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NSG233/ NSG 233 Exam 1: Medical-
Surgical Nursing III (Latest 2026/ 2027)
| Questions & Answers | Grade A|
(Verified Solutions)
Subject: Emergency & Medical-Surgical Nursing
Format: Exam Practice Questions and Verified Answers
1. A client admitted to Ed for alcohol withdrawal syndrome patient
received IV Ativan for hallucinations and agitation what is the
most important intervention to implement?
Answer: Keep low lighting
Rationale: Low lighting helps reduce environmental stimuli, which
can decrease agitation and hallucinations in patients experiencing
alcohol withdrawal.
2. Treatment for Tylenol overdose.
Answer: Acetylcysteine
Rationale: Acetylcysteine (Mucomyst) is the antidote for
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acetaminophen (Tylenol) overdose. It works by replenishing
glutathione stores in the liver to prevent hepatotoxicity.
3. The nurse is setting up PCA for a client who has multiple
fractures from a car accident, the education includes what the
PCA pump SATA
Answer: Morphine will be delivered when they push the button; The
nurse will be monitoring the vitals.
Rationale: Patient education for a PCA pump should include how to
self-administer doses (pressing the button) and that the nurse will
monitor for effectiveness and safety, including vital signs.
4. The nurse is caring for a patient with a laceration on the
forearm, what should the nurse do first?
Answer: Tell patient to step out
Rationale: Typically, the priority for a new laceration is to control
bleeding with direct pressure.
5. The nurse is caring for patient with fracture forearm with
multiple bruises with the partner in the room what
interventions should the nurse do next?
Answer: Tell the partner to step out
Rationale: In cases of suspected intimate partner violence
(suggested by multiple bruises and a fracture), the nurse should
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separate the patient from the potential abvisor to ensure safety and
allow for confidential assessment.
6. Which situation would have a CISM?
Answer: baby died from shaken baby syndrome
Rationale: Critical Incident Stress Management (CISM) is a
structured intervention to support healthcare workers after
emotionally traumatic events, such as the death of a child from abuse.
7. Three-year-old came in the Ed who ingested a corrosive
substance, what is the priority?
Answer: Assess airway for obstruction
Rationale: Ingesting a corrosive substance can cause rapid swelling
and damage to the upper airway. Assessing and securing the airway is
the immediate life-saving priority.
8. The triage nurse is working in ED which client should be seen
first?
Answer: Client who reports rape
Rationale: A client reporting sexual assault is a high-priority triage
case due to the need for timely forensic evidence collection, medical
treatment, and psychological support.
9. The nurse is caring for a client who came into the ER for
hypovolemic shock due to hemorrhage what fluids are giving
NSG233/ NSG 233 Exam 1: Medical-
Surgical Nursing III (Latest 2026/ 2027)
| Questions & Answers | Grade A|
(Verified Solutions)
Subject: Emergency & Medical-Surgical Nursing
Format: Exam Practice Questions and Verified Answers
1. A client admitted to Ed for alcohol withdrawal syndrome patient
received IV Ativan for hallucinations and agitation what is the
most important intervention to implement?
Answer: Keep low lighting
Rationale: Low lighting helps reduce environmental stimuli, which
can decrease agitation and hallucinations in patients experiencing
alcohol withdrawal.
2. Treatment for Tylenol overdose.
Answer: Acetylcysteine
Rationale: Acetylcysteine (Mucomyst) is the antidote for
, 2|Page
acetaminophen (Tylenol) overdose. It works by replenishing
glutathione stores in the liver to prevent hepatotoxicity.
3. The nurse is setting up PCA for a client who has multiple
fractures from a car accident, the education includes what the
PCA pump SATA
Answer: Morphine will be delivered when they push the button; The
nurse will be monitoring the vitals.
Rationale: Patient education for a PCA pump should include how to
self-administer doses (pressing the button) and that the nurse will
monitor for effectiveness and safety, including vital signs.
4. The nurse is caring for a patient with a laceration on the
forearm, what should the nurse do first?
Answer: Tell patient to step out
Rationale: Typically, the priority for a new laceration is to control
bleeding with direct pressure.
5. The nurse is caring for patient with fracture forearm with
multiple bruises with the partner in the room what
interventions should the nurse do next?
Answer: Tell the partner to step out
Rationale: In cases of suspected intimate partner violence
(suggested by multiple bruises and a fracture), the nurse should
, 3|Page
separate the patient from the potential abvisor to ensure safety and
allow for confidential assessment.
6. Which situation would have a CISM?
Answer: baby died from shaken baby syndrome
Rationale: Critical Incident Stress Management (CISM) is a
structured intervention to support healthcare workers after
emotionally traumatic events, such as the death of a child from abuse.
7. Three-year-old came in the Ed who ingested a corrosive
substance, what is the priority?
Answer: Assess airway for obstruction
Rationale: Ingesting a corrosive substance can cause rapid swelling
and damage to the upper airway. Assessing and securing the airway is
the immediate life-saving priority.
8. The triage nurse is working in ED which client should be seen
first?
Answer: Client who reports rape
Rationale: A client reporting sexual assault is a high-priority triage
case due to the need for timely forensic evidence collection, medical
treatment, and psychological support.
9. The nurse is caring for a client who came into the ER for
hypovolemic shock due to hemorrhage what fluids are giving
