LEWIS: MEDICAL-SURGICAL
NURSING EXAM
LEWIS MED-SURG NURSING FINA F
EXAM VERIFIED QUESTIONS AND
CORRECT DETAILED ANSWERS
(RATIONALES) |ALREADY GRADED A+
A ,55-year-old ,black ,male ,is ,found to have a blood pressure of 150/90 mm Hg during
F F F F F F F F F F F
a work site health
F F F
screening. What should the nurse do?
F F F F F
A. Consider this to be a normal finding for his age and race.
F F F F F F F F F F F
B. Recommend he have his blood pressure rechecked in 1 year.
F F F F F F F F F
C. Recommend he have his blood pressure rechecked within 2 weeks.
F F F F F F F F F
D. Recommend he go to the emergency department for further evaluation. –
F F F F F F F F F F
A+ TEST BANK 1
, LEWIS: MEDICAL-SURGICAL
NURSING EXAM
Correct Answer :C. Recommend he have his blood pressure rechecked within 2
F F F F F F F F F F F F
weeks.
Rationale: A BP of 150/90 mm Hg should be rechecked within 2 weeks according to
F F F F F F F F F F F F F F
current recommendations. If confirmed, assessment and treatment should be
F F F F F F F F F
initiated by the practitioner. F F F
Option A is incorrect because although hypertension is more prevalent among
F F F F F F F F F F F
blacks, a BP of 150/90 mm Hg isn't considered normal. Option B is incorrect because
F F F F F F F F F F F F F F F
a person with a BP
F F F F
of 150/90 mm Hg shouldn't wait as long as 1 year to have it rechecked.
F F F F F F F F F F F F F F
Option D is incorrect because he doesn't need to be treated on an emergency basis,
F F F F F F F F F F F F F F F
but he should have his BP monitored.
F F F F F F
The nurse is administering warfarin (Coumadin) to a patient with deep vein
F F F F F F F F F F F F
thrombophlebitis. Which laboratory F F
value indicates warfarin is at therapeutic levels?
F F F F F F
A. PTT 1½ to 2 times the control
F F F F F F
B. PT 1½ to 2 times the control
F F F F F F
C. INR of 3 to 4 F F F F
D. Hematocrit of 32% - F F F
Correct Answer :B. PT 1½ to 2 times the control
F F F F F F F F F
Rationale: Warfarin is at therapeutic levels when the patient's PT is 1½ to 2 times the
F F F F F F F F F F F F F F F F
control.
A+ TEST BANK 2
, LEWIS: MEDICAL-SURGICAL
NURSING EXAM
Higher values indicate increased risk of bleeding and hemorrhage, and lower values
F F F F F F F F F F F F
indicate increased risk of blood clot formation.
F F F F F F
Option A is incorrect because heparin, not warfarin, prolongs PTT.
F F F F F F F F F
Option C is incorrect because although the INR may also be used to determine if
F F F F F F F F F F F F F F F
warfarin is at a therapeutic level, an INR should be 2-3.
F F F F F F F F F F
Option D is incorrect because hematocrit doesn't provide information on the
F F F F F F F F F F F
effectiveness of warfarin; however, a falling hematocrit in a patient taking warfarin
F F F F F F F F F F F F
may be a sign of hemorrhage.
F F F F F
A patient is receiving captopril for heart failure. The nurse should notify the
F F F F F F F F F F F F F
practitioner that the F F
medication therapy is ineffective if an assessment reveals:
F F F F F F F
A. a skin rash.
F F
B. peripheral edema. F
C. a dry cough.
F F
D. postural hypotension – F F
Correct Answer :B. peripheral edema.
F F F F
Rationale: Peripheral edema is a sign of fluid volume overload and worsening heart
F F F F F F F F F F F F
failure. ,The ,other ,options ,(a ,skin ,rash, ,dry ,cough, ,and ,postura ,hypotension) ,are F
adverse ,reactions ,to ,captopril, ,but ,they ,don't ,indicate ,that ,therapy ,isn't ,effective.
A 60-year-old male patient is suspected of having coronary artery disease. Which
F F F F F F F F F F F F
noninvasive diagnostic F
A+ TEST BANK 3
, LEWIS: MEDICAL-SURGICAL
NURSING EXAM
method would the nurse expect to be ordered to evaluate cardiac changes?
F F F F F F F F F F F
A. Cardiac biopsy F
B. Cardiac catheterization F
C. MRI
D. Pericardiocentesis – F
Correct Answer :C. MRI F F F
Rationale: MRI is a noninvasive procedure that aids in the diagnosis and detection of
F F F F F F F F F F F F F F
thoracic
aortic aneurysm and evaluation of coronary artery disease, pericardial disease, and
F F F F F F F F F F F
cardiac masses. F
Cardiac biopsy (Option A), cardiac catheterization (Option B), and pericardiocentesis
F F F F F F F F F F
(Option D) are invasive F F F
techniques used to evaluate cardiac changes. F F F F F
When evaluating an ECG strip of a patient on a telemetry unit, the nurse notices the
F F F F F F F F F F F F F F F F
patient is having premature
F F F
ventricular contractions (PVCs). What criterion on the ECG strip does the nurse use to
F F F F F F F F F F F F F F
evaluate the presence F F
of PVCs?
F
A. An indiscernible PR interval
F F F
B. P waves that appear erratic
F F F F
C. P waves that have a saw tooth configuration
F F F F F F F
D. A QRS complex followed by a compensatory pause –
F F F F F F F F
A+ TEST BANK 4
NURSING EXAM
LEWIS MED-SURG NURSING FINA F
EXAM VERIFIED QUESTIONS AND
CORRECT DETAILED ANSWERS
(RATIONALES) |ALREADY GRADED A+
A ,55-year-old ,black ,male ,is ,found to have a blood pressure of 150/90 mm Hg during
F F F F F F F F F F F
a work site health
F F F
screening. What should the nurse do?
F F F F F
A. Consider this to be a normal finding for his age and race.
F F F F F F F F F F F
B. Recommend he have his blood pressure rechecked in 1 year.
F F F F F F F F F
C. Recommend he have his blood pressure rechecked within 2 weeks.
F F F F F F F F F
D. Recommend he go to the emergency department for further evaluation. –
F F F F F F F F F F
A+ TEST BANK 1
, LEWIS: MEDICAL-SURGICAL
NURSING EXAM
Correct Answer :C. Recommend he have his blood pressure rechecked within 2
F F F F F F F F F F F F
weeks.
Rationale: A BP of 150/90 mm Hg should be rechecked within 2 weeks according to
F F F F F F F F F F F F F F
current recommendations. If confirmed, assessment and treatment should be
F F F F F F F F F
initiated by the practitioner. F F F
Option A is incorrect because although hypertension is more prevalent among
F F F F F F F F F F F
blacks, a BP of 150/90 mm Hg isn't considered normal. Option B is incorrect because
F F F F F F F F F F F F F F F
a person with a BP
F F F F
of 150/90 mm Hg shouldn't wait as long as 1 year to have it rechecked.
F F F F F F F F F F F F F F
Option D is incorrect because he doesn't need to be treated on an emergency basis,
F F F F F F F F F F F F F F F
but he should have his BP monitored.
F F F F F F
The nurse is administering warfarin (Coumadin) to a patient with deep vein
F F F F F F F F F F F F
thrombophlebitis. Which laboratory F F
value indicates warfarin is at therapeutic levels?
F F F F F F
A. PTT 1½ to 2 times the control
F F F F F F
B. PT 1½ to 2 times the control
F F F F F F
C. INR of 3 to 4 F F F F
D. Hematocrit of 32% - F F F
Correct Answer :B. PT 1½ to 2 times the control
F F F F F F F F F
Rationale: Warfarin is at therapeutic levels when the patient's PT is 1½ to 2 times the
F F F F F F F F F F F F F F F F
control.
A+ TEST BANK 2
, LEWIS: MEDICAL-SURGICAL
NURSING EXAM
Higher values indicate increased risk of bleeding and hemorrhage, and lower values
F F F F F F F F F F F F
indicate increased risk of blood clot formation.
F F F F F F
Option A is incorrect because heparin, not warfarin, prolongs PTT.
F F F F F F F F F
Option C is incorrect because although the INR may also be used to determine if
F F F F F F F F F F F F F F F
warfarin is at a therapeutic level, an INR should be 2-3.
F F F F F F F F F F
Option D is incorrect because hematocrit doesn't provide information on the
F F F F F F F F F F F
effectiveness of warfarin; however, a falling hematocrit in a patient taking warfarin
F F F F F F F F F F F F
may be a sign of hemorrhage.
F F F F F
A patient is receiving captopril for heart failure. The nurse should notify the
F F F F F F F F F F F F F
practitioner that the F F
medication therapy is ineffective if an assessment reveals:
F F F F F F F
A. a skin rash.
F F
B. peripheral edema. F
C. a dry cough.
F F
D. postural hypotension – F F
Correct Answer :B. peripheral edema.
F F F F
Rationale: Peripheral edema is a sign of fluid volume overload and worsening heart
F F F F F F F F F F F F
failure. ,The ,other ,options ,(a ,skin ,rash, ,dry ,cough, ,and ,postura ,hypotension) ,are F
adverse ,reactions ,to ,captopril, ,but ,they ,don't ,indicate ,that ,therapy ,isn't ,effective.
A 60-year-old male patient is suspected of having coronary artery disease. Which
F F F F F F F F F F F F
noninvasive diagnostic F
A+ TEST BANK 3
, LEWIS: MEDICAL-SURGICAL
NURSING EXAM
method would the nurse expect to be ordered to evaluate cardiac changes?
F F F F F F F F F F F
A. Cardiac biopsy F
B. Cardiac catheterization F
C. MRI
D. Pericardiocentesis – F
Correct Answer :C. MRI F F F
Rationale: MRI is a noninvasive procedure that aids in the diagnosis and detection of
F F F F F F F F F F F F F F
thoracic
aortic aneurysm and evaluation of coronary artery disease, pericardial disease, and
F F F F F F F F F F F
cardiac masses. F
Cardiac biopsy (Option A), cardiac catheterization (Option B), and pericardiocentesis
F F F F F F F F F F
(Option D) are invasive F F F
techniques used to evaluate cardiac changes. F F F F F
When evaluating an ECG strip of a patient on a telemetry unit, the nurse notices the
F F F F F F F F F F F F F F F F
patient is having premature
F F F
ventricular contractions (PVCs). What criterion on the ECG strip does the nurse use to
F F F F F F F F F F F F F F
evaluate the presence F F
of PVCs?
F
A. An indiscernible PR interval
F F F
B. P waves that appear erratic
F F F F
C. P waves that have a saw tooth configuration
F F F F F F F
D. A QRS complex followed by a compensatory pause –
F F F F F F F F
A+ TEST BANK 4
