MED SURGE FINAL REAL EXAM | QUESTIONS AND ANSWERS |
VERIFIED ANSWERS GRADED A+ | LATEST EXAM UPDATE
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. administer adenosine
b. administer a thiazide medication
c. adminster an oral anticoagulant
d. administer a beta blocker - CORRECT ANSWER - c.
An acute myocardial infarction patient ambulated in the hospital hallway. When
evaluating the patient response, which would indicate the exercise level should
be decreased?
a. 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 - CORRECT ANSWER - d.
The nurse is caring for 70-year-old patient who the nurse suspects having
difficulty 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. 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 - CORRECT ANSWER - a.
*Statement terminally ill pt to caregiver. - CORRECT ANSWER - "Stop
taking chemo-therapy medications."
*Marked edema. Which medication? - CORRECT ANSWER -
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 manager. 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?
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 administration
d. In struct nurse to write a paper on how to avoid this type of error -
CORRECT ANSWER - b.
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?
a.Acute stress
b. Epidodic stress
c. Chronic stress
,d. Normal stress - CORRECT ANSWER - b.
Which of the following conditions puts a patient at risk for acute respiratory
distress syndrome?
(select all)
a. Drug reaction
b. Head injury
c. Pancreatitis
d. Sepsis
e. High altitudes - CORRECT ANSWER - a.
b.
c.
d.
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. hypercalcemia
b. hyperkalemia
c. hypokalemia
d.hypocalcemia - CORRECT ANSWER - b.
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. problem focused
b. meaning focused
, c. emotional focused
d. maladaptive focused - CORRECT ANSWER - a.
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 per
min and HR of 58 BPM and blood pressure of 120/78. What will the nurse do?
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 effects
d. administer the next dose as ordered since these are minor side effects -
CORRECT ANSWER - a.
When planning the response to the potential use of smallpox as an agent of
terrorism, the emergency department (ED) nurse-manager will plan to obtain
sufficient quantities of
a. vaccine
b. antibiotics
c. blood
d. atropine - CORRECT ANSWER - a.
What assessment finding would the nurse consider to be relative of
hypovolemia?
a. fluid moving into the intracellular space
b. elevated systolic blood pressure
c. elevated mean arterial pressure
d. fluid moving into the extravascular space - CORRECT ANSWER - d.
VERIFIED ANSWERS GRADED A+ | LATEST EXAM UPDATE
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. administer adenosine
b. administer a thiazide medication
c. adminster an oral anticoagulant
d. administer a beta blocker - CORRECT ANSWER - c.
An acute myocardial infarction patient ambulated in the hospital hallway. When
evaluating the patient response, which would indicate the exercise level should
be decreased?
a. 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 - CORRECT ANSWER - d.
The nurse is caring for 70-year-old patient who the nurse suspects having
difficulty 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. 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 - CORRECT ANSWER - a.
*Statement terminally ill pt to caregiver. - CORRECT ANSWER - "Stop
taking chemo-therapy medications."
*Marked edema. Which medication? - CORRECT ANSWER -
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 manager. 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?
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 administration
d. In struct nurse to write a paper on how to avoid this type of error -
CORRECT ANSWER - b.
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?
a.Acute stress
b. Epidodic stress
c. Chronic stress
,d. Normal stress - CORRECT ANSWER - b.
Which of the following conditions puts a patient at risk for acute respiratory
distress syndrome?
(select all)
a. Drug reaction
b. Head injury
c. Pancreatitis
d. Sepsis
e. High altitudes - CORRECT ANSWER - a.
b.
c.
d.
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. hypercalcemia
b. hyperkalemia
c. hypokalemia
d.hypocalcemia - CORRECT ANSWER - b.
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. problem focused
b. meaning focused
, c. emotional focused
d. maladaptive focused - CORRECT ANSWER - a.
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 per
min and HR of 58 BPM and blood pressure of 120/78. What will the nurse do?
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 effects
d. administer the next dose as ordered since these are minor side effects -
CORRECT ANSWER - a.
When planning the response to the potential use of smallpox as an agent of
terrorism, the emergency department (ED) nurse-manager will plan to obtain
sufficient quantities of
a. vaccine
b. antibiotics
c. blood
d. atropine - CORRECT ANSWER - a.
What assessment finding would the nurse consider to be relative of
hypovolemia?
a. fluid moving into the intracellular space
b. elevated systolic blood pressure
c. elevated mean arterial pressure
d. fluid moving into the extravascular space - CORRECT ANSWER - d.
