MSN 5410 ADVANCED MEDICAL SURGICAL NURSING Exam Questions And Answers Verified 100% Correct

MSN 5410 ADVANCED MEDICAL SURGICAL NURSING Exam Questions And Answers Verified 100% Correct 21. The nurse caring for a patient admitted with burns over 30% of the body surface assesses that urine output has dramatically increased. Which action by the nurse would best support maintaining kidney function? A. Monitor white blood cells (WBCs). B. Continue to measure the urine output. C. Assess that blisters and edema have subsided. D. Encourage the patient to eat an adequate number of calories. 22. The emergency department nurse is assessing a client who has sustained a blunt injury to the chest wall. Which finding indicates the presence of a pneumothorax in this client? 1. A low respiratory rate 2. Diminished breath sounds 3. The presence of a barrel chest 4. A sucking sound at the site of injury 23. An oxygen delivery system is prescribed for a client with chronic obstructive pulmonary disease to deliver a precise oxygen concentration. Which oxygen delivery system would the nurse prepare for the client? 1. Face tent 2. Venturi mask 3. Aerosol mask 4. Tracheostomy collar 24. 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. 25. A client has frequent bursts of ventricular tachycardia on the cardiac monitor. What should the nurse be most concerned about with this dysrhythmia? 1. It can develop into ventricular fibrillation at any time. 2. It is almost impossible to convert to a normal rhythm. 3. It is uncomfortable for the client, giving a sense of impending doom. 4. It produces a high cardiac output that quickly leads to cerebral and myocardial ischemia. 26. The nurse is watching the cardiac monitor and notices that the rhythm suddenly changes. There are no P waves, the QRS complexes are wide, and the ventricular rate is regular but more than 140 beats/minute. The nurse determines that the client is experiencing which dysrhythmia? a. atrial flutter b. ventricular fibrillation c. atrial fibrillation d. ventricular tachycardia 27. The nurse administers prescribed therapies for a patient with cor pulmonale and right sided heart failure. Which assessment could be used to evaluate the effectiveness of the therapies? a. Observe for distended neck veins. b. Auscultate for crackles in the lungs. c. Palpate for heaves or thrills over the heart. d. Monitor for elevated white blood cell count. 28. The nurse is caring for a client immediately after removal of the endotracheal tube. The nurse should report which sign immediately if experienced by the client? A. Stridor B. Occasional, pink-tinged sputum C. Respiratory rate of 24 breaths/minute D. A few basilar lung crackles on the right 29. The nurse is caring for a client with a nasogastric tube that is attached to low suction. The nurse monitors the client for manifestations of which disorder that the client is at risk for? A. Metabolic acidosis B. Metabolic alkalosis C. Respiratory acidosis D. Respiratory alkalosis 30. Which vital sign is most important for the nurse to monitor in a patient receiving general anesthesia in the post anesthesia care unit? a) Pulse b) Blood pressure c) Respiratory rate d) Body temperature 31. The nurse is evaluating a patient’s cardiogram (ECG) rhythm strip. The nurse notes the presence of a U wave. What action by the nurse is priority? a) Check the patient’s lead placement b) Prepare to administer magnesium sulfate c) Document the findings in the patient’s chart d) Request that a stat potassium level is obtained. 32. A nurse working in a burn unit is caring for a patient with extensive burns that affect more than 40% of the total body surface (TBS). The patient is now in day #6 post burn. The patient has been complaining of nausea, vomiting, moderate abdominal bloating, and diffuse discomfort in his belly. During the assessment the nurse finds a urinary output of about 4L in 24 hours (polyuria), and absent of the bowel sounds in all 4 quadrants. The nurse suspects which of the following: a) Hypovolemic shock. b) Mechanical obstruction of the small intestine. c) Mesenteric thrombosis. d) Paralytic ileus. 33. Intravenous heparin therapy is prescribed for a client with A. Fib. While implementing this prescription, the nurse ensures that which medication is available on the nursing unit? A- Vitamin K B- Protamine Sulfate C- Potassium Chloride D- Aminocaproic acid. 34. The nurse is monitoring a client for signs and symptoms related to superior vena cava syndrome. Which is an early sign of this oncological emergency? a. Cyanosis b. Arm edema c. Periorbital edema d. Mental status change 35. The nurse is watching the cardiac monitor, and a client’s rhythm suddenly changes. There are no P waves; instead, there are fibrillatory waves before each QRS complex. How should the nurse interpret the client’s rhythm? a. Atrial fibrillation