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NSG-430 Community Nursing Exam 2 – Quiz & Test Prep., Exams of Nursing

NSG-430 Community Nursing Exam 2 – Quiz & Test Prep.

Typology: Exams

2024/2025

Available from 07/02/2025

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NSG-430 Community Nursing Exam 2 –
Quiz & Test Prep.
THE NURSE IS MONITORING A CLIENT WITH ACUTE PERICARDITIS FOR SIGNS OF CARDIAC
TAMPONADE. WHICH ASSESSMENT FINDING INDICATES THE PRESENCE OF THIS
COMPLICATION?
MUFFLED OR DISTANT HEART SOUNDS
-ASSESSMENT FINDINGS ASSOCIATED WITH CARDIAC TAMPONADE INCLUDE:
TACHYCARDIA
DISTANT OR MUFFLED HEART SOUNDS
JUGULAR VEIN DISTENTION
WITH CLEAR LUNG SOUNDS
FALLING BLOOD PRESSURE ACCOMPANIED BY PULSES PARADOXUS (A DROP IN
INSPIRATORY BLOOD PRESSURE GREATER THAN 10MMHG)
WE HAVE AN EXPERT-WRITTEN SOLUTION TO THIS PROBLEM!
THE NURSE IS CARING FOR A CLIENT WITH CARDIAC DISEASE WHO HAS BEEN PLACED ON
A CARDIAC MONITOR. THE NURSE NOTES THAT THE CLIENT HAS DEVELOPED AFIB AND
HAS A RAPID VENTRICULAR RATE OF 150 BEATS/MINUTE. THE NURSE WOULD NEXT
ASSESS THE CLIENT FOR WHICH FINDING?
HYPOTENSION
THE CLIENT WITH UNCONTROLLED ATRIAL FIBRILLATION WITH A VENTRICULAR RATE
GREATER THAN 100 BEATS/MINUTE IS AT RISK FOR LOW CARDIAC OUTPUT BECAUSE OF
THE LOSS OF ATRIAL KICK.
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NSG-430 Community Nursing Exam 2 –

Quiz & Test Prep.

THE NURSE IS MONITORING A CLIENT WITH ACUTE PERICARDITIS FOR SIGNS OF CARDIAC

TAMPONADE. WHICH ASSESSMENT FINDING INDICATES THE PRESENCE OF THIS

COMPLICATION?

MUFFLED OR DISTANT HEART SOUNDS

-ASSESSMENT FINDINGS ASSOCIATED WITH CARDIAC TAMPONADE INCLUDE:

TACHYCARDIA

DISTANT OR MUFFLED HEART SOUNDS

JUGULAR VEIN DISTENTION

WITH CLEAR LUNG SOUNDS

FALLING BLOOD PRESSURE ACCOMPANIED BY PULSES PARADOXUS (A DROP IN

INSPIRATORY BLOOD PRESSURE GREATER THAN 10MMHG)

WE HAVE AN EXPERT-WRITTEN SOLUTION TO THIS PROBLEM!

THE NURSE IS CARING FOR A CLIENT WITH CARDIAC DISEASE WHO HAS BEEN PLACED ON

A CARDIAC MONITOR. THE NURSE NOTES THAT THE CLIENT HAS DEVELOPED AFIB AND

HAS A RAPID VENTRICULAR RATE OF 150 BEATS/MINUTE. THE NURSE WOULD NEXT

ASSESS THE CLIENT FOR WHICH FINDING?

HYPOTENSION

THE CLIENT WITH UNCONTROLLED ATRIAL FIBRILLATION WITH A VENTRICULAR RATE

GREATER THAN 100 BEATS/MINUTE IS AT RISK FOR LOW CARDIAC OUTPUT BECAUSE OF

THE LOSS OF ATRIAL KICK.

THE NURSE HAS COMPLETED AN EDUCATIONAL COURSE ABOUT FIRST DEGREE HEART

BLOCK. WHICH STATEMENT BY THE NURSE INDICATES THAT THE TEACHING HAS BEEN

EFFECTIVE

PROLONGED, EQUAL PR INTERVALS INDICATE FIRST DEGREE HEART BLOCK

POSTOPERATIVE CARE OF A PATIENT UNDERGOING CABG SURGERY INCLUDES

MONITORING FOR WHICH COMMON COMPLICATION?

ATRIAL DYSRHYTHMIAS

COMMON FIRST 3 DAYS AFTER

A PATIENT HAS RECEIVED A BOLUS DOSE AND AN INFUSION OF LATE PLEASE FOR AN ST

SEGMENT ELEVATION MYOCARDIAL INFARCTION (STEMI). WHICH PATIENT ASSESSMENT

WOULD DETERMINE THE EFFECTIVENESS OF THIS MEDICATION?

PRESENCE OF CHEST PAIN

THE NURSE WOULD ASSESS A PATIENT WITH REPORTS OF CHEST PAIN FOR WHICH

CLINICAL MANIFESTATIONS ASSOCIATED WITH A MYOCARDIAL INFARCTION?

-ASHEN SKIN

-DIAPHORESIS

-NAUSEA AND VOMITING

-S3 OR S4 HEART SOUNDS

S3 AND S4 ARE DUE TO VENTRICULAR DYSFUNCTION

A 74 YEAR OLD MAN WITH A HISTORY OF PROSTATE CANCER AND HYPERTENSION IS

ADMITTED TO THE ER WITH SUBSTERNAL CHEST PAIN. WHICH PRIORITY ACTION WILL THE

NURSE COMPLETE BEFORE ADMINISTERING SUBLINGUAL NITROGLYCERIN?

OBTAIN A 12 LEAD EKG

DYSRHYTHMIAS ARE PRESENT IN 80-90% OF PATIENTS AFTER MI.

A PATIENT WHO HAD BLADDER SURGERY 2 DAYS AGO DEVELOPS ACUTE

DECOMPENSATED HEART FAILURE WITH SEVERE DYSPNEA. WHICH ACTION BY THE NURSE

WOULD BE INDICATED FIRST?

ASSIST THE PATIENT TO A SITTING POSITION WITH ARMS ON THE OVER BED TABLE

PATIENTS WITH ADHF SHOULD BE IN A HIGH FOWLER POSITION WITH FEET HORIZONTAL

IN THE BED OR DANGLING AT THE BEDSIDE. POSITION HELPS DECREASE VENOUS RETURN,

HELPS INCREASE THE THORACIC CAPACITY`

AFTER HAVING AN MI, THE NURSE NOTES THE PATIENT HAS JUGULAR VENOUS

DISTENSIÓN, GAINED WEIGHT, DEVELOPED PERIPHERAL EDEMA, AND HAS A HEART RATE

OF 108 BEATS/MIN. WHAT SHOULD THE NURSE SUSPECT IS HAPPENING?

RIGHT SIDED HF

ALL OF THESE SYMPTOMS ARE SIGNS OF RIGHT SIDED HF

WHAT SHOULD THE NURSE RECOGNIZE AS AN INDICATION FOR THE USE OF DOPAMINE IN

THE CARE OF A PATIENT WITH HEART FAILURE?

HYPOTENSION AND TACHYCARDIA

DOPAMINE IS ISOTROPÍA AND IS USED FOR TREATMENT OF SEVERE HEART FAILURE

ACCOMPANIED BY HEMODYNAMIC INSTABILITY.

THE HOME CARE NURSE VISITS A PATIENT WITH CHRONIC HEART FAILURE. WHICH

ASSESSMENT FINDINGS WOULD INDICATE ACUTE DECOMPENSATED HEART FAILURE

(PULMONARY EDEMA)

SEVERE DYSPNEA AND BLOOD STREAKED FROTHY SPUTUM

THE PATIENT WITH CHRONIC HEART FAILURE IS BEING DISCHARGED FORM THE HOSPITAL.

WHAT INFORMATION SHOULD THE NURSE EMPHASIZE IN THE PATIENTS DISCHARGE

TEACHING TO PREVENT PROGRESSION OF THE DISEASE TO ACUTE DECOMPENSATED

HEART FAILURE?

TAKE MEDICATIONS ARE PRESCRIBED

THE GOAL FOR THE PATIENT WITH CHRONIC HF IS TO AVOID EXACERBATIONS AND

HOSPITALIZATIONS

THE NURSE IS PREPARING TO ADMINISTER A NITROGLYCERIN PATCH TO A PATIENT.

WHEN PROVIDING TEACHING ABOUT THE USE OF THE PATCH WHAT SHOULD THE NURSE

INCLUDE?

AVOID DRUGS TO TREAT ERECTILE DYSFUNCTION

THE USE OF ERECTILE DRUGS CONCURRENT WITH NITRATES CREATES A RISK FOR SEVERE

HYPOTENSION AND POSSIBLY DEATH.

AN ASYMPTOMATIC PATIENT WITH ADHF SUDDENLY BECOMES DYSPNEIC. BEFORE

DANGLING THE PATIENT ON THE BEDSIDE, WHAT SHOULD THE NURSE ASSESS FIRST?

BLOOD PRESSURE

THE NURSE OBSERVES VENTRICULAR TACHYCARDIA ON THE PATIENT'S MONITOR. WHAT

EVALUATION MADE BY THE NURSE LED TO THIS INTERPRETATION

THE NURSE PERFORMS DISCHARGE TEACHING FOR A PATIENT WITH AN IMPLANTABLE

CARDIOVERTER DEFIBRILLATOR WHICH STATEMENT BY THE PATIENT INDICATES THAT

FURTHER TEACHING IS NEEDED

I CAN EXPECT REDNESS AND SWELLING OF THE INCISION SITE FOR A FEW DAYS

SIGNS OF INFECTION NOT GOOD

THE NURSE OBSERVES A FLAT LINE ON THE PATIENT'S MONITOR, AND THE PATIENT IS

UNRESPONSIVE WITHOUT A PULSE. WHAT MEDICATION DOES THE NURSE APART

ADMINISTER?

EPINEPHRINE OR VASOPRESSIN

A PATIENT REPORTING DIZZINESS AND SHORTNESS OF BREATH IS ADMITTED WITH A

DYSRHYTHMIA WHICH MEDICATION, IF ORDERED REQUIRES THE NURSE TO CAREFULLY

MONITOR THE PATIENT FOR ASYSTOLE

ADENOSINE

1Q

A PATIENT DEVELOPS A THIRD-DEGREE, HEART BLOCK AND REPORTS FEELING CHEST

PRESSURE AND SHORTNESS OF BREATH WHICH INSTRUCTIONS TO THE NURSE PROVIDE

TO THE PATIENT BEFORE INITIATING EMERGENCY TRANSCUTANEOUS PACING

THE DEVICE DELIVERS A CURRENT THROUGH YOUR SKIN THAT CAN BE UNCOMFORTABLE

THE PATIENT HAS ATRIAL FABULATION WITH A RAPID VENTRICULAR RESPONSE. WHAT

ELECTRICAL TREATMENT OPTION DOES THE NURSE PREPARE THE PATIENT FOR

SYNCHRONIZED CARDIO VERSION

THE PATIENT IS ADMITTED WITH ACUTE CORONARY SYNDROME. THE ECG SHOWS ST

SEGMENT, DEPRESSION, AND T-WAVE INVERSION. WHAT SHOULD THE NURSE KNOW

THAT THIS INDICATES?

MYOCARDIAL ISCHEMIA

THE ST DEPRESSION, AND T-WAVE INVERSION ON THE ECG OF A PATIENT DIAGNOSED

WITH ACUTE CORONARY SYNDROME, INDICATE MYOCARDIAL ISCHEMIA FROM

INADEQUATE SUPPLY OF BLOOD AND OXYGEN TO THE HEART

THE PATIENT WITH PERICARDITIS IS REPORTING CHEST PAIN AFTER ASSESSMENT WHICH

INTERVENTION SHOULD THE NURSE EXPECT TO IMPLEMENT TO PROVIDE PAIN RELIEF

NSAIDS

NSAIDS CONTROL PAIN INFLAMMATION

WHAT SHOULD THE NURSE TEACH THE PATIENT WHO HAS HAD A VALVE REPLACEMENT

WITH A BIOLOGICAL VALVE?

ANTIBIOTIC PROPHYLAXIS FOR DENTAL CARE

THE PATIENT WILL NEED TO USE ANTIBIOTIC PROPHYLAXIS FOR DENTAL CARE TO

PREVENT ENDOCARDITIS

WHILE ADMITTING A PATIENT WITH PERICARDITIS, THE NURSE WILL ASSESS FOR WHAT

MANIFESTATIONS OF THIS DISORDER?

A. PULSUS PARADOXUS

B. PROLONGED PR INTERVALS

C. WIDENED PULSE PRESSURE

D. CLUBBING OF THE FINGERS

A. PULSUS PARADOXUS

A. "THE COMPLICATIONS OF THIS INFECTION WILL AFFECT THE SKIN, HAIR, AND

BALANCE."

B. "YOU WILL NOT FEEL WELL IF YOU DO NOT TAKE THE MEDICINE AND GET OVER THIS

INFECTION."

C. "WITHOUT TREATMENT, YOU COULD GET RHEUMATIC FEVER, WHICH CAN LEAD TO

RHEUMATIC HEART DISEASE."

D. "YOU MAY NOT WANT TO TAKE THE ANTIBIOTICS FOR THIS INFECTION, BUT YOU WILL

BE SORRY IF YOU DO NOT."

C. "WITHOUT TREATMENT, YOU COULD GET RHEUMATIC FEVER, WHICH CAN LEAD TO

RHEUMATIC HEART DISEASE."

RHEUMATIC FEVER (RF) IS NOT COMMON BECAUSE OF EFFECTIVE USE OF ANTIBIOTICS TO

TREAT STREPTOCOCCAL INFECTIONS. WITHOUT TREATMENT, RF CAN OCCUR AND LEAD

TO RHEUMATIC HEART DISEASE, ESPECIALLY IN YOUNG ADULTS. THE COMPLICATIONS DO

NOT INCLUDE HAIR OR BALANCE. SAYING THAT THE PATIENT WILL NOT FEEL WELL OR

THAT THE PATIENT WILL BE SORRY IF THE ANTIBIOTICS ARE NOT TAKEN IS THREATENING

TO THE PATIENT AND INAPPROPRIATE FOR THE NURSE TO SAY.

A 55-YEAR-OLD FEMALE PATIENT DEVELOPS ACUTE PERICARDITIS AFTER A MYOCARDIAL

INFARCTION WHICH ASSESSMENT FINDING INDICATES A POSSIBLE COMPLICATION?

HYPOTENSION AND TACHYCARDIA

ON ADMISSION TO THE EMERGENCY DEPARTMENT, A PATIENT WITH CARDIOMYOPATHY

HAS AN EJECTION FRACTION OF 10% ON ASSESSMENT, THE NURSE NOTES BILATERAL

CRACKLES AND SHORTNESS OF BREATH WHICH ADDITIONAL ASSESSMENT FINDING

WOULD MOST INDICATE PATIENT DECLINE

DECREASED LEVEL OF CONSCIOUSNESS

DECREASE OF A CONSCIOUSNESS, INDICATES A LACK OF PERFUSION HYPOXIA OR BOTH

WHICH ASSESSMENT FINDINGS WOULD ALERT THE NURSE THAT THE PATIENT HAS

ENTERED THE DIURETIC PHASE OF ACUTE KIDNEY INJURY (AKI)

-DEHYDRATION

-HYPOKALEMIA

-URINE OUTPUT INCREASES

THE HALLMARK OF ENTERING THE DIURETIC PHASE IS THE PRODUCTION OF COPIOUS

AMOUNTS OF URINE.

DEHYDRATION, HYPOKALEMIA, AND HYPONATREMIA OCCUR IN THE DIURETIC PHASE OF

AKI BECAUSE THE NEPHRONS CAN EXCRETE WASTES BUT NOT CONCENTRATE URINE.