NSG 420 MEDSURG 2 TEST ONE QUESTIONS WITH
CORRECT ANSWERS
After |noting |a |pulse |deficit |when |assessing |a |74-year-old |patient |who |has |just |arrived |in |the |
emergency
department, |the |nurse |will |anticipate |that |the |patient |may |require |- |CORRECT |ANSWER✔✔-
electrocardiographic |(ECG) |monitoring
When |reviewing |the |12-lead |electrocardiograph |(ECG) |for |a |healthy |79-year-old |patient |who |is
|having |an
annual |physical |examination, |what |will |be |of
most
| concern |to |the |nurse? |- |CORRECT |ANSWER✔✔-The |heart |rate |(HR) |is |42 |beats/minute.
During |a |physical |examination |of |a |74-year-old |patient, |the |nurse |palpates |the |point |of |
maximal |impulse
(PMI) |in |the |sixth |intercostal |space |lateral |to |the |left |midclavicular |line. |The
most
| appropriate |action |for |the
nurse |to |take |next |will |be |to |- |CORRECT |ANSWER✔✔-assess |the |patient |for |symptoms |of |left |
ventricular |hypertrophy.
To |auscultate |for |S3 |or |S4 |gallops |in |the |mitral |area, |the |nurse |listens |with |the |- |CORRECT |
ANSWER✔✔-bell |of |the |stethoscope |with |the |patient |in |the |left |lateral |position
To |determine |the |effects |of |therapy |for |a |patient |who |is |being |treated |for |heart |failure, |which |
laboratory
,result |will |the |nurse |plan |to |review? |- |CORRECT |ANSWER✔✔-B-type |natriuretic |peptide |(BNP)
While |doing |the |admission |assessment |for |a |thin |76-year-old |patient, |the |nurse |observes |
pulsation |of |the
abdominal |aorta |in |the |epigastric |area. |Which |action |should |the |nurse |take? |- |CORRECT |
ANSWER✔✔-Document |the |finding |in |the |patient |chart
A |patient |is |scheduled |for |a |cardiac |catheterization |with |coronary |angiography. |Before |the |
test, |the |nurse
informs |the |patient |that |- |CORRECT |ANSWER✔✔-a |flushed |feeling |may |be |noted |when |the |
contrast |dye |is |injected
While |assessing |a |patient |who |was |admitted |with |heart |failure, |the |nurse |notes |that |the |
patient |has |jugular
venous |distention |(JVD) |when |lying |flat |in |bed. |Which |action |should |the |nurse |take |next |? |- |
CORRECT |ANSWER✔✔-Observe |for |JVD |with |the |patient |upright |at |45 |degree
The |nurse |teaches |the |patient |being |evaluated |for |rhythm |disturbances |with |a |Holter |monitor |
to |- |CORRECT |ANSWER✔✔-keep |a |diary |of |daily |activities |while |the |monitor |is |worn.
When |auscultating |over |the |patients |abdominal |aorta, |the |nurse |hears |a |humming |sound. |The
|nurse
documents |this |finding |as |a |- |CORRECT |ANSWER✔✔-bruit.
the |nurse |has |received |the |laboratory |results |for |a |patient |who |developed |chest |pain |4 |hours |
ago |and |may
be |having |a |myocardial |infarction. |The
most
| important |laboratory |result |to |review |will |be |- |CORRECT |ANSWER✔✔-troponins |T |and |I.
,When |assessing |a |newly |admitted |patient, |the |nurse |notes |a |murmur |along |the |left |sternal |
border. |To
document |more |information |about |the |murmur, |which |action |will |the |nurse |take |next |? |- |
CORRECT |ANSWER✔✔-Determine |the |timing |of |the |murmur.
The |nurse |hears |a |murmur |between |the |S1 |and |S2 |heart |sounds |at |the |patients |left |fifth |
intercostal |space |and
midclavicular |line. |How |will |the |nurse |record |this |information? |- |CORRECT |ANSWER✔✔-
Systolic |murmur |heard |at |mitral |area
A |registered |nurse |(RN) |is |observing |a |student |nurse |who |is |doing |a |physical |assessment |on |a |
patient. |The
RN |will |need |to |intervene |immediately |if |the |student |nurse |- |CORRECT |ANSWER✔✔-palpates |
both |carotid |arteries |simultaneously |to |compare |pulse |quality.
Which |action |will |the |nurse |implement |for |a |patient |who |arrives |for |a |calcium-scoring |CT |
scan? |- |CORRECT |ANSWER✔✔-Teach |the |patient |about |the |procedure.
Which |information |obtained |by |the |nurse |who |is |admitting |the |patient |for |magnetic |resonance
|imaging
(MRI) |will |be
most
important |to |report |to |the |health |care |provider |before |the |MRI? |- |CORRECT |ANSWER✔✔-The |
patient |has |a |permanent |ventricular |pacemaker.
When |the |nurse |is |monitoring |a |patient |who |is |undergoing |exercise |(stress) |testing |on |a |
treadmill, |which
assessment |finding |requires |the
, most
rapid |action |by |the |nurse? |- |CORRECT |ANSWER✔✔-Newly |inverted |T |waves |on |the |
electrocardiogram
The |standard |policy |on |the |cardiac |unit |states, |Notify |the |health |care |provider |for |mean |
arterial |pressure
(MAP) |less |than |70 |mm |Hg. |The |nurse |will |need |to |call |the |health |care |provider |about |the |- |
CORRECT |ANSWER✔✔-postoperative |patient |with |a |BP |of |116/42.
When |admitting |a |patient |for |a |cardiac |catheterization |and |coronary |angiogram, |which |
information |about
the |patient |is
most |important |for |the |nurse |to |communicate |to |the |health |care |provider? |- |CORRECT |
ANSWER✔✔-The |patient |is |allergic |to |shellfish
A |transesophageal |echocardiogram |(TEE) |is |ordered |for |a |patient |with |possible |endocarditis. |
Which |action
included |in |the |standard |TEE |orders |will |the |nurse |need |to |accomplish |first |? |- |CORRECT |
ANSWER✔✔-Place |the |patient |on |NPO |status
The |nurse |is |reviewing |the |laboratory |results |for |newly |admitted |patients |on |the |
cardiovascular |unit. |Which
patient |laboratory |result |is
most |important |to |communicate |as |soon |as |possible |to |the |health |care |provider? |- |CORRECT |
ANSWER✔✔-Patient |with |increase |in |troponin |T |and |troponin |I |level
The |nurse |and |unlicensed |assistive |personnel |(UAP) |on |the |telemetry |unit |are |caring |for |four |
patients.
Which |nursing |action |can |be |delegated |to |the |UAP? |- |CORRECT |ANSWER✔✔-Placing |
electrodes |in |the |correct |position |for |a |patient |who |is |to |receive |ECG |monitoring
CORRECT ANSWERS
After |noting |a |pulse |deficit |when |assessing |a |74-year-old |patient |who |has |just |arrived |in |the |
emergency
department, |the |nurse |will |anticipate |that |the |patient |may |require |- |CORRECT |ANSWER✔✔-
electrocardiographic |(ECG) |monitoring
When |reviewing |the |12-lead |electrocardiograph |(ECG) |for |a |healthy |79-year-old |patient |who |is
|having |an
annual |physical |examination, |what |will |be |of
most
| concern |to |the |nurse? |- |CORRECT |ANSWER✔✔-The |heart |rate |(HR) |is |42 |beats/minute.
During |a |physical |examination |of |a |74-year-old |patient, |the |nurse |palpates |the |point |of |
maximal |impulse
(PMI) |in |the |sixth |intercostal |space |lateral |to |the |left |midclavicular |line. |The
most
| appropriate |action |for |the
nurse |to |take |next |will |be |to |- |CORRECT |ANSWER✔✔-assess |the |patient |for |symptoms |of |left |
ventricular |hypertrophy.
To |auscultate |for |S3 |or |S4 |gallops |in |the |mitral |area, |the |nurse |listens |with |the |- |CORRECT |
ANSWER✔✔-bell |of |the |stethoscope |with |the |patient |in |the |left |lateral |position
To |determine |the |effects |of |therapy |for |a |patient |who |is |being |treated |for |heart |failure, |which |
laboratory
,result |will |the |nurse |plan |to |review? |- |CORRECT |ANSWER✔✔-B-type |natriuretic |peptide |(BNP)
While |doing |the |admission |assessment |for |a |thin |76-year-old |patient, |the |nurse |observes |
pulsation |of |the
abdominal |aorta |in |the |epigastric |area. |Which |action |should |the |nurse |take? |- |CORRECT |
ANSWER✔✔-Document |the |finding |in |the |patient |chart
A |patient |is |scheduled |for |a |cardiac |catheterization |with |coronary |angiography. |Before |the |
test, |the |nurse
informs |the |patient |that |- |CORRECT |ANSWER✔✔-a |flushed |feeling |may |be |noted |when |the |
contrast |dye |is |injected
While |assessing |a |patient |who |was |admitted |with |heart |failure, |the |nurse |notes |that |the |
patient |has |jugular
venous |distention |(JVD) |when |lying |flat |in |bed. |Which |action |should |the |nurse |take |next |? |- |
CORRECT |ANSWER✔✔-Observe |for |JVD |with |the |patient |upright |at |45 |degree
The |nurse |teaches |the |patient |being |evaluated |for |rhythm |disturbances |with |a |Holter |monitor |
to |- |CORRECT |ANSWER✔✔-keep |a |diary |of |daily |activities |while |the |monitor |is |worn.
When |auscultating |over |the |patients |abdominal |aorta, |the |nurse |hears |a |humming |sound. |The
|nurse
documents |this |finding |as |a |- |CORRECT |ANSWER✔✔-bruit.
the |nurse |has |received |the |laboratory |results |for |a |patient |who |developed |chest |pain |4 |hours |
ago |and |may
be |having |a |myocardial |infarction. |The
most
| important |laboratory |result |to |review |will |be |- |CORRECT |ANSWER✔✔-troponins |T |and |I.
,When |assessing |a |newly |admitted |patient, |the |nurse |notes |a |murmur |along |the |left |sternal |
border. |To
document |more |information |about |the |murmur, |which |action |will |the |nurse |take |next |? |- |
CORRECT |ANSWER✔✔-Determine |the |timing |of |the |murmur.
The |nurse |hears |a |murmur |between |the |S1 |and |S2 |heart |sounds |at |the |patients |left |fifth |
intercostal |space |and
midclavicular |line. |How |will |the |nurse |record |this |information? |- |CORRECT |ANSWER✔✔-
Systolic |murmur |heard |at |mitral |area
A |registered |nurse |(RN) |is |observing |a |student |nurse |who |is |doing |a |physical |assessment |on |a |
patient. |The
RN |will |need |to |intervene |immediately |if |the |student |nurse |- |CORRECT |ANSWER✔✔-palpates |
both |carotid |arteries |simultaneously |to |compare |pulse |quality.
Which |action |will |the |nurse |implement |for |a |patient |who |arrives |for |a |calcium-scoring |CT |
scan? |- |CORRECT |ANSWER✔✔-Teach |the |patient |about |the |procedure.
Which |information |obtained |by |the |nurse |who |is |admitting |the |patient |for |magnetic |resonance
|imaging
(MRI) |will |be
most
important |to |report |to |the |health |care |provider |before |the |MRI? |- |CORRECT |ANSWER✔✔-The |
patient |has |a |permanent |ventricular |pacemaker.
When |the |nurse |is |monitoring |a |patient |who |is |undergoing |exercise |(stress) |testing |on |a |
treadmill, |which
assessment |finding |requires |the
, most
rapid |action |by |the |nurse? |- |CORRECT |ANSWER✔✔-Newly |inverted |T |waves |on |the |
electrocardiogram
The |standard |policy |on |the |cardiac |unit |states, |Notify |the |health |care |provider |for |mean |
arterial |pressure
(MAP) |less |than |70 |mm |Hg. |The |nurse |will |need |to |call |the |health |care |provider |about |the |- |
CORRECT |ANSWER✔✔-postoperative |patient |with |a |BP |of |116/42.
When |admitting |a |patient |for |a |cardiac |catheterization |and |coronary |angiogram, |which |
information |about
the |patient |is
most |important |for |the |nurse |to |communicate |to |the |health |care |provider? |- |CORRECT |
ANSWER✔✔-The |patient |is |allergic |to |shellfish
A |transesophageal |echocardiogram |(TEE) |is |ordered |for |a |patient |with |possible |endocarditis. |
Which |action
included |in |the |standard |TEE |orders |will |the |nurse |need |to |accomplish |first |? |- |CORRECT |
ANSWER✔✔-Place |the |patient |on |NPO |status
The |nurse |is |reviewing |the |laboratory |results |for |newly |admitted |patients |on |the |
cardiovascular |unit. |Which
patient |laboratory |result |is
most |important |to |communicate |as |soon |as |possible |to |the |health |care |provider? |- |CORRECT |
ANSWER✔✔-Patient |with |increase |in |troponin |T |and |troponin |I |level
The |nurse |and |unlicensed |assistive |personnel |(UAP) |on |the |telemetry |unit |are |caring |for |four |
patients.
Which |nursing |action |can |be |delegated |to |the |UAP? |- |CORRECT |ANSWER✔✔-Placing |
electrodes |in |the |correct |position |for |a |patient |who |is |to |receive |ECG |monitoring
