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MS2 NCLEX Style Qs Questions with Answers (100% Correct Answers)

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MS2 NCLEX Style Qs Questions with Answers (100% Correct Answers)

Instelling
MS2
Vak
MS2

Voorbeeld van de inhoud

1




MS2 NCLEX Style Qs Questions with Answers (100%
Correct Answers)

After teaching a patient with chronic stable angina about nitroglycerin,

the nurse recognizes the need for further teaching when the patient

makes which statement?

a."I will replace my nitroglycerin supply every 6 months."

b."I can take up to five tablets every 3 minutes for relief of my chest

pain."

c."I will take acetaminophen to treat the headache caused by

nitroglycerin."

d."I will take the nitroglycerin 10 minutes before planned activity that

usually causes chest pain." Answer: B-1 tablet if CP is unchanged or

worse at 5 mins, call 911, repeat every 5 mins for maximum of 3 doses




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A nurse if caring for a client who is 4 hours postoperative following

coronary artery bypass grafting (CABG) surgery. He is able to inspire

200 mL with the incentive spirometer, then refuses to cough because

he is tired and it hurts too much. Which of the following is an

appropriate nursing intervention?

a.Allow the client to rest, and return in 1 hour.

b.Administer IV bolus analgesic, and return in 15 min.

c.Document the 200 mL as an appropriate inspired volume.

d.Tell the client that he must try to cough if he does not want to get

pneumonia. Answer: B-reduce pain & improve coughing

effectiveness; TCDB q2hr to promote oxygenation & circulation; 200

mL isn't adequate inspired air volume, D-nontherapeutic

communication

A 74 year old woman who is admitted with severe dyspnea has a

history of heart failure and chronic obstructive lung disease. Which


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,3



diagnostic study would the nurse expect to be elevated if the cause of

dyspnea was cardiac related?

a.Serum potassium

b.Serum homocysteine

c.High density lipoprotein

d.B-type natriuretic peptide (BNP) Answer: D-indicates HF, elevations

distinguish between the 2, A, B, & C indicate inc. risk for

cardiovascular disorders but not that they are present (homocysteine is

an amino acid in the blood, is elevated when protein is broken down

like in atherosclerosis)

On return from surgery, the patient is wearing intermittent sequential

compression stockings that he does not want to keep on. How should

the nurse explain their necessity to the patient while he is on bedrest?

a.The socks keep the legs warm while the patient is not moving much.



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b.The socks maintain the blood flow to the legs while the patient is on

bedrest.

c.The socks keep the blood pressure down while the patient is stressed

after surgery.

d.The socks provide compression of the veins to keep the blood

moving back to the heart. Answer: D-Compress veins while patient

isn't using skeletal muscles, which keeps blood moving back to the

heart & prevents pooling in legs that could cause DVT, warmth isn't

important, blood flow to legs isn't maintained, BP is not dec. with use

of compression stockings

A home health nurse is teaching a client who has active tuberculosis.

The provider has prescribed the following medication regimen:

isoniazid 250 mg PO daily, rifampin 500 mg PO daily, pyrazinamide

750 mg PO daily and ethambutol 1 mg PO daily. Which of the

following client statements indicate understanding of the teaching?

(Select all that apply)


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