NSG233 Medical Surgical Questions Comprehensive
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A nurse is caring for a burn patient in the emergent resuscitative phase. which
nursing diagnosis would be appropriate?
A. Impaired physical mobility
B. Fluid Volume Excess
C. Activity Intolerance
D. Deficient fluid volume
D. Deficient fluid volume
The nurse is assessing a client for HIV. The nurse identifies which of the
following as a risk factor for this condition? select all that apply
A. Being in a monogamous sexual relationship
B. being a bisexual man
C. Receiving a solid organ transplant
D. Abusing oral opioids
E. A breastfed infant who has a HIV+ mother
B. being a bisexual man
C. Receiving a solid organ transplant
E. A breastfed infant who has a HIV+ mother
The nurse is caring for a patient who has be diagnosed with stage II colon
cancer. The client tells the nurse, "the doctor ordered some blood work to
check my liver and i didn't ask why, do you know why?" What would be the
nurse's best response?
A. you sounds anxious and confused. Do you want to talk about it?
B. it is routine to check other areas that are close to the site of cancer to
ensure they are okay.
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C. I can't tell you, you should've asked the doctor.
D. No, I am not sure.
B. it is routine to check other areas that are close to the site of cancer to ensure they
are okay.
The nurse is caring for a patient who has suffered full thickness burns to the
face, neck and upper extremities. The patient's voice is hoarse, they are having
trouble speaking and there are audible wheezes. The nurse suspects that the
patient is suffering from which of the following?
A. Inhalation Injury
B. Pulmonary Edema
C. Carbon Monoxide (CO) poisoning
D. Pneumonia
A. Inhalation Injury
the nurse is preparing a class for a group of seniors of types of GI cancers.
When preparing the segment on gastric CA, which if the following would the
nurse include when discussing the highest risk factor for the disease?
A. Intake of smoked or pickled foods
B. Alcohol use
C. Smoking
D. H. pylori infection
D. H. pylori infection
the nurse is caring for a patient with pneumocystis pneumonia who is being
treatment with trimethoprim sulfamethoxazole (TXP-SMX). The nurse should
monitor the patient for which of the following adverse effects?
A. Hypotension
B. Fever
C. Leukocytosis
D. Heart failure
B. Fever
the client is admitted with AIDS and is complaining of fever, cough, night
sweats and hemoptysis. The patient is placed into airborne precautions. Which
of the following additional orders should the nurse expect?
A. Trimethoprim sulfamethoxazole (TXP-SMX)
B. Amphotericin B
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C. Rifampin
D. Clarithromycin
C. Rifampin
The HCP has prescribed targeted therapy for a patient with advanced gastric
cancer. The nurse prepares to administer which of the following medications?
A. Docetaxel
B. Trastuzumab
C. Capecitabine
D. Cisplatin
B. Trastuzumab
After initiating an HIV+ patient on ART therapy, what would be an indication of
a therapeutic response?
Increase in their overall CD4 level
What formula is utilized in patients with 20% or greater TBSA burns to
calculate fluid resuscitation volumes?
Parkland Formula:
4mL x weight in Kg x TBSA for electrical burns
2mLx weight in Kg x TBSA for thermal/chemical burns
note when putting the TBSA (%) into the formula do not include the decimal, for
example if a 90kg patient who has 25% TBSA electrical burn you you plug in:
4 x 90 x 25 = 9000mL
NOT 4x 90 x 0.25
Once the total volume to infuse has been determined it is then divided into halves, so
the first half of the total volume resuscitation is infused in the first 8h; then the
second half is infused over the next 16h. the fluid of choice is LR due to the
electrolyte composition and pH balance better match plasma.
An HIV+ patient on ART has developed immune reconstitution inflammatory
syndrome. Which pharmacologic therapy would the nurse expect to administer
for this?
A. NSAIDs
B. A different ART combination
C. Systemic Steroids
D. Antibiotics
C. Systemic Steroids
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Which of the following nursing interventions would be appropriate for a
severely burned patient with a nursing diagnosis of "High risk for infection"?
Select all that apply.
A. Change IV site every 72h.
B. Changing tube feeding supplies every 24h
C. Restrict fresh flowers from the room.
D. Wear sterile gloves for all wound cares
E. Restrict visitors from room
B. Changing tube feeding supplies every 24h
C. restrict fresh flowers from the room.
D. Wear sterile gloves for all wound cares
A patient has been exposed to HIV through sexual contact and the virus has
entered the patients system. The nurse is aware that when the virus enters the
patients CD4+ cells, the virus changes it's genetic material from RNA to DNA
through the action of which enzyme?
A. DNA polymerase
B. Integrase
C. Protease
D. Reverse Transcriptase
D. Reverse Transcriptase
A patient with the diagnosis of cancer on the head of the pancreases has
undergone a Whipple's procedure (AKA Pancreatoduodenectomy). Which
aspect of the patient's care is the priority in the immediate postoperative
period? SATA
A. Nutritional needs
B. Grieving
C. Fluid Balance
D. Pain Control
A. Nutritional needs
B. Grieving
C. Fluid Balance
D. Pain Control
The nurse is preparing to administer an opioid analgesic to a patient admitted
24h ago with partial and full-thickness burns over 40% of their body. The nurse