Med-Surg Final Exam Questions With Complete Solution (85 Q&A) 2023/

Med-Surg Final Exam Questions With Complete Solution (85 Q&A) 2023/2024

The nurse is assessing a patient for heart failure. Which findings would indicate decreased cardiac output and a potential for fluid overload from heart failure?

{{Correct Ans- Orthopnea, peripheral edema, crackles

A patient comes to the ER with chest pain. A nurse reviews the following lab results (elevated CPK, CK-MB, tropinin). What does the nurse do first?

{{Correct Ans- Prepare the patient go go immediately to cardiac catheterization

What would be included in the collaborative management of a patient's pulmonary status following coronary artery bypass graft (CABG) surgery?

{{Correct Ans- Mobilizing the patient as soon as possible to prevent atelectasis and venous stasis.

What should the nurse prepare to administer to a patient with sustained supraventricular tachycardia (SVT)?

{{Correct Ans- Adenosine

A patient is admitted with chest discomfort and a possible myocardial infarction. What would be a contraindication to administration of fibrinolytic medications to the patient? The patient had:

{{Correct Ans- A stroke within the past month

A patient is experiencing reduced after load. The nurse realizes that a cause of reduced after load is:

{{Correct Ans- Vasodilator medications

The electrocardiogram of a patient receiving tPA for a myocardial infarction shows that the ST segment has returned to baseline. How should the nurse interpret this finding?

{{Correct Ans- The blocked artery has been reperfused.

Which of the following will the nurse not include in the plan kf care for a patient with atrial fibrillation?

{{Correct Ans- Prepare the patient for unsynchronized defibrillation to assist in controlling heart rate.

A nurse is assessing a patient diagnosed with an anterior-lateral myocardial infarction. The nurse adds a nursing diagnosis to the patient's plan of care of decreased cardiac output when which finding is noted on assessment?

{{Correct Ans- Crackles auscultated in bilateral lung bases