Medical-Surgical A
1.ID: 311190749
Which milestone indicates to the nurse successful achievement of young adulthood?
A. Demonstrates a
... [Show More] conceptualization of death and dying.
B. Completes education and becomes self-supporting.
C. Creates a new definition of self and roles with others.
D. Develops a strong need for parental support and approval.
2.ID: 311205638
The nurse working on a telemetry unit finds a client unconscious and in pulseless ventricular
tachycardia (VT). The client has an implanted automatic defibrillator. What action should the nurse
implement?
A. Prepare the client for transcutaneous pacemaker.
B. Shock the client with 200 joules per hospital policy.
C. Use a magnet to deactivate the implanted pacemaker.
D. Observe the monitor until the onset of ventricular fibrillation.
3.ID: 311255986
How should the nurse position the electrodes for modified chest lead one (MCL I) telemetry
monitoring?
A. Positive polarity right shoulder, negative polarity left shoulder, ground left chest nipple line.
B. Positive polarity left shoulder, negative polarity right chest nipple line, ground left chest nipple line.
C. Positive polarity right chest nipple line, negative polarity left chest nipple line, ground left shoulder.
D. Negative polarity left shoulder, positive polarity right chest nipple line, ground left chest nipple line.
4.ID: 311196177
Based on the analysis of the client's atrial fibrillation, the nurse should prepare the client for which
treatment protocol?
A. Diuretic therapy.
B. Pacemaker implantation.
C. Anticoagulation therapy.
D. Cardiac catheterization.
5.ID: 311205684
In preparing to administer intravenous albumin to a client following surgery, what is the priority
nursing intervention? (Select all that apply.)
A. Set the infusion pump to infuse the albumin within four hours.
B. Compare the client's blood type with the label on the albumin.
C. Assign a UAP to monitor blood pressure q15 minutes.
D. Administer through a large gauge catheter.
E. Monitor hemoglobin and hematocrit levels.
F. Assess for increased bleeding after administration.
6.ID: 311189053
A client who has heart failure is admitted with a serum potassium level of 2.9 mEq/L. Which action is
most important for the nurse to implement?
A. Give 20 mEq of potassium chloride.
B. Initiate continuous cardiac monitoring.
C. Arrange a consultation with the dietician.
D. Teach about the side effects of diuretics.
7.ID: 311192005
The nurse is teaching a female client about the best time to plan sexual intercourse in order to
conceive. Which information should the nurse provide?
A. Two weeks before menstruation.
B. Vaginal mucous discharge is thick.
C. Low basal temperature.
D. First thing in the morning. [Show Less]