MED-SURG RN EXAM QUESTIONS WITH CORRECTLY
ANSWER
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? - ANS-famotidine (Pepcid)
What is an early symptom that the patient is developing a
complication of heart failure? - ANS-Edema in the legs and feet
Black and tarry colored stools are CLASSIC symptoms of what condition?
- ANS-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 needs toileting. Which patient should you
tend to FIRST? - ANS-The patient with chest pain
Your patient with Hepatitis C exhibits signs of jaundice and a distended
abdomen. What procedure would you anticipate being performed by the
provider at the bedside for this patient? - ANS-Paracentesis
What is clubbing of the fingers MOST likely associated with? - ANS-
Chronic oxygen deficiency
A patient on warfarin (Coumadin/Jantoven) has an INR of 6. Which
medication would you anticipate administering? - ANS-Vitamin K
,To reduce the risk of infection and phlebitis in an adult patient with a
peripheral IV, what is the MINIMUM duration the catheter should
remain in place before ROUTINE replacement? - ANS-72 hours
You are caring for a patient post lobectomy with a chest tube in place
for drainage. What is a priority in care for this patient? - ANS-
Encourage the patient to cough and deep breathe.
What patient population is the pneumococcal vaccine, PPSV23 indicated
for? - ANS-Adults aged 65 years and older
Your patient with stave IV terminal lung cancer continues to experience
increasing pain as each day passes. What would you anticipate the
provider ordering for this patient? - ANS-Palliative care consult
The provider gives you a telephone order to explain a surgical
procedure to your patient and obtain surgical consent. How should you
respond? - ANS-Inform the provider that explaining the procedure is
outside the nurse's scope of practice.
The patient has diltiazem HCl (Cardizem CD) ordered and is requesting
the capsule be mixed into her morning yogurt. How should you respond? -
ANS-"Sorry, it is a slow-release medication that cannot be opened or
crushed."
Your 72-year-old male patient is admitted for colon cancer related
, complications and has a history of CHF, stroke, and a recent knee
replacement. Based on your patient's risk assessment, you determine he
is at risk for venous thromboembolism (VTE). What is an appropriate VTE
prophylaxis order for this patient? - ANS-Enoxaparin (Lovenox) once daily
and intermittent pneumatic compressions (IPC)
You receive a provider's order that is not consistent with evidence-
based practice. What is your FIRST step? - ANS-Clarify the order with
the provider.
When would sucralfate (Carafate) 4 times daily be scheduled for? - ANS-1
hour before meals and at bedtime
Your patient's morning labs revealed a hemoglobin level of 6.3 and
hematocrit of 18. What blood product do you expect to administer? -
ANS-PRBCs
Your 68-year-old patient is a Type 1 diabetic with a history of
schizophrenia and exhibits signs and symptoms of tardive dyskinesia.
What long-term medication is associated with signs and symptoms of
tardive dyskinesia? - ANS-risperidone, olanzapine, quetiapine,
ziprasidone, aripiprazole, paliperidone, lurasidone, chlorpromazine,
fluphenazine, haloperidol, perphenazine
Your 80-year-old patient is being discharged home post CVA. She lives
alone, yet still requires assistance with ADLs. What referral is MOST
appropriate to ensure her needs are met? - ANS-Case Manager
ANSWER
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? - ANS-famotidine (Pepcid)
What is an early symptom that the patient is developing a
complication of heart failure? - ANS-Edema in the legs and feet
Black and tarry colored stools are CLASSIC symptoms of what condition?
- ANS-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 needs toileting. Which patient should you
tend to FIRST? - ANS-The patient with chest pain
Your patient with Hepatitis C exhibits signs of jaundice and a distended
abdomen. What procedure would you anticipate being performed by the
provider at the bedside for this patient? - ANS-Paracentesis
What is clubbing of the fingers MOST likely associated with? - ANS-
Chronic oxygen deficiency
A patient on warfarin (Coumadin/Jantoven) has an INR of 6. Which
medication would you anticipate administering? - ANS-Vitamin K
,To reduce the risk of infection and phlebitis in an adult patient with a
peripheral IV, what is the MINIMUM duration the catheter should
remain in place before ROUTINE replacement? - ANS-72 hours
You are caring for a patient post lobectomy with a chest tube in place
for drainage. What is a priority in care for this patient? - ANS-
Encourage the patient to cough and deep breathe.
What patient population is the pneumococcal vaccine, PPSV23 indicated
for? - ANS-Adults aged 65 years and older
Your patient with stave IV terminal lung cancer continues to experience
increasing pain as each day passes. What would you anticipate the
provider ordering for this patient? - ANS-Palliative care consult
The provider gives you a telephone order to explain a surgical
procedure to your patient and obtain surgical consent. How should you
respond? - ANS-Inform the provider that explaining the procedure is
outside the nurse's scope of practice.
The patient has diltiazem HCl (Cardizem CD) ordered and is requesting
the capsule be mixed into her morning yogurt. How should you respond? -
ANS-"Sorry, it is a slow-release medication that cannot be opened or
crushed."
Your 72-year-old male patient is admitted for colon cancer related
, complications and has a history of CHF, stroke, and a recent knee
replacement. Based on your patient's risk assessment, you determine he
is at risk for venous thromboembolism (VTE). What is an appropriate VTE
prophylaxis order for this patient? - ANS-Enoxaparin (Lovenox) once daily
and intermittent pneumatic compressions (IPC)
You receive a provider's order that is not consistent with evidence-
based practice. What is your FIRST step? - ANS-Clarify the order with
the provider.
When would sucralfate (Carafate) 4 times daily be scheduled for? - ANS-1
hour before meals and at bedtime
Your patient's morning labs revealed a hemoglobin level of 6.3 and
hematocrit of 18. What blood product do you expect to administer? -
ANS-PRBCs
Your 68-year-old patient is a Type 1 diabetic with a history of
schizophrenia and exhibits signs and symptoms of tardive dyskinesia.
What long-term medication is associated with signs and symptoms of
tardive dyskinesia? - ANS-risperidone, olanzapine, quetiapine,
ziprasidone, aripiprazole, paliperidone, lurasidone, chlorpromazine,
fluphenazine, haloperidol, perphenazine
Your 80-year-old patient is being discharged home post CVA. She lives
alone, yet still requires assistance with ADLs. What referral is MOST
appropriate to ensure her needs are met? - ANS-Case Manager
