MEDSURG PRACTICE - UPDATED GUIDE

MEDSURG PRACTICE - UPDATED GUIDE 1. Why should an elevated PT/aPTT be reported to a physician prior to an invasive procedure? a. All abnormal lab results should be reported to the physician. b. The procedure will be cancelled. c. The risk for post-procedure thrombus will increase. d. There is increased risk for bleeding during and after the procedure. 2. The telemetry nurse is differentiating between right- and left-sided heart failure in an assigned patient. sided heart failure, the patient presents with edematous extremities, nausea/vomiting, and: a. anorexia. b. change in level of consciousness. c. diuresis with exertion. d. flat abdomen. 3. A patient has been admitted to the telemetry unit with infective endocarditis. During the nursing asses nurse notes the confirmatory findings of petechiae, splinter hemorrhages, and: a. elevated blood sugar. b. negative/normal blood cultures. c. Osler’s nodes. d. shortness of breath. 4. The most common lethal arrhythmia in the first hour of a myocardial infarction is: a. asystole. b. first-degree atrioventricular (AV) block. c. pulseless ventricular tachycardia. d. ventricular fibrillation. 5. A patient will be discharged following placement of an implantable cardioverter/defibrillator (ICD). The nurse is completing the patient’s discharge education. The patient demonstrates that he understands t provided instructions when he makes the following statement: a. “I can play football with my team next week.” b. “I will report to my doctor fever, redness, soreness, or drainage at the incision site.” c. “I will wear tight clothing over the ICD device to keep it in place.” d. “If I miss a dose of medication it is okay, because my ICD will take care of any issue.” 6. Which of the following is considered an unreliable sign of heart failure? a. Edema b. Electrolyte imbalance c. Microalbuminuria d. Proportional pulse pressure 7. Prior to administering digoxin (Lanoxin®) to a patient, the nurse assesses the: a. apical pulse for 1 minute. b. radial pulse for 1 minute. c. radial pulse for 2 minutes. d. respiratory rate for 1 minute. 8. Of the brain, heart, kidney, and liver, which can tolerate hypoxia and anoxia for up to 1 hour without pe damage? a. Brain b. Heart c. Kidney d. Liver 9. Rather than impeding lung blood flow, pulmonary emboli composed of injure blood vessel cause acute respiratory distress syndrome (ARDS). a. air b. fat c. foreign objects d. infected blood clots 10. The telemetry nurse is examining a rhythm strip and notices a repeated three-beat pattern, usually occ two sequential normal complexes followed by a premature complex and a pause, with the same patter itself in triplicates. What is the name of this pattern? a. Bigeminy b. Quadrigeminy c. Sinus rhythm d. Trigeminy 11. Your patient was admitted for complications of diabetes mellitus and you note that the lab work reveale hyperlipidemia. You understand that for the patient with diabetes, hyperlipidemia is: a. a genetic predisposition. b. a new finding. c. an expected finding. d. irrelevant. 12. Which lab assessment is the single most important laboratory test in a patient who appears to be intox ethanol? a. BUN b. Serum creatinine c. Serum ethanol level d. Serum glucose level 13. A patient reports unrelenting, crushing chest pain, nausea, and dyspnea. The nurse suspects an acute infarction. What change should the nurse expect to see on the patient's ECG? a. P-wave inversion b. ST-segment elevation c. T-wave depression d. T-wave inversion 14. The telemetry nurse is assigned a patient who has congestive heart failure and is receiving enteral nut therapy. For which of the following is this patient most at risk? a. Abdominal distention b. Electrolyte imbalance c. Fluid overload d. Nausea and vomiting 15. The telemetry nurse is assigned a patient that is experiencing chest pain resulting from coronary artery while at rest. The nurse quickly realizes that the patient is suffering from: a. new onset angina. b. pre-infarction angina. c. unstable angina. d. variant (Prinzmetal’s) angina. 16. The actions of nitroglycerin in the management of angina include: a. coronary artery constriction and peripheral venous constriction. b. coronary artery constriction and peripheral venous dilation. c. coronary artery dilation and peripheral venous constriction. d. coronary artery dilation and peripheral venous dilation. 17. Which of the following conditions warrants temporary cardiac pacing for a patient? a. bradyarrhythmia secondary to profound hypothermia. b. first-degree AV block without symptoms. c. injury to the sinus node after cardiac surgery d. stable escape rhythm. 18. Which clinical manifestation does a patient with stable angina exhibit? a. Chest pain that is predictable in onset, intensity, and duration b. Chest pain that is unpredictable in onset, intensity, and duration CONTINUED....................DOWNLOAD FOR BEST REVISION GUIDE