2024 NUR 242 MEDICAL SURGICAL LATEST
EXAM 2024 TEST BANK WITH 200 REAL
EXAM QUESTIONS AND CORRECT
ANSWERS ALREA DY GRADED A+ GALEN
COLLEGE (NEW!!)
A nurse cares for a client with end-stage heart failure who is awaiting a transplant.The client appears depressed and states, "I know a transplant is my last chance, but I don't want to become a vegetable." How would the nurse respond?
- "Would you like to speak with a priest or chaplain?"
- "I will arrange for a psychiatrist to speak with you. "
- "Do you want to come off the transplant list?"
- "Would you like information about advance directives?"
- "Would you like information about advance directives?"
- Sinus dysrhythmia
- Sinus tachycardia
- Sinus bradycardia
- Normal sinus rhythm
- Sinus tachycardia
- "Presence of Q waves indicates first-degree heart block."
- "Tall, peaked T waves indicate first-degree heart block."
- "Widened QRS complexes indicate first-degree heart block."
- "Prolonged, equal PR intervals indicate first-degree heart block."
- "Prolonged, equal PR intervals indicate first-degree heart block." 1 / 4
A client's electrocardiogram strip shows atrial and ventricular rates of 110 beats/minute. The PR interval is 0.14 second, the QRS complex measures 0.08 second, and the PP and RR intervals are regular. How should the nurse correctly interpret this rhythm?
The nurse has completed an educational course covering first-degree heart block.Which statement by the nurse indicates that teaching has been effective?
A client is admitted with superior vena cava syndrome. What action by the nurse is most appropriate?
- Administer a dose of allopurinol (Aloprim).
- Assess the client's serum potassium level.
- Gently inquire about advance directives.
- Prepare the client for emergency surgery
- Gently inquire about advance directives.
- Pitting edema
- Fatigue
- Dyspnea
- Oliguria
- Fatigue
- Variable PR interval
- Dropped QRS complexes
A home health nurse is making a home visit to a client who takes a daily diuretic for heart failure. Which of the following manifestations should the nurse identify as indicating the client is hypokalemic?
Characteristics of Second Degree Wenckebach are which of the following (select all that apply)
Main causes of second-degree type 1 - Wenckebach
A) CAD
- New MI
- Rheumatic fever
- Increased vagal tone
- Hyperkalemia
- Myocarditis
- Monitor VS (BP & HR)
- Asses for possible causes
- Consult HCP about holding drugs the slow AV conduction
Which of the following interventions of Sinus Rhythm with Second degree AV block Type I- Wenckebach. Select all that apply TEST
Main characteristics of second-degree type 2- Mobitz 2 / 4
- PR interval does not lengthen before a dropped beat
- Pattern of conducted P waves followed by non-conducted p waves
- Age related/degenerative changes
- New MI
- Post cardiac surgery- comp from cardiac ca
- Monitor VS (BP & HR)
- Asses for syncope, palpitations, SOB
- Admin dopamine if client is hypotensive and prepare for temporary pacing
- Type 2 has potential to become a complete heart block
- Type 2 is not typically a result of drugs or increase vagal tone
- Type 2 is more age-related degenerative changes in conduction system
- Placing the patient on a fluid restriction as ordered
- Applying thigh-high elastic stockings
- Administering an antifibrinolyic agent
- Assisting the patient with passive range of motion (PROM) exercises
- Applying thigh-high elastic stockings
- To hold a dressing in place
- To keep the person's legs warm
- To promote venous blood return to the heart
- To prevent pressure ulcers on the heels and ankle
- To promote venous blood return to the heart 3 / 4
Main causes of second-degree type 2 Mobitz
You have identified your patient as suddenly going into second-degree type 2 Mobitz heart block. Which of the following would be nursing interventions you would do (select all that apply)
What is the difference between second degree type 1- and second-degree type 2?
A patient with spinal cord injury has a nursing diagnosis of altered mobility and the nurse recognizes the increased the risk of deep vein thrombosis (DVT). Which of the following would be included as an appropriate nursing intervention to prevent a DVT from occurring?
What is the purpose of elastic stockings?
Which action is appropriate when caring for a person with elastic stockings?
- Discard the stockings if they become soiled.
- Remove the stockings at least every 4 hours.
- Observe the condition of the person's skin each week.
- Smooth out any wrinkles, creases, or twists in the stockings.
- Smooth out any wrinkles, creases, or twists in the stockings.
- Unilateral peripheral swelling
- Clotting times
- Cardiopulmonary status
- Electrocardiogram rhythm
- Cardiopulmonary status
- "Cardiac rehabilitation cannot undo the damage to your heart but it can help you
- "It's not unusual to feel that way at first, but once you learn the routine, you'll be
- "You are probably right and I agree with you, but I still think you should go."
- "Your doctor is the expert here, and I'm sure he would only recommend what is
- / 4
The nurse is caring for a patient with varicose veins. Which patient statement demonstrates the need for the nurse to provide further education about compression stockings?a.) "I put my stockings on as soon as my legs start to hurt." b.) "I put on my compression stockings before I get out of bed." c.) "I will purchase new compression stockings every 4 to 6 months." d.) "If I forget to put my stockings on, I elevate my legs for 15 minutes before putting them on." a.) "I put my stockings on as soon as my legs start to hurt." A nurse assesses a client recently bitten by a coral snake. Which assessment should the nurse complete first?
A client who has had a significant myocardial infarction receives a referral to the cardiac rehabilitation unit. During his first visit to the unit, he tells the nurse that he doesn't understand why he needs to be there because there is nothing more to do as the damage is done. Which of the following is an appropriate nursing response?
get back to your previous level of activity safely."
fine."
best for you."