Week 4 BSN 445 EXAM QUESTIONS WITH
COMPLETE SOLUTIONS
1. |Which |question |would |a |nurse |ask |when |taking |a |history |for |a |patient |in |acute |distress |from
|chest |pain?
“Do |you |have |a |family |history |of |diabetes |mellitus?”
“Do |you |take |any |medications?”
“What |type |of |diet |do |you |typically |eat?”
“Have |you |had |cardiac |studies |completed |in |the |past?”
“Do |you |take |any |medications?”
2. |The |nurse |reviews |a |12-lead |electrocardiogram |from |a |patient |with |crushing |chest |pain |and |
identifies |that |which |element |is, |most |important |to |assess?
PR |interval
QRS |complex
ST |segment
P |wave
ST |segment
Myocardial |infarction |causes |changes |to |the |ST |segment; |therefore, |the |nurse |would |closely |
assess |for |any |ST |segment |changes.
3. |Which |question |would |the |nurse |use |to |assess |the |chronology |of |chest |pain?
“Where |is |the |pain?”
“How |has |the |pain |progressed?”
“How |long |does |the |pain |last?”
“What |does |the |pain |feel |like?”
“How |has |the |pain |progressed?”
,4. |Which |area |of |the |body |would |the |nurse |observe |to |assess |for |central |cyanosis?
Nail |beds
Wrists
Legs
Tongue
Tongue
5. |Which |patient |statement |about |clubbing |indicates |understanding |of |the |education?
“I |have |clubbing |because |of |the |peripheral |cyanosis.”
“My |nails |are |wide |and |bulging |due |to |the |clubbing.”
“Clubbing |is |what |causes |my |leg |edema.”
“I |have |an |angle |between |the |root |of |the |nail |bed |and |my |finger.”
“My |nails |are |wide |and |bulging |due |to |the |clubbing.”
6. |Which |finding |would |indicate |right-sided |heart |failure?
Ascites
Abdominal |adiposity
Lower |extremity |wounds
Loss |of |hair |on |legs
Ascites
7. |Which |finding |would |the |nurse |expect |to |find |in |a |patient |with |peripheral |arterial |disease?
Hard |and |fibrotic |skin |texture
Varicose |veins
Nail |thinning
Cold |extremities
Cold |extremities
A |patient |with |peripheral |arterial |disease |would |have |extremities |that |are |cold |when |
compared |to |the |rest |of |their |body.
, 8. |Which |position |would |relieve |pain |for |a |patient |who |has |pericarditis?
Supine
Prone
Leaning |forward
Standing
Leaning |forward
9. |Which |skin |change |would |the |nurse |expect |to |see |in |the |lower |extremities |of |a |patient |with
|peripheral |arterial |disease?
Fibrotic |skin
Dermatitis
Brown |patches
Shiny |appearance
Shiny |appearance
10. |Which |location |would |the |nurse |use |to |assess |for |jugular |vein |distention?
Right |side |of |the |neck
Left |groin
Right |groin
Left |side |of |the |neck
Right |side |of |the |neck
11. |In |which |position |would |the |nurse |place |a |patient |when |assessing |for |jugular |vein |
distension?
Supine |and |flat
Seated |at |a |15-degree |angle
Seated |at |a |30-degree |angle
High-Fowler’s |position
Seated |at |a |30-degree |angle
COMPLETE SOLUTIONS
1. |Which |question |would |a |nurse |ask |when |taking |a |history |for |a |patient |in |acute |distress |from
|chest |pain?
“Do |you |have |a |family |history |of |diabetes |mellitus?”
“Do |you |take |any |medications?”
“What |type |of |diet |do |you |typically |eat?”
“Have |you |had |cardiac |studies |completed |in |the |past?”
“Do |you |take |any |medications?”
2. |The |nurse |reviews |a |12-lead |electrocardiogram |from |a |patient |with |crushing |chest |pain |and |
identifies |that |which |element |is, |most |important |to |assess?
PR |interval
QRS |complex
ST |segment
P |wave
ST |segment
Myocardial |infarction |causes |changes |to |the |ST |segment; |therefore, |the |nurse |would |closely |
assess |for |any |ST |segment |changes.
3. |Which |question |would |the |nurse |use |to |assess |the |chronology |of |chest |pain?
“Where |is |the |pain?”
“How |has |the |pain |progressed?”
“How |long |does |the |pain |last?”
“What |does |the |pain |feel |like?”
“How |has |the |pain |progressed?”
,4. |Which |area |of |the |body |would |the |nurse |observe |to |assess |for |central |cyanosis?
Nail |beds
Wrists
Legs
Tongue
Tongue
5. |Which |patient |statement |about |clubbing |indicates |understanding |of |the |education?
“I |have |clubbing |because |of |the |peripheral |cyanosis.”
“My |nails |are |wide |and |bulging |due |to |the |clubbing.”
“Clubbing |is |what |causes |my |leg |edema.”
“I |have |an |angle |between |the |root |of |the |nail |bed |and |my |finger.”
“My |nails |are |wide |and |bulging |due |to |the |clubbing.”
6. |Which |finding |would |indicate |right-sided |heart |failure?
Ascites
Abdominal |adiposity
Lower |extremity |wounds
Loss |of |hair |on |legs
Ascites
7. |Which |finding |would |the |nurse |expect |to |find |in |a |patient |with |peripheral |arterial |disease?
Hard |and |fibrotic |skin |texture
Varicose |veins
Nail |thinning
Cold |extremities
Cold |extremities
A |patient |with |peripheral |arterial |disease |would |have |extremities |that |are |cold |when |
compared |to |the |rest |of |their |body.
, 8. |Which |position |would |relieve |pain |for |a |patient |who |has |pericarditis?
Supine
Prone
Leaning |forward
Standing
Leaning |forward
9. |Which |skin |change |would |the |nurse |expect |to |see |in |the |lower |extremities |of |a |patient |with
|peripheral |arterial |disease?
Fibrotic |skin
Dermatitis
Brown |patches
Shiny |appearance
Shiny |appearance
10. |Which |location |would |the |nurse |use |to |assess |for |jugular |vein |distention?
Right |side |of |the |neck
Left |groin
Right |groin
Left |side |of |the |neck
Right |side |of |the |neck
11. |In |which |position |would |the |nurse |place |a |patient |when |assessing |for |jugular |vein |
distension?
Supine |and |flat
Seated |at |a |15-degree |angle
Seated |at |a |30-degree |angle
High-Fowler’s |position
Seated |at |a |30-degree |angle
