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NUR 2502 FINAL EXAM 2 VERSIONS 2023-2024 EXAM 100
QUESTIONS AND CORRECT ANSWERS /MULTIDIMENSIONAL CARFINAL |ALREADY GRADED A+|RASMUSSEN COLLEGE
- A neutropenic pt’s family reports the pt is “not acting right”. What is a priority for
the nurse to assess for?
a. Infection - What heart sound would a nurse expect to find on a pt diagnosed with
mitral regurgitation?
a. high-pitched holosystolic murmur - What should a nurse be concerned with, when finding their pt in a-fib with a HR of 180?
a. Hypotension
b. Dizziness
c. Worsening HF - What finding is a priority to address during a blood transfusion?
a. Chest pain - (T/F) A patient with atrial fibrillation is at risk for embolic events?
a. True - Which medications would be appropriate in the treatment of a heart failure pt?
a. ACE inhibitors
b. Diuretics - What would a nurse expect to find when assessing a pt with
autoimmune thrombocytopenic purpura?
a. Bruising - What nursing interventions are appropriate for a pt with thrombocytopenia?
a. Avoid IM injections
b. Apply ice to traumatic injuries
c. Check urine and stool for presence of occult blood - What would a nurse not expect to find when assessing a pt with leukemia?
a. Weight gain
i. Findings include (bleeding gums, bone pain, fatigue) - Which pt would be the most at risk for endocarditis?
a. Recent valve replacement and recent dental work - (T/F) A nurse should instruct a pt with polycythemia vera to wear support hose
while awake.
a. True
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- Which of the following interventions would be appropriate for a pt with sickle
cell disease?
a. Encourage hydration
b. Warm environment
c. Removal of restrictive clothing
d. Administer IV morphine - What assessment finding would be most worrisome for a pt with an abdominal
aortic aneurysm?
a. Absent peripheral pulses - (T/F) A patient with high HDL and low LDL would be at risk for
developing atherosclerosis.
a. False - What is a priority nursing assessment for a pt who recently had a heart transplant?
a. Assess for signs of rejection - What assessment finding would a nurse expect to find when assessing a pt with
dilated cardiomyopathy?
a. S3 and S4 gallop - (T/F) A nurse should question the order for a pericardiocentesis on a pt diagnosed with
a pericardial effusion.
a. False - (T/F) A nurse knows that the most common problem for a pt with valvular heart
disease is decreased cardiac output.
a. True - What is most appropriate to include in an assessment of a pt with hemophilia?
a. Joint pain and bruising - A nurse is aware that would be a potential treatment option for leukemia.
a. Stem cell transplant - (T/F) A nurse knows that hemolytic reactions to blood transfusions most often
occur within the first 15 minutes.
a. True - What side effect should the nurse educate a patient about regarding digoxin?
a. Bradycardia
b. Nausea and decreased appetite
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- What assessment findings would be indicative of endocarditis?
a. Fever
b. Newly developed heart murmur
c. Osler’s nodes - What valvular heart disorder would a pt with the history of rheumatic fever be more
at risk for?
a. Mitral Stenosis - What blood transfusion reaction is the result of ABO or Rh incompatibility?
a. Hemolytic reaction - What would be the priority nursing intervention for a patient with atrial fibrillation at
a rate of 180 bpm?
a. Administer medication to slow the heart rate down - (T/F) A nurse knows that a pt presenting with enlarged, painless lymph nodes may
have lymphoma.
a. True - The following assessment findings would be indicators of a possible
myocardial infarction:
a. Positive troponin markers
b. ST elevation on EKG in two contiguous leads
c. Chest pain radiating to the jaw, back, and shoulder - What is the treatment of choice for end-stage heart failure?
a. Heart transplant - What assessment findings would a nurse expect to find on a pt with the diagnosis
of venous insufficiency?
a. 2+ bilateral ankle edema
b. Leg pain with standing that is resolved with elevation
c. Brown pigmentation of the lower extremity skin - A nurse is assessing a pt with polycythemia vera. What assessment finding would be
the most concerning?
a. Shortness of breath - Which assessment finding would be consistent with left-sided heart failure?
a. SOB
b. Chest XR showing pulmonary congestion