MED-SURG CERTIFICATION
PRACTICE QUESTIONS AND
ANSWERS
Asdnewlysddiabeticsdpatientsdwillsdreceivesdinstructionssdfromsdhissdnurse.sdWhichsdofsdthesdf
ollowingsdactionssdshouldsdthesdnursesdtakesdfirst?
A.sdProvidesdthesdpatientsdwithsdbrochuressdforsdmakingsdsmartsdchoicessdforsdcooking/
baking.
B.sdAsksdthesdpatientsdwhatsdtheysdknowsdaboutsddiabetes.
C.sdInstructsdthesdpatientsdonsdexercisesdorsdactivitiessdthatsdwillsdincreasesdtheirsdmetaboli
sm.
D.sdTeachsdthemsdhowsdtosdusesdthesdglucometer.sd-sdanswer--B.sd
Firstsdasksdthesdpatientsdwhatsdtheysdknowsdaboutsddiabetes.
*ACTIONsdquestionssdasksdforsdintervention,sdNOTsdassessment
Thesdpostsdhysterectomysdpatientsdwithsdcallssdthesdclinicsdstatingsdthatsdshesdhassdbeensdh
avingsddifficultysdwithsdincontinence.sdWhichsdofsdthesdfollowingsdstatementssdifsdmadesdbys
dthesdpatient,sdindicatessdthatsdfurthersdteachingsdissdneeded?
A.sdIsddrinksd8sdoz.sdofsdfluidsdonsdthesdevensdhourssdwhilesdawake.
B.sdIsdwillsdattemptsdtosdvoidsd30sdminutessdaftersddrinkingsd200sdcc.sdofsdfluid
C.sdIsdwillsdonlysddrinksdfluidsdwhensdIsdeatsdmysdmeals
D.sdIsdwillsdsetsdthesdtimersdtosdremindsdmesdwhensdtosdvoidsd-sdanswer--C.sd
Asdpatientsdsayingsdthatsdhesdorsdshesdwillsdonlysddrinksdfluidssdwhensdeatingsdmealssdindica
tessdthatsdtheysddon'tsdknowsdwhatsdtosddosdinsdcasesdofsdincontinence.
FURTHERsdTEACHINGsdindicatessdthatsdthesdpatientsdneedssdmoresdinformation
AnsdRNsdassessessdasdpatientsdinsdthesdCancersdCentersdwithsdasddiagnosissdofsdterminalsd
cancer.sdThesdpatientsdstatessdtosdthesdRNsdthatsdhesdissdshortsdofsdbreath,sdhassdnosdappeti
tesdandsdhurtssdeverywhere.sdWhichsdofsdthesdfollowingsdstatementssdbysdthesdnursesdissdb
est?
A.sdTellsdmesdhowsdyoursdfamilysdissdcoping
B.sdShowsdmesdwheresditsddoessdnotsdhurt
C.sdI'llsdteachsdyousdrelaxationsdtechniques
D.sdYoursdphysiciansdshouldsdincreasesdyoursdpainsdmedicationsd-sdanswer--C
Asdclinicalsdnursesdreturnssdtosdthesddesksdtosdfindsd4sdphonesdmessages.sdWhichsdofsdthesdf
ollowingsdmessagessdshouldsdthesdnursesdrespondsdtosdfirst?
,A.sdAsdpostsdcervicalsdlaminectomysdpatientsdcomplainingsdofsdsuddensddifficultysdtalking.
B.sdAsdpatientsdwithsdmultiplesdsclerosissdcomplainingsdofsdchangesdinsdperipheralsdvision.
C.sdAsdpatientsdwithsdasdherniatedsddiscsdcomplainingsdofsdconsistentsdbacksdpain.
D.sdAsdpatientsdwithsdasdcastsdduesdtosdasdfracturesdofsdthesdrightsdtibialsdbonesdcomplainingsd
ofsdtinglingsdtoes.sd-sdanswer--A
BsdandsdCsdaresdexpectedsdsymptomssdofsdthesdpatient'ssdcondition.sdAsdandsdDsdaresdunex
pected.sdDsdissdlesssdcriticalsdthansdA.sdBestsdanswersdissdA.
Asd75sdyearsdoldsdpatientsdcomplainssdtosdthesdclinicalsdnursesdthatsdhesdissdhavingsddifficult
ysdsleeping.sdWhichsdofsdthesdfollowingsdactionssdbysdthesdnursesdissdmostsdappropriate?
A.sdDeterminesdthesdpatient'ssdusualsdsleepingsdandsdwakingsdpatterns.
B.sdSuggestsdthatsdthesdclientsdabstainsdfromsdalcoholsdandsdcaffeinesdbeforesdbedsdtime.
C.sdRecommendsdthatsdclientsdestablishsdasdbedtimesdroutine.
D.sdAsksdhowsdmuchsdsleepsdthesdclientsdrequiredsdbeforesdretirement.sd-sdanswer--A
BsdandsdCsdaresdrecommendationssdthatsdthesdRNsdcansdsharesdaftersdhe/
shesddeterminessdthesdpatient'ssdsleepingsdandsdwakingsdpatterns.sdSosdremovesdBsdandsd
C.sdDsdissdansdinquiry,sdbutsdissdconcernedsdaboutsdthesdpastsd(whensdthesdpersonsdretired).
sdRemovesdD.sdAsdissdthesdbestsdanswer.
Thesdnursesdcaressdforsdasdpatientsdseveralsdhourssdaftersdasdthyroidectomy.sdThesdRNsdob
servessdthatsdthesdpatientsdissddiaphoreticsdandsdconfused.sdThesdvitalsdsignssdare:
Tempsd=sd102°sd(38.9sd°sdC);sdBPsdissd160/90;sdpulsesdissd110,sdrespirationsdissd22.sdThesdn
ursesdexpectssdthesdphysiciansdtosdordersdwhichsdofsdthesdfollowing?
A.sdNPO,sdDextransd10sdml/kg.sdIV,sd02sd4sdL/min.
B.sdPropranololsd(Inderal)sd1sdmg.sdIV,sdD5Wsd125sdcc/
hrsdIV,sdpropylthiaouracilsd(PTU)sd200sdmgsdposdqld.
C.sdLevothyroxinesdSodiumsd(Synthroid)sd100sdmcgsdIV,sdLactatedsdRinger'ssd125sdcc/
hrsdIV,sdandsdciprofloxacinsd(cipro)sd500sdmg.sdposdbid.
D.sdMorphinesdsulfatesd2.5sdmg.sdIVsdq.sd4sdhrs.sdprn,sd0.9%sdNACl.sd-sdanswer--B
Asd63sdyearsdoldsdfemalesdpatientsdcontactssdthesdclinicsdtosdreportsdthatsdshesdissdhassdbee
nsdextremelysdfatigued,sdissdsleepingsd12sdhourssdasdnight,sdissdalwayssdcoldsdandsdhersdhair
sdissdfallingsdout.sdWhichsdofsdthesdfollowingsdresponsessdbysdthesdnursesdissdmostsdappropri
ate?
A.sdYousdwillsdhavesdmoresdenergysdifsdyousdwalksd30sdminsdeverysdday.
B.sdYousddon'tsdneedsdtosdworry.sdSleepingsdasdlotsdissdgoodsdforsdyou.
C.sdComesdinsdandsdseesdyoursdhealthsdcaresdprovidersdtoday.
D.sdYousdshouldsdeatsdmoresdgreensdleafysdvegetables.sd-sdanswer--C
Needsdmoresdinfo
ThesdRNsdperformssdbloodsdpressuresdscreeningsdatsdthesdlocalsdcommunitysdcenter.sdWhi
chsdofsdthesdfollowingsdindividualssdissdmostsdlikelysdtosdsuffersdfromsdasdcerebrovascularsda
ccident?
,A.sdAsd30sdyearsdoldsdmansdwhosdissdansdaccountsdexecutive
B.sdAsd40sdyearsdoldsdmansdwhosdjogssdfoursdtimessdasdweek.
C.sdAsd60sdyearsdoldsdmansdwhosesdfathersdhadsdasdstroke.
D.sdAsd75sdyearsdoldsdmansdwhosdtakessdmulti-vitamins.sd-sdanswer--C
Forsdthesdpatientsdwithsdasdnewsdtracheostomy,sdthesdnursesdmustsdbesdalertsdtosdwhichsdea
rlysdcomplication?
a)sdDecannulation
b)sdInfection
c)sdBleeding
d)sdTracheomalaciasd-sdanswer--Csd
Commonsdacutesdriskssdofsdtracheostomysdincludesdbleeding,sdairwaysdloss,sddamagesdtos
dadjacentsdstructures,sdandsdfailuresdofsdthesdchosensdtechniquesdtosdachievesdsuccessfuls
dairway
EVERYTHINGsd24sdHRsdPOSTsdSURGERY,sdFIRSTsdCOMPLICATIONsdISsdBLEEDIN
G.sdInfectionsdcomessd2-3sddayssdlater.
WhensdasdpulsesdoximetrysdmonitorsdindicatessdthatsdasdpatientsdhassdasddropsdinsdSpO2sdfr
omsd96%sdtosd85%sdoversd4sdhours,sdthesdnursesdwillsdfirst:
1.sdRequestsdansdordersdforsdstatsdABGs
2.sdStartsdthesdpatientsdonsdoxygensdbysdNCsdatsd2L/minute
3.sdNotifysdthesdphysiciansdofsdthesdchange
4.sdChecksdthesdpositionsdofsdthesdprobesdonsdpatient'ssdfingersdorsdearlobesd-sdanswer--4
Pulsesdoximetrysdissdinaccuratesdifsdthesdprobesdissdloose,sdorsdinsdthesdpresencesdofsdpoorsd
circulation,sdnailsdpolish,sdorsddarksdskinsdpigmentation.
Tosddecreasesdasdpatient'ssdshortnesssdofsdbreathsdandsdasdsensesdofsdimpendingsddoomsd
duringsdansdasthmasdattack,sdthesdnursesdwill:
A.sdPlacesdthesdpatientsdonsdasdcardiacsdmonitorsdandsdobservesdfromsdthesdnurses'sdstatio
n.
B.sdLetsdthesdpatientsdrestsdalonesdinsdasdquiet,sdcalmsdenvironment.
C.sdReassuresdthesdpatientsdthatsdthesddoctorsdwillsdarrivesdsoon
D.sdStaysdwithsdthesdpatientsdandsdencouragesdpursed-lipsdbreathing.sd-sdanswer--Dsd
Thesdpatientsdexperiencingsdansdacutesdasthmasdexacerbationsdwillsdbesdfearfulsdandsdanxi
ous.sdItsdissdimportantsdforsdthesdnursesdtosdstaysdwithsdthesdpatientsdforsdongoingsdassessm
entsdandsdtosdprovidesdasdcalmsdenvironment.sdHelpingsdthesdpatientsdbreathesdwithsdpurse
dsdlipssdwillsdfacilitatesdthesdexpirationsdofsdtrappedsdairsdandsdhelpsdthesdpatientsdregainsdco
ntrolsdofsdhissdorsdhersdbreathing.
Asd68sdyearsdoldsdwomansdissdadmittedsdtosdthesdsurgicalsdunitsdaftersdasdgastricsdresections
dforsdgastricsdcancer.sdShesdstatessdthatsdshesddoesn'tsdwantsdanyonesdtosdseesdhersdinsdthi
ssdcondition,sdevensdhersdhusband.sdThissdnurse'ssdbestsdresponsesdis:
, A."Patients'sdrightssdprotectsdyoursdprivacy.sdIsdwon'tsdallowsdanyonesdin."
B."I'vesdseensdgastricsdcancersdpatientssdwhosdlooksdmuchsdworse.sdDon'tsdworry."
C."Wouldsdyousdlikesdtosdtalksdtosdasdsocialsdworker?"
D."Whatsdaboutsdyoursdconditionsdworriessdyou?"sd-sdanswer--Dsd
Thesdnursesdshouldsdallowsdthesdpatientsdtosdsharesdhersdconcernssdandsdexpresssdhersdfee
lingssdinsdasdnonjudgmentalsdenvironment.
Ifsdtheresdissdpsych/behavioralsdcomponent-
sdAFFIRMsdANDsdVALIDATE,sdNOsdPROBING
Asdpatientsdwithsdasdtricuspidsdvalvesddisordersdwillsdhavesdimpairedsdbloodsdflowsdbetween
sdthe:
A.sdVenasdcavasdandsdrightsdatrium
B.sdLeftsdatriumsdandsdleftsdventricle
C.sdRightsdatriumsdandsdrightsdventricle
D.sdRightsdventriclesdandsdpulmonarysdarterysd-sdanswer--C
Tricuspidsdvalvesdissdlocatedsdbetweensdrightsdatriumsdandsdrightsdventricle
MITRALsdVALVE-sdleftsdatriumsdandsdleftsdventricle
IfsdthesdPurkinjesdsystemsdissddamaged,sdconductionsdofsdthesdelectricalsdimpulsesdissdimpa
iredsdthroughsdthe:
A.sdAtria
B.sdAVsdnode
C.sdVentricles
D.sdBundlesdofsdHissd-sdanswer--C
Purkinjesdfiberssdprovidesdasdhigh-
speedsddistributionsdofsdexcitationsdthroughoutsdthesdventricularsdmyocardium;sdifsdthesdpa
tternsdofsdcontractionsdissddisrupted,sdthesdventriclessdwillsdnotsdefficientlysdejectsdblood
OrdersdofsdimpulsesdissdSAsdnodesdtosdAVsdnodesdtosdBundlesdofsdHissdtosdbundlesdbranchsdt
osdpurkinjesdfibers
ThesdP-wavesdonsdansdEKGsdissdrepresentativesdof:
A.sdVentricularsddepolarization
B.sdAtrialsddepolarization
C.sdAtrialsdrepolarization
D.sdVentricularsdrepolarizationsd-sdanswer--B.sdAtrialsddepolarization
PRACTICE QUESTIONS AND
ANSWERS
Asdnewlysddiabeticsdpatientsdwillsdreceivesdinstructionssdfromsdhissdnurse.sdWhichsdofsdthesdf
ollowingsdactionssdshouldsdthesdnursesdtakesdfirst?
A.sdProvidesdthesdpatientsdwithsdbrochuressdforsdmakingsdsmartsdchoicessdforsdcooking/
baking.
B.sdAsksdthesdpatientsdwhatsdtheysdknowsdaboutsddiabetes.
C.sdInstructsdthesdpatientsdonsdexercisesdorsdactivitiessdthatsdwillsdincreasesdtheirsdmetaboli
sm.
D.sdTeachsdthemsdhowsdtosdusesdthesdglucometer.sd-sdanswer--B.sd
Firstsdasksdthesdpatientsdwhatsdtheysdknowsdaboutsddiabetes.
*ACTIONsdquestionssdasksdforsdintervention,sdNOTsdassessment
Thesdpostsdhysterectomysdpatientsdwithsdcallssdthesdclinicsdstatingsdthatsdshesdhassdbeensdh
avingsddifficultysdwithsdincontinence.sdWhichsdofsdthesdfollowingsdstatementssdifsdmadesdbys
dthesdpatient,sdindicatessdthatsdfurthersdteachingsdissdneeded?
A.sdIsddrinksd8sdoz.sdofsdfluidsdonsdthesdevensdhourssdwhilesdawake.
B.sdIsdwillsdattemptsdtosdvoidsd30sdminutessdaftersddrinkingsd200sdcc.sdofsdfluid
C.sdIsdwillsdonlysddrinksdfluidsdwhensdIsdeatsdmysdmeals
D.sdIsdwillsdsetsdthesdtimersdtosdremindsdmesdwhensdtosdvoidsd-sdanswer--C.sd
Asdpatientsdsayingsdthatsdhesdorsdshesdwillsdonlysddrinksdfluidssdwhensdeatingsdmealssdindica
tessdthatsdtheysddon'tsdknowsdwhatsdtosddosdinsdcasesdofsdincontinence.
FURTHERsdTEACHINGsdindicatessdthatsdthesdpatientsdneedssdmoresdinformation
AnsdRNsdassessessdasdpatientsdinsdthesdCancersdCentersdwithsdasddiagnosissdofsdterminalsd
cancer.sdThesdpatientsdstatessdtosdthesdRNsdthatsdhesdissdshortsdofsdbreath,sdhassdnosdappeti
tesdandsdhurtssdeverywhere.sdWhichsdofsdthesdfollowingsdstatementssdbysdthesdnursesdissdb
est?
A.sdTellsdmesdhowsdyoursdfamilysdissdcoping
B.sdShowsdmesdwheresditsddoessdnotsdhurt
C.sdI'llsdteachsdyousdrelaxationsdtechniques
D.sdYoursdphysiciansdshouldsdincreasesdyoursdpainsdmedicationsd-sdanswer--C
Asdclinicalsdnursesdreturnssdtosdthesddesksdtosdfindsd4sdphonesdmessages.sdWhichsdofsdthesdf
ollowingsdmessagessdshouldsdthesdnursesdrespondsdtosdfirst?
,A.sdAsdpostsdcervicalsdlaminectomysdpatientsdcomplainingsdofsdsuddensddifficultysdtalking.
B.sdAsdpatientsdwithsdmultiplesdsclerosissdcomplainingsdofsdchangesdinsdperipheralsdvision.
C.sdAsdpatientsdwithsdasdherniatedsddiscsdcomplainingsdofsdconsistentsdbacksdpain.
D.sdAsdpatientsdwithsdasdcastsdduesdtosdasdfracturesdofsdthesdrightsdtibialsdbonesdcomplainingsd
ofsdtinglingsdtoes.sd-sdanswer--A
BsdandsdCsdaresdexpectedsdsymptomssdofsdthesdpatient'ssdcondition.sdAsdandsdDsdaresdunex
pected.sdDsdissdlesssdcriticalsdthansdA.sdBestsdanswersdissdA.
Asd75sdyearsdoldsdpatientsdcomplainssdtosdthesdclinicalsdnursesdthatsdhesdissdhavingsddifficult
ysdsleeping.sdWhichsdofsdthesdfollowingsdactionssdbysdthesdnursesdissdmostsdappropriate?
A.sdDeterminesdthesdpatient'ssdusualsdsleepingsdandsdwakingsdpatterns.
B.sdSuggestsdthatsdthesdclientsdabstainsdfromsdalcoholsdandsdcaffeinesdbeforesdbedsdtime.
C.sdRecommendsdthatsdclientsdestablishsdasdbedtimesdroutine.
D.sdAsksdhowsdmuchsdsleepsdthesdclientsdrequiredsdbeforesdretirement.sd-sdanswer--A
BsdandsdCsdaresdrecommendationssdthatsdthesdRNsdcansdsharesdaftersdhe/
shesddeterminessdthesdpatient'ssdsleepingsdandsdwakingsdpatterns.sdSosdremovesdBsdandsd
C.sdDsdissdansdinquiry,sdbutsdissdconcernedsdaboutsdthesdpastsd(whensdthesdpersonsdretired).
sdRemovesdD.sdAsdissdthesdbestsdanswer.
Thesdnursesdcaressdforsdasdpatientsdseveralsdhourssdaftersdasdthyroidectomy.sdThesdRNsdob
servessdthatsdthesdpatientsdissddiaphoreticsdandsdconfused.sdThesdvitalsdsignssdare:
Tempsd=sd102°sd(38.9sd°sdC);sdBPsdissd160/90;sdpulsesdissd110,sdrespirationsdissd22.sdThesdn
ursesdexpectssdthesdphysiciansdtosdordersdwhichsdofsdthesdfollowing?
A.sdNPO,sdDextransd10sdml/kg.sdIV,sd02sd4sdL/min.
B.sdPropranololsd(Inderal)sd1sdmg.sdIV,sdD5Wsd125sdcc/
hrsdIV,sdpropylthiaouracilsd(PTU)sd200sdmgsdposdqld.
C.sdLevothyroxinesdSodiumsd(Synthroid)sd100sdmcgsdIV,sdLactatedsdRinger'ssd125sdcc/
hrsdIV,sdandsdciprofloxacinsd(cipro)sd500sdmg.sdposdbid.
D.sdMorphinesdsulfatesd2.5sdmg.sdIVsdq.sd4sdhrs.sdprn,sd0.9%sdNACl.sd-sdanswer--B
Asd63sdyearsdoldsdfemalesdpatientsdcontactssdthesdclinicsdtosdreportsdthatsdshesdissdhassdbee
nsdextremelysdfatigued,sdissdsleepingsd12sdhourssdasdnight,sdissdalwayssdcoldsdandsdhersdhair
sdissdfallingsdout.sdWhichsdofsdthesdfollowingsdresponsessdbysdthesdnursesdissdmostsdappropri
ate?
A.sdYousdwillsdhavesdmoresdenergysdifsdyousdwalksd30sdminsdeverysdday.
B.sdYousddon'tsdneedsdtosdworry.sdSleepingsdasdlotsdissdgoodsdforsdyou.
C.sdComesdinsdandsdseesdyoursdhealthsdcaresdprovidersdtoday.
D.sdYousdshouldsdeatsdmoresdgreensdleafysdvegetables.sd-sdanswer--C
Needsdmoresdinfo
ThesdRNsdperformssdbloodsdpressuresdscreeningsdatsdthesdlocalsdcommunitysdcenter.sdWhi
chsdofsdthesdfollowingsdindividualssdissdmostsdlikelysdtosdsuffersdfromsdasdcerebrovascularsda
ccident?
,A.sdAsd30sdyearsdoldsdmansdwhosdissdansdaccountsdexecutive
B.sdAsd40sdyearsdoldsdmansdwhosdjogssdfoursdtimessdasdweek.
C.sdAsd60sdyearsdoldsdmansdwhosesdfathersdhadsdasdstroke.
D.sdAsd75sdyearsdoldsdmansdwhosdtakessdmulti-vitamins.sd-sdanswer--C
Forsdthesdpatientsdwithsdasdnewsdtracheostomy,sdthesdnursesdmustsdbesdalertsdtosdwhichsdea
rlysdcomplication?
a)sdDecannulation
b)sdInfection
c)sdBleeding
d)sdTracheomalaciasd-sdanswer--Csd
Commonsdacutesdriskssdofsdtracheostomysdincludesdbleeding,sdairwaysdloss,sddamagesdtos
dadjacentsdstructures,sdandsdfailuresdofsdthesdchosensdtechniquesdtosdachievesdsuccessfuls
dairway
EVERYTHINGsd24sdHRsdPOSTsdSURGERY,sdFIRSTsdCOMPLICATIONsdISsdBLEEDIN
G.sdInfectionsdcomessd2-3sddayssdlater.
WhensdasdpulsesdoximetrysdmonitorsdindicatessdthatsdasdpatientsdhassdasddropsdinsdSpO2sdfr
omsd96%sdtosd85%sdoversd4sdhours,sdthesdnursesdwillsdfirst:
1.sdRequestsdansdordersdforsdstatsdABGs
2.sdStartsdthesdpatientsdonsdoxygensdbysdNCsdatsd2L/minute
3.sdNotifysdthesdphysiciansdofsdthesdchange
4.sdChecksdthesdpositionsdofsdthesdprobesdonsdpatient'ssdfingersdorsdearlobesd-sdanswer--4
Pulsesdoximetrysdissdinaccuratesdifsdthesdprobesdissdloose,sdorsdinsdthesdpresencesdofsdpoorsd
circulation,sdnailsdpolish,sdorsddarksdskinsdpigmentation.
Tosddecreasesdasdpatient'ssdshortnesssdofsdbreathsdandsdasdsensesdofsdimpendingsddoomsd
duringsdansdasthmasdattack,sdthesdnursesdwill:
A.sdPlacesdthesdpatientsdonsdasdcardiacsdmonitorsdandsdobservesdfromsdthesdnurses'sdstatio
n.
B.sdLetsdthesdpatientsdrestsdalonesdinsdasdquiet,sdcalmsdenvironment.
C.sdReassuresdthesdpatientsdthatsdthesddoctorsdwillsdarrivesdsoon
D.sdStaysdwithsdthesdpatientsdandsdencouragesdpursed-lipsdbreathing.sd-sdanswer--Dsd
Thesdpatientsdexperiencingsdansdacutesdasthmasdexacerbationsdwillsdbesdfearfulsdandsdanxi
ous.sdItsdissdimportantsdforsdthesdnursesdtosdstaysdwithsdthesdpatientsdforsdongoingsdassessm
entsdandsdtosdprovidesdasdcalmsdenvironment.sdHelpingsdthesdpatientsdbreathesdwithsdpurse
dsdlipssdwillsdfacilitatesdthesdexpirationsdofsdtrappedsdairsdandsdhelpsdthesdpatientsdregainsdco
ntrolsdofsdhissdorsdhersdbreathing.
Asd68sdyearsdoldsdwomansdissdadmittedsdtosdthesdsurgicalsdunitsdaftersdasdgastricsdresections
dforsdgastricsdcancer.sdShesdstatessdthatsdshesddoesn'tsdwantsdanyonesdtosdseesdhersdinsdthi
ssdcondition,sdevensdhersdhusband.sdThissdnurse'ssdbestsdresponsesdis:
, A."Patients'sdrightssdprotectsdyoursdprivacy.sdIsdwon'tsdallowsdanyonesdin."
B."I'vesdseensdgastricsdcancersdpatientssdwhosdlooksdmuchsdworse.sdDon'tsdworry."
C."Wouldsdyousdlikesdtosdtalksdtosdasdsocialsdworker?"
D."Whatsdaboutsdyoursdconditionsdworriessdyou?"sd-sdanswer--Dsd
Thesdnursesdshouldsdallowsdthesdpatientsdtosdsharesdhersdconcernssdandsdexpresssdhersdfee
lingssdinsdasdnonjudgmentalsdenvironment.
Ifsdtheresdissdpsych/behavioralsdcomponent-
sdAFFIRMsdANDsdVALIDATE,sdNOsdPROBING
Asdpatientsdwithsdasdtricuspidsdvalvesddisordersdwillsdhavesdimpairedsdbloodsdflowsdbetween
sdthe:
A.sdVenasdcavasdandsdrightsdatrium
B.sdLeftsdatriumsdandsdleftsdventricle
C.sdRightsdatriumsdandsdrightsdventricle
D.sdRightsdventriclesdandsdpulmonarysdarterysd-sdanswer--C
Tricuspidsdvalvesdissdlocatedsdbetweensdrightsdatriumsdandsdrightsdventricle
MITRALsdVALVE-sdleftsdatriumsdandsdleftsdventricle
IfsdthesdPurkinjesdsystemsdissddamaged,sdconductionsdofsdthesdelectricalsdimpulsesdissdimpa
iredsdthroughsdthe:
A.sdAtria
B.sdAVsdnode
C.sdVentricles
D.sdBundlesdofsdHissd-sdanswer--C
Purkinjesdfiberssdprovidesdasdhigh-
speedsddistributionsdofsdexcitationsdthroughoutsdthesdventricularsdmyocardium;sdifsdthesdpa
tternsdofsdcontractionsdissddisrupted,sdthesdventriclessdwillsdnotsdefficientlysdejectsdblood
OrdersdofsdimpulsesdissdSAsdnodesdtosdAVsdnodesdtosdBundlesdofsdHissdtosdbundlesdbranchsdt
osdpurkinjesdfibers
ThesdP-wavesdonsdansdEKGsdissdrepresentativesdof:
A.sdVentricularsddepolarization
B.sdAtrialsddepolarization
C.sdAtrialsdrepolarization
D.sdVentricularsdrepolarizationsd-sdanswer--B.sdAtrialsddepolarization
