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Adv. Med Surg Final Review
1. Pt with deep/full partial thickness burns what is the prioritization?
a. Start Lactated Ringer IV infusion (It is used for replacing fluids and
electrolytes in those who have low blood volume or low blood pressure)
b. Morphine for pain IV
c. Tetanus Prophylactics (antibiotics for infection)
2. Low pressure alarm on ventilator goes off, what is priority nursing care
intervention
a. Manually ventilate the pt
3. Pt with chest trauma, possible Pneumothorax (abnormal collection of air in
the pleural space between lungs and chest wall)
a. Absent breath sounds
b. Increase respiratory rate (destress)
4. Assessment for Cranial Nerve II (Optic Nerve)
a. Snellen chart eye test
5. Pt has decreased Cardiac Output and Tissue perfusion problem, what are
some S/S
a. Increase HR (tachycardia) ⬆
b. Low BP (hypotension) ⬇
c. Low urine output (oliguria) ⬇
6. Desired effect of pt giving Atropine for low HR
a. Increase HR
7. Pt is on Digoxin and we suspect digitalis toxicity, what do we do first with
these pt
a. Baseline Vitals > ECG
b. Check Potassium levels
c. Check Digoxin levels
8. Pt is given Ataplase or TPA what is pt at risk for?
a. Bleeding, due to medication being a clot buster
, 2
b. Pt needs to be on bleeding precautions
9. Pt coming back from cardiac cath lab, what do we do to decrease bleeding
at the catheter site
a. Apply pressure to site to decrease risk of hemorrhage
10. Pt with DI (diabetes insipidus) has fat breakdown, what do you see in urine
a. Ketones in urine
11. Pt comes in with a severe headache, most likely a stroke. What are
modifiable and nonmodifiable risk factors
a. Modifiable
i. Smoking, obesity, HTN, alcohol, decrease activity
b. Non-modifiable
i. Race, ethnicity, gender, age
12. Pt with MI (Myocardial Infarction) and gets ECG, what will it show?
a. ST elevation
13. Gave pt IV pain medication, what would we monitor?
a. Pt respiratory rate for ex; a RR of 8, due to respiratory depression
b. Should have Narcan available when pt is given opioids
14. What is a normal respiratory rate?
a. 12 - 20
15. What type of patient gets hemodialysis?
a. Pt that has minimal to no urine output
16. Pt having central cyanosis from asthma, where would we assess?
a. Mouth/oral mucosa
17. Med math (2 questions)
18. Pt is dizzy when they stand on a new blood pressure med, how would you
assess for this?
a. Orthostatics blood pressure measurement, standing up, sitting
down, laying down
19. How do you know if pt has DI?
a. Check specific gravity (1.010 - 1.025)
b. Pt on desmopressin should have increased specific gravity
Adv. Med Surg Final Review
1. Pt with deep/full partial thickness burns what is the prioritization?
a. Start Lactated Ringer IV infusion (It is used for replacing fluids and
electrolytes in those who have low blood volume or low blood pressure)
b. Morphine for pain IV
c. Tetanus Prophylactics (antibiotics for infection)
2. Low pressure alarm on ventilator goes off, what is priority nursing care
intervention
a. Manually ventilate the pt
3. Pt with chest trauma, possible Pneumothorax (abnormal collection of air in
the pleural space between lungs and chest wall)
a. Absent breath sounds
b. Increase respiratory rate (destress)
4. Assessment for Cranial Nerve II (Optic Nerve)
a. Snellen chart eye test
5. Pt has decreased Cardiac Output and Tissue perfusion problem, what are
some S/S
a. Increase HR (tachycardia) ⬆
b. Low BP (hypotension) ⬇
c. Low urine output (oliguria) ⬇
6. Desired effect of pt giving Atropine for low HR
a. Increase HR
7. Pt is on Digoxin and we suspect digitalis toxicity, what do we do first with
these pt
a. Baseline Vitals > ECG
b. Check Potassium levels
c. Check Digoxin levels
8. Pt is given Ataplase or TPA what is pt at risk for?
a. Bleeding, due to medication being a clot buster
, 2
b. Pt needs to be on bleeding precautions
9. Pt coming back from cardiac cath lab, what do we do to decrease bleeding
at the catheter site
a. Apply pressure to site to decrease risk of hemorrhage
10. Pt with DI (diabetes insipidus) has fat breakdown, what do you see in urine
a. Ketones in urine
11. Pt comes in with a severe headache, most likely a stroke. What are
modifiable and nonmodifiable risk factors
a. Modifiable
i. Smoking, obesity, HTN, alcohol, decrease activity
b. Non-modifiable
i. Race, ethnicity, gender, age
12. Pt with MI (Myocardial Infarction) and gets ECG, what will it show?
a. ST elevation
13. Gave pt IV pain medication, what would we monitor?
a. Pt respiratory rate for ex; a RR of 8, due to respiratory depression
b. Should have Narcan available when pt is given opioids
14. What is a normal respiratory rate?
a. 12 - 20
15. What type of patient gets hemodialysis?
a. Pt that has minimal to no urine output
16. Pt having central cyanosis from asthma, where would we assess?
a. Mouth/oral mucosa
17. Med math (2 questions)
18. Pt is dizzy when they stand on a new blood pressure med, how would you
assess for this?
a. Orthostatics blood pressure measurement, standing up, sitting
down, laying down
19. How do you know if pt has DI?
a. Check specific gravity (1.010 - 1.025)
b. Pt on desmopressin should have increased specific gravity
