NSG 320 EXAM 2 /NSG320 Exam 2 Actual Exam
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what action will the nurse take to obtain an accurate
baseline BP for a new pt
a. Deflate the BP cuff at a rate of 5 to 10 mm Hg per
second.
b. Have the pt sit in a chair with the feet flat on the
floor.
c. Assist the pt to the supine position for BP
measurements.
d. Obtain 2 BP readings in the arm and average the
results. - ....ANSWER.....✓✓b- have the pt sit in a chair
with the feet flat on the floor
Which information should a nurse include when
teaching a pt with newly diagnosed hypertension?
a. Increasing physical activity will control BP for most
pts.
b. Most pts are able to control BP through dietary
changes.
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c. Annual BP checks will monitor treatment
effectiveness.
d. Hypertension is asymptomatic until organ damage
occurs. - ....ANSWER.....✓✓d
What action should a RN take first to help a patient with
new-onset htn in making diet changes?
a. Collect a detailed diet history.
b. Provide a list of low-sodium foods.
c. Help the patient make an appointment with a dietitian.
d. Teach the patient about foods that are high in
potassium. - ....ANSWER.....✓✓a
When developing a plan for a pt with the following risk
factors for CAD, a RN should focus on:
a. family history of coronary artery disease.
b. increased risk associated with the patient's gender.
c. increased risk of cardiovascular disease as people
age.
d. elevation of the patient's low-density lipoprotein
level. - ....ANSWER.....✓✓d
Which info given by a pt admitted with stable angina will
help the RN confirm this diagnosis?
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a. The pt says the pain "goes away" with 1 nitroglycerin
tablet
b. The patient states that the pain "wakes me up at
night."
c. The patient rates the pain at a level 3 to 5 (0-10
scale).
d. The pt says the pain has been more frequent in the
last week - ....ANSWER.....✓✓a
Which ECG change is most important to report to the
physician when caring for a pt with angina?
a. Inverted P wave
b. Sinus tachycardia
c. ST-segment elevation
d. First-degree atrioventricular block -
....ANSWER.....✓✓c
The nurse would explain the etiology of heart failure
after myocardial infarction (MI) as
a. impairment of the contractile function of the
ventricle.
b. inability of the heart chambers to fill adequately.
c. increased myocardial workload.
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d. increased oxygen demands of the myocardium. -
....ANSWER.....✓✓a
When a pt is admitted with left ventricular heart failure,
the nurse would ask the pt about:
a. abdominal pain.
b. breathlessness.
c. leg swelling.
d. nausea. - ....ANSWER.....✓✓b
Auscultation of lung sounds of a pt in left ventricular
heart failure would likely indicate:
a. diminished sounds.
b. grunting.
c. wheezing.
d. crackling sounds. - ....ANSWER.....✓✓d
When a pt with heart failure is receiving loop diuretics,
the RN would be sure to monitor serum
a. calcium levels.
b. enzyme levels.
c. potassium levels.
d. sodium levels. - ....ANSWER.....✓✓c