NUR MISC MODULE 10 EXAM QUESTIONS
AND ANSWERS RATED A+ GUARANTEED
SUCCESS LATEST UPDATE 2022
. 1.ID: 9476932222
A client who experiences frequent episodes of chest pain is admitted to
the hospital for cardiac monitoring. The client suddenly complains of
chest pain, and the nurse obtains a 12-lead electrocardiogram (ECG).
Which finding would the nurse expect to note in the event of an
ischemic episode?
A. Peaked T waves
B. ST-segment depression Correct
C. Widened QRS complex
D. An isolated premature ventricular contraction (PVC)
. Rationale: An ECG taken in the presence of pain may reveal ischemic
changes with ST-segment elevation or depression. Peaked T waves
may indicate hyperkalemia. PVCs are caused by the firing of an
irritable pacemaker in the ventricle. A widened QRS complex
indicates a delay in intraventricular conduction, such as bundle
branch block.
. Test-Taking Strategy: Knowledge regarding the effects of ischemia on
myocardial tissue and how it is reflected on an ECG is needed to
answer this question. Remember that ST-segment elevation or
depression indicates myocardial ischemia. Review the effects of
myocardial ischemia if you had difficulty with this question.
.
. References: Ignatavicius, D., & Workman, M. (2013). Medical-surgical
nursing: Patient-centered collaborative care. (7th ed., p. 831). St. Louis:
Saunders.
.
.
. Lewis, S., Dirksen, S., Heitkemper, M., & Bucher, L. (2014). Medical-
surgical nursing: Assessment and management of clinical problems (9th ed.,
p. 791). St.
NUR MISC MODULE 10 EXAM QUESTIONS
AND ANSWERS RATED A+ GUARANTEED
SUCCESS LATEST UPDATE 2022
,NUR MISC MODULE 10 EXAM QUESTIONS
AND ANSWERS RATED A+ GUARANTEED
SUCCESS LATEST UPDATE 2022
Louis: Mosby.
. Level of Cognitive Ability: Analyzing
. Client Needs: Physiological Integrity
. Integrated Process: Nursing Process/Assessment
. Content Area: Adult Health/Cardiovascular
.
.
. Giddens Concepts: Clinical Judgment, Perfusion
. HESI Concepts: Clinical Decision Making/Clinical Judgment, Perfusion
. Awarded 1.0 points out of 1.0 possible points.
. 2.ID: 9476924021
. A client with gastroenteritis who has been vomiting and has diarrhea is
admitted to the hospital with a diagnosis of dehydration. For which
clinical manifestations that correlate with this fluid imbalance would
the nurse assess the client?
Select all that apply.
A. Decreased pulse
B. Decreased urine output Correct
C. Increased blood pressure
D. Increased respiratory rate Correct
E. Decreased respiratory depth
. Rationale: A client with dehydration has an increased depth and rate
of respirations. The diminished fluid volume is perceived by the body
as a decreased oxygen level (hypoxia), and increased respiration is
an attempt to maintain oxygen delivery. Other assessment findings
in insufficient fluid volume are decreased urine volume, increased
pulse, weight loss, poor skin turgor, dry mucous membranes,
concentrated urine with increased specific gravity, increased
NUR MISC MODULE 10 EXAM QUESTIONS
AND ANSWERS RATED A+ GUARANTEED
SUCCESS LATEST UPDATE 2022
,NUR MISC MODULE 10 EXAM QUESTIONS
AND ANSWERS RATED A+ GUARANTEED
SUCCESS LATEST UPDATE 2022
hematocrit, and altered level of consciousness. Increased blood
pressure, decreased pulse, and increased urine output occur with
fluid-volume overload.
. Test-Taking Strategy: Use the process of elimination and focus on the
subject, dehydration (deficient fluid volume). Think about the
pathophysiology of deficient fluid volume. Remember that the body
will increase the respiratory rate in an attempt to maintain the
oxygen level. If you had difficulty with this question, review the signs
of insufficient fluid volume.
. Reference: Lewis, S., Dirksen, S., Heitkemper, M., & Bucher, L. (2014).
Medical-surgical nursing: Assessment and management of clinical problems (9th
ed., pp. 291-292). St. Louis: Mosby.
. Level of Cognitive Ability: Analyzing
. Client Needs: Physiological Integrity
. Integrated Process: Nursing Process/Assessment
. Content Area: Fluid and Electrolytes
. Giddens Concepts: Clinical Judgment,Fluid and Electrolyte Balance
. HESI Concepts: Clinical Decision Making/Clinical Judgment,
Fluid and Electrolytes
. Awarded 2.0 points out of 2.0 possible points.
. 3.ID: 9476934084
. A nurse is reviewing the medical records of the clients to whom she is assigned
NUR MISC MODULE 10 EXAM QUESTIONS
AND ANSWERS RATED A+ GUARANTEED
SUCCESS LATEST UPDATE 2022
, NUR MISC MODULE 10 EXAM QUESTIONS
AND ANSWERS RATED A+ GUARANTEED
SUCCESS LATEST UPDATE 2022
on the 7 am–7 pm shift. Which client will the nurse monitor most
closely for excessive fluid volume?
A. A 48-year-old client receiving diuretics to treat hypertension
B. A 35-year old client who is vomiting undigested food after eating
C. An 85-year-old client receiving intravenous (IV) therapy at
a rate of 100 mL/hr Correct
D. A 65-year-old client with a nasogastric tube attached to
low suction following partial gastrectomy
. Rationale: The older adult client receiving IV therapy at 100 mL/hr is
at the greatest risk for excessive fluid volume because of the
diminished cardiovascular and renal function that occur with aging.
Other causes of excessive fluid volume include renal failure, heart
failure, liver disorders, excessive use of hypotonic IV fluids to replace
isotonic losses, excessive irrigation of body fluids, and excessive
ingestion of table salt. A client who is receiving diuretics, vomiting,
or has a nasogastric tube attached to suction is at risk for deficient
fluid volume.
. Test-Taking Strategy: Read the question carefully, noting that it asks
for the client at risk for excessive fluid volume. Read each option
and think about the fluid imbalance that could occur in each
situation; in the case of the incorrect options, it is fluid-volume
deficiency; the only option reflecting conditions that could result in
an excess is the correct option. If you had difficulty with this
question, review the causes of excessive fluid volume.
. Reference: Lewis, S., Dirksen, S., Heitkemper, M., & Bucher, L. (2014).
Medical-surgical nursing: Assessment and management of clinical problems (9th
ed., pp. 291, 293). St. Louis: Mosby.
. Level of Cognitive Ability: Analyzing
. Client Needs: Physiological Integrity
. Integrated Process: Nursing Process/Assessment
NUR MISC MODULE 10 EXAM QUESTIONS
AND ANSWERS RATED A+ GUARANTEED
SUCCESS LATEST UPDATE 2022
AND ANSWERS RATED A+ GUARANTEED
SUCCESS LATEST UPDATE 2022
. 1.ID: 9476932222
A client who experiences frequent episodes of chest pain is admitted to
the hospital for cardiac monitoring. The client suddenly complains of
chest pain, and the nurse obtains a 12-lead electrocardiogram (ECG).
Which finding would the nurse expect to note in the event of an
ischemic episode?
A. Peaked T waves
B. ST-segment depression Correct
C. Widened QRS complex
D. An isolated premature ventricular contraction (PVC)
. Rationale: An ECG taken in the presence of pain may reveal ischemic
changes with ST-segment elevation or depression. Peaked T waves
may indicate hyperkalemia. PVCs are caused by the firing of an
irritable pacemaker in the ventricle. A widened QRS complex
indicates a delay in intraventricular conduction, such as bundle
branch block.
. Test-Taking Strategy: Knowledge regarding the effects of ischemia on
myocardial tissue and how it is reflected on an ECG is needed to
answer this question. Remember that ST-segment elevation or
depression indicates myocardial ischemia. Review the effects of
myocardial ischemia if you had difficulty with this question.
.
. References: Ignatavicius, D., & Workman, M. (2013). Medical-surgical
nursing: Patient-centered collaborative care. (7th ed., p. 831). St. Louis:
Saunders.
.
.
. Lewis, S., Dirksen, S., Heitkemper, M., & Bucher, L. (2014). Medical-
surgical nursing: Assessment and management of clinical problems (9th ed.,
p. 791). St.
NUR MISC MODULE 10 EXAM QUESTIONS
AND ANSWERS RATED A+ GUARANTEED
SUCCESS LATEST UPDATE 2022
,NUR MISC MODULE 10 EXAM QUESTIONS
AND ANSWERS RATED A+ GUARANTEED
SUCCESS LATEST UPDATE 2022
Louis: Mosby.
. Level of Cognitive Ability: Analyzing
. Client Needs: Physiological Integrity
. Integrated Process: Nursing Process/Assessment
. Content Area: Adult Health/Cardiovascular
.
.
. Giddens Concepts: Clinical Judgment, Perfusion
. HESI Concepts: Clinical Decision Making/Clinical Judgment, Perfusion
. Awarded 1.0 points out of 1.0 possible points.
. 2.ID: 9476924021
. A client with gastroenteritis who has been vomiting and has diarrhea is
admitted to the hospital with a diagnosis of dehydration. For which
clinical manifestations that correlate with this fluid imbalance would
the nurse assess the client?
Select all that apply.
A. Decreased pulse
B. Decreased urine output Correct
C. Increased blood pressure
D. Increased respiratory rate Correct
E. Decreased respiratory depth
. Rationale: A client with dehydration has an increased depth and rate
of respirations. The diminished fluid volume is perceived by the body
as a decreased oxygen level (hypoxia), and increased respiration is
an attempt to maintain oxygen delivery. Other assessment findings
in insufficient fluid volume are decreased urine volume, increased
pulse, weight loss, poor skin turgor, dry mucous membranes,
concentrated urine with increased specific gravity, increased
NUR MISC MODULE 10 EXAM QUESTIONS
AND ANSWERS RATED A+ GUARANTEED
SUCCESS LATEST UPDATE 2022
,NUR MISC MODULE 10 EXAM QUESTIONS
AND ANSWERS RATED A+ GUARANTEED
SUCCESS LATEST UPDATE 2022
hematocrit, and altered level of consciousness. Increased blood
pressure, decreased pulse, and increased urine output occur with
fluid-volume overload.
. Test-Taking Strategy: Use the process of elimination and focus on the
subject, dehydration (deficient fluid volume). Think about the
pathophysiology of deficient fluid volume. Remember that the body
will increase the respiratory rate in an attempt to maintain the
oxygen level. If you had difficulty with this question, review the signs
of insufficient fluid volume.
. Reference: Lewis, S., Dirksen, S., Heitkemper, M., & Bucher, L. (2014).
Medical-surgical nursing: Assessment and management of clinical problems (9th
ed., pp. 291-292). St. Louis: Mosby.
. Level of Cognitive Ability: Analyzing
. Client Needs: Physiological Integrity
. Integrated Process: Nursing Process/Assessment
. Content Area: Fluid and Electrolytes
. Giddens Concepts: Clinical Judgment,Fluid and Electrolyte Balance
. HESI Concepts: Clinical Decision Making/Clinical Judgment,
Fluid and Electrolytes
. Awarded 2.0 points out of 2.0 possible points.
. 3.ID: 9476934084
. A nurse is reviewing the medical records of the clients to whom she is assigned
NUR MISC MODULE 10 EXAM QUESTIONS
AND ANSWERS RATED A+ GUARANTEED
SUCCESS LATEST UPDATE 2022
, NUR MISC MODULE 10 EXAM QUESTIONS
AND ANSWERS RATED A+ GUARANTEED
SUCCESS LATEST UPDATE 2022
on the 7 am–7 pm shift. Which client will the nurse monitor most
closely for excessive fluid volume?
A. A 48-year-old client receiving diuretics to treat hypertension
B. A 35-year old client who is vomiting undigested food after eating
C. An 85-year-old client receiving intravenous (IV) therapy at
a rate of 100 mL/hr Correct
D. A 65-year-old client with a nasogastric tube attached to
low suction following partial gastrectomy
. Rationale: The older adult client receiving IV therapy at 100 mL/hr is
at the greatest risk for excessive fluid volume because of the
diminished cardiovascular and renal function that occur with aging.
Other causes of excessive fluid volume include renal failure, heart
failure, liver disorders, excessive use of hypotonic IV fluids to replace
isotonic losses, excessive irrigation of body fluids, and excessive
ingestion of table salt. A client who is receiving diuretics, vomiting,
or has a nasogastric tube attached to suction is at risk for deficient
fluid volume.
. Test-Taking Strategy: Read the question carefully, noting that it asks
for the client at risk for excessive fluid volume. Read each option
and think about the fluid imbalance that could occur in each
situation; in the case of the incorrect options, it is fluid-volume
deficiency; the only option reflecting conditions that could result in
an excess is the correct option. If you had difficulty with this
question, review the causes of excessive fluid volume.
. Reference: Lewis, S., Dirksen, S., Heitkemper, M., & Bucher, L. (2014).
Medical-surgical nursing: Assessment and management of clinical problems (9th
ed., pp. 291, 293). St. Louis: Mosby.
. Level of Cognitive Ability: Analyzing
. Client Needs: Physiological Integrity
. Integrated Process: Nursing Process/Assessment
NUR MISC MODULE 10 EXAM QUESTIONS
AND ANSWERS RATED A+ GUARANTEED
SUCCESS LATEST UPDATE 2022
