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TEST BANK MED SURG 2 FINAL EXAM 2025 -
ACTUAL EXAM| 105 QUESTIONS AND DETAILED
ANSWERS| A+ GRADED
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/ c. respiratory rate changes from 14 to 20 d. heart rate changes from 66- 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.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. c. d.
The nurse is caring for a patient on a cardiac monitor and notes a peaked T wave. What lab will the nurse expect to find? a. hypercalcemia b. hyperkalemia c. hypokalemia d.hypocalcemia b. The patient has just been diagnosed with an MI. The patient asks for information about the disease and looks for any support groups. The nurse assesses this to be what type of coping strategy? a. problem focused b. meaning focused c. emotional focused d. maladaptive focused a. The nurse is caring for a patient diagnosed with heart failure. The nurse is preparing to administer digoxin to the patient. The patient
We have an expert-written solution to this problem! What assessment finding would the nurse consider to be relative of hypovolemia? a. fluid moving into the intracellular space b. elevated systolic blood pressure c. elevated mean arterial pressure d. fluid moving into the extravascular space d. We have an expert-written solution to this problem! The nurse is caring for a patient with burns. The total body surface area affected is 63%. The nurse must provide wound care for this patient. What interventions should the nurse include? (Select All) a. wear a gown,mask,gloves and protective eye gear while providing care b. use sterile technique when applying new dressings c. use scrub brush to debride wounds d. provide pain medication 2 hours prior to dressing changes e. provide pain medication 30 minutes prior to dressing changes
a. b. e. As a member of the stroke team, the nurse knows that thrombolytic therapy carries the potential for benefit and for harm. The nurse should be cognizant of what contraindications for thrombolytic therapy? Select all that apply. A) sudden symptom onset B)INR above 1. C) Recent intracranial pathology D) Current anticoagulation therapy E) Symptom onset greater than 3 hours prior to admission c. d. e. A Patient who has chest pain is admitted to the emergency department. All of the following diagnostic tests are ordered. Which test will the nurse arrange to complete first?
a. the patient's blood pressure is 90/ b. the patient complains of having a stiff neck c. CSF report shows red blood cells d. the patient complains of a continuous headache a. The nurse recognizes which clinical manifestations with the early stages of cardiogenic shock (select all) a. decreased respiratory rate b. cool and clammy skin c. decreased pulse rate d. decreased blood pressure e. elevated heart rate b. d. e.
The nurse is caring for a patient diagnosed with septic shock. Which pharmacological intervention should the nurse administer? a. Amoxicillin 1000mg po every 8 hours b. solu-cortef to reduce inflammation c. 0.45% NS to increase intravascular volume d. norepinepherine (levophed) to increase blood pressure d. A patient comes to the emergency room complaining of heartburn/ The nurse connected the patient to telemetry. What would the nurse identify the following strip as? a. Ventricular tachycardia b. Atrial fibrillation c. sinus tachycardia d. ventricular fibrillation a.
Nadolol is prescribed for treatment of stable angina. What change in the patient best demonstrates that the nadolol has been effective? a. improvement in the quality of peripheral pulses b. fewer complaints of having cold hands and feet c. the ability to do activities without chest pain d. decreased blood pressure and apical pulse c. The nurse is caring for the patient diagnosed with chronic stable angina. Which is most likely to be reported by the patient? a. the patient states that the pain is usually 3 on a scale of 10 b. the patient states that the pain wakes me up at night c. the patient states that the pain is relieved by sublingual nitroglycerin d. the patient says that the frequency of pain is increasing. c.
The nurse is caring for a patient diagnoses with tachypnea and orthopnea. Which level indicates the patient is having hypercapnia? a. PaCO2- b. PaCO2- c. PaCO2- d. PaO2- c. The nurse is caring for a patient with chronic atrial fibrillation. The patient has been receiving warfarin for 2 years. The nurse is reviewing the INR was 6.5. What would the nurse anticipate the physician to order? a. sodium bicarbonate b. Vitamin K c. Calcium Gluconate d. sodium polystyrene b.
The nurse teaches a patient with chronic stable angina how to use the prescribed short acting and long acting nitrates. Which statements by the patient indicates the teaching has been effective? a. I will stop what I am doing and sit down before i put the pill in my mouth b. I will put on the nitroglycerine patch as soon as I develop any chest pain c. I will be sure to remove the nitro patch before using any sublingual nitro d. I will check my pulse rate in my wrists before I take nitro a. THe patient with stable angina is to receive a dose of metoprolol. Which of the following would indicate that metoprolol should not be given? a. the blood pressure is 106/ b. the patient is restless or agitated c. the cardiac monitor shows a HR of 45 d. the patient complains of feeling anxious c.
The nurse is providing a community program on the different types of skin cancer.Which patient is high risk for developing basal cell skin cancer? a. a light skinned 30 yr old man with a 5cmx4cm lesion on his cheek b.a medium skinned 70 yr old male with lesions on his left arm c. a fair skinned 64 yr old female with multiple lesions on her abdomen and legs d. a dark skinned 25 yr old with multiple lesions on her feet and lower legs a. A patient with cerebral aneurysm exhibits signs and symptoms of an increase in intracranial pressure. What nursing intervention would be most appropriate for this patient? a. absolute bed rest in a quiet non-stimulating environment b. encourage independence with ADL's to promote recovery c. early initiation of physical therapy
d. tachycardia e. use of accessory muscles during respiration b. d. e. When the nurse begins to present information about heart disease to a newly diagnosed CAD patient, what is most important for the nurse to do first? a. consult with the MD to determine content based on stages of illness b. find out what the patient knows or heard about the disorder c. have family present who can reinforce diet and physicial limitation d. proceed from a simple to complex concepts when discussing pathophysiology What relevant assessment data would the nurse observe when a patient in acute respiratory failure has the complication of cerebral hypercapnia? a. decreased intracranial pressure
b. delerium c. progressive somnolence and coma d. restlessness and combative behavior c. A new nurse appears to be unsure of nursing assessments. The nurse asks co-workers to rehearse what needs to be reported to the physician. This seems to be annoying to some of the nurse co- workers.What is the nurse managers best response? a. Tell the staff that all new nurses go through this phase and ignored the behaviors b. agree with the staff and have someone follow and work more closely with a preceptor c. Explain to coworkers that this is a characteristics of critical thinking that is important. d. Have a talk with the nurse and suggest asking fewer questions c. The nurse is to obtain a sample of exudate for culture from a patient. What information will this test provide?
