NR509 WEEK 4 REAL EXAM WITH QUESTIONS AND CORRECT ANSWERS NEW UPDATE 2024
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Course
NR509
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NR509
NR509 WEEK 4 REAL EXAM WITH QUESTIONS AND CORRECT ANSWERS NEW UPDATE 2024NR509 WEEK 4 REAL EXAM WITH QUESTIONS AND CORRECT ANSWERS NEW UPDATE 2024NR509 WEEK 4 REAL EXAM WITH QUESTIONS AND CORRECT ANSWERS NEW UPDATE 2024
NR509 WEEK 4 REAL EXAM WITH QUESTIONS AND CORRECT ANSWERS NEW UPDATE 2024 1. A 25 -year-old woman in her fifth month of pregnancy has a blood pressure of 100/70 mm Hg. In reviewing her previous examination, the nurse notes that her blood pressure in her second month was 124/80 mm Hg. In evaluating this change, what does the nurse kn ow to be true? a. This decline in blood pressure is the result of peripheral vasodilatation and is an expected change. b. Because of increased cardiac output, the blood pressure should be higher at this time. c. This change in blood pressure is not an expected finding because it means a decrease in cardiac output. d. This decline in blood pressure means a decrease in circulating blood volume, which is dangerous for the fetus. - ANSWERSa. This decline in blood pressure is the result of peripheral vasodilatation and is an expected change. 2. A 30 -year-old woman with a history of mitral valve problems states that she has been "very tired." She has started waking up at night and feels like her "heart is pounding." During the assessment, the nurse palpates a thrill and lift at the fifth left inte rcostal space midclavicular line. In the same area, the nurse also auscultates a blowing, swishing sound right after the S1. These findings would be most consistent with: a. Heart failure. b. Aortic stenosis. c. Pulmonary edema. d. Mitral regurgitation. - ANSWERSd. Mitral regurgitation. 3. A 35 -year-old man is seen in the clinic for an infection in his left foot. Which of these findings should the nurse expect to see during an assessment of this patient? a. Hard and fixed cervical nodes b. Enlarged and tender inguinal nodes c. Bilateral enlargement of the popliteal nodes d. Pelletlike nodes in the supraclavicular region - ANSWERSb. Enlarged and tender inguinal nodes 4. A 45 -year-old man is in the clinic for a routine physical examination. During the recording of his health history, the patient states that he has been having difficulty sleeping. "I'll be sleeping great, and then I wake up and feel like I can't get my brea th." The nurse's best response to this would be: a. "When was your last electrocardiogram?" b. "It's probably because it's been so hot at night." c. "Do you have any history of problems with your heart?" d. "Have you had a recent sinus infection or upper respiratory infection?" - ANSWERSc. "Do you have any history of problems with your heart?" 5. A 65 -year-old patient is experiencing pain in his left calf when he exercises that disappears after resting for a few minutes. The nurse recognizes that this description is most consistent with _______ the left leg. a. Venous obstruction of b. Claudication due to venous abnormalities in c. Ischemia caused by a partial blockage of an artery supplying d. Ischemia caused by the complete blockage of an artery supplying - ANSWERSc. Ischemia caused by a partial blockage of an artery supplying 6. A 67 -year-old patient states that he recently began to have pain in his left calf when climbing the 10 stairs to his apartment. This pain is relieved by sitting for approximately 2 minutes; then he is able to resume his activities. The nurse interprets tha t this patient is most likely experiencing: a... Claudication. b. Sore muscles. c. Muscle cramps. d. Venous insufficiency. - ANSWERSa... Claudication. 7. A 70 -year-old patient is scheduled for open -heart surgery. The surgeon plans to use the great saphenous vein for the coronary bypass grafts. The patient asks, "What happens to my circulation when this vein is removed?" The nurse should reply: a. "Venous insufficiency is a common problem after this type of surgery." b. "Oh, you have lots of veins —you won't even notice that it has been removed." c. "You will probably experience decreased circulation after the vein is removed." d. "This vein can be removed without harming your circulation because the deeper veins in your leg are in good condition." - ANSWERSd. "This vein can be removed without harming your circulation because the deeper veins in your leg are in good condition." 8. A 70 -year-old patient with a history of hypertension has a blood pressure of 180/100 mm Hg and a heart rate of 90 beats per minute. The nurse hears an extra heart sound at the apex immediately before the S1. The sound is heard only with the bell of the ste thoscope while the patient is in the left lateral position. With these findings and the patient's history, the nurse knows that this extra heart sound is most likely a(n): a. Split S1. b. Atrial gallop. c. Diastolic murmur. d. Summation sound. - ANSWERSb. Atrial gallop. 9. A patient complains of leg pain that wakes him at night.. He states that he "has been having problems" with his legs. He has pain in his legs when they are elevated that disappears when he dangles them.. He recently noticed "a sore" on the inner aspect of the right ankle. On the basis of this health history information, the nurse interprets that the patient is most likely experiencing: a. Pain related to lymphatic abnormalities. b. Problems related to arterial insufficiency. c. Problems related to venous insufficiency. d. Pain related to musculoskeletal abnormalities. - ANSWERSb. Problems related to arterial insufficiency.
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