NURS MISC EXAM QUESTIONS WITH ANERS
2022/203
Q UESTIO N 1
1. A massive gastrointestinal bleed has resulted in hypovolemic shock in an older adult patient. Which of the
following is a priority nursing diagnosis?
a. Decreased cardiac output
b. Ineffective tissue perfusion
c. Impaired tissue integrity
d. Acute pain
1 points
Q UESTIO N 2
1. The nurse has identified a nursing diagnosis of acute pain related to inflammatory process for a patient with
acute pericarditis. What is the most appropriate nursing intervention for this problem?
a. Teach the patient to take deep, slow respirations to control the pain.
b. Force fluids to 3000 mL/day to decrease fever and inflammation.
c. Consult with the physician to provide patient-controlled analgesia with a narcotic analgesic.
d. Position the patient in a Fowler’s position, leaning forward on a padded overbed table.
1 points
Q UESTIO N 3
1. A male patient with a long-standing history of heart failure (HF) has recently qualified for hospice care. Which of
the following measures should the nurse now prioritize when providing care for this patient?
a. Pursuing experimental therapies or surgical options
b. Tapering the patient off his current medications
c. Choosing interventions to promote comfort and prevent suffering
,NURS MISC EXAM QUESTIONS WITH ANERS
2022/203
d. Continuing education for the patient and his family
1 points
Q UESTIO N 4
1. The nurse is administering a dose of digoxin (Lanoxin) to a patient with heart failure (HF). The nurse would
become concerned with the possibility of digitalis toxicity if the patient reported which of the following symptoms?
a. Anorexia and nausea
b. Pounding headache
c. Muscle aches
d. Constipation
1 points
Q UESTIO N 5
1. The nurse has just received a change-of-shift report about the following four patients. Which patient should
the nurse assess first?
a. A 51-year-old patient who has just returned to the unit after a coronary arteriogram and PCI
b. A 60-year-old patient who is due for a scheduled dose of atenolol 25 mg orally
c. A 45-year-old patient who had an MI 4 days ago and is anxious about the planned discharge
d. A 38-year-old patient who has pericarditis and is complaining of sharp, stabbing chest pain
1 points
Q UESTIO N 6
1. A patient has had an elevated temperature of 38.2°C for 3 days since experiencing an MI (myocardial
infarction). What does the nurse understand that this fever indicates?
a. Beginning congestive heart failure from increased myocardial oxygen demand
, NURS MISC EXAM QUESTIONS WITH ANERS
2022/203
b. A need for concern only if a leukocytosis is also present
c. Developing pericarditis as a complication of myocardial necrosis
d. A normal response to the necrotic tissue of infarction
1 points
Q UESTIO N 7
1. The nurse is caring for a patient who has been receiving warfarin (Coumadin) and digoxin (Lanoxin) as treatment
for atrial fibrillation. Because the warfarin has been discontinued before surgery, the nurse should diligently assess
the patient for which complication early in the postoperative period until the medication is resumed?
a. Cerebral or pulmonary emboli
b. Increased blood pressure
c. Excessive bleeding from incision or IV sites
d. Decreased cardiac output
1 points
Q UESTIO N 8
1. A patient with a history of a 4-cm fusiform abdominal aortic aneurysm (AAA) is admitted to the emergency
department with severe back pain and bilateral flank ecchymosis. His vital signs are blood pressure (BP) 90/58
mm Hg, pulse 138 beats/min, and respiration 34 breaths/min. The nurse plans interventions for the patient based
on the expectation that which of the following treatments will be included?
a. A paracentesis when vital signs are stabilized with fluid replacement
b. An immediate angiogram
c. Admission to the intensive care unit for observation while diagnostic tests are completed
d. Immediate surgery
1 points
Q UESTIO N 9
2022/203
Q UESTIO N 1
1. A massive gastrointestinal bleed has resulted in hypovolemic shock in an older adult patient. Which of the
following is a priority nursing diagnosis?
a. Decreased cardiac output
b. Ineffective tissue perfusion
c. Impaired tissue integrity
d. Acute pain
1 points
Q UESTIO N 2
1. The nurse has identified a nursing diagnosis of acute pain related to inflammatory process for a patient with
acute pericarditis. What is the most appropriate nursing intervention for this problem?
a. Teach the patient to take deep, slow respirations to control the pain.
b. Force fluids to 3000 mL/day to decrease fever and inflammation.
c. Consult with the physician to provide patient-controlled analgesia with a narcotic analgesic.
d. Position the patient in a Fowler’s position, leaning forward on a padded overbed table.
1 points
Q UESTIO N 3
1. A male patient with a long-standing history of heart failure (HF) has recently qualified for hospice care. Which of
the following measures should the nurse now prioritize when providing care for this patient?
a. Pursuing experimental therapies or surgical options
b. Tapering the patient off his current medications
c. Choosing interventions to promote comfort and prevent suffering
,NURS MISC EXAM QUESTIONS WITH ANERS
2022/203
d. Continuing education for the patient and his family
1 points
Q UESTIO N 4
1. The nurse is administering a dose of digoxin (Lanoxin) to a patient with heart failure (HF). The nurse would
become concerned with the possibility of digitalis toxicity if the patient reported which of the following symptoms?
a. Anorexia and nausea
b. Pounding headache
c. Muscle aches
d. Constipation
1 points
Q UESTIO N 5
1. The nurse has just received a change-of-shift report about the following four patients. Which patient should
the nurse assess first?
a. A 51-year-old patient who has just returned to the unit after a coronary arteriogram and PCI
b. A 60-year-old patient who is due for a scheduled dose of atenolol 25 mg orally
c. A 45-year-old patient who had an MI 4 days ago and is anxious about the planned discharge
d. A 38-year-old patient who has pericarditis and is complaining of sharp, stabbing chest pain
1 points
Q UESTIO N 6
1. A patient has had an elevated temperature of 38.2°C for 3 days since experiencing an MI (myocardial
infarction). What does the nurse understand that this fever indicates?
a. Beginning congestive heart failure from increased myocardial oxygen demand
, NURS MISC EXAM QUESTIONS WITH ANERS
2022/203
b. A need for concern only if a leukocytosis is also present
c. Developing pericarditis as a complication of myocardial necrosis
d. A normal response to the necrotic tissue of infarction
1 points
Q UESTIO N 7
1. The nurse is caring for a patient who has been receiving warfarin (Coumadin) and digoxin (Lanoxin) as treatment
for atrial fibrillation. Because the warfarin has been discontinued before surgery, the nurse should diligently assess
the patient for which complication early in the postoperative period until the medication is resumed?
a. Cerebral or pulmonary emboli
b. Increased blood pressure
c. Excessive bleeding from incision or IV sites
d. Decreased cardiac output
1 points
Q UESTIO N 8
1. A patient with a history of a 4-cm fusiform abdominal aortic aneurysm (AAA) is admitted to the emergency
department with severe back pain and bilateral flank ecchymosis. His vital signs are blood pressure (BP) 90/58
mm Hg, pulse 138 beats/min, and respiration 34 breaths/min. The nurse plans interventions for the patient based
on the expectation that which of the following treatments will be included?
a. A paracentesis when vital signs are stabilized with fluid replacement
b. An immediate angiogram
c. Admission to the intensive care unit for observation while diagnostic tests are completed
d. Immediate surgery
1 points
Q UESTIO N 9
