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Med Surge Test #1
You are getting ready to ambulate a pt what is should the nurse do prior to this? Test for
strength in the extremities.
All the following are professionalism except autonomy in decision making
There was a question about CLL: mostly for adult, s/s: abdominal pain, bleeding, bruising,
fatigue, anorexia, lyphadenophar
A question about what is cancer treatment- The answer is in the Nclex style question at the
end of the chapter on cancer
-a combination of treatments- this is the answer
A lady has anemia and she is very fatigue C) have the pt. to sit down while doing her ADL’s
A pt. refuses to deep breath and cough every two hours as a nurse what should you do ?
C) Explain to the pt why it is important to do these exercise.
A nursing diagnosis involves: the problem, an etiology and signs and symptoms
A Patient is withdrawer and tearing what do you do? Reassess the patient’s psychosocial and
make the necessary referrals
What diagnostic test used for hodkin disease? CBC chest x-ray bipedal
lymphangiography and biopsy Prior to transferring the pt to OR what do
you do first?- make sure the pt signs consent
CHEM MISC ALL MEDSURG Test Exam Questions And Answers
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,CHEM MISC ALL MEDSURG Test Exam Questions And Answers
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This was a question and all I remember is the blood pressure was 90/60. And what does this
indicate
B) hemorrhage
Another question was a pt with Leukemia or chemo ( one of these but I can’t remember
which one ) and what is the best way to reduce the risk for infection
C) have guest to wash their hands
A pt has acute confusion delirium what is the manifestation?-Happened
overnight and rapid progression 59.What do you tell the community to prevent
cancer?-smoking cessation or screening. We think smoking cessation
If a patient presents with a complaint of abdominal pain what type of assessment will be
done? focused
What defect does aging have on drug to drug interaction? Decline functioning of the liver
Something about the end of life stages
Know about a patient receiving internal radiation and what should you as a nurse do? Limit
time to 30 mins, stay 6 ft away
Pernicious anemia. Have to do something with B12, instrinsic factor, and colabamin.
What causes a person to go into sickle cell stress: hypoxia, stress, dehydration.
A person with Hodgkin's should be expected to have what? PainLESS enlargement (swelling)
in lymph nodes, s/s: persistent fever, night sweat, fatigue & weight loss
Pt with a bone marrow aspiration what do you do? Hold pressure for 5 min (If pt. is
CHEM MISC ALL MEDSURG Test Exam Questions And Answers
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,CHEM MISC ALL MEDSURG Test Exam Questions And Answers
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thrombocytopenic it could be longer)
multiple myeloma (hypercalcemia, 3-4L fluids a day)-Maybe check for risk for falls
If a nurse from PACU is giving report on a patient and their vital signs are temp 94, O2 is
87, B/P 112/72 what should you as a nurse do? refuse the patient until he was stable
If a nurse goes in to have a patient sign the consent form and the patient says that he really
doesn’t understand the surgery what should you as a nurse do? I put notify the physician
If a patient is to be put on a biologic diet what type of food should they eat? A) rice,
lemon-aid, and jello, B) broccoli, green beans, pasta, C) peanut butter, milk ( I think the
answer is peanut butter, milk and diary products there is a chart in the book) It might be
the broccoli one as well. NO I BELIEVE THE CORRECT ANSWER IS THE ONE WITH
MILKSHAKE
know the nursing process
NOC vs NIC (you have to choose which one is NOC vs NIC)
If someone is going to a neighborhood for health awareness to a community that is made
up mostly of Vietnamese what should the person do? A) learn about Vietnamese traits and
beliefs
which patient should be put on hospice care? I chose the 28 year old on palliative care
If a patient signed a DNR and later looses consciousness and the wife begs you to save him,
what is she taking away from him?
A) autonomy, B) Fidelity, C) Justice I put A
what is the definition of carcinogenic? - Cancer causing agents capable of producing cellular
alterations
If a patient has a tumor of T5N1M1, what does this mean?
CHEM MISC ALL MEDSURG Test Exam Questions And Answers
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, CHEM MISC ALL MEDSURG Test Exam Questions And Answers
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T (1-4) - size, N (1-3) - Spread to regional lymph nodes, M - metastasis (0-1), so this pt.
has distant metastasis
couple of questions about Leukemia
21 know your different lab values especially CBC with differential
know what the drug atropine is used for- to reverse the effects, gastric
secretions, dry secretions pg 355 Know what Zantac is for-reverse the
effects of the amnesia
know what versed is used for- pg. 355 induce
sedation before operations Versad is used to reduce
anxiety and emnesia
some other drug that starts with a C - cimetidine (Tagamet)
- Decrease HCL secretion 25.Know the signs and symptoms of
radiation
o Fatigue
o Anorexia – pt. consult with dietician, monitor weight
o Skin Reactions
o GI Effects – Gut is broken down, lot of diarrhea and vomiting
o Hematology Effects – Bone marrow suppression; monitor WBC and platelet counts
Old man has been living alone all of his life and then the nurse comes home and finds him
withdrawn, what is the first thing that the nurse should do ?
CHEM MISC ALL MEDSURG Test Exam Questions And Answers
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