Download NSG233/ NSG 233 Exam 2: (New 2024/ 2025 Update) Med Surg III | Q&A and more Exams Nursing in PDF only on Docsity! NSG233/ NSG 233 Exam 2: (New 2024/ 2025 Update) Med Surg III | Questions and Verified Answers| 100% Correct| A Grade – Herzing QUESTION A cardiac ICU manager is reviewing types of pacemakers with a group of newly hired nurses. Which of the following statements by one of the nurses indicates the understanding of a fixed pacemaker? Answer: The pacemaker fires at a constant rate, not on demand QUESTION The ICU nurse is checking the telemetry of a post-op patient who has displayed normal sinus rhythm. The nurse notes a recurrent pattern in which the patient's PR Interval has become progressively longer followed by a P Wave that is not conducted to the ventricles (No QRS). Which conduction problem would the nurse identify for the patient? Answer: 2nd degree QUESTION A patient is being discharged on digoxin after being diagnosed with A Fib. When providing medication teaching, the nurse should include which of the following instructions? Answer: You need to check your pulse before taking this medication QUESTION The nurse is performing a Glascow Coma Scale assessment on a client who is unconscious. Which total score would indicate to the nurse that the patient probably has a severe brain injury? Answer: 5 QUESTION The nurse is caring for a client with a closed head injury who is emerging from a coma. Which of the following signs would prompt the nurse to notify the HCP immediately? Answer: Unequal Pupils QUESTION The nurse is teaching a client with a spinal cord injury who has a new prescription for Baclofen to treat muscle spasms. Which of the following statements by the client indicates an understanding of the teaching? Answer: I won't be able to drink alcohol while taking this medicine QUESTION Which assessment finding would the nurse expect to find in a patient diagnosed with a AAA? Answer: systolic bruit QUESTION The ICU nurse is caring for a patient diagnosed with a head injury who is intubated and becoming agitated and combative. The nurse prepares to administer which of the following medications to help calm the patient? QUESTION SATA Which of the following should the nurse review with the client who is being discharged with a permanent pacemaker. Answer: Avoid MRIs c. Wear a medic alert ID d. Keep cell phones on opposite sides QUESTION The charge nurse is observing a new RN providing discharge teaching for a client with hypertension who is being prescribed Analapril. Which of the following comments by the new RN would prompt the charge nurse to intervene? Answer: "You will need to increase your diet high in Potassium foods" QUESTION The nurse on the cardiac unit is caring for a patient on telemetry who is recovering from a MI and has a history of glaucoma. The patient's heart rate is 44. The nurse assesses the BP which is 98/60 and the patient is complaining of dizziness and fatigue. The nurse notifies the provider and anticipates which of the following management strategies? Answer: Temporary transcutaneous pacing (im leaning most towards this one since this one is for abnormally slow heart rates) QUESTION A client admitted with pericarditis calls the nurses station and complains of difficulty breathing and chest pain. The nurse assesses and reveals the vital signs : T - 99.2, P - 108, RR - 28, BP - 106/94, O2 - 92%. The patient has jugular vein distention. Heart sounds are faint and lungs have faint crackles. The nurse recognizes that these symptoms are consistent with which of the following conditions? Answer: Cardiac tamponade QUESTION The nurse is caring for a client who is experiencing ICP. The nurse observes that the client's body becomes stiff with flexion of the upper extremities with extension and internal rotation of the lower extremities. How will the nurse document? Answer: Decorticate posturing (toward the body & clenched) QUESTION What dietary modifications is priority for the nurse to include in teaching a patient who is taking Amlodipine to control their blood pressure? Answer: Eliminate grapefruit QUESTION The nurse is assisting the tech during morning care of the client with a spinal cord injury at T5. Which of the following actions by the tech would require correction by the nurse? Answer: Raise the knee gatch to make the client more comfortable(makes most sense) QUESTION The nurse is providing education to a client diagnosed with a small thoracic aneurysm. Which information should the nurse include in the teaching session? Answer: Dyspnea may develop if the aneurysm dilates (this is a symptom per realizeit) QUESTION The nurse is assisting with a cardioversion on a client with AFib. The nurse sets the defibrillator to synchronize the ECG on the monitor to make sure the electrical impulse discharges during which part of the patient's impulse cycle? Answer: QRS wave QUESTION A client with a spinal cord injury is having difficulty with muscle spasms and spasticity and the HCP orders dantrolene to manage the symptoms. Which of the following instructions are important for the nurse to inform the client about the drug? Answer: Liver function tests are needed regularly QUESTION The physician prescribes Amlodipine for a patient with hypertension and a family history of aneurysms. The patient asks the nurse how the medication works. How should the nurse respond? Answer: It relaxes the heart and dilates the blood vessels QUESTION The nurse is provided education to a client who has hypertension and has a new prescription for Captopril. Which statement by the client would indicate that reinforcement is needed? Answer: I won't worry if I have a little swelling around my lips or face QUESTION The nurse is reviewing the health history of a patient who is to be prescribed sotalol to control V Tach. Which of the following does the nurse recognize as a contraindication to sotalol? Answer: Asthma QUESTION A pregnant client is experiencing gestational hypertension and will need an antihypertensive medication. The client states "my grandmother takes Losartan and her BP is good. Do you think the doctor can prescribe me that?". How should the nurse respond? Answer: This medication can cause birth defects or fetal death QUESTION The ICU is monitoring a patient who has a traumatic brain injury for signs of increased ICP. Which would indicate an EARLY sign of deterioration in the patient's neurological status? Answer: Bradycardia and Systolic Hypertension QUESTION The nurse is caring for a patient with an open AAA repair who is 4 hours post op. Which action by the tech would require the nurse to intervene Answer: Preparing to help the patient to the bathroom QUESTION Which of the following nursing interventions are appropriate in the immediate post op care of a patient with an endovascular graft repair of an AAA? Answer: Check pedal pulses QUESTION Which of the following signs would cause the nurse to suspect a critically ill patient is developing DIC? Answer: Nosebleed QUESTION The nurse is reviewing the HCP's orders for a patient with DIC. Which of the following orders should the nurse question? Answer: Administer Vitamin K IM QUESTION The nurse is caring for a client who has tetraplegia. When the nurse elevates the HOB to 30 degrees, the patient complains of dizziness and becomes hypotensive. What should the nurse do? Answer: Lower the HOB QUESTION The nurse is reviewing the diagnostic tests of a client admitted with a thoracic aneurysm. The client asks the nurse "How does the doctor know that this is an aneurysm?". The nurse knows that which of the following test results best confirms the diagnosis? Answer: CTA