | | | | | | | | | | |
concern to the nurse?| | |
a. A right bundle-branch block.
| | | | |
b. The PR interval is 0.21 seconds.
| | | | | | |
c. The QRS duration is 0.13 seconds.
| | | | | |
d. The heart rate (HR) is 41 beats/min. - CORRECT ANSWER✔✔-D
| | | | | | | | | |
,During a physical examination of an older patient, the nurse palpates the point of
| | | | | | | | | | | | | |
maximal impulse (PMI) in the sixth intercostal space lateral to the left
| | | | | | | | | | | |
midclavicular line. The best follow-up action for the nurse to take will be to
| | | | | | | | | | | | |
a. ask about risk factors for atherosclerosis.
| | | | | |
b. determine family history of heart disease.
| | | | | |
c. assess for symptoms of left ventricular hypertrophy.
| | | | | | |
d. auscultate carotid arteries for the presence of a bruit. - CORRECT ANSWER✔✔-
| | | | | | | | | | | |
C
To auscultate for S3 or S4 gallops in the mitral area, the nurse listens with the
| | | | | | | | | | | | | | |
a. diaphragm of the stethoscope with the patient lying flat.
| | | | | | | | |
b. bell of the stethoscope with the patient in the left lateral position.
| | | | | | | | | | | |
c. diaphragm of the stethoscope with the patient in a supine position.
| | | | | | | | | | |
d. bell of the stethoscope with the patient sitting and leaning forward. - CORRECT
| | | | | | | | | | | | | |
ANSWER✔✔-B
To determine the effects of therapy for a patient who is being treated for heart
| | | | | | | | | | | | | | |
failure, which laboratory test result will the nurse plan to review?
| | | | | | | | | |
a. Troponin
| |
b. Homocysteine (Hcy)
| | |
c. Low-density lipoprotein (LDL)
| | |
d. B-type natriuretic peptide (BNP) - CORRECT ANSWER✔✔-D
| | | | | | |
,While doing the hospital admission assessment for a thin older adult, the nurse
| | | | | | | | | | | | |
observes pulsation of the abdominal aorta in the epigastric area. Which action
| | | | | | | | | | | |
should the nurse take next?
| | | |
a. Teach the patient about aneurysms.
| | | | |
b. Notify the hospital rapid response team.
| | | | | |
c. Instruct the patient to remain on bed rest.
| | | | | | | |
d. Document the finding in the patient chart. - CORRECT ANSWER✔✔-D
| | | | | | | | | |
A patient is scheduled for a cardiac catheterization with coronary angiography.
| | | | | | | | | | |
Before the test, the nurse informs the patient that
| | | | | | | |
a. it will be important not to move at all during the procedure.
| | | | | | | | | | | |
b. monitored anesthesia care will be provided during the procedure.
| | | | | | | | |
c. a flushed feeling may be noticed when the contrast dye is injected.
| | | | | | | | | | | |
d. arterial pressure monitoring will be required for 24 hours after the test. -
| | | | | | | | | | | | | |
CORRECT ANSWER✔✔-C |
The nurse notes that a patient who was admitted with heart failure has jugular
| | | | | | | | | | | | | |
venous distention (JVD) when lying flat in bed. Which follow-up action should the
| | | | | | | | | | | | |
nurse take next?
| |
a. Obtain vital signs, including oxygen saturation.
| | | | | |
b. Have the patient perform the Valsalva maneuver.
| | | | | | |
, c. Document this JVD finding in the patient's record.
| | | | | | | |
d. Observe for JVD with the patient elevated 45 degrees. - CORRECT
| | | | | | | | | | | |
ANSWER✔✔-D
The nurse teaches the patient being evaluated for rhythm disturbances with a
| | | | | | | | | | | |
Holter monitor to
| |
a. connect the recorder to a computer once daily.
| | | | | | | |
b. exercise more than usual while the monitor is in place.
| | | | | | | | | |
c. remove the electrodes when taking a shower or tub bath.
| | | | | | | | | |
d. keep a diary of daily activities while the monitor is worn. - CORRECT
| | | | | | | | | | | | | |
ANSWER✔✔-D
When auscultating over the patient's abdominal aorta, the nurse hears a loud
| | | | | | | | | | | |
humming
sound. The nurse documents this finding as a
| | | | | | |
a. thrill.
| |
b. bruit.
| |
c. murmur.
|
d. normal finding - CORRECT ANSWER✔✔-B
| | | | |
The nurse has received the laboratory results for a patient who developed chest
| | | | | | | | | | | | |
pain 4 |
