Boston University Multidisciplinary Clinical and
Community Health Research Assessment
Part 1: Fundamentals of Nursing & Medical-Surgical Revision
Q1. Upon assessing a patient admitted 2 days ago with a myocardial
infarction, the nurse notes a new systolic murmur at the cardiac apex. The
nurse should assess for:
A. Ventricular aneurysm
B. Acute pericarditis
C. Papillary muscle dysfunction (Correct - associated with post-MI murmur)
D. Pulmonary embolism
Q2. Which is the most basic need according to Maslow's hierarchy of
human needs?
A. Psychological
B. Physiological (Correct - air, water, food)
C. Self-actualization
D. Love and belonging
Q3. A nurse is preparing to feed a client through a Nasogastric Tube
(NGT). Which action is a priority?
A. Confirming tube placement (Correct - checking pH or X-ray to prevent aspiration)
B. Warming the formula
C. Elevating the head of the bed to 15 degrees
D. Checking the patient's heart rate
Q4. State five (5) nursing interventions for a patient with hypovolemic
shock.
1. Administer oxygen therapy.
2. Establish large-bore IV access for fluid resuscitation.
3. Monitor vital signs frequently.
4. Monitor urine output (goal >30ml/hr).
5. Elevate legs (modified Trendelenburg) to increase venous return.
Community Health Research Assessment
Part 1: Fundamentals of Nursing & Medical-Surgical Revision
Q1. Upon assessing a patient admitted 2 days ago with a myocardial
infarction, the nurse notes a new systolic murmur at the cardiac apex. The
nurse should assess for:
A. Ventricular aneurysm
B. Acute pericarditis
C. Papillary muscle dysfunction (Correct - associated with post-MI murmur)
D. Pulmonary embolism
Q2. Which is the most basic need according to Maslow's hierarchy of
human needs?
A. Psychological
B. Physiological (Correct - air, water, food)
C. Self-actualization
D. Love and belonging
Q3. A nurse is preparing to feed a client through a Nasogastric Tube
(NGT). Which action is a priority?
A. Confirming tube placement (Correct - checking pH or X-ray to prevent aspiration)
B. Warming the formula
C. Elevating the head of the bed to 15 degrees
D. Checking the patient's heart rate
Q4. State five (5) nursing interventions for a patient with hypovolemic
shock.
1. Administer oxygen therapy.
2. Establish large-bore IV access for fluid resuscitation.
3. Monitor vital signs frequently.
4. Monitor urine output (goal >30ml/hr).
5. Elevate legs (modified Trendelenburg) to increase venous return.
