MEDSURG EVOLVE EXAM 1 2025-2026
NEWEST QUESTIONS AND DETAILED
CORRECT ANSWERS | A+ GRADE
VERIFIED ANSWERS
The nurse is caring for a patient admitted with
emphysema, angina, and hypertension. Before
administering the prescribed daily dose of atenolol 100 mg
PO, the nurse assesses the patient carefully. Which of the
following adverse effects is this patient at risk for given the
patient's health history?
Hypocapnia
Tachycardia
Bronchospasm
Nausea and vomiting Correct Answer Bronchospasm
The nurse is caring for a patient with hypertension who is
scheduled to receive a dose of atenolol (Tenormin). The
nurse should withhold the dose and consult the
prescribing physician for which of the following vital signs
taken just before administration?
Pulse 48
Respirations 24
Blood pressure 118/74
Oxygen saturation 93% Correct Answer Pulse 48
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?
Muscle aches
Constipation
Pounding headache
Anorexia and nausea Correct Answer Anorexia and
nausea
The nurse is preparing to administer digoxin to a patient
with HF. In preparation, lab results are reviewed with the
following findings: sodium 139 mEq/L, potassium 3.0
mEq/L, chloride 103 mEq/L, and glucose 106 mg/dl. The
nurse should do which of the following at this time?
Withhold the daily dose until the following day.
Withhold the dose and report the potassium level.
Give the digoxin with a salty snack, such as crackers.
Give the digoxin with extra fluids to dilute the sodium
level. Correct Answer Withhold the dose and report the
potassium level.
The nurse is caring for a patient newly diagnosed with
heart failure. The patient is to receive a first dose of
digoxin (Lanoxin) 0.125 mg IV push. An ampule containing
0.25 mg/ml is available. How many milliliters should the
nurse draw up to administer the dose?
0.5 ml
0.6 ml
1.2 ml
1.4 ml Correct Answer 0.5 ml
,The priority nursing assessment of a patient receiving IV
nesiritide (Natrecor) to treat HF would be
Urine output.
Lung sounds.
Blood pressure.
Respiratory rate. Correct Answer Blood pressure.
A patient admitted with HF appears very anxious and
complains of shortness of breath. Which of the following
nursing actions would be appropriate to alleviate this
patients anxiety (select all that apply)?
Position patient in a semi-Fowlers position.
Administrate ordered morphine sulfate.
Position patient on left side with head of bed flat.
Instruct patient on the use of relaxation techniques.
Use a calm, reassuring approach while talking to patient.
Correct Answer Position patient in a semi-Fowlers
position.
Administrate ordered morphine sulfate.
Instruct patient on the use of relaxation techniques.
Use a calm, reassuring approach while talking to patient.
A male patient with a long-standing history of HF has
recently qualified for hospice care. Which of the following
measures should the nurse now prioritize when providing
care for this patient?
Tapering the patient off his current medications
Continuing education for the patient and his family
Pursuing experimental therapies or surgical options
, Choosing interventions to promote comfort and prevent
suffering Correct Answer Choosing interventions to
promote comfort and prevent suffering
The nurse would recognize that indications for the use of
dopamine (Intropin) in the care of a patient with heart
failure include
Acute anxiety.
Hypotension and tachycardia.
Peripheral edema and weight gain.
Paroxysmal nocturnal dyspnea (PND). Correct Answer
Hypotension and tachycardia.
A patient with a recent diagnosis of HF has been
prescribed furosemide (Lasix) in an effort to
Reduce preload.
Decrease afterload.
Increase contractility.
Promote vasodilation. Correct Answer Reduce preload.
A patient with a diagnosis of heart failure has been started
on a nitroglycerin patch by his primary care provider. This
patient should be advised to avoid
High-potassium foods.
Drugs to treat erectile dysfunction.
Over-the-counter H2-receptor blockers.
Nonsteroidal antiinflammatory drugs. Correct Answer
Drugs to treat erectile dysfunction.
Upon admission assessment, the nurse notes clubbing of
the patient's fingers. Based on this finding, the nurse will
NEWEST QUESTIONS AND DETAILED
CORRECT ANSWERS | A+ GRADE
VERIFIED ANSWERS
The nurse is caring for a patient admitted with
emphysema, angina, and hypertension. Before
administering the prescribed daily dose of atenolol 100 mg
PO, the nurse assesses the patient carefully. Which of the
following adverse effects is this patient at risk for given the
patient's health history?
Hypocapnia
Tachycardia
Bronchospasm
Nausea and vomiting Correct Answer Bronchospasm
The nurse is caring for a patient with hypertension who is
scheduled to receive a dose of atenolol (Tenormin). The
nurse should withhold the dose and consult the
prescribing physician for which of the following vital signs
taken just before administration?
Pulse 48
Respirations 24
Blood pressure 118/74
Oxygen saturation 93% Correct Answer Pulse 48
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?
Muscle aches
Constipation
Pounding headache
Anorexia and nausea Correct Answer Anorexia and
nausea
The nurse is preparing to administer digoxin to a patient
with HF. In preparation, lab results are reviewed with the
following findings: sodium 139 mEq/L, potassium 3.0
mEq/L, chloride 103 mEq/L, and glucose 106 mg/dl. The
nurse should do which of the following at this time?
Withhold the daily dose until the following day.
Withhold the dose and report the potassium level.
Give the digoxin with a salty snack, such as crackers.
Give the digoxin with extra fluids to dilute the sodium
level. Correct Answer Withhold the dose and report the
potassium level.
The nurse is caring for a patient newly diagnosed with
heart failure. The patient is to receive a first dose of
digoxin (Lanoxin) 0.125 mg IV push. An ampule containing
0.25 mg/ml is available. How many milliliters should the
nurse draw up to administer the dose?
0.5 ml
0.6 ml
1.2 ml
1.4 ml Correct Answer 0.5 ml
,The priority nursing assessment of a patient receiving IV
nesiritide (Natrecor) to treat HF would be
Urine output.
Lung sounds.
Blood pressure.
Respiratory rate. Correct Answer Blood pressure.
A patient admitted with HF appears very anxious and
complains of shortness of breath. Which of the following
nursing actions would be appropriate to alleviate this
patients anxiety (select all that apply)?
Position patient in a semi-Fowlers position.
Administrate ordered morphine sulfate.
Position patient on left side with head of bed flat.
Instruct patient on the use of relaxation techniques.
Use a calm, reassuring approach while talking to patient.
Correct Answer Position patient in a semi-Fowlers
position.
Administrate ordered morphine sulfate.
Instruct patient on the use of relaxation techniques.
Use a calm, reassuring approach while talking to patient.
A male patient with a long-standing history of HF has
recently qualified for hospice care. Which of the following
measures should the nurse now prioritize when providing
care for this patient?
Tapering the patient off his current medications
Continuing education for the patient and his family
Pursuing experimental therapies or surgical options
, Choosing interventions to promote comfort and prevent
suffering Correct Answer Choosing interventions to
promote comfort and prevent suffering
The nurse would recognize that indications for the use of
dopamine (Intropin) in the care of a patient with heart
failure include
Acute anxiety.
Hypotension and tachycardia.
Peripheral edema and weight gain.
Paroxysmal nocturnal dyspnea (PND). Correct Answer
Hypotension and tachycardia.
A patient with a recent diagnosis of HF has been
prescribed furosemide (Lasix) in an effort to
Reduce preload.
Decrease afterload.
Increase contractility.
Promote vasodilation. Correct Answer Reduce preload.
A patient with a diagnosis of heart failure has been started
on a nitroglycerin patch by his primary care provider. This
patient should be advised to avoid
High-potassium foods.
Drugs to treat erectile dysfunction.
Over-the-counter H2-receptor blockers.
Nonsteroidal antiinflammatory drugs. Correct Answer
Drugs to treat erectile dysfunction.
Upon admission assessment, the nurse notes clubbing of
the patient's fingers. Based on this finding, the nurse will
