PN Medical-Surgical Nursing Final Exam deWit
3rd edition Exam with Correct Answers
Save
Terms in this set (75)
The home health nurse is Answer:
caring for a patient with
congestive heart failure A. Shortness of breath after walking down the hall.
(CHF). Which assessment
finding should the nurse
report immediately to the
physician?
A. Moderate shortness of
breath after walking down
the hall.
B. A 3 pound weight gain
over the course of a week.
C. Heart rate of 104
beats/min after
ambulating to the
bathroom.
D. Increase urinary output
to 50 mL in the last hour.
,The nurse is caring for a Answer:
patient with C. difficile
infection. Which action is D. Put the patient on contact plus isolation
most important for the
nurse to take?
A. Only use alcohol-based
hand cleanser for hand
hygiene.
B. Always wear an
impervious mask.
C. Don proper eye
protection before
providing care.
D. Put the patient on
contact plus isolation.
The nurse is caring for a Answer:
patient with general
sepsis. Which finding A. Increased lethargy
should first alert the nurse
to a potential
complication that warrants
immediate attention?
A. Increased lethargy
B. Sudden coughing
C. Elevated blood
pressure
D. Cloudy urine
,The nurse is teaching a Answer:
patient about the purpose
of his telemetry. Which D. The nurses will be able to monitor my heart rate
statement indicates the and rhythm.
nurse's teaching has been
successful?
A. "I will need to stay in
bed when the monitor is
reading my heart waves."
B. "This test will help
determine if I have a
blockage in my arteries."
C. "If there is a problem
with my heart valves, it will
show up with telemetry."
D. "The nurses will be able
to monitor my heart rate
and rhythm."
, The nurse is working in a Answer:
trauma unit and is
accidentally stuck with an C. Wash the punctured area with soap and water.
IV needle following
venipuncture of the
patient. What is the nurses
first action?
A. Immediately begin
taking the two- to three-
drug regimen.
B. Report the stick to the
charge nurse immediately
so follow-up can be
initiated.
C. Wash the punctured
area with soap and water.
D. Complete an incident
report so immediate
testing of the patient and
nurse can begin.
3rd edition Exam with Correct Answers
Save
Terms in this set (75)
The home health nurse is Answer:
caring for a patient with
congestive heart failure A. Shortness of breath after walking down the hall.
(CHF). Which assessment
finding should the nurse
report immediately to the
physician?
A. Moderate shortness of
breath after walking down
the hall.
B. A 3 pound weight gain
over the course of a week.
C. Heart rate of 104
beats/min after
ambulating to the
bathroom.
D. Increase urinary output
to 50 mL in the last hour.
,The nurse is caring for a Answer:
patient with C. difficile
infection. Which action is D. Put the patient on contact plus isolation
most important for the
nurse to take?
A. Only use alcohol-based
hand cleanser for hand
hygiene.
B. Always wear an
impervious mask.
C. Don proper eye
protection before
providing care.
D. Put the patient on
contact plus isolation.
The nurse is caring for a Answer:
patient with general
sepsis. Which finding A. Increased lethargy
should first alert the nurse
to a potential
complication that warrants
immediate attention?
A. Increased lethargy
B. Sudden coughing
C. Elevated blood
pressure
D. Cloudy urine
,The nurse is teaching a Answer:
patient about the purpose
of his telemetry. Which D. The nurses will be able to monitor my heart rate
statement indicates the and rhythm.
nurse's teaching has been
successful?
A. "I will need to stay in
bed when the monitor is
reading my heart waves."
B. "This test will help
determine if I have a
blockage in my arteries."
C. "If there is a problem
with my heart valves, it will
show up with telemetry."
D. "The nurses will be able
to monitor my heart rate
and rhythm."
, The nurse is working in a Answer:
trauma unit and is
accidentally stuck with an C. Wash the punctured area with soap and water.
IV needle following
venipuncture of the
patient. What is the nurses
first action?
A. Immediately begin
taking the two- to three-
drug regimen.
B. Report the stick to the
charge nurse immediately
so follow-up can be
initiated.
C. Wash the punctured
area with soap and water.
D. Complete an incident
report so immediate
testing of the patient and
nurse can begin.
