NUR
215 STUDY GUIDE| NUR 215 EXAM 2
QUESTIONS WITH VERIFIED SOLUTIONS
TESTED AND APPROVED!!!
What is the first priority of interprofessional care for a pt with a suspected acute
aortic dissection?
a. Reduce anxiety
b. Monitor CP
c. Control BP
d. Increase myocardial contractility -- ANSWER--c. Control BP
When planning care for a pt at risk for pulm embolism, the RN prioritizes
a. Maintaining the pt on bed rest
b. Using intermittent pneumatic compression devices
c. Encouraging the pt to cough & deep breathe
d. Teaching the pt how to use the IS -- ANSWER--b. Using intermittent
pneumatic compression devices
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A 50 y/o woman that weighs 95kg has a hx of tobacco use, high BP, high
sodium intake, & sedentary lifestyle. Which is the most important risk fx for
PAD to address in the nursing plan of care?
a. Salt intake
b. Tobacco use
c. Excess wt
d. Sedentary lifestyle -- ANSWER--b. Tobacco use
When teaching a pt about rest pain with PAD, what should the RN explain as
the cause of the pain?
a. Vasospasm of cutaneous arteries in the feet
b. Decrease in blood flow to the nerves of the feet
c. Increase in retrograde venous perfusion to the lower legs
d. Constriction in blood flow to leg muscles during exercise -- ANSWER--b.
Decrease in blood flow to the nerves of the feet
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A pt with infective endocarditis develops sudden L leg pain with pallor,
paresthesia, & a loss of peripheral pulses. What should be the RN's initial
action?
a. Notify the HCP to change in perfusion
b. Start anticoagulant therapy with IV heparin
c. Elevate the leg to improve venous return
d. Position the pt in reverse Trendelenburg -- ANSWER--a. Notify the HCP to
change in perfusion
A pt is admitted to the hospital with a dx of AAA. Which s/s would suggest that
the aneurysm has ruptured?
a. Rapid onset of SOB & hemoptysis
b. Sudden, severe low back pain & bruising along flank
c. Gradually increasing substernal CP & diaphoresis
d. Sudden, patchy blue mottling on feet/toes & rest pain -- ANSWER--b.
Sudden, severe low back pain & bruising along flank
What are the priority RN interventions 8hrs after an AAA repair?
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a. Assess nutritional status & dietary preferences
b. Initiating IV heparin & monitoring anticoagulation
c. Administering IV fluids & watching kidney fx
d. Elevating the legs & applying compression stockings -- ANSWER--c.
Administering IV fluids & watching kidney fx
SATA: A pt is admitted to the hospital in a HTN emergency (BP 244/142
mmHg). Sodium nitroprusside is started to treat the elevated BP. Which mgmt.
strategies would be most appropriate for the pt?
a. Measuring hourly urine output
b. Continuous BP monitoring with an arterial line
c. Decreasing the MAP by 50% within the 1st hour
d. Maintaining bed rest & giving tranquilizers to lower the BP
e. Assess the pts for s/s HF & changes in mental status -- ANSWER--a, b, & e
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