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NU 310 FINAL EXAM LATEST ACTUAL EXAM WITH COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS (100% VERIFIED
ANSWERS) |ALREADY GRADED A+| ||PROFESSOR VERIFIED||
||BRANDNEW!!!||
A 48-year-old man presents to the ED complaining of severe
substernal chest pain radiating down his left arm. He is admitted
to the coronary care unit (CCU) with a diagnosis of myocardial
infarction (MI). What nursing assessment activity is a priority on
admission to the CCU?
Begin ECG monitoring
Obtain information about family history of heart disease
Auscultate lung fields
Determine if the patient smokes - ANSWER-Begin ECG
monitoring
The client is admitted to the emergency department, and the
nurse suspects a cardiac problem. Which assessment
interventions should the nurse implement? Select All that Apply
Obtain a midstream urine specimen
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Attach telemetry monitor to the client
Draw a baseline metabolic panel (BMP)
Start a saline lock in the right arm
Request an order for a STAT 12-lead ECG - ANSWER-Attach
telemetry monitor to the client
Start a saline lock in the right arm
Request an order for a STAT 12-lead ECG
The nurse is assessing the client diagnosed with congestive heart
failure. Which signs/symptoms would indicate that the medical
treatment has been effective?
The client's peripheral edema has gone from 3+ to 4+
The client is able to take the radial pulse accurately
The client is able to perform ADLs without dyspnea
The client has minimal jugular vein distention - ANSWER-The
client is able to perform ADLs without dyspnea
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The nurse is assessing the client diagnosed with congestive heart
failure. Which laboratory data would indicate that the client is in
severe congestive heart failure?
An elevated B-type natriuretic peptide (BNP)
An elevated creatine kinase (CK-MB)
A positive D-dimer
A positive ventilation/perfusion (V/Q) scan - ANSWER-An
elevated B-type natriuretic peptide (BNP)
The nurse is reviewing the patients on the medical floor. Which
client should the nurse assess first?
The client with congestive heart failure who is being discharged in
the morning
The client who is having frequent incontinent liquid bowel
movements & vomiting
The client with an apical pulse rate of 116, a respiratory rate of 26,
& a blood pressure of 94/62
The client is complaining of chest pain on inspiration & a
nonproductive cough (would be the last person to go to) -
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ANSWER-The client with an apical pulse rate of 116, a respiratory
rate of 26, & a blood pressure of 94/62
The nurse is caring for a hospitalized client with admitting
diagnosis of right-sided heart failure (HF). What assessment
finding is most consistent with the client's diagnosis?
Pulmonary edema
Distended neck veins
Dry hacking cough
Orthopnea - ANSWER-Distended neck veins
Which of the following is the priority nursing diagnosis for the
client in the oliguric phase of acute renal failure?
Urinary retention
Activity intolerance
Fluid volume excess
Disturbed body image - ANSWER-fluid volume excess
NU 310 FINAL EXAM LATEST ACTUAL EXAM WITH COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS (100% VERIFIED
ANSWERS) |ALREADY GRADED A+| ||PROFESSOR VERIFIED||
||BRANDNEW!!!||
A 48-year-old man presents to the ED complaining of severe
substernal chest pain radiating down his left arm. He is admitted
to the coronary care unit (CCU) with a diagnosis of myocardial
infarction (MI). What nursing assessment activity is a priority on
admission to the CCU?
Begin ECG monitoring
Obtain information about family history of heart disease
Auscultate lung fields
Determine if the patient smokes - ANSWER-Begin ECG
monitoring
The client is admitted to the emergency department, and the
nurse suspects a cardiac problem. Which assessment
interventions should the nurse implement? Select All that Apply
Obtain a midstream urine specimen
,2|Page
Attach telemetry monitor to the client
Draw a baseline metabolic panel (BMP)
Start a saline lock in the right arm
Request an order for a STAT 12-lead ECG - ANSWER-Attach
telemetry monitor to the client
Start a saline lock in the right arm
Request an order for a STAT 12-lead ECG
The nurse is assessing the client diagnosed with congestive heart
failure. Which signs/symptoms would indicate that the medical
treatment has been effective?
The client's peripheral edema has gone from 3+ to 4+
The client is able to take the radial pulse accurately
The client is able to perform ADLs without dyspnea
The client has minimal jugular vein distention - ANSWER-The
client is able to perform ADLs without dyspnea
,3|Page
The nurse is assessing the client diagnosed with congestive heart
failure. Which laboratory data would indicate that the client is in
severe congestive heart failure?
An elevated B-type natriuretic peptide (BNP)
An elevated creatine kinase (CK-MB)
A positive D-dimer
A positive ventilation/perfusion (V/Q) scan - ANSWER-An
elevated B-type natriuretic peptide (BNP)
The nurse is reviewing the patients on the medical floor. Which
client should the nurse assess first?
The client with congestive heart failure who is being discharged in
the morning
The client who is having frequent incontinent liquid bowel
movements & vomiting
The client with an apical pulse rate of 116, a respiratory rate of 26,
& a blood pressure of 94/62
The client is complaining of chest pain on inspiration & a
nonproductive cough (would be the last person to go to) -
, 4|Page
ANSWER-The client with an apical pulse rate of 116, a respiratory
rate of 26, & a blood pressure of 94/62
The nurse is caring for a hospitalized client with admitting
diagnosis of right-sided heart failure (HF). What assessment
finding is most consistent with the client's diagnosis?
Pulmonary edema
Distended neck veins
Dry hacking cough
Orthopnea - ANSWER-Distended neck veins
Which of the following is the priority nursing diagnosis for the
client in the oliguric phase of acute renal failure?
Urinary retention
Activity intolerance
Fluid volume excess
Disturbed body image - ANSWER-fluid volume excess
