Exam 1 Questions and
Answers
A client who has just been admitted with pulmonary edema is scheduled to receive
the following medications. Which medication should the nurse question before
giving? -Correct Answer= Carvedilol (coreg)
A client who had surgery for a perforated gastric ulcer has been receiving
nasogastric suction for 3 days. The clients serum sodium level is 127 mEq/ ml.
Which prescribed therapy should the nurse question? -Correct Answer= 5% dextrose
in water intravenously at 125 ml/ hr
A client has been diagnosed with chronic renal failure and the course of treatment
includes peritoneal dialysis. What should the nurse include in the dietary education
for this client? -Correct Answer= "Protein is lost when you do dialysis, so you will
need to incorporate food higher in protein into your diet
A client with supraventricular tachycardia who is alert and has a blood pressure of
110/ 66 is being prepared for cardioversion. Which action should the nurse take?
-Correct Answer= Give sedative before cardioversion is implemented
A client is admitted to the burn unit with burns to the head, face, and hands, but an
hour later, the lung sounds are decreased, and no wheezes are audible. What action
should the nurse take? -Correct Answer= Notify the provider and prepare for
endotracheal intubation
A client who has just been admitted with pulmonary edema is scheduled to receive
the following medications. Which medication should the nurse question before
giving? (duplicate - second question in jeopardy) -Correct Answer= Captopril 25 mg
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, A client has a sinus rhythm and a heart rate of 72. The nurse determines that the PR
interval is 0.24 seconds. What action should the nurse take? -Correct Answer=
Document the finding and monitor the client
Heparin is ordered for a client with a non-ST segment elevation myocardial
infarction (NSTEMI). How should the nurse explain the purpose of the heparin to the
client? -Correct Answer= Prevent formation of new blood cots in the coronary
arteries
A client with chronic heart failure returns to the clinic after 2 weeks of therapy with
metoprolol (Toprol XL). Which assessment findings is most important for the nurse
to report to the health care provider? -Correct Answer= Blood pressure of 88/44
An adult client with anorexia Nervosa was admitted to the unit and is 5 ft 6 in tall,
weighs 88 lbs. Laboratory tests reveal hypokalemia and iron-deficiency anemia.
What is the client's biggest risk? -Correct Answer= risk of electrolyte imbalance
A client who has had chest pain for several hours is admitted with a diagnosis of
rule out acute myocardial infarction (AMI). Which laboratory test is most specific for
the nurse to monitor in determining whether the client has had an AMI? -Correct
Answer= cardiac-specific troponin
A client who has chronic failure is admitted to the emergency department with
severe dyspnea and a dry, hacking cough. Which action should the nurse take first?
-Correct Answer= auscultate the breath sounds
What findings on an EKG reading requires further investigation? -Correct Answer=
QRS interval of 0.14
After receiving change of shift report on four clients admitted to a heart failure unit,
which patient should the nurse assess first? -Correct Answer= a client who has new
onset confusion and restlessness and cool, clammy skin.
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