Med Surg 2 Final Exam Test Questions and Answers Graded A+
A Patient was admitted for shortness of breath. The nurse
connects the patient to the cardiac monitor. According to
the strip below, which treatment is appropriate for the
patient?
a. c.
administer adenosine
b. administer a thiazide medication
c. adminster an oral anticoagulant
d. administer a beta blocker
An acute myocardial infarction patient ambulated in the
hospital hallway. When evaluating the patient response,
which would indicate the exercise level should be de-
creased?
a. d.
oxygen satuartion changes from 100% to 98%
b. blood pressure changes from 118/60 to 126/26
c. respiratory rate changes from 14 to 20
d. heart rate changes from 66-101
The nurse is caring for 70-year-old patient who the nurse
suspects having diflculty hearing.
The nurse is providing discharge instructions. The patient
is nodding as the charge nurse
discusses the orders. What action should the nurse take
to assess whether or not the patient
heard and understood what she has said?
a.
a. Ask the patient to repeat back what he was instructed
to do
b. Ask the patient if he understood the instructions and
ask him to sign the form
c. Ask another nurse to witness providing instructions to
the patient
d. Call the wife and provide the instruction to her
,Med Surg 2 Final Exam Test Questions and Answers Graded A+
*Statement terminally ill pt to caregiver. "Stop taking chemo-therapy medications."
*Marked edema. Which medication?
A nurse has committed a serious medication error and
reported the error to the hospital's
adverse medication error hotline as well to the unit man-
ager. The manager is a firm believer in
developing critical thinking skills. From this stand point
what action by the manage would be the
best to nurture this ability in the nurse who made the
error?
b.
a. Let the nurse work with more experience nurses when
giving medications
b. Have the nurse present and in-service related to the
cause of the error
c. Send the nurse to refresher course on medication ad-
ministration
d. In struct nurse to write a paper on how to avoid this type
of error
The nurse is taking care of a patient just diagnosed with
CHF. The patient is an attorney and has brought his work
with him to do at the hospital. He is constantly on the
phone discussing work and seems very hurried. The nurse
assesses this to be what type of stress?
b.
a. Acute stress
b. Epidodic stress
c. Chronic stress
d. Normal stress
Which of the following conditions puts a patient at risk for
acute respiratory distress syndrome?
,Med Surg 2 Final Exam Test Questions and Answers Graded A+
(select all)
a. a.
Drug reaction
b. b.
Head injury
c. c.
Pancreatitis
d. d.
Sepsis
e. High altitudes
The nurse is caring for a patient on a cardiac monitor and
notes a peaked T wave. What lab will the nurse expect to
find?
a. b.
hypercalcemia
b. hyperkalemia
c. hypokalemia
d.hypocalcemia
The patient has just been diagnosed with an MI. The
patient asks for information about the disease and looks
for any support groups. The nurse assesses this to be what
type of coping strategy?
a.
a. problem focused
b. meaning focused
c. emotional focused
d. maladaptive focused
The nurse is caring for a patient diagnosed with heart
failure. The nurse is preparing to administer digoxin to
the patient. The patient reports nausea, vomiting and a
headache. The nurse notes a respiratory rate of 19 breaths a.
per min and HR of 58 BPM and blood pressure of 120/78.
What will the nurse do?
, Med Surg 2 Final Exam Test Questions and Answers Graded A+
a. hold the dose of digoxin and notify the provider of
possible toxicity
b. request an order for an anti-emetic and analgesic
c. reassure the patient that these are common sighs and
self limiting ettects
d. administer the next dose as ordered since these are
minor side ettects
When planning the response to the potential use of small-
pox as an agent of terrorism, the emergency department
(ED) nurse-manager will plan to obtain suflcient quanti-
ties of
a.
a. vaccine
b. antibiotics
c. blood
d. atropine
What assessment finding would the nurse consider to be
relative of hypovolemia?
a. fluid moving into the intracellular space d.
b. elevated systolic blood pressure
c. elevated mean arterial pressure
d. fluid moving into the extravascular space
The nurse is caring for a patient with burns. The total
body surface area attected is 63%. The nurse must provide
wound care for this patient. What interventions should the
a.
nurse include? (Select All)
b.
e.
a. wear a gown,mask,gloves and protective eye gear while
providing care
b. use sterile technique when applying new dressings
A Patient was admitted for shortness of breath. The nurse
connects the patient to the cardiac monitor. According to
the strip below, which treatment is appropriate for the
patient?
a. c.
administer adenosine
b. administer a thiazide medication
c. adminster an oral anticoagulant
d. administer a beta blocker
An acute myocardial infarction patient ambulated in the
hospital hallway. When evaluating the patient response,
which would indicate the exercise level should be de-
creased?
a. d.
oxygen satuartion changes from 100% to 98%
b. blood pressure changes from 118/60 to 126/26
c. respiratory rate changes from 14 to 20
d. heart rate changes from 66-101
The nurse is caring for 70-year-old patient who the nurse
suspects having diflculty hearing.
The nurse is providing discharge instructions. The patient
is nodding as the charge nurse
discusses the orders. What action should the nurse take
to assess whether or not the patient
heard and understood what she has said?
a.
a. Ask the patient to repeat back what he was instructed
to do
b. Ask the patient if he understood the instructions and
ask him to sign the form
c. Ask another nurse to witness providing instructions to
the patient
d. Call the wife and provide the instruction to her
,Med Surg 2 Final Exam Test Questions and Answers Graded A+
*Statement terminally ill pt to caregiver. "Stop taking chemo-therapy medications."
*Marked edema. Which medication?
A nurse has committed a serious medication error and
reported the error to the hospital's
adverse medication error hotline as well to the unit man-
ager. The manager is a firm believer in
developing critical thinking skills. From this stand point
what action by the manage would be the
best to nurture this ability in the nurse who made the
error?
b.
a. Let the nurse work with more experience nurses when
giving medications
b. Have the nurse present and in-service related to the
cause of the error
c. Send the nurse to refresher course on medication ad-
ministration
d. In struct nurse to write a paper on how to avoid this type
of error
The nurse is taking care of a patient just diagnosed with
CHF. The patient is an attorney and has brought his work
with him to do at the hospital. He is constantly on the
phone discussing work and seems very hurried. The nurse
assesses this to be what type of stress?
b.
a. Acute stress
b. Epidodic stress
c. Chronic stress
d. Normal stress
Which of the following conditions puts a patient at risk for
acute respiratory distress syndrome?
,Med Surg 2 Final Exam Test Questions and Answers Graded A+
(select all)
a. a.
Drug reaction
b. b.
Head injury
c. c.
Pancreatitis
d. d.
Sepsis
e. High altitudes
The nurse is caring for a patient on a cardiac monitor and
notes a peaked T wave. What lab will the nurse expect to
find?
a. b.
hypercalcemia
b. hyperkalemia
c. hypokalemia
d.hypocalcemia
The patient has just been diagnosed with an MI. The
patient asks for information about the disease and looks
for any support groups. The nurse assesses this to be what
type of coping strategy?
a.
a. problem focused
b. meaning focused
c. emotional focused
d. maladaptive focused
The nurse is caring for a patient diagnosed with heart
failure. The nurse is preparing to administer digoxin to
the patient. The patient reports nausea, vomiting and a
headache. The nurse notes a respiratory rate of 19 breaths a.
per min and HR of 58 BPM and blood pressure of 120/78.
What will the nurse do?
, Med Surg 2 Final Exam Test Questions and Answers Graded A+
a. hold the dose of digoxin and notify the provider of
possible toxicity
b. request an order for an anti-emetic and analgesic
c. reassure the patient that these are common sighs and
self limiting ettects
d. administer the next dose as ordered since these are
minor side ettects
When planning the response to the potential use of small-
pox as an agent of terrorism, the emergency department
(ED) nurse-manager will plan to obtain suflcient quanti-
ties of
a.
a. vaccine
b. antibiotics
c. blood
d. atropine
What assessment finding would the nurse consider to be
relative of hypovolemia?
a. fluid moving into the intracellular space d.
b. elevated systolic blood pressure
c. elevated mean arterial pressure
d. fluid moving into the extravascular space
The nurse is caring for a patient with burns. The total
body surface area attected is 63%. The nurse must provide
wound care for this patient. What interventions should the
a.
nurse include? (Select All)
b.
e.
a. wear a gown,mask,gloves and protective eye gear while
providing care
b. use sterile technique when applying new dressings
