MED-SURGE EXAM 2 ACTUAL AND REAL
EXAM WITH VERIFIED ANSWERS!!
UPDATED!!REAL!!
The nurse is caring for a patient diagnosed with
heart failure. The nurse is preparing to administer
digoxin to the patient. The patient reports nausea,
vomiting and a headache. The nurse notes a
respiratory rate of 19 breaths per min and HR of 58
BPM and blood pressure of 120/78. What will the
nurse do?
a. hold the dose of digoxin and notify the provider of
possible toxicity
b. request an order for an anti-emetic and analgesic
c. reassure the patient that these are common sighs
and self limiting effects
d. administer the next dose as ordered since these
are minor side effects
a.
A Patient was admitted for shortness of breath. The
nurse connects the patient to the cardiac monitor.
According to the strip below, which treatment is
appropriate for the patient?
,a. administer adenosine
b. administer a thiazide medication
c. adminster an oral anticoagulant
d. administer a beta blocker
c.
An acute myocardial infarction patient ambulated in
the hospital hallway. When evaluating the patient
response, which would indicate the exercise level
should be decreased?
a. oxygen satuartion changes from 100% to 98%
b. blood pressure changes from 118/60 to 126/26
c. respiratory rate changes from 14 to 20
d. heart rate changes from 66-101
d.
The nurse is caring for 70-year-old patient who the
nurse suspects having difficulty hearing.
The nurse is providing discharge instructions. The
patient is nodding as the charge nurse
discusses the orders. What action should the nurse
take to assess whether or not the patient
heard and understood what she has said?
a. Ask the patient to repeat back what he was
instructed to do
b. Ask the patient if he understood the instructions
,and ask him to sign the form
c. Ask another nurse to witness providing
instructions to the patient
d. Call the wife and provide the instruction to her
a.
*Statement terminally ill pt to caregiver.
"Stop taking chemo-therapy medications."
*Marked edema. Which medication?
A nurse has committed a serious medication error
and reported the error to the hospital's
adverse medication error hotline as well to the unit
manager. The manager is a firm believer in
developing critical thinking skills. From this stand
point what action by the manage would be the
best to nurture this ability in the nurse who made the
error?
a. Let the nurse work with more experience nurses
when giving medications
b. Have the nurse present and in-service related to
the cause of the error
c. Send the nurse to refresher course on medication
administration
d. In struct nurse to write a paper on how to avoid
this type of error
, b.
The nurse is taking care of a patient just diagnosed
with CHF. The patient is an attorney and has brought
his work with him to do at the hospital. He is
constantly on the phone discussing work and seems
very hurried. The nurse assesses this to be what
type of stress?
a.Acute stress
b. Epidodic stress
c. Chronic stress
d. Normal stress
b.
Which of the following conditions puts a patient at
risk for acute respiratory distress syndrome?
(select all)
a. Drug reaction
b. Head injury
c. Pancreatitis
d. Sepsis
e. High altitudes
a.
b.
EXAM WITH VERIFIED ANSWERS!!
UPDATED!!REAL!!
The nurse is caring for a patient diagnosed with
heart failure. The nurse is preparing to administer
digoxin to the patient. The patient reports nausea,
vomiting and a headache. The nurse notes a
respiratory rate of 19 breaths per min and HR of 58
BPM and blood pressure of 120/78. What will the
nurse do?
a. hold the dose of digoxin and notify the provider of
possible toxicity
b. request an order for an anti-emetic and analgesic
c. reassure the patient that these are common sighs
and self limiting effects
d. administer the next dose as ordered since these
are minor side effects
a.
A Patient was admitted for shortness of breath. The
nurse connects the patient to the cardiac monitor.
According to the strip below, which treatment is
appropriate for the patient?
,a. administer adenosine
b. administer a thiazide medication
c. adminster an oral anticoagulant
d. administer a beta blocker
c.
An acute myocardial infarction patient ambulated in
the hospital hallway. When evaluating the patient
response, which would indicate the exercise level
should be decreased?
a. oxygen satuartion changes from 100% to 98%
b. blood pressure changes from 118/60 to 126/26
c. respiratory rate changes from 14 to 20
d. heart rate changes from 66-101
d.
The nurse is caring for 70-year-old patient who the
nurse suspects having difficulty hearing.
The nurse is providing discharge instructions. The
patient is nodding as the charge nurse
discusses the orders. What action should the nurse
take to assess whether or not the patient
heard and understood what she has said?
a. Ask the patient to repeat back what he was
instructed to do
b. Ask the patient if he understood the instructions
,and ask him to sign the form
c. Ask another nurse to witness providing
instructions to the patient
d. Call the wife and provide the instruction to her
a.
*Statement terminally ill pt to caregiver.
"Stop taking chemo-therapy medications."
*Marked edema. Which medication?
A nurse has committed a serious medication error
and reported the error to the hospital's
adverse medication error hotline as well to the unit
manager. The manager is a firm believer in
developing critical thinking skills. From this stand
point what action by the manage would be the
best to nurture this ability in the nurse who made the
error?
a. Let the nurse work with more experience nurses
when giving medications
b. Have the nurse present and in-service related to
the cause of the error
c. Send the nurse to refresher course on medication
administration
d. In struct nurse to write a paper on how to avoid
this type of error
, b.
The nurse is taking care of a patient just diagnosed
with CHF. The patient is an attorney and has brought
his work with him to do at the hospital. He is
constantly on the phone discussing work and seems
very hurried. The nurse assesses this to be what
type of stress?
a.Acute stress
b. Epidodic stress
c. Chronic stress
d. Normal stress
b.
Which of the following conditions puts a patient at
risk for acute respiratory distress syndrome?
(select all)
a. Drug reaction
b. Head injury
c. Pancreatitis
d. Sepsis
e. High altitudes
a.
b.
