Nursing Education - Graded Med Surg Retake
Exam Prep: Pass Your Exam First Attempt and
Avoid Resits
take? - ANSWER//Teach the client to splint their
incision with a pillow. A nurse is admitting a client
who has a suspected myocardial infarction (MI) and
a history of angina. Which of the following findings
will help the nurse distinguish stable angina from an
MI? - ANSWER//Stable angina can be relieved with
rest and nitroglycerin. A nurse on a cardiac unit is
assessing a group of clients who have heart failure.
Sort the following findings into manifestations of left-
sided heart failure and manifestations of right-sided
heart failure. - ANSWER//left sided HF: crackles in
lungs, pink frothy sputum, S3 heart sound right
sided HF: JVD, dependent edema, abdomen
distention A nurse is teaching a client who heart
failure and new prescriptions for furosemide and
digoxin. Which of the following instructions should
the nurse include? Select all that apply. -
ANSWER//1. Monitor daily weight. 2. Decrease
sodium intake. 3. Hold digoxin if heart rate is less
than 60/min. A nurse is assessing a client who has
pulmonary edema. Which of the following findings
should the nurse expect? Select all that apply. -
ANSWER//1. Tachypnea 2. Orthopnea 3. Persistent
cough A nurse is assessing a client who has mitral
valve insufficiency. Which of the following findings
should the nurse expect? - ANSWER//Neck vein
distention A nurse is teaching a client who had a
placement of a prosthetic heart valve. Which of the
,following statements by the client indicates an
understanding of the teaching? Select all that apply.
- ANSWER//1. "I might need antibiotics before
dental procedures." 2. "I will need to have my blood
work checked on a regular basis." 3. "I will need to
limit my intake of foods containing sodium." A nurse
is teaching a class about risk factors for
inflammatory heart disease. The nurse should
instruct that which of the following conditions is a
risk factor for rheumatic endocarditis? -
ANSWER//Streptococcal pharyngitis A nurse is
caring for a client who has pericarditis. Which of the
following findings should the nurse expect? Select
all that apply. - ANSWER//1. Chest pain 2. Friction
rub 3. Cough 4. JVD A nurse is assessing a client
who has pericarditis. Which of the following findings
is a manifestation of cardiac tamponade? -
ANSWER//Paradoxical pulse A nurse is assessing
a client who has chronic peripheral arterial disease
(PAD). Which of the following findings should the
nurse expect? - ANSWER//Pallor on elevation of
the limbs, and rubor when the limbs are dependent
A nurse is teaching a client who has a new
prescription for clopidogrel. Which of the following
statements should the nurse make? Select all that
apply. - ANSWER//1. "Avoid taking herbal
supplements while taking this medication." 2.
"Monitor for the presence of black, tarry stools." A
nurse is teaching a client who has a new diagnosis
of severe peripheral arterial disease. Which of the
following instructions should the nurse include? -
ANSWER//Place both legs in a dependent position
while sleeping. A nurse is caring for a client who
,has chronic venous insufficiency and a prescription
for thigh-high compression stockings. Which of the
following actions should the nurse take? -
ANSWER//Apply the stockings to the client in the
morning upon awakening and before getting out of
bed. A nurse is caring for a client who has a deep-
vein thrombosis (DVT) and has been taking
unfractionated heparin for 1 week. Two days ago,
the provider also prescribed warfarin. The client
asks the nurse about receiving both heparin and
warfarin at the same time. Which of the following
statements should the nurse make? - ANSWER//"It
takes 3 to 4 days before the therapeutic effects of
warfarin are achieved, and then the heparin can be
discontinued." A nurse is providing teaching with a
client who has hypertension and received a new
prescription for spironolactone. Which of the
following statements by the client indicates an
understanding of the teaching? - ANSWER//"I
should monitor rhythm of my heart rate." A nurse in
the emergency department is admitting a client who
has a blood pressure of 266/147 mm Hg and
reports severe headache and blurred vision. Which
of the following actions should the nurse take first? -
ANSWER//Obtain IV access. A nurse in the
emergency department is assessing a client who is
being treated for shock. Which of the following
manifestations should the nurse expect to find?
Select all that apply. - ANSWER//1. Slowed
capillary refill 2. Tachypnea 3. Hypotension A nurse
is providing teaching to a client who has a new
diagnosis of an aneurysm. The client asks the nurse
to explain what causes an aneurysm to rupture.
, Which of the following statements should the nurse
give? - ANSWER//"It is due to hypertension." A
nurse is assessing a client who has a new
diagnosis of a thoracic aortic aneurysm. Which of
the following findings should the nurse expect?
Select all that apply. - ANSWER//1. Cough 2.
Altered swallowing 3. Shortness of breath 4. Back
pain A nurse in the emergency department (ED)is
caring for a client who has a possible dissecting
abdominal aortic aneurysm. Which of the following
actions is the priority for the nurse to take? -
ANSWER//Provide IV access A nurse is assessing
a client who has a suspected occlusion of a graft of
the abdominal aorta. Which of the following
manifestations should the nurse expect? -
ANSWER//Coolness of inferior graft extremity A
nurse in a clinic is caring for a client who has
suspected anemia. Which of the following
laboratory test results should the nurse review? -
ANSWER//Hgb 10 g/dL A nurse is caring for a client
who is receiving warfarin for anticoagulation therapy.
Which of the following laboratory test results
indicates to the nurse that the client needs an
increase in the dosage? - ANSWER//INR 1.1 A
nurse is caring for a client who has disseminated
intravascular coagulation (DIC). Which of the
following laboratory values is most useful to
evaluate the intrinsic clotting cascade? -
ANSWER//PTT A nurse caring for a client who has
bone marrow suppression. The nurse should
identify which of the following laboratory values as
consistent with this diagnosis? Select all that apply.
- ANSWER//1. WBC 2,100 mm³ 2. Platelet count