VATI MEDICAL
SURGICAL
PHYSIOLOGICAL
ADAPTATIONS
QUIZ
P a g e 1 | 16
@med_surg
,VATI MEDICAL SURGICAL PHYSIOLOGICAL ADAPTATIONS
QUIZ
A nu..rse is caring for a client diagnosed with diabetes. The nu..rse notes that the client has a mild tremor,
slight diaphoresis and is fu..lly oriented. Which of the following nu..rsing actions shou..ld have the highest
priority?
Select one:
a. Give the client 4 ou..nces of orange ju..ice.
b. Call the lab for a stat glu..cose level.
c. Administer 50% Dextrose via IV pu..sh.
d. Assess the client's blood glu..cose level.
Check the patient’s blood glu..cose. Althou..gh it is most likely that this patient is experiencing
hypoglycemia, the blood glu..cose mu..st be checked to confirm the problem and also to docu..ment HOW
LOW the blood glu..cose is, which fu..rther helps determine the best treatment. Most facilities have
protocols to treat hypoglycemia based on the blood glu..cose resu..lts. In addition, we can better evalu..ate
how ou..r interventions work when we compare later blood glu..coses with the first blood glu..cose taken
however the patient had symptoms.
A client is admitted to the su..rgical u..nit after su..staining a compou..nd fractu..re of the left femu..r. The
client is alert and oriented with the following vital signs: T 99.4 F, P 88, R 20, B/P 94/58. The nu..rse notes a
4 cm. area of bright red blood on the pressu..re dressing on the left lower extremity. The client is receiving
intravenou..s flu..ids of normal saline at 150 ml/hr. One hou..r after being admitted to the u..nit, the nu..rse
finds the client confu..sed and combative. Which of the following is the most likely cau..se of the change in
the client’s condition? Select one:
P a g e 2 | 16
@med_surg
, a. Flu..id overload related to aggressive isotonic volu..me replacement
b. Hypoxia related to fat embolism from the fractu..red bone.
Althou..gh the mechanism is not really clear, it is thou..ght that in compou..nd long bone fractu..res the
internal pressu..re in the fractu..re forces fat globu..les from the marrow into the systemic circu..lation,
where they act as emboli. Initial symptoms within 24-48 hou..rs post-fractu..re inclu..de confu..sion and
combativeness secondary to hypoxemia.
c. Hypovolemic shock related to hemorrhage from the open wou..nd
d. Infectiou..s process related to contamination of the open wou..nd.
A nu..rse is caring for a client on the telemetry u..nit who is two days post coronary artery bypass grafting
(CABG). The nu..rse recognizes a cardiac rhythm change from normal sinu..s rhythm to atrial fibrillation.
Which of the following shou..ld be completed first?
Select one:
a. Prepare the client for cardioversion.
b. Assess the client’s blood pressu..re.
Atrial fibrillation often occu..rs after CABG. In A-Fib the atrial kick is lost and cardiac ou..tpu..t (C.O.) is
decreased by 30%. Clients react differently to A-Fib and the decreased C.O. Some clients become
hypotensive and develop shock-like symptoms: changes in LOC; cool, clammy skin; dyspnea; and chest pain.
However other clients are normotensive despite the decrease in C.O., they are asymptomatic or considered
stable. Treatment for A-Fib depends on the statu..s of the client. The first action the nu..rse shou..ld take
with a client who has converted from NSR to A-Fib is to assess the clients BP.
c. Notify the health care provider.
d. Prepare a diltiazem drip.
The nu..rse is planning care for a client who is prescribed antiembolic stocking following abdominal
su..rgery. Which of the following interventions shou..ld the nu..rse inclu..de? Select one:
P a g e 3 | 16
@med_surg
SURGICAL
PHYSIOLOGICAL
ADAPTATIONS
QUIZ
P a g e 1 | 16
@med_surg
,VATI MEDICAL SURGICAL PHYSIOLOGICAL ADAPTATIONS
QUIZ
A nu..rse is caring for a client diagnosed with diabetes. The nu..rse notes that the client has a mild tremor,
slight diaphoresis and is fu..lly oriented. Which of the following nu..rsing actions shou..ld have the highest
priority?
Select one:
a. Give the client 4 ou..nces of orange ju..ice.
b. Call the lab for a stat glu..cose level.
c. Administer 50% Dextrose via IV pu..sh.
d. Assess the client's blood glu..cose level.
Check the patient’s blood glu..cose. Althou..gh it is most likely that this patient is experiencing
hypoglycemia, the blood glu..cose mu..st be checked to confirm the problem and also to docu..ment HOW
LOW the blood glu..cose is, which fu..rther helps determine the best treatment. Most facilities have
protocols to treat hypoglycemia based on the blood glu..cose resu..lts. In addition, we can better evalu..ate
how ou..r interventions work when we compare later blood glu..coses with the first blood glu..cose taken
however the patient had symptoms.
A client is admitted to the su..rgical u..nit after su..staining a compou..nd fractu..re of the left femu..r. The
client is alert and oriented with the following vital signs: T 99.4 F, P 88, R 20, B/P 94/58. The nu..rse notes a
4 cm. area of bright red blood on the pressu..re dressing on the left lower extremity. The client is receiving
intravenou..s flu..ids of normal saline at 150 ml/hr. One hou..r after being admitted to the u..nit, the nu..rse
finds the client confu..sed and combative. Which of the following is the most likely cau..se of the change in
the client’s condition? Select one:
P a g e 2 | 16
@med_surg
, a. Flu..id overload related to aggressive isotonic volu..me replacement
b. Hypoxia related to fat embolism from the fractu..red bone.
Althou..gh the mechanism is not really clear, it is thou..ght that in compou..nd long bone fractu..res the
internal pressu..re in the fractu..re forces fat globu..les from the marrow into the systemic circu..lation,
where they act as emboli. Initial symptoms within 24-48 hou..rs post-fractu..re inclu..de confu..sion and
combativeness secondary to hypoxemia.
c. Hypovolemic shock related to hemorrhage from the open wou..nd
d. Infectiou..s process related to contamination of the open wou..nd.
A nu..rse is caring for a client on the telemetry u..nit who is two days post coronary artery bypass grafting
(CABG). The nu..rse recognizes a cardiac rhythm change from normal sinu..s rhythm to atrial fibrillation.
Which of the following shou..ld be completed first?
Select one:
a. Prepare the client for cardioversion.
b. Assess the client’s blood pressu..re.
Atrial fibrillation often occu..rs after CABG. In A-Fib the atrial kick is lost and cardiac ou..tpu..t (C.O.) is
decreased by 30%. Clients react differently to A-Fib and the decreased C.O. Some clients become
hypotensive and develop shock-like symptoms: changes in LOC; cool, clammy skin; dyspnea; and chest pain.
However other clients are normotensive despite the decrease in C.O., they are asymptomatic or considered
stable. Treatment for A-Fib depends on the statu..s of the client. The first action the nu..rse shou..ld take
with a client who has converted from NSR to A-Fib is to assess the clients BP.
c. Notify the health care provider.
d. Prepare a diltiazem drip.
The nu..rse is planning care for a client who is prescribed antiembolic stocking following abdominal
su..rgery. Which of the following interventions shou..ld the nu..rse inclu..de? Select one:
P a g e 3 | 16
@med_surg
