MEDSURG BENCHMARK I EXAM FINAL QUESTIONS
AND ANSWERS WITH COMPLETE SOLUTIONS
VERIFIED
A client comes to the clinic 30 mL
for a sore throat. It is
determined that the client
will need oral antibiotics.
Prescription: Amoxicillin
suspension 750 mg PO every
8 hours.
Available concentration:
Amoxicillin 125 mg per 5 mL
Why: chronic steroids x3 yrs, Potential condition: Adrenal crisis
missed x3 days →
secondary adrenal 2 Actions to take:Administer hydrocortisone
insufficiency. Findings fit: IV bolusAdminister IV insulin and IV dextrose
,weakness, N/V, dry mucosa, (to temporize the hyperkalemia and support
hypotension (104/62), glucose;
tachycardia (110), NS fluids aren’t an option here but would also
hyponatremia (Na 132), be done in real care).
hyperkalemia (K 5.8), low-
normal glucose (74), 2 Parameters to monitor:Presence of
↑BUN/Cr → volume depletion. peaked T waves on ECG
Bow-tie (hyperkalemia)Assess for orthostatic
hypotension (volume depletion/adrenal crisis)
The nurse assesses a client Stroke volume of 100 mL/beat
post-myocardial infarction
(MI) in the ICU. Which
assessment finding would be
most concerning?
The nurse has completed Ask the surgical team if the shaman can be
preoperative teaching for a present.
Native American client. The
client states, "I'm afraid the
surgery will not go well
unless my shaman is there
to keep me well." What
, would be the nurse's best
action?
The nurse is caring for a Perform diligent hand hygiene.
client that has tested
positive for Hepatitis A.
Which precautions should
the nurse include in client
discharge teaching?
AND ANSWERS WITH COMPLETE SOLUTIONS
VERIFIED
A client comes to the clinic 30 mL
for a sore throat. It is
determined that the client
will need oral antibiotics.
Prescription: Amoxicillin
suspension 750 mg PO every
8 hours.
Available concentration:
Amoxicillin 125 mg per 5 mL
Why: chronic steroids x3 yrs, Potential condition: Adrenal crisis
missed x3 days →
secondary adrenal 2 Actions to take:Administer hydrocortisone
insufficiency. Findings fit: IV bolusAdminister IV insulin and IV dextrose
,weakness, N/V, dry mucosa, (to temporize the hyperkalemia and support
hypotension (104/62), glucose;
tachycardia (110), NS fluids aren’t an option here but would also
hyponatremia (Na 132), be done in real care).
hyperkalemia (K 5.8), low-
normal glucose (74), 2 Parameters to monitor:Presence of
↑BUN/Cr → volume depletion. peaked T waves on ECG
Bow-tie (hyperkalemia)Assess for orthostatic
hypotension (volume depletion/adrenal crisis)
The nurse assesses a client Stroke volume of 100 mL/beat
post-myocardial infarction
(MI) in the ICU. Which
assessment finding would be
most concerning?
The nurse has completed Ask the surgical team if the shaman can be
preoperative teaching for a present.
Native American client. The
client states, "I'm afraid the
surgery will not go well
unless my shaman is there
to keep me well." What
, would be the nurse's best
action?
The nurse is caring for a Perform diligent hand hygiene.
client that has tested
positive for Hepatitis A.
Which precautions should
the nurse include in client
discharge teaching?
