MED SURG FINAL EXAM REVIEW
QUESTIONS AND ANSWERS; 100%
PASS GUARANTEED; GRADED A+
A 21-year-old female patient with a history of SIADH
comes into the emergency room (ER) with statements of
feeling "full" in her abdomen, muscle cramps, and
lethargy. Her serum osmolality is 220 mOsm/kg (nl 275-
295 mOsm/kg). Which assessment finding requires
immediate follow-up? - correct answer- Serum
osmolality 220 mOsm/kg
A 24-year-old male patient comes to the emergency room
(ER) with a diagnosis of possible Addison's disease. Which
of the following assessment findings requires immediate
follow-up? - correct answer- Blood pressure
(BP) 90/52
A 26-year-old patient is admitted to the hospital with a
new diagnosis of diabetes, a blood glucose level of 680
mg/dL, and ketones in the blood and urine. Which type of
,diabetes should the nurse suspect? - correct
answer- Type 1
A 38-year-old female comes to the clinic with statements
of feeling depressed, gradual weight gain, lethargy, and
very dry flaky skin. What laboratory tests should the nurse
anticipate that the patient will need for diagnosis? -
correct answer- T3, T4, and TSH
A 42-year-old female patient comes to see the provider
with statements of weight gain and mood swings. She also
states that her face has developed a round appearance.
Her BP is 150/86. For what other signs of Cushing
syndrome should the nurse observe? Select all that apply.
- correct answer- Thin fragile skin
elevated blood glucose
fat pads on neck and shoulders
A 52-year-old female is admitted with the following signs
and symptoms. Which of these assessment findings
requires immediate follow-up? - correct answer-
Pulse 116
,A 52-year-old male patient is admitted to the ER with
statements of severe pounding headache and blood
pressure of 220/120. The physician suspects
pheochromocytoma and prescribes acetaminophen, a 24-
hour urine test for metanephrines, and an alpha blocker.
What should the nurse do first? - correct answer-
Administer the alpha blocker.
A 75-year-old male comes to the ER. He states that he is
very thirsty and urinating all the time. What additional
data would you expect with his new diagnosis of diabetes
mellitus? - correct answer- Weight Loss
A family member reports to another nurse that her father
who had surgery is moaning and restless. You hear the
nurse remark that "analgesics other than acetaminophen
are not given to patients with dementia to prevent
masking the symptoms of dementia."
What action do you take? - correct answer-
Discuss the rationale for that statement with the nurse for
your understanding.
, Inform the nurse of your understanding that all patients
deserve excellent pain management, especially those who
cannot report their own pain.
A patient who is 1-day postop has a temperature of 99.9°F
(37.72°C).
What independent nursing action do youtake now? -
correct answer- Assist the patient to cough and
deep breathe to prevent atelectasis, which could be
elevating the temperature.
Abnormal thoughts, disorganized communication, and
lack of interaction with the environment characterize: -
correct answer- Psychoses
After a transesophageal echocardiogram, what check
must the nurse perform for patient safety? - correct
answer- Gag reflex
After administering a diuretic to a patient in HF, you re-
enter the room and notice that the patient is reporting
muscle cramps and has an abnormal heart rhythm.
QUESTIONS AND ANSWERS; 100%
PASS GUARANTEED; GRADED A+
A 21-year-old female patient with a history of SIADH
comes into the emergency room (ER) with statements of
feeling "full" in her abdomen, muscle cramps, and
lethargy. Her serum osmolality is 220 mOsm/kg (nl 275-
295 mOsm/kg). Which assessment finding requires
immediate follow-up? - correct answer- Serum
osmolality 220 mOsm/kg
A 24-year-old male patient comes to the emergency room
(ER) with a diagnosis of possible Addison's disease. Which
of the following assessment findings requires immediate
follow-up? - correct answer- Blood pressure
(BP) 90/52
A 26-year-old patient is admitted to the hospital with a
new diagnosis of diabetes, a blood glucose level of 680
mg/dL, and ketones in the blood and urine. Which type of
,diabetes should the nurse suspect? - correct
answer- Type 1
A 38-year-old female comes to the clinic with statements
of feeling depressed, gradual weight gain, lethargy, and
very dry flaky skin. What laboratory tests should the nurse
anticipate that the patient will need for diagnosis? -
correct answer- T3, T4, and TSH
A 42-year-old female patient comes to see the provider
with statements of weight gain and mood swings. She also
states that her face has developed a round appearance.
Her BP is 150/86. For what other signs of Cushing
syndrome should the nurse observe? Select all that apply.
- correct answer- Thin fragile skin
elevated blood glucose
fat pads on neck and shoulders
A 52-year-old female is admitted with the following signs
and symptoms. Which of these assessment findings
requires immediate follow-up? - correct answer-
Pulse 116
,A 52-year-old male patient is admitted to the ER with
statements of severe pounding headache and blood
pressure of 220/120. The physician suspects
pheochromocytoma and prescribes acetaminophen, a 24-
hour urine test for metanephrines, and an alpha blocker.
What should the nurse do first? - correct answer-
Administer the alpha blocker.
A 75-year-old male comes to the ER. He states that he is
very thirsty and urinating all the time. What additional
data would you expect with his new diagnosis of diabetes
mellitus? - correct answer- Weight Loss
A family member reports to another nurse that her father
who had surgery is moaning and restless. You hear the
nurse remark that "analgesics other than acetaminophen
are not given to patients with dementia to prevent
masking the symptoms of dementia."
What action do you take? - correct answer-
Discuss the rationale for that statement with the nurse for
your understanding.
, Inform the nurse of your understanding that all patients
deserve excellent pain management, especially those who
cannot report their own pain.
A patient who is 1-day postop has a temperature of 99.9°F
(37.72°C).
What independent nursing action do youtake now? -
correct answer- Assist the patient to cough and
deep breathe to prevent atelectasis, which could be
elevating the temperature.
Abnormal thoughts, disorganized communication, and
lack of interaction with the environment characterize: -
correct answer- Psychoses
After a transesophageal echocardiogram, what check
must the nurse perform for patient safety? - correct
answer- Gag reflex
After administering a diuretic to a patient in HF, you re-
enter the room and notice that the patient is reporting
muscle cramps and has an abnormal heart rhythm.
