Questions 40

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ATI RN NSG 232 Exam Med Surg Questions

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Question 1 of 5

A nurse is assessing a patient with known mitral valve regurgitation. The nurse should expect to hear which of the following heart sounds?

Correct Answer: A

Rationale: Mitral valve regurgitation causes a murmur due to backflow of blood into the left atrium during systole.

Question 2 of 5

A nurse is providing discharge instructions for a client diagnosed with congestive heart failure. Which of the following client statements indicates to the nurse that the teaching was effective?

Correct Answer: B

Rationale: Limiting sodium intake is crucial for managing congestive heart failure, indicating effective teaching.

Question 3 of 5

A nurse is caring for a client in a critical care unit who is 4 hours post operative coronary artery bypass surgery. The nurse performs the reassessment and suspects the client may be developing a pericardial effusion. What assessment findings would the nurse note in this case?

Correct Answer: C

Rationale: Diminished heart sounds are noted due to fluid accumulation around the heart in pericardial effusion.

Question 4 of 5

A nurse is assessing a patient with known mitral valve regurgitation. The nurse should expect to hear which of the following heart sounds?

Correct Answer: A

Rationale: Mitral valve regurgitation causes a murmur due to backflow of blood into the left atrium during systole.

Question 5 of 5

Identify the following Cardiac Rhythm:

Correct Answer: B

Rationale: The ECG strip shows a ventricular tachycardia based on the wide QRS with a rate more than 120 bpm, AV dissociation, and fusion beats.

Similar Questions

A nurse is caring for a client with sudden onset of chest pain, the nurse completes the electrocardiogram (ECG). The nurse understands that this client is having what type of acute coronary syndrome?
A nurse is caring for a client who reports shortness of breath and heart palpitations. An ECG confirms the client is experiencing ventricular tachycardia (VT). The nurse notes a carotid pulse with a BP of 70 systolic, the client reports feeling dizzy. The nurse should anticipate the need for which priority action?
A nurse is teaching a client who has a new diagnosis of atrial fibrillation. The nurse should include which of the following in the education?
A client has undergone diagnostic testing and received a diagnosis of sinus bradycardia. Which interventions are most appropriate and should be included in the client's plan of care? (SELECT ALL THAT APPLY)
A nurse is caring for a client with heart failure who takes furosemide 20mg daily at home and is receiving 40mg of furosemide IV daily in the hospital. The nurse is aware that this patient is at risk for what electrolyte imbalance?

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