Med Surg Unit 3 complete questions
with correct answers
The nurse understands adequate teaching has been
done by which of the following statements?
A. "I got a flu shot last year; I'm covered for a while."
B. "I don't need a flu shot; I never get sick."
C. "I guess it's important to get a flu shot every year."
D. "I don't get a flu shot, but I make sure my kids
get one." - answers Answer: C
Rationale: The patient and children should get a flu
shot every year.
The correct statement about the prevalence of
pneumonia is which of the following?
A. Pneumonia is no longer a major health problem.
B. The prevalence of pneumonia is increasing
dramatically.
C. The prevalence and mortality are highest in persons
older than 65 years.
D. The frequency has not declined, but mortality has
declined. - answers Answer: C
Rationale: Pneumonia is still prevalent and the
mortality rate is highest in persons greater than
65 years of age.
The nurse understands the priority intervention with
the patient with TB is which of the following?
A. Antibiotic administration
B. Initiation of isolation
C. TB test
D. Chest x-ray - answers Answer: B
Rationale: It is imperative that the TB patient be
isolated as soon as possible to prevent the spread
of the disease.
,The nurse recognizes that the first physical compensatory mechanism of decreased
oxygen delivery is
which of the following?
A. Increased heart rate
B. Increased respiratory rate
C. Decreased heart rate
D. Decreased respiratory rate - answers Answer: B
Rationale: The second compensatory mechanism
is increasing heart rate. A decreased heart rate or
decreased respiratory rate would hinder oxygen
delivery
The nurse recognizes that the second physical
compensatory mechanism of decreased oxygen
delivery is which of the following?
A. Increased heart rate
B. Increased respiratory rate
C. Decreased heart rate
D. Decreased respiratory rate - answers Answer: A
Rationale: The second compensatory mechanism
is increasing heart rate. The first compensatory
mechanism is increased respiratory rate. A
decreased heart rate or decreased respiratory
rate would hinder oxygen delivery.
During the assessment of a patient admitted with
pneumonia, the nurse notes that the patient is
experiencing agitation and restlessness not evident
on prior assessments. What should the nurse's initial
response be to this assessment finding?
A. Obtain an oxygen saturation measurement with
pulse oximetry.
B. Notify the physician.
C. Auscultate breath sounds.
D. Comfort and calm the patient. - answers Answer: A
Rationale: Agitation and restlessness may be a sign
of decreased oxygen levels. After completing the
assessment, which would include auscultating
breath sounds, the nurse should notify the physician
and start oxygen, all the while attempting to
comfort and calm the patient.
A patient with MRSA pneumonia can be cohorted
(share a room) with which of the following patients?
A. A patient with an MRSA-infected foot ulcer
B. A patient with a confirmed influenza infection
C. A postoperative patient with open
, reduction/internal fixation (ORIF) of the
right hip
D. A COPD patient with chronic obstructive
pulmonary disease who is receiving steroids - answers Answer: B
Rationale: A patient with pneumonia cannot be
in a room with a postoperative patient or a COPD
patient on steroids due to the risk of infection for
those patients. The patient with an MRSA foot
ulcer does not need droplet precautions as a patient
with influenza.
Acceptable room assignments for a patient with
suspected or confirmed tuberculosis (TB) should be
which of the following?
A. Cohorted only with other tuberculosis
TB patients
B. Cohorted only with patients who are not
infected with TB
C. Isolated in a private room
D. Isolated in a private room until confirmed
and then cohorted once treatment has begun - answers Answer: C
Rationale: The patient with TB should always
be isolated in a private negative pressure room
The first-line natural protective mechanism for the
upper respiratory tract consists of:
A. Mucociliary escalator
B. External environment interface
C. Vibrissae - answers Answer: C
The mechanism that moves particulates to be
expelled by sneezing and coughing is called:
A. Cillia
B. Epithelium
C. Mucociliary escalator - answers Answer: C
Which of the following are the most important
respiratory structures for gas exchange?
A. Bronchioles
B. Trachea
C. Alveoli - answers Answer: C
The phagocytic action on bacteria that gain access
to the lower respiratory tract is carried out by which
of the following cells?
A. Red blood cells
B. Platelets
with correct answers
The nurse understands adequate teaching has been
done by which of the following statements?
A. "I got a flu shot last year; I'm covered for a while."
B. "I don't need a flu shot; I never get sick."
C. "I guess it's important to get a flu shot every year."
D. "I don't get a flu shot, but I make sure my kids
get one." - answers Answer: C
Rationale: The patient and children should get a flu
shot every year.
The correct statement about the prevalence of
pneumonia is which of the following?
A. Pneumonia is no longer a major health problem.
B. The prevalence of pneumonia is increasing
dramatically.
C. The prevalence and mortality are highest in persons
older than 65 years.
D. The frequency has not declined, but mortality has
declined. - answers Answer: C
Rationale: Pneumonia is still prevalent and the
mortality rate is highest in persons greater than
65 years of age.
The nurse understands the priority intervention with
the patient with TB is which of the following?
A. Antibiotic administration
B. Initiation of isolation
C. TB test
D. Chest x-ray - answers Answer: B
Rationale: It is imperative that the TB patient be
isolated as soon as possible to prevent the spread
of the disease.
,The nurse recognizes that the first physical compensatory mechanism of decreased
oxygen delivery is
which of the following?
A. Increased heart rate
B. Increased respiratory rate
C. Decreased heart rate
D. Decreased respiratory rate - answers Answer: B
Rationale: The second compensatory mechanism
is increasing heart rate. A decreased heart rate or
decreased respiratory rate would hinder oxygen
delivery
The nurse recognizes that the second physical
compensatory mechanism of decreased oxygen
delivery is which of the following?
A. Increased heart rate
B. Increased respiratory rate
C. Decreased heart rate
D. Decreased respiratory rate - answers Answer: A
Rationale: The second compensatory mechanism
is increasing heart rate. The first compensatory
mechanism is increased respiratory rate. A
decreased heart rate or decreased respiratory
rate would hinder oxygen delivery.
During the assessment of a patient admitted with
pneumonia, the nurse notes that the patient is
experiencing agitation and restlessness not evident
on prior assessments. What should the nurse's initial
response be to this assessment finding?
A. Obtain an oxygen saturation measurement with
pulse oximetry.
B. Notify the physician.
C. Auscultate breath sounds.
D. Comfort and calm the patient. - answers Answer: A
Rationale: Agitation and restlessness may be a sign
of decreased oxygen levels. After completing the
assessment, which would include auscultating
breath sounds, the nurse should notify the physician
and start oxygen, all the while attempting to
comfort and calm the patient.
A patient with MRSA pneumonia can be cohorted
(share a room) with which of the following patients?
A. A patient with an MRSA-infected foot ulcer
B. A patient with a confirmed influenza infection
C. A postoperative patient with open
, reduction/internal fixation (ORIF) of the
right hip
D. A COPD patient with chronic obstructive
pulmonary disease who is receiving steroids - answers Answer: B
Rationale: A patient with pneumonia cannot be
in a room with a postoperative patient or a COPD
patient on steroids due to the risk of infection for
those patients. The patient with an MRSA foot
ulcer does not need droplet precautions as a patient
with influenza.
Acceptable room assignments for a patient with
suspected or confirmed tuberculosis (TB) should be
which of the following?
A. Cohorted only with other tuberculosis
TB patients
B. Cohorted only with patients who are not
infected with TB
C. Isolated in a private room
D. Isolated in a private room until confirmed
and then cohorted once treatment has begun - answers Answer: C
Rationale: The patient with TB should always
be isolated in a private negative pressure room
The first-line natural protective mechanism for the
upper respiratory tract consists of:
A. Mucociliary escalator
B. External environment interface
C. Vibrissae - answers Answer: C
The mechanism that moves particulates to be
expelled by sneezing and coughing is called:
A. Cillia
B. Epithelium
C. Mucociliary escalator - answers Answer: C
Which of the following are the most important
respiratory structures for gas exchange?
A. Bronchioles
B. Trachea
C. Alveoli - answers Answer: C
The phagocytic action on bacteria that gain access
to the lower respiratory tract is carried out by which
of the following cells?
A. Red blood cells
B. Platelets
