NUR 101 NCLEX WEEK 2 QUIZ| QUESTIONS & ANSWERS

NUR 101 NCLEX Week 2 NCLEX QUIZ LATEST UPDATE 2020 1. The nurse is caring for a client diagnosed with an anterior myocardial infarction 2 days ago. Upon assessment, the nurse identifies a new systolic murmur at the apex. The nurse should first: A. Assess for changes in vital signs. B. Draw an arterial blood gas. C. Evaluate heart sounds with the client leaning forward. D. Obtain a 12 Lead electrocardiogram. Answer: A Rationale: Vital sign changes will reflect the severity of the sudden drop in cardiac output: decrease in blood pressure, increase in heart rate, and increase in respirations. ABG, heart sounds, are not the ways to detect severity of a murmur. A 12 lead electrogram would work in the case of an MI but not for the murmur. 2. A client with acute chest pain is receiving I.V. morphine sulfate. Which of the following results are intended effects of morphine in this client? Select all that apply. A. Reduces myocardial oxygen consumption. B. Promotes reduction in respiratory rate. C. Prevents ventricular remodeling. D. Reduces blood pressure and heart rate. E. Reduces anxiety and fear. Answer: A, D, E Rationale: Morphine sulfate acts as an analgesic and sedative. It reduces blood pressure, and heart rate by reducing the oxygen consumption of the myocardium. Morphine helps to reduces anxiety and fear. Its sedative effects help do this by slowing the heart rate. B, and C are not effects of morphine