DOH Nursing Adult Health Nursing

Question 1

A patient with suspected myocardial infarction presents with chest pain. Which ECG finding is most indicative of STEMI?

Accepted Answer

ST-segment elevation in two or more contiguous leads

Answer

ST-segment depression in all leads

Answer

Peaked T waves in precordial leads

Answer

Prolonged PR interval greater than 0.20 seconds

Question 2

Which medication should be withheld if a patient's apical pulse is below 60 beats per minute?

Accepted Answer

Digoxin

Answer

Metoprolol

Answer

Furosemide

Answer

Lisinopril

Question 3

A patient with COPD has a PaO2 of 55 mmHg and PaCO2 of 58 mmHg. What oxygen delivery device should the nurse use?

Accepted Answer

Venturi mask at 24–28% FiO2

Answer

Non-rebreather mask at 100% FiO2

Answer

Simple face mask at 40% FiO2

Answer

Nasal cannula at 6 L/min

Question 4

Which assessment finding is an early sign of hypovolemic shock?

Accepted Answer

Anxiety and restlessness with tachycardia

Answer

Hypotension with systolic <90 mmHg

Answer

Unresponsiveness and absent urine output

Answer

Cyanosis and mottled skin

Question 5

A patient is admitted with diabetic ketoacidosis (DKA). Which laboratory finding is most consistent with this diagnosis?

Accepted Answer

Blood glucose >250 mg/dL, pH <7.3, bicarbonate <15 mEq/L, positive ketones

Answer

Blood glucose >126 mg/dL with normal pH and bicarbonate

Answer

Low blood glucose with elevated pH and bicarbonate

Answer

Normal blood glucose with elevated ketones and normal pH

Question 6

Which intervention is priority for a patient in acute pulmonary edema?

Accepted Answer

Sit upright, apply high-flow oxygen, and administer IV furosemide as ordered

Answer

Lay flat, administer oral furosemide, and monitor every 4 hours

Answer

Administer IV fluids to improve cardiac output

Answer

Place in Trendelenburg position to improve venous return