Medsurg II Exam 1

A nurse is helping a patient move from the bed to the chair when the patient suddenly becomes dyspneic and becomes very weak. The nurse helps the patients lay back in bed and performs which of the following first:

Select a patient from the list below that is most likely to be placed on positive end expiratory pressure.

A Post MI patient suddenly presents with Ventricular Tachycardia. The nurse enters the room to find the patient unconscious and unresponsive. What is the priority action?

An elderly woman who lives just a few minutes away arrives at the ER thinking she has just had a heart attack. She states that she was working in her garden when she began to feel squeezing pain in her chest. She had her husband drive her to the ER immediately and states that the pain resolved on the drive over. Select the answers that indicate she was not having an MI.

A patient is charting at the nurse's station when she hears a patient's ventilator alarm going off. The nurse recognizes this alarm as a volume (or low pressure) alarm. Which of the following could be a cause for this alarm?

A patient is receiving intubation by an endotracheal tube. The nurse knows which of the following needs to be present in the room?

What does an elevated PAWP indicate? (Select all that apply).

Which of the following would you expect a patient presenting with a pulmonary embolism to have?

The nurse is educating a patient about their permanent pacemaker. Which of the following should be included in the teaching?

Which of the following breakfast choices should a nurse recommend for someone who is taking furosemide to reduce the workload on their heart?

Select the following diseases that are properly matched up with their disease process

The tele monitor displays an irregular rhythm with no visible P wave or QRS complex, the nurse enters the room to find the patient unresponsive. Which of the following rhythms was the patients displaying?

A patient presents to the ER with difficulty breathing. Upon assessment the nurse notices that the patients chest is expanding during expiration and contracting during inspiration. The nurse knows this is a sign of which of the following?

The tele monitor shows a patient in asystole. When the nurse enters the room she finds the patient unconscious, unresponsive with no pulse. What is the priority action of the nurse?

Which of the following heart valves has the highest work load?

A nurse is teaching a new grad about chest tubes. Which of the following statements by the new grad indicates a need for further teaching?

Select the following that are symptoms of pericarditis.

Which of the following elevated lab value is the earliest marker to indicate an MI?

A patient with atrial fibrillation received Digoxin 0.25mg PO 30 minutes ago. The patient presents with a fast heart rate, confusion and reports green and yellow halos in their field of vision. What is the priority action of the nurse?

Which of the following valves pumps blood from the right atrium into the right ventricle?

What valve would be more likely to cause fluid build up in the lungs?

A stabbing victim presents to the ER with several wounds on the left side of the chest, onset of severe chest pain, difficulty breathing, a rapid heart rate and is becoming cyanotic. It appears as if the knife may have punctures of his lungs. The nurse can assume the patient is suffering from which of the following?

A nurse notices that a client with heart disease has an onset of the following symptoms: severe hypotension, muffled heart sounds, jugular vein distention, light headedness and paradoxical pulse. Which of the following is priority action for the nurse?

A Post-MI patient on telemetry monitoring suddenly presents with a fast, regular rhythm with no visible P-waves. We know that this patient has which of the following

Which process can be used to verify the placement of a chest tube?