medsurg_2_exam 2.
Med surg test 2
1. A nurse is obtaining a history from an adult client who has cardiac valve disease. Which of the
following questions should be most important for the nurse to ask? “Do you have:
a. A childhood history of rheumatic fever?”
2. A client with a history of mitral valve stenosis is admitted for SOB. What pertinent data should the
nurse expect from the client regarding a history of mitral valve stenosis?
a. Elevated T waves on the ECG
3. A nurse is caring for a client who is taking digoxin, Lasix, and a ferrous sulfate. The tele monitor
shows frequent ventricular dysrhythmias. The nurse interprets these findings to be consistent with
a. K 3.1
4. In evaluating a client’s ECG tracing, the nurse notes three small squares between the upstroke and
downstroke of the QRS complex. The nurse should record the QRS complex as
a. 0.12 seconds
5. The nurse evaluates the understanding fo preoperative teaching with a client scheduled for CABG using
a saphenous vein. The nurse determines that additional teaching is needed when the client states
a. I will need to remain in the bed for 48 hours after my sx
6. A client one day post op CABG. The client complains of chest pain. Which intervention should the
nurse implement first?
a. Assess the cleint’s chest dressing and vital signs
7. A nurse assessing an ECG rymthmstrip. The p waves and QRS complexes are regular. The PR interval is
0.16 seconds and QRS complexes measure 0.06 second. The overall heart rate 64 BPM. The nurse assesses
the cardiac rhythm as
a. Normal SR
8. A nurse is teaching a client who has a demand pacemaker. Which of the following statements by the
client would indicate a correct understanding of the teaching? This pacemaker functions by
a. Firing the heart’s electrical activity drops below a present rate.
9. Tele strip
10. Telestrip
11. A client with an MI has undergone ECG. What changes in the ECG tracing should the nurse expect to see in
this client?
a. ST segment elevation, T wave inversion, abnormal Q wave
12. A nurse notes the mediastinal tubes of a client who is 6 hours post op following CABG surgery have
stopped draining. Which action most appropriate for the nurse to take at this time?
a. Notify the doctor
13. When performing cardiac auscultation on an apparently healthy adult with mitral regurg, the nurse
should anticipate hearing a
a. Systolic mumur
14. A client with mitral stenosis tells the nurse that she will not seek treatment for this disorder because she
“doesn’t really feel that bad”. The nurse’s best response should be that untreated mitral stenosis can result
in
a. Develop of atrial thrombus
15. In caring for a client considering mechanical valve replacement surgery. The most essential determination
for the health care team to make should be whether the client is able to
a. Comply with the lifelong requirement for anticoagulant program
16. A nurse is preparing a client who has endocarditis for discharge. The nurse should instruct the client that
to avoid further complications the client should
a. Notify the dentist who has invasive dental procedures are planned
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https://www.coursehero.com/file/25947515/medsurg-2-exam-2docx/
, medsurg_2_exam 2.
17. A client with a medical diagnosis of aortic prolapsed is admitted to the tele unit and placed on BR
with bathroom privileges. Based on a understanding of this disorder, a priority nursing diagnosis
should be
a. Decreased cardiac output
This study source was downloaded by 100000848398116 from CourseHero.com on 06-15-2022 23:28:09 GMT -05:00
https://www.coursehero.com/file/25947515/medsurg-2-exam-2docx/
Med surg test 2
1. A nurse is obtaining a history from an adult client who has cardiac valve disease. Which of the
following questions should be most important for the nurse to ask? “Do you have:
a. A childhood history of rheumatic fever?”
2. A client with a history of mitral valve stenosis is admitted for SOB. What pertinent data should the
nurse expect from the client regarding a history of mitral valve stenosis?
a. Elevated T waves on the ECG
3. A nurse is caring for a client who is taking digoxin, Lasix, and a ferrous sulfate. The tele monitor
shows frequent ventricular dysrhythmias. The nurse interprets these findings to be consistent with
a. K 3.1
4. In evaluating a client’s ECG tracing, the nurse notes three small squares between the upstroke and
downstroke of the QRS complex. The nurse should record the QRS complex as
a. 0.12 seconds
5. The nurse evaluates the understanding fo preoperative teaching with a client scheduled for CABG using
a saphenous vein. The nurse determines that additional teaching is needed when the client states
a. I will need to remain in the bed for 48 hours after my sx
6. A client one day post op CABG. The client complains of chest pain. Which intervention should the
nurse implement first?
a. Assess the cleint’s chest dressing and vital signs
7. A nurse assessing an ECG rymthmstrip. The p waves and QRS complexes are regular. The PR interval is
0.16 seconds and QRS complexes measure 0.06 second. The overall heart rate 64 BPM. The nurse assesses
the cardiac rhythm as
a. Normal SR
8. A nurse is teaching a client who has a demand pacemaker. Which of the following statements by the
client would indicate a correct understanding of the teaching? This pacemaker functions by
a. Firing the heart’s electrical activity drops below a present rate.
9. Tele strip
10. Telestrip
11. A client with an MI has undergone ECG. What changes in the ECG tracing should the nurse expect to see in
this client?
a. ST segment elevation, T wave inversion, abnormal Q wave
12. A nurse notes the mediastinal tubes of a client who is 6 hours post op following CABG surgery have
stopped draining. Which action most appropriate for the nurse to take at this time?
a. Notify the doctor
13. When performing cardiac auscultation on an apparently healthy adult with mitral regurg, the nurse
should anticipate hearing a
a. Systolic mumur
14. A client with mitral stenosis tells the nurse that she will not seek treatment for this disorder because she
“doesn’t really feel that bad”. The nurse’s best response should be that untreated mitral stenosis can result
in
a. Develop of atrial thrombus
15. In caring for a client considering mechanical valve replacement surgery. The most essential determination
for the health care team to make should be whether the client is able to
a. Comply with the lifelong requirement for anticoagulant program
16. A nurse is preparing a client who has endocarditis for discharge. The nurse should instruct the client that
to avoid further complications the client should
a. Notify the dentist who has invasive dental procedures are planned
This study source was downloaded by 100000848398116 from CourseHero.com on 06-15-2022 23:28:09 GMT -05:00
https://www.coursehero.com/file/25947515/medsurg-2-exam-2docx/
, medsurg_2_exam 2.
17. A client with a medical diagnosis of aortic prolapsed is admitted to the tele unit and placed on BR
with bathroom privileges. Based on a understanding of this disorder, a priority nursing diagnosis
should be
a. Decreased cardiac output
This study source was downloaded by 100000848398116 from CourseHero.com on 06-15-2022 23:28:09 GMT -05:00
https://www.coursehero.com/file/25947515/medsurg-2-exam-2docx/
