surg concepts (Latest 2026/2027 Update)
96 Questions and Verified Answers | 100%
Correct | Grade A - Hondros
This NUR 185 Exam 1 study material (90+
questions) for Hondros PN Adult Health Nursing II cover
crucial pharmacology and med-surg concepts, offering verified
answers for high-stakes exam preparation. It focus on
prioritization, safety, and specific drug monitoring to ensure
passing scores.
Key Topics Covered
Pharmacology & Drug Monitoring: Focus on medication actions
and risks, including Vancomycin (nephrotoxicity/ototoxicity),
Midazolam (sedation/respiratory drive), Lisinopril (dry cough),
and Filgrastim.
Medical-Surgical Scenarios: Management of colorectal cancer
patients, including assessment for C-diff, prioritizing lab results
(e.g., Hemoglobin \(9.1\) vs. Potassium \(5.1\)), and managing
post-operative patients (hip replacement, orthopedics).
Safety and Prioritization: Determining patient care priorities
and urgent assessment needs (e.g., hypotension in a post-op
patient).
Patient Education: Teaching on safety measures (walker use,
dizziness) and preparation for diagnostics (e.g., FOBT)
1
, Quiz_________________?
What are the nursing interventions for Tracheostomy? -
Answer
Provide oxygen following trach suctioning.
Quiz_________________?
In what order do you suction a tracheostomy? -
Answer
1. Wash hands, wear a face shield, use sterile technique.
2. Use lubricant.
3. Oxygenate patient before suctioning.
4. Apply suction intermittently while rotating catheter back & forth as it is
withdrawn.
5. Suction should be no more than 10-15 seconds.
6. Rinse the catheter by suctioning normal saline through it
7. Oxygenate patient again after suctioning.
Quiz_________________?
How do you care for a tracheostomy? -
Answer
1. Use Standard Precautions
2. Suction the tracheostomy before removing the old dressings.
2
, 3. Don sterile gloves to remove and clean the inner cannula. (Note that the nurse
does not remove the outer cannula.)
4 Use a sterile solution of normal saline or other solution per agency procedure
to clean the inner cannula.
5. Reinsert inner cannula in outer cannula.
6. Change tracheostomy ties & dressings
Quiz_________________?
What are the nursing interventions for a ventilator? -
Answer
1. Provide the patient with a communication board.
2. Provide suctioning PRN to prevent airway obstruction.
3. Provide alternative means of nutrition via TPN or G-tube feeds per orders to
meet patients' nutritional needs.
4. Provide IV antibiotics to prevent ventilator associated pneumonia (VAP).
5. Check patient's ventilator settings against orders.
Quiz_________________?
Timed-Cycled Ventilators -
Answer
Terminate or Control Inspriation after a present time---Volume of air regulated
by length of inspiration and flow rate of air---Pure time cycled rarely used in
adults, mostly in Newborns or Infants
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