MEDICAL SURGICAL NURSING (cardiovascular and respiratory system) PRE TEST | 100% Guaranteed Pass
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Course
Nursing
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University Of Phoenix
MEDICAL SURGICAL NURSING PRE TEST 1. A nurse administers an intravenous solution of D.45% sodium chloride. With respect to human blood cells this solution is a. Isotonic c. Hypotonic b. Isometric d. Hypertonic 2. Two body systems that interact with the bicarbonate buffer system to preserve the norm...
1 a nurse administers an intravenous solution of d45 sodium chloride with respect to human blood cells this solution is
2 two body systems that interact with the bicarbonate buffer system to pres
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MEDICAL SURGICAL NURSING
PRE TEST
1. A nurse administers an intravenous solution of D.45% sodium chloride. With
respect to human blood cells this solution is
a. Isotonic c. Hypotonic
b. Isometric d. Hypertonic
2. Two body systems that interact with the bicarbonate buffer system to preserve the
normal body flu7id ph 7.4 are the
a. Skeletal and nervous system c. Respiratory and urinary systems
b. Circulatory and urinary systems d. Muscular and endocrine systems
3. The statement that correctly compares the blood plasma and interstitial fluid is:
a. Bothe contain the same kind of ions
b. Plasma exerts lower osmotic pressure than does interstitial
c. Plasma conatains slightly more of each kind of ions than does interstitial cells
d. The main cat ion in plasma is sodium , whereas the main cation in interstitial fluid
is potassium
4. The nurse understands that a client with albuminuria has edema caused by?
a. Fall in tissue hydrostatic pressure c. Fall in plasma colloid osmotic pressure
b. Rise in plasma hydrostatic pressure d. Rise in tissue colloid osmotic pressure
5. During the acute phase of follwing myocardial infarction the nurse should make
the client bed by?
a. Changing the top linen and only necessary the bottom linen
b. Changing the linen from top to bottom without lowering the head of the bed
c. Lifting rather than rolling the client from side to side while changing the linen
d. Sliding the client onto a stretcher , remaking the bed than sliding the client back to
the bed
6 The client receiving digoxin (lanoxin) and will continue taking the drug after
discharge the nurse should be primarily concerned with?
a. Monitoring vital sign and encourage gradual increase in activities of daily living
b. Taking the apical pulse before drug administration and teaching the client how to
count the pulse rate.
c. Observing the client for return of normal cardiac conduction pattern and for
adverse effects of drugs
d. Assessing the client for changes in cardiac rhythm and planning activity at home
based tolerance
6. The nurse should realize that the client with right ventricular heart failure may
develop ascites because of
a. loss of cellular constituents of the blood
b. Rapid osmosis from tissue spaces to cells
, c. Increased pressure within the circulatory system
d. Rapid diffusion of solutes and solvent into the plasma
7. The nurse can best assess the degree of edema in an extremity by?
a. weighing the clients b. measuring the affected area
c. Checking the pitting edema d. observing input and output
8. When assessing clients with the following medical problems the nurse would expect
pulmonary edema to be associated with.
a. Mitral stenosis b. pulmonary valve stenosis
c. severe arteriosclerosis of the coronary arteries
d. calcification and incomplete closure of the tricuspid valve
9. A client is admitted and the physician suspects atelectasis when assessing this
individual the nurse would expect?
a. Slow deep respirations b. Crackles on auscultation
c. normal oral temp. d. Dimished breath sound
10. The nurse understands that in the absence of patholoyt, a clients respiratory center is
stimulated by ?
a. Oxygen b. Calcium ions c Lactic acid d. Carbon dioxide
11. A client is admitted with carbon monoxide poisoning. The nurse understands that the
poisonous nature of carbon monoxide result from?
a. Its tendency to block CO2 transport
b. The inhibitory affect it has on with hemoglobin
c. Its preferential combination with hemoglobin
d. The bubbles it tends to from in blood plasma
12. Which of the following points should the nurse includes about sublingual
nitroglycerin when instructing the client with angina?
a. The drug will increase urine output
b. Store tablets in a tight, light resistant container
c. Use the tablets only pain is severe
d. The shelf life of nitroglycerin is long, it keeps for up to 2yrs
13. A 54 yr old woman comes to the emergency department complaining of chest pain on
exertion. The pain subsides with rest. A myocardial infarction (MI) is ruled out and
the client is diagnosed with stable angina. The woman says, “ I really thought I was
having a heart attack, How can you tell the difference which response by the nurse
would provide the client with the most accurate information about the her condition,
a. “ the pain associated with a heart attack is much more sever”
b. “ the pain is associated with a heart attack radiate into the jaw and down the left
arm”
c. “ it is impossible to differentiate anignal pain from that of a heart attack without
an ECG”
d. “ the pain of angina is usually relieved by resting lying down”
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