Medical-Surgical RN questions with answers
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You are ordered to give digoxin (Lanoxin). Your patient's vital signs are: BP 130/70,
Temp 97.9F, HR 52, RR 16, O2 Sat 100% on room air. What should you do NEXT? -
Answer digoxin (Lanoxin) and call the provider
Upon entry to your patient's room, you find her sitting in High Fowler's position and
complaining of shortness of breath. Her respiratory rate is 34 breaths/min and O2 sat is
84%. Which mode of oxygen delivery would MOST likely reverse these symptoms? -
answer-rebreather mask
Your patient is on contact precautions for active MRSA. What proper PPE should you use
before entering the room? - answerGown and gloves
Your patient recently had a G-tube placed and intermittent enteral feedings have been
initiated. What symptoms may indicate intolerance to the feedings? - answerVomiting
and diarrhea
Upon entering your patient's room, you note that they are having a seizure. What is your
FIRST action? - Answer position the patient on their side to maintain the airway.
anorexia nervosa.
During your assessment, you note she has a flat affect and says, "I just want to die. I'm tired
of my life." What should be your FIRST intervention? - Answer with the patient and ask if
she has a plan to carry out this wish.
Your patient has a nonproductive cough and the presence of secretions in his tracheostomy.
, Before suctioning the patient, what should you do FIRST? - answerHyperoxygenate patient.
Your patient takes 5 mg of warfarin (Coumadin/Jantoven) daily and reports having black-
colored stool today. What do you most likely suspect? - answerGastrointestinal bleeding
Your new patient was admitted with blunt force trauma to the abdomen following a motor
vehicle accident (MVA). An NG tube is in place for decompression; however, you note during
the assessment that the stomach is rigid and hard during palpation. What condition do you
suspect? - answerHemorrhage
Which of the following nursing diagnoses is MOST important for a patient with
chronic obstructive pulmonary disease (COPD)? - answerImpaired gas exchange
You have a patient going for dialysis. Their medications include lisinopril (Prinivil),
ondansetron (Zofran), famotidine (Pepcid), and atorvastatin (Lipitor). Which medication
would you possibly hold and seek clarification? - answer famotidine (Pepcid)
What is an early symptom that the patient is developing a complication of heart
failure? - Answer in the legs and feet
Black and tarry-colored stools are CLASSIC symptoms of what condition? - Answer bleeding
gastric ulcer
You have 4 patients who have high-priority needs. One needs to go to surgery, one needs STAT
lab draws from a PICC line, another has chest pain rated 8/10, and another need toileting.
Which patient should you tend to FIRST? - Answer patient with chest pain
Your patient with Hepatitis C exhibits signs of jaundice and a distended abdomen. What
already grated A+
You are ordered to give digoxin (Lanoxin). Your patient's vital signs are: BP 130/70,
Temp 97.9F, HR 52, RR 16, O2 Sat 100% on room air. What should you do NEXT? -
Answer digoxin (Lanoxin) and call the provider
Upon entry to your patient's room, you find her sitting in High Fowler's position and
complaining of shortness of breath. Her respiratory rate is 34 breaths/min and O2 sat is
84%. Which mode of oxygen delivery would MOST likely reverse these symptoms? -
answer-rebreather mask
Your patient is on contact precautions for active MRSA. What proper PPE should you use
before entering the room? - answerGown and gloves
Your patient recently had a G-tube placed and intermittent enteral feedings have been
initiated. What symptoms may indicate intolerance to the feedings? - answerVomiting
and diarrhea
Upon entering your patient's room, you note that they are having a seizure. What is your
FIRST action? - Answer position the patient on their side to maintain the airway.
anorexia nervosa.
During your assessment, you note she has a flat affect and says, "I just want to die. I'm tired
of my life." What should be your FIRST intervention? - Answer with the patient and ask if
she has a plan to carry out this wish.
Your patient has a nonproductive cough and the presence of secretions in his tracheostomy.
, Before suctioning the patient, what should you do FIRST? - answerHyperoxygenate patient.
Your patient takes 5 mg of warfarin (Coumadin/Jantoven) daily and reports having black-
colored stool today. What do you most likely suspect? - answerGastrointestinal bleeding
Your new patient was admitted with blunt force trauma to the abdomen following a motor
vehicle accident (MVA). An NG tube is in place for decompression; however, you note during
the assessment that the stomach is rigid and hard during palpation. What condition do you
suspect? - answerHemorrhage
Which of the following nursing diagnoses is MOST important for a patient with
chronic obstructive pulmonary disease (COPD)? - answerImpaired gas exchange
You have a patient going for dialysis. Their medications include lisinopril (Prinivil),
ondansetron (Zofran), famotidine (Pepcid), and atorvastatin (Lipitor). Which medication
would you possibly hold and seek clarification? - answer famotidine (Pepcid)
What is an early symptom that the patient is developing a complication of heart
failure? - Answer in the legs and feet
Black and tarry-colored stools are CLASSIC symptoms of what condition? - Answer bleeding
gastric ulcer
You have 4 patients who have high-priority needs. One needs to go to surgery, one needs STAT
lab draws from a PICC line, another has chest pain rated 8/10, and another need toileting.
Which patient should you tend to FIRST? - Answer patient with chest pain
Your patient with Hepatitis C exhibits signs of jaundice and a distended abdomen. What
