NURS401 Medical-Surgical Nursing I Quiz 2 – Practice Questions and Answers
Study Guide
Which is a modifiable risk factor for coronary artery disease (CAD)?
Family history
Male gender
Hyperlipidemia
Increasing age - ANS ✔✔Hyperlipidemia
A client with a strong family history of coronary artery disease asks the nurse how to reduce the
risk of developing the disorder. Which is the best response by the nurse?
"Exercise, keep your blood sugar in check, and manage your stress."
"Increase the soy in your diet."
"Moderation is the key to everything."
"Ask your physician to prescribe the new reverse lipid drug." - ANS ✔✔"Exercise, keep your
blood sugar in check, and manage your stress."
A female patient is being seen in the ER complaining of fatigue and shoulder blade discomfort.
She is also short of breath. Based on these symptoms, what will the nurse suspect?
Intracerebral hemorrhage
Stroke
Myocardial infarction (MI)
Deep vein thrombosis (DVT) - ANS ✔✔Myocardial infarction (MI)
,The nurse is participating in the care conference for a client with ACS. What goal should guide
the care team's selection of assessments, interventions, and treatments?
Maximizing cardiac output while minimizing heart rate
Balancing myocardial oxygen supply with demand
Increasing the size of the myocardial muscle
Decreasing energy expenditure of the myocardium - ANS ✔✔Balancing myocardial oxygen
supply with demand
A client in the emergency department reports squeezing substernal pain that radiates to the left
shoulder and jaw. The client also reports nausea, diaphoresis, and shortness of breath. What is
the nurse's priority action?
Complete the client's registration information, perform an electrocardiogram, gain I.V. access,
and take vital signs.
Administer oxygen, attach a cardiac monitor, and notify the health care provider.
Gain I.V. access, give sublingual nitroglycerin, and alert the cardiac catheterization team.
Administer oxygen, attach a cardiac monitor, take vital signs, and alert the cardiac
catheterization team. - ANS ✔✔Administer oxygen, attach a cardiac monitor, take vital signs,
and alert the cardiac catheterization team.
A client presents to the clinic reporting intermittent chest pain on exertion, which is eventually
attributed to angina. The nurse should inform the client that angina is most often attributable to
what cause?
Decreased cardiac output
Infarction of the myocardium
Decreased cardiac contractility
Coronary arteriosclerosis - ANS ✔✔Coronary arteriosclerosis
, The nurse is administering sublingual nitroglycerin to a client with chest pain. What action will
the nurse take after administering two sublingual tablets if the client continues with chest pain
and has a blood pressure of 120/82 mm Hg?
Notify the health care provider of the chest pain.
Hold any further treatment until the client's blood pressure increases.
Wait ten minutes after the second tablet to assess pain.
Administer the third sublingual nitroglycerin tablet. - ANS ✔✔Administer the third sublingual
nitroglycerin tablet.
A client with a history of heart failure is returning from the operating room after inguinal hernia
repair and the nurse assesses a low pulse oximetry reading. What is the most important nursing
intervention?
Assess the surgical incisional area.
Titrate oxygen therapy.
Assess for jugular vein distention.
Administer pain medication. - ANS ✔✔Titrate oxygen therapy.
The nurse is performing a physical assessment on a client suspected of having heart failure (HF).
The presence of what sound would signal the possibility of impending HF?
A heart murmur
An S3 heart sound
Pleural friction rub
Faint breath sounds - ANS ✔✔An S3 heart sound
Study Guide
Which is a modifiable risk factor for coronary artery disease (CAD)?
Family history
Male gender
Hyperlipidemia
Increasing age - ANS ✔✔Hyperlipidemia
A client with a strong family history of coronary artery disease asks the nurse how to reduce the
risk of developing the disorder. Which is the best response by the nurse?
"Exercise, keep your blood sugar in check, and manage your stress."
"Increase the soy in your diet."
"Moderation is the key to everything."
"Ask your physician to prescribe the new reverse lipid drug." - ANS ✔✔"Exercise, keep your
blood sugar in check, and manage your stress."
A female patient is being seen in the ER complaining of fatigue and shoulder blade discomfort.
She is also short of breath. Based on these symptoms, what will the nurse suspect?
Intracerebral hemorrhage
Stroke
Myocardial infarction (MI)
Deep vein thrombosis (DVT) - ANS ✔✔Myocardial infarction (MI)
,The nurse is participating in the care conference for a client with ACS. What goal should guide
the care team's selection of assessments, interventions, and treatments?
Maximizing cardiac output while minimizing heart rate
Balancing myocardial oxygen supply with demand
Increasing the size of the myocardial muscle
Decreasing energy expenditure of the myocardium - ANS ✔✔Balancing myocardial oxygen
supply with demand
A client in the emergency department reports squeezing substernal pain that radiates to the left
shoulder and jaw. The client also reports nausea, diaphoresis, and shortness of breath. What is
the nurse's priority action?
Complete the client's registration information, perform an electrocardiogram, gain I.V. access,
and take vital signs.
Administer oxygen, attach a cardiac monitor, and notify the health care provider.
Gain I.V. access, give sublingual nitroglycerin, and alert the cardiac catheterization team.
Administer oxygen, attach a cardiac monitor, take vital signs, and alert the cardiac
catheterization team. - ANS ✔✔Administer oxygen, attach a cardiac monitor, take vital signs,
and alert the cardiac catheterization team.
A client presents to the clinic reporting intermittent chest pain on exertion, which is eventually
attributed to angina. The nurse should inform the client that angina is most often attributable to
what cause?
Decreased cardiac output
Infarction of the myocardium
Decreased cardiac contractility
Coronary arteriosclerosis - ANS ✔✔Coronary arteriosclerosis
, The nurse is administering sublingual nitroglycerin to a client with chest pain. What action will
the nurse take after administering two sublingual tablets if the client continues with chest pain
and has a blood pressure of 120/82 mm Hg?
Notify the health care provider of the chest pain.
Hold any further treatment until the client's blood pressure increases.
Wait ten minutes after the second tablet to assess pain.
Administer the third sublingual nitroglycerin tablet. - ANS ✔✔Administer the third sublingual
nitroglycerin tablet.
A client with a history of heart failure is returning from the operating room after inguinal hernia
repair and the nurse assesses a low pulse oximetry reading. What is the most important nursing
intervention?
Assess the surgical incisional area.
Titrate oxygen therapy.
Assess for jugular vein distention.
Administer pain medication. - ANS ✔✔Titrate oxygen therapy.
The nurse is performing a physical assessment on a client suspected of having heart failure (HF).
The presence of what sound would signal the possibility of impending HF?
A heart murmur
An S3 heart sound
Pleural friction rub
Faint breath sounds - ANS ✔✔An S3 heart sound
