661 Final Exam - Review Questions
(NOT Weekly Quizzes)
A patient recognized with CAP is being admitted for your unit. Which nursing interventions
has highest priority?
A. Apply the prescribed oral antibiotic immediately. B. Order a meal tray and feature it
introduced proper away. C. Obtain sputum specimen for C+S
D. Have the UAP (Unlicensed assistive employees) weigh the affected person - ANS-C.
Obtain sputum specimen for C+S
Important to get C+S quickly to ensure right remedy and correct Abx selection
Quick treatment --> higher outcomes
A affected person has a chest tube with water seal drainage. What need to you do as his
nurse to ensure safe and powerful use of the drainage system?
A. Check that the air vent at the water seal drainage machine is capped whilst the suction
is off
B. Strip the chest drainage tubes at least every four hours if excessive bleeding occurs
C. Ensure that the chest tube is clamped while shifting the client away from bed
D. Make sure the drainage equipment is continually under the patient's chest stage -
ANS-D. Make positive the drainage apparatus is always below the affected person's chest
degree
Don't strip or clamp when shifting. Air vent ought to be open (need air alternate)
A affected person has acquired education on the management of a brand new everlasting
pacemaker before discharge from the clinic. The nurse acknowledges that coaching has
been effective when the affected person tells the nurse,
A. "I won't be capable of take a bath or resume my traditional activities for 6 weeks." B. "I
will notify the airways when I make a reservation that I actually have a pacemaker."
C. "Until I see the medical doctor, I may not elevate the arm on the pacemaker facet very
excessive." D. "I must avoid cooking with a microwave oven or being close to a microwave
in use." - ANS-C. "I won't lift the arm on the pacemaker facet up very high until I see the
medical doctor."
A patient in asystole is likely to obtain which of the following drug treatments?
A. Vasopressin and epinephrine
B. Lidocaine and amiodarone
C. Digoxin and procainamide
D. β-Adrenergic blockers and dopamine - ANS-A. Vasopressin and epinephrine
A affected person affords with atrial flutter with an atrial price of 280 beats/min and a
ventricular charge of 70 beats/min. Which of the following nice explains this discrepancy in
costs?
A. The ventricles are too tired to respond to all of the atrial indicators.
B. The AV node does not conduct all the atrial signals to the ventricles.
C. Some of the atrial beats are blocked earlier than accomplishing the AV node.
D. A ventricular ectopic pacemaker is inflicting the ventricles to respond. - ANS-B. The AV
node does no longer conduct all the atrial indicators to the ventricles.
, A patient who become admitted with a myocardial infarction experiences a 45-2nd episode
of ventricular tachycardia, then converts to sinus rhythm with a coronary heart fee of ninety
eight beats/minute. Which of the following moves must the nurse take next?
A. Immediately notify the fitness care company.
B. Document the rhythm and continue to monitor the affected person.
C. Perform synchronized cardioversion in line with business enterprise dysrhythmia
protocol.
D. Prepare to give IV amiodarone in keeping with company dysrhythmia protocol. - ANS-D.
Prepare to present IV amiodarone consistent with corporation dysrhythmia protocol.
A affected person whose cardiac reveal suggests sinus tachycardia, price 102, is apneic
and no pulses are palpable with the aid of the nurse. What is the primary action that the
nurse ought to take?
A. Start CPR.
B. Defibrillate.
C. Administer atropine in step with medical institution protocol.
D. Give one hundred% oxygen in keeping with non-rebreather masks. - ANS-A. Start CPR.
A affected person with dilated cardiomyopathy has an atrial fibrillation that has been
unresponsive to pharmacologic therapy for numerous days. The nurse anticipates that the
patient may also need coaching about:
A. Electric cardioversion.
B. IV adenosine (Adenocard).
C. Anticoagulant remedy with warfarin (Coumadin).
D. Insertion of an implantable cardioverter-defibrillator (ICD). - ANS-C. Anticoagulant
remedy with warfarin (Coumadin).
A patient's cardiac rhythm is sinus bradycardia with a heart price of 34 beats/minute. If the
bradycardia is symptomatic, the nurse would anticipate the patient to show off:
A. Palpitations
B. Hypertension
C. Warm, flushed skin
D. Shortness of breath - ANS-D. Shortness of breath
After an MI, a affected person presents with an growing frequency of PVCs. The affected
person's coronary heart price is 110 beats/min, and ECG indicates a sinus rhythm with as
much as five unifocal PVCs per minute. Which of the following need to be accomplished?
A. Administer lidocaine a hundred mg bolus IV push stat.
B. Administer Cardizem 20 mg IV push stat.
C. Notify the issuer and screen the affected person carefully.
D. Nothing; PVCs are anticipated on this affected person. - ANS-C. Notify the issuer and
display the affected person closely.
After the nurse delivers 50 joules through synchronized cardioversion, the affected person
develops ventricular fibrillation. Which movement have to the nurse take immediately?
A. Ask the affected person to file any chest pain or soreness.
B. Turn the synchronizer switch to the "off" role.
C. Administer 250 mL of zero.9% saline answer intravenously.
D. Assess the apical pulse and blood stress. - ANS-B. Turn the synchronizer transfer to the
"off" position.
Asthma is because of accelerated responsiveness within the airlines to diverse stimuli which
purpose episodic narrowing and inflammation of airways. These triggers can range from
tobacco smoke, allergens, dust, bloodless air, workout, remedy, fumes. Classified for
(NOT Weekly Quizzes)
A patient recognized with CAP is being admitted for your unit. Which nursing interventions
has highest priority?
A. Apply the prescribed oral antibiotic immediately. B. Order a meal tray and feature it
introduced proper away. C. Obtain sputum specimen for C+S
D. Have the UAP (Unlicensed assistive employees) weigh the affected person - ANS-C.
Obtain sputum specimen for C+S
Important to get C+S quickly to ensure right remedy and correct Abx selection
Quick treatment --> higher outcomes
A affected person has a chest tube with water seal drainage. What need to you do as his
nurse to ensure safe and powerful use of the drainage system?
A. Check that the air vent at the water seal drainage machine is capped whilst the suction
is off
B. Strip the chest drainage tubes at least every four hours if excessive bleeding occurs
C. Ensure that the chest tube is clamped while shifting the client away from bed
D. Make sure the drainage equipment is continually under the patient's chest stage -
ANS-D. Make positive the drainage apparatus is always below the affected person's chest
degree
Don't strip or clamp when shifting. Air vent ought to be open (need air alternate)
A affected person has acquired education on the management of a brand new everlasting
pacemaker before discharge from the clinic. The nurse acknowledges that coaching has
been effective when the affected person tells the nurse,
A. "I won't be capable of take a bath or resume my traditional activities for 6 weeks." B. "I
will notify the airways when I make a reservation that I actually have a pacemaker."
C. "Until I see the medical doctor, I may not elevate the arm on the pacemaker facet very
excessive." D. "I must avoid cooking with a microwave oven or being close to a microwave
in use." - ANS-C. "I won't lift the arm on the pacemaker facet up very high until I see the
medical doctor."
A patient in asystole is likely to obtain which of the following drug treatments?
A. Vasopressin and epinephrine
B. Lidocaine and amiodarone
C. Digoxin and procainamide
D. β-Adrenergic blockers and dopamine - ANS-A. Vasopressin and epinephrine
A affected person affords with atrial flutter with an atrial price of 280 beats/min and a
ventricular charge of 70 beats/min. Which of the following nice explains this discrepancy in
costs?
A. The ventricles are too tired to respond to all of the atrial indicators.
B. The AV node does not conduct all the atrial signals to the ventricles.
C. Some of the atrial beats are blocked earlier than accomplishing the AV node.
D. A ventricular ectopic pacemaker is inflicting the ventricles to respond. - ANS-B. The AV
node does no longer conduct all the atrial indicators to the ventricles.
, A patient who become admitted with a myocardial infarction experiences a 45-2nd episode
of ventricular tachycardia, then converts to sinus rhythm with a coronary heart fee of ninety
eight beats/minute. Which of the following moves must the nurse take next?
A. Immediately notify the fitness care company.
B. Document the rhythm and continue to monitor the affected person.
C. Perform synchronized cardioversion in line with business enterprise dysrhythmia
protocol.
D. Prepare to give IV amiodarone in keeping with company dysrhythmia protocol. - ANS-D.
Prepare to present IV amiodarone consistent with corporation dysrhythmia protocol.
A affected person whose cardiac reveal suggests sinus tachycardia, price 102, is apneic
and no pulses are palpable with the aid of the nurse. What is the primary action that the
nurse ought to take?
A. Start CPR.
B. Defibrillate.
C. Administer atropine in step with medical institution protocol.
D. Give one hundred% oxygen in keeping with non-rebreather masks. - ANS-A. Start CPR.
A affected person with dilated cardiomyopathy has an atrial fibrillation that has been
unresponsive to pharmacologic therapy for numerous days. The nurse anticipates that the
patient may also need coaching about:
A. Electric cardioversion.
B. IV adenosine (Adenocard).
C. Anticoagulant remedy with warfarin (Coumadin).
D. Insertion of an implantable cardioverter-defibrillator (ICD). - ANS-C. Anticoagulant
remedy with warfarin (Coumadin).
A patient's cardiac rhythm is sinus bradycardia with a heart price of 34 beats/minute. If the
bradycardia is symptomatic, the nurse would anticipate the patient to show off:
A. Palpitations
B. Hypertension
C. Warm, flushed skin
D. Shortness of breath - ANS-D. Shortness of breath
After an MI, a affected person presents with an growing frequency of PVCs. The affected
person's coronary heart price is 110 beats/min, and ECG indicates a sinus rhythm with as
much as five unifocal PVCs per minute. Which of the following need to be accomplished?
A. Administer lidocaine a hundred mg bolus IV push stat.
B. Administer Cardizem 20 mg IV push stat.
C. Notify the issuer and screen the affected person carefully.
D. Nothing; PVCs are anticipated on this affected person. - ANS-C. Notify the issuer and
display the affected person closely.
After the nurse delivers 50 joules through synchronized cardioversion, the affected person
develops ventricular fibrillation. Which movement have to the nurse take immediately?
A. Ask the affected person to file any chest pain or soreness.
B. Turn the synchronizer switch to the "off" role.
C. Administer 250 mL of zero.9% saline answer intravenously.
D. Assess the apical pulse and blood stress. - ANS-B. Turn the synchronizer transfer to the
"off" position.
Asthma is because of accelerated responsiveness within the airlines to diverse stimuli which
purpose episodic narrowing and inflammation of airways. These triggers can range from
tobacco smoke, allergens, dust, bloodless air, workout, remedy, fumes. Classified for
