WorksheetsMedical Surgical Unit Competition Quiz 3
Total questions: 10
Worksheet time: 6mins
The nurse notes that Shelly’s ECG has a rate of 78 bpm, normal P waves that precede each QRS complex, PR intervals of 0.16 seconds, and a regular pattern of shortening and lengthening of P-P and R-R intervals. The nurse should:
Notify the physician STAT.
Call for a STAT 12-lead ECG.
Prepare the client for cardiac catheterization
Document the client as having sinus arrhythmia
Mr. Eliot James, a 51-year-old truck driver, was admitted in the Cardiac Care Unit for an anterior Myocardial Infarction. On the third of hospitalization, Mr. James becomes increasingly restless. Pulse rate has increased to 126 beats per minute. The first nursing action is to:
Do a partial physical assessment, which includes vital signs, pulmonary auscultation, and cognitive functions
Ask if the client is upset, because depression is common on the third day of hospitalization
Re-administer oxygen per nasal catheter (prongs or tongs) at 6 liters, because restlessness is an early sign of cerebral hypoxia
Decrease the rate of intravenous infusion to prevent fluid volume overload
Toby Hogan, 34-year-old editor, was recently diagnosed with subacute bacterial endocarditis (SBE). The nurse determines that the client understands the discharge teaching when he does which of the following?
Asks for a referral to a dietician for a low-sodium
diet
Explains to his wife why he needs antibiotics
before seeing the dentist
Asks when he can start to take his antibiotics
in pill form
Explains his plans to quit smoking
The nurse is monitoring a client who has recently undergone pericardiocentesis. The nurse suspects cardiac tamponade after observing which of the following?
A rapid increase in blood pressure and flushing
Jugular vein distention (JVD) and narrowing
pulse pressure
Bradycardia and bilateral crackles
Louder and harsher heart sounds
The nurse is caring for a client with new onset of atrial fibrillation. The nurse anticipates that which of the following is a possible treatment for this dysrhythmia when it first develops?
External pacemaker application
Insertion of automatic internal cardiac
defibrillator (AICD)
Synchronized cardioversion
Defibrillation
The nurse is conducting an assessment on Mr. See, a 50-year-old Chinese man, who is a cashier at a local store. Mr. See acknowledged that because of his work, he often stands 6 to 8 hours at a time. The nurse should inspect Mr. See for:
Capillary dysfunction
Buerger’s disease
Varicosities
Aneurysms
Ms. Atkins, 33 years old, arrived at the unit for her cardiac stress test. Ms. Atkins reports that no breakfast was delivered this morning and she is hungry. Which of the following is the nurse’s best action?
Bring the client coffee and toast
Explain that a client should have no food the morning of a cardiac stress test
Call the nutrition department and get the client’s regular full breakfast
Have the nursing assistant get the client cereal with milk and orange juice
Mrs. J. Andrews is admitted with angina pectoris and was ruled out for a myocardial infarction. The nurse reviews her laboratory results and plans to include dietary teaching after noting that Ms. Andrews’s lipid profile shows which of the following sets of values?
Cholesterol: 180, HDL: 40, triglycerides: 220
Cholesterol: 190, HDL: 40, triglycerides: 160
Cholesterol: 120, HDL: 25, triglycerides: 220
Cholesterol: 220, HDL: 40, triglycerides: 190
A client tells the nurse that he has leg pains that begin when he walks, but cease when he stops walking. Which of the following conditions would the nurse assess for?
An acute obstruction in the vessels of the legs
Peripheral vascular problems in both legs
Diabetes
Calcium deficiency
Rodrick Simpson a.k.a. “Crook”, a 35-year-old gangster, was knifed in a street fight. He was admitted through the Emergency Department and is now in the ICU. An assessment of his condition reveals the following: respirations shallow and rapid, paradoxical pulse, CVP 15 cm H2O, BP 90mmHg systolic, skin cold and pale, and urinary output 60-100mL.hr for the last 2 hours. Analyzing these findings, the nurse will base a nursing diagnosis on the conclusion that the client has which one of the following conditions?
Hypovolemic shock
Cardiac tamponade
Wound dehiscence
Atelectasis
