STUDENTS SUCCESS
Revision Examination Tests
“Come all for this greatness”
...100% Correct Ans...
PSYCH MUSCULOSKELETAL MEDS, MED SURG ASSIGNMENTS
WITH 100% CORRECT ANSWERS
2. Metformin A client admitted to the hospital with chest pain and a
history of type 2 diabetes mellitus is scheduled for cardiac
catheterization. Which medication would need to be withheld for 24
hours before the procedure and for 48 hours after the procedure?
1.Glipizide
2.Metformin
3.Repaglinide
4.11.Regular insulin
Acute Kidney Injury A client who had cardiac surgery 24 hours ago has
had a urine output averaging 20 mL/hour for 2 hours. The client received
a single bolus of 500 mL of intravenous fluid. Urine output for the
subsequent hour was 25 mL. Daily laboratory results indicate that the
blood urea nitrogen level is 45 mg/dL (16 mmol/L) and the serum
creatinine level is 2.2 mg/dL (194 mcmol/L). On the basis of these
findings, the nurse would anticipate that the client is at risk for which
problem?
1.Hypovolemia
2.Acute kidney injury
3.Glomerulonephritis
4.Urinary tract infection
Check the client's status and lead placement. A client is wearing a
continuous cardiac monitor, which begins to sound its alarm. The nurse
sees no electrocardiographic complexes on the screen. Which is the
priority nursing action?
,1.Call a code.
2.Call the health care provider.
3.Check the client's status and lead placement.
4.Press the recorder button on the electrocardiogram console.
Status of airway The nurse is evaluating a client's response to
cardioversion. Which assessment would be the priority?
1.Blood pressure
2.Status of airway
3.Oxygen flow rate
4.Level of consciousness
Activation status of the device, heart rate cutoff, and number of shocks it
is programmed to deliver
The neurovascular status is normal because of increased blood flow
through the leg. The nurse is assessing the neurovascular status of a
client who returned to the surgical nursing unit 4 hours ago after
undergoing aortoiliac bypass graft. The affected leg is warm, and the
nurse notes redness and edema. The pedal pulse is palpable and
unchanged from admission. How should the nurse correctly interpret the
client's neurovascular status?
1.The neurovascular status is normal because of increased blood flow
through the leg.
2.The neurovascular status is moderately impaired, and the surgeon
should be called.
3.The neurovascular status is slightly deteriorating and should be
monitored for another hour.
4.The neurovascular status is adequate from an arterial approach, but
venous complications are arising
A rise in blood pressure The nurse is evaluating the condition of a client
after pericardiocentesis performed to treat cardiac tamponade. Which
observation would indicate that the procedure was effective?
1.Muffled heart sounds
2.A rise in blood pressure
3.Jugular venous distention
4.Client expressions of dyspnea
"My spouse told me that since I have developed this problem, we are
going to stop walking in the mall every morning." A client with variant
angina is scheduled to receive an oral calcium channel blocker twice
daily. Which statement by the client indicates the need for further
teaching?
1."I should notify my doctor if my feet or legs start to swell."
, 2.My doctor told me to call his office if my pulse rate decreases below
60."
3."Avoiding grapefruit juice will definitely be a challenge for me, since I
usually drink it every morning with breakfast."
4."My spouse told me that since I have developed this problem, we are
going to stop walking in the mall every morning."
Muffled or distant heart sounds The nurse is monitoring a client with
acute pericarditis for signs of cardiac tamponade. Which assessment
finding indicates the presence of this complication?
1.Flat neck veins
2.A pulse rate of 60 beats/minute
3.Muffled or distant heart sounds
4.Wheezing on auscultation of the lungs
I need to be sure that I elevate my leg above the level of my heart for at
least an hour every day." The home care nurse is providing instructions
to a client with an arterial ischemic leg ulcer about home care
management and self-care management. Which statement, if made by
the client, indicates a need for further instruction?
1."I need to be sure not to go barefoot around the house."
2."If I cut my toenails, I need to be sure that I cut them straight across."
3.It is all right to apply lanolin to my feet, but I shouldn't place it between
my toes."
4."I need to be sure that I elevate my leg above the level of my heart for
at least an hour every day."
Antacids The nurse is providing instructions to a client with a diagnosis
of hypertension regarding high-sodium items to be avoided. The nurse
instructs the client to avoid consuming which item?
1.
Bananas
2.
Broccoli
3.
Antacids
4.
Cantaloupe
, Stop smoking because it causes cutaneous blood vessel spasm. The
nurse is preparing discharge instructions for a client with Raynaud's
disease. The nurse should plan to provide which instruction to the client?
1.
Use nail polish to protect the nail beds from injury.
2.
Wear gloves for all activities involving the use of both hands.
3.
Stop smoking because it causes cutaneous blood vessel spasm.
4.
Always wear warm clothing, even in warm climates, to prevent
vasoconstriction.
Elevate the legs higher than the heart. The nurse is developing a plan of
care for a client with varicose veins in whom skin breakdown occurred
over the varicosities as a result of secondary infection. Which is a priority
intervention?
1.
Keep the legs aligned with the heart.
2.
Elevate the legs higher than the heart.
3.
Clean the skin with alcohol every hour.
4.
Position the client onto the side during every shift.
Myocardial infarction The nurse in the medical unit is reviewing the
laboratory test results for a client who has been transferred from the
intensive care unit (ICU). The nurse notes that a cardiac troponin T
assay was performed while the client was in the ICU. The nurse
determines that this test was performed to assist in diagnosing which
condition?
1.
Heart failure
2.
Atrial fibrillation
Revision Examination Tests
“Come all for this greatness”
...100% Correct Ans...
PSYCH MUSCULOSKELETAL MEDS, MED SURG ASSIGNMENTS
WITH 100% CORRECT ANSWERS
2. Metformin A client admitted to the hospital with chest pain and a
history of type 2 diabetes mellitus is scheduled for cardiac
catheterization. Which medication would need to be withheld for 24
hours before the procedure and for 48 hours after the procedure?
1.Glipizide
2.Metformin
3.Repaglinide
4.11.Regular insulin
Acute Kidney Injury A client who had cardiac surgery 24 hours ago has
had a urine output averaging 20 mL/hour for 2 hours. The client received
a single bolus of 500 mL of intravenous fluid. Urine output for the
subsequent hour was 25 mL. Daily laboratory results indicate that the
blood urea nitrogen level is 45 mg/dL (16 mmol/L) and the serum
creatinine level is 2.2 mg/dL (194 mcmol/L). On the basis of these
findings, the nurse would anticipate that the client is at risk for which
problem?
1.Hypovolemia
2.Acute kidney injury
3.Glomerulonephritis
4.Urinary tract infection
Check the client's status and lead placement. A client is wearing a
continuous cardiac monitor, which begins to sound its alarm. The nurse
sees no electrocardiographic complexes on the screen. Which is the
priority nursing action?
,1.Call a code.
2.Call the health care provider.
3.Check the client's status and lead placement.
4.Press the recorder button on the electrocardiogram console.
Status of airway The nurse is evaluating a client's response to
cardioversion. Which assessment would be the priority?
1.Blood pressure
2.Status of airway
3.Oxygen flow rate
4.Level of consciousness
Activation status of the device, heart rate cutoff, and number of shocks it
is programmed to deliver
The neurovascular status is normal because of increased blood flow
through the leg. The nurse is assessing the neurovascular status of a
client who returned to the surgical nursing unit 4 hours ago after
undergoing aortoiliac bypass graft. The affected leg is warm, and the
nurse notes redness and edema. The pedal pulse is palpable and
unchanged from admission. How should the nurse correctly interpret the
client's neurovascular status?
1.The neurovascular status is normal because of increased blood flow
through the leg.
2.The neurovascular status is moderately impaired, and the surgeon
should be called.
3.The neurovascular status is slightly deteriorating and should be
monitored for another hour.
4.The neurovascular status is adequate from an arterial approach, but
venous complications are arising
A rise in blood pressure The nurse is evaluating the condition of a client
after pericardiocentesis performed to treat cardiac tamponade. Which
observation would indicate that the procedure was effective?
1.Muffled heart sounds
2.A rise in blood pressure
3.Jugular venous distention
4.Client expressions of dyspnea
"My spouse told me that since I have developed this problem, we are
going to stop walking in the mall every morning." A client with variant
angina is scheduled to receive an oral calcium channel blocker twice
daily. Which statement by the client indicates the need for further
teaching?
1."I should notify my doctor if my feet or legs start to swell."
, 2.My doctor told me to call his office if my pulse rate decreases below
60."
3."Avoiding grapefruit juice will definitely be a challenge for me, since I
usually drink it every morning with breakfast."
4."My spouse told me that since I have developed this problem, we are
going to stop walking in the mall every morning."
Muffled or distant heart sounds The nurse is monitoring a client with
acute pericarditis for signs of cardiac tamponade. Which assessment
finding indicates the presence of this complication?
1.Flat neck veins
2.A pulse rate of 60 beats/minute
3.Muffled or distant heart sounds
4.Wheezing on auscultation of the lungs
I need to be sure that I elevate my leg above the level of my heart for at
least an hour every day." The home care nurse is providing instructions
to a client with an arterial ischemic leg ulcer about home care
management and self-care management. Which statement, if made by
the client, indicates a need for further instruction?
1."I need to be sure not to go barefoot around the house."
2."If I cut my toenails, I need to be sure that I cut them straight across."
3.It is all right to apply lanolin to my feet, but I shouldn't place it between
my toes."
4."I need to be sure that I elevate my leg above the level of my heart for
at least an hour every day."
Antacids The nurse is providing instructions to a client with a diagnosis
of hypertension regarding high-sodium items to be avoided. The nurse
instructs the client to avoid consuming which item?
1.
Bananas
2.
Broccoli
3.
Antacids
4.
Cantaloupe
, Stop smoking because it causes cutaneous blood vessel spasm. The
nurse is preparing discharge instructions for a client with Raynaud's
disease. The nurse should plan to provide which instruction to the client?
1.
Use nail polish to protect the nail beds from injury.
2.
Wear gloves for all activities involving the use of both hands.
3.
Stop smoking because it causes cutaneous blood vessel spasm.
4.
Always wear warm clothing, even in warm climates, to prevent
vasoconstriction.
Elevate the legs higher than the heart. The nurse is developing a plan of
care for a client with varicose veins in whom skin breakdown occurred
over the varicosities as a result of secondary infection. Which is a priority
intervention?
1.
Keep the legs aligned with the heart.
2.
Elevate the legs higher than the heart.
3.
Clean the skin with alcohol every hour.
4.
Position the client onto the side during every shift.
Myocardial infarction The nurse in the medical unit is reviewing the
laboratory test results for a client who has been transferred from the
intensive care unit (ICU). The nurse notes that a cardiac troponin T
assay was performed while the client was in the ICU. The nurse
determines that this test was performed to assist in diagnosing which
condition?
1.
Heart failure
2.
Atrial fibrillation
