ANCC Medical-Surgical Nursing Exam Prep - Question List

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66. A nurse is performing CPR on an adult patient. When performing chest compressions, the nurse understands the correct hand placement is located over the:
  1. Upper half of the sternum
  2. Upper third of the sternum
  3. Lower half of the sternum
  4. Lower third of the sternum
67. Which initial nursing assessment finding would best indicate that a client has been successfully resuscitated after a cardio-respiratory arrest?
  1. Skin warm and dry
  2. Pupils equal and react to light
  3. Palpable carotid pulse
  4. Positive Babinski’s reflex
68. Which of the following statements concerning ARDS is true?
  1. One of the causes of ARDS is CHF.
  2. Pulmonary capillary wedge pressure is elevated in ARDS.
  3. Surfactant production is reduced in ARDS.
  4. ARDS has a low mortality rate.
69. A client, newly diagnosed with asthma, is started on theophylline (Theo-Dur, SloBid) and is going to be discharged. In the discharge teaching, the nurse instructs the client that this medication will cause which of the following?
  1. Hemolytic anemia
  2. Increased appetite
  3. Increased ocular pressure
  4. Tachycardia
70. Which of the following physiologic effects of a pulmonary embolism would initially affect oxygenation?
  1. A blood clot blocks ventilation; perfusion is unaffected.
  2. A blood clot blocks ventilation, producing hypoxia despite normal perfusion.
  3. A blood clot blocks perfusion and ventilation, producing profound hypoxia.
  4. A blood clot blocks perfusion, producing hypoxia despite normal or supernormal ventilation.

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