Med Surg 2 Exam 2

50 Questions | Total Attempts: 656

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Medical Surgical Quizzes & Trivia

Questions and Answers
  • 1. 
    The nurse best understands the risks of Heart Failure when she explains which as primary risk factors. Select all that apply.
    • A. 

      Smoking

    • B. 

      Obesity

    • C. 

      CAD

    • D. 

      Advancing Age

    • E. 

      African American Decent

  • 2. 
    A pt reports with mental confusion as well as a narrowing pulse pressure and noticable weight gain. Upon assessing radiology results the nurse notes a enlarged LV and a enlarged LA. The Nurse would expect the pt to be diagnosed with which kind of heart failure?
    • A. 

      Left Sided Heart Failure

    • B. 

      Right Sided Heart Failure

    • C. 

      Both

    • D. 

      None of the above

  • 3. 
    The nurse best understands the importance of managing a patient with heart failure when she says which statement?
    • A. 

      Its important to increase the preload because its directly correlated to a increase in CO and thats always good.

    • B. 

      Decreasing preload will put less strain on the heart as it will also lower the CO, and thus is decreasing the amount the heart needs to work.

    • C. 

      Decreasing Preload is the most common therapeutic practice to ensure a HF patient has a good quality of life.

    • D. 

      Increased preload is equal to a decrease in CO.

  • 4. 
    The nurse needs further education on the topic of the bodys natural compensation to HF when she explains it in which way? Select the BEST answer.
    • A. 

      A decrease in CO stimulates the SNS to release NE, this NE causes a increase in HR as well as a increase in contractility and vasodilation. Vasodilation increases the venous return of the body to the heart which increases ventricle filling. The abundance of blood overfills the heart causing the myocardial tissue to atrophy. The hyperatrophied ventricle has decreased contractility at this point and thus has a decreased CO.

    • B. 

      A decrease in CO stimulates the SNS to release NE, this NE causes a increase in HR as well as a increase in contractility and vasoconstriction. Vasoconstriction increases the venous return of the body to the heart which increases ventricle filling. The abundance of blood overfills the heart causing the myocardial tissue to atrophy. The hyperatrophied ventricle has decreased contractility at this point and thus has a decreased CO.

    • C. 

      A decrease in CO stimulates the SNS to release NE, this NE causes a increase in HR as well as a increase in contractility and vasoconstriction. Vasoconstriction increases the venous return of the body to the heart which increases ventricle filling. The abundance of blood overfills the heart causing the myocardial tissue to atrophy. The hyperatrophied ventricle has increased contractility at this point and thus has a increased CO.

    • D. 

      A increase in CO stimulates the SNS to release Epinephrine, this Epinephrine causes a increase in HR as well as a increase in contractility and vasoconstriction. Vasoconstriction increases the venous return of the body to the heart which increases ventricle filling. The abundance of blood overfills the heart causing the myocardial tissue to atrophy. The hyperatrophied ventricle has decreased contractility at this point and thus has a increased CO.

  • 5. 
    A pt w/ Systolic Heart Failure is admitted for a HF exacerbation. The student nurse understands that the best thing we could do for the pt is to help the heart perform which action? Select the BEST answer(s).
    • A. 

      Help the heart fill effectively

    • B. 

      Help the heart maintain a steady pulse

    • C. 

      Both A and B

    • D. 

      Help the heart eject more blood from the ventricle

  • 6. 
    Which of the following descriptions of your patient when receiving report on the unit would make the nurse anticipate the pt is in heart failure. Choose the BEST answer.
    • A. 

      BP- 169/100, HR-87, Ejection Fraction from a recent ECHO of 32 , S.O.B

    • B. 

      BP- 120/80, HR-115, Ejection Fraction from a recent ECHO of 53

    • C. 

      BP- 200/113, HR-87, Ejection Fraction from a recent ECHO of 45 , S.O.B

    • D. 

      BP- 110/78, HR-59, Ejection Fraction from a recent ECHO of 71, Pt has Unstable Angina

  • 7. 
    Right Sided heart failure will most typically present with pulmonary issues, and left sided heart failure will most typically present with systemic and body issues like Liver problems.
    • A. 

      True

    • B. 

      False

  • 8. 
    Read the following report and determine the issue associated with the patient....Pt has reported to the ED with a Cap Refill >3 seconds. Crackles in the bases of the lungs. HR-72 BP 110/70. The pt is diaphoretic. The patient pt reports that they workout frequently to lose weight but noticed they have gained about 7 pounds just this week. The patient most likely is presenting with [BLANK]
  • 9. 
    Your pt reports with Left sided HF and as a result is having trouble breathing and has been determined to be experiencing pulm edema. The nurse anticipates which medications to be ordered? Select all that apply.
    • A. 

      Morphine

    • B. 

      Nitroglycerin

    • C. 

      Aspirin

    • D. 

      TPA

    • E. 

      Diuretics

    • F. 

      Phosphodiasterase inhibitors

  • 10. 
    The pt with right sided HF would likely be found to be acidotic.
    • A. 

      True

    • B. 

      False

  • 11. 
    The nurse taking care of a patient with heart failure recognizes which series of lab values as the most troubling and consults the doctor? Select the BEST answer.
    • A. 

      BNP-45 AST-25 ALT- 45 ESR-30 BILI- 1.2

    • B. 

      BNP-21 AST-25 ALT- 35 ESR-15 BILI- 5

    • C. 

      BNP-520 AST-200 ALT- 800 ESR-12 BILI- 7

    • D. 

      BNP-570 AST-200 ALT- 90 ESR-10 BILI- 0.6

  • 12. 
    The nurse is taking care of a patient with HF, the first line of pharmacologic defense is considered which drug?
    • A. 

      ARBS

    • B. 

      ACE INHIBITORS

    • C. 

      DIGOXIN

    • D. 

      BETA BLOCKERS

  • 13. 
    EMS brings a pt to the ED at 23:45. The pt is complaining of Chest Pain. When questioned the 22 year old UF Student was playing Call of Duty. When asked about the length of the pain its been 25 mins since it started. The intensity has not changed. The nurse understands this patient to be having what kind of Angina.
    • A. 

      Stable

    • B. 

      Unstable

    • C. 

      Prinzmetal

    • D. 

      Gas Pain

  • 14. 
    The nurse is watching the EKG at the nurses station and notices that the ST segment appears to look like a sunken plateau. The nurse would anticipate the patient to be exeperiencing what issue?
    • A. 

      STEMI

    • B. 

      NSTEMI

    • C. 

      ACS

    • D. 

      CHF

  • 15. 
    A pt is receiving fibrinolytic therapies for their STEMI. Which of the following would be appropriate nursing diagnoses. Select the BEST answer(s).
    • A. 

      High Risk for Bleeding

    • B. 

      Impaired mobility

    • C. 

      GI DIsorders

    • D. 

      Altered mental status

    • E. 

      Nutrition Deficit

  • 16. 
    The nurse understands that 1 hour after a MI the pt is at risk for which dysryhthmia?
    • A. 

      VTACH

    • B. 

      VFIB

    • C. 

      AFIB

    • D. 

      PVC

  • 17. 
    After a MI a pt is said to be clear to increase activity at what point?
    • A. 

      48 hours

    • B. 

      10 days

    • C. 

      6 Weeks

    • D. 

      3 Months

  • 18. 
    A pt presents with a trauma to the chest. Blood has pooled into the thoracic cavity. The nurse anticipates a chest tube to be placed in which location? Choose the BEST answer.
    • A. 

      Low Anterior

    • B. 

      Low Lateral Chest

    • C. 

      Low Posterior Chest

    • D. 

      High Lateral Chest

  • 19. 
    What is the PRIORITY nursing action if you see that your patients chest tube has come out.
    • A. 

      Notify MD Stat

    • B. 

      Prepare for a STAT xray

    • C. 

      Apply Vaseline STAT

    • D. 

      Assess lung sounds STAT

  • 20. 
    When teaching a patient with atherosclerosis on how they can help themselves with the disease the nurse picks which options? Select the BEST answer(s).
    • A. 

      Genetics

    • B. 

      Smoking Cessation

    • C. 

      Watch their Diet

    • D. 

      Lower Cholesterol

    • E. 

      Stop eating foods high in Vit K

  • 21. 
    The nurse understands the reason a PFT is ordered for their patient going down for a CABG is? Select the BEST answer.
    • A. 

      To test the strength of their heart under the pressures of surgery.

    • B. 

      To test the strength of their lungs under the pressures of surgery.

    • C. 

      To see how good the lungs function

    • D. 

      To determine if the patient will be able to be extubated post-op.

  • 22. 
    The sternum can only be surgically opened 3 times.
    • A. 

      True

    • B. 

      False

  • 23. 
    The operating room nurse understands that the pt who is down for a CABG has the highest risk for? Choose the BEST answer.
    • A. 

      ACUTE MI

    • B. 

      Low CO

    • C. 

      Electrolyte Imbalancc

    • D. 

      Hemorrhage

    • E. 

      Cardiac Tamponade

  • 24. 
    During a CABG a patient is fully heparinized. The nurse knows to ready what med for the surgeon towards the end of the surgery? Choose the BEST answer.
    • A. 

      Vitamin K

    • B. 

      Pulmonist Sulfate

    • C. 

      Protamine Sulfate

    • D. 

      Atropine Sulfate

  • 25. 
    The nurse recognizes which order of dopamine to be correct post-op of a CABG? Select the BEST answer.
    • A. 

      4mcg/kg/min Dose

    • B. 

      10mcg/kg/min

    • C. 

      20mcg/kg/min

    • D. 

      3mcg/kg/min

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