Medical Surgical (MED
SURG) PROTECTED
EXAM 2023 Questions
AND Correct Answers
Graded A+
1
, 1.After receiving change-of-shift report on the following four patients, which
patient should the nurse see first?
a. A 60-yr-old patient with right-sided weakness who has an infusion of tPA
prescribed
b. A 50-yr-old patient who has atrial fibrillation and a new order for warfarin
(Coumadin)
c. A 30-yr-old patient with a subarachnoid hemorrhage 2 days ago who has
nimodipine scheduled
d. A 40-yr-old patient who had a transient ischemic attack yesterday and has a dose
of aspirin due
2) The nurse is caring for a patient with a subarachnoid hemorrhage who is
intubated and placed on a mechanical ventilator with 10cm H2O of peak
end-expiratory pressure (PEEP). What new finding indicates that the nurse
needs to notify the health care provider immediately?
a. O2 saturation of 93%
b. Respirations of 20 breaths/min
c. Green nasogastric tube drainage
d. Increased jugular venous distention
3) The nurse notes thick, white secretions in the endotracheal tube (ET) of a
patient who is receiving mechanical ventilation. Which intervention will most
directly treat this finding?
a. Reposition the patient every 1 to 2 hours.
b. Increase suctioning frequency to every hour.
2
SURG) PROTECTED
EXAM 2023 Questions
AND Correct Answers
Graded A+
1
, 1.After receiving change-of-shift report on the following four patients, which
patient should the nurse see first?
a. A 60-yr-old patient with right-sided weakness who has an infusion of tPA
prescribed
b. A 50-yr-old patient who has atrial fibrillation and a new order for warfarin
(Coumadin)
c. A 30-yr-old patient with a subarachnoid hemorrhage 2 days ago who has
nimodipine scheduled
d. A 40-yr-old patient who had a transient ischemic attack yesterday and has a dose
of aspirin due
2) The nurse is caring for a patient with a subarachnoid hemorrhage who is
intubated and placed on a mechanical ventilator with 10cm H2O of peak
end-expiratory pressure (PEEP). What new finding indicates that the nurse
needs to notify the health care provider immediately?
a. O2 saturation of 93%
b. Respirations of 20 breaths/min
c. Green nasogastric tube drainage
d. Increased jugular venous distention
3) The nurse notes thick, white secretions in the endotracheal tube (ET) of a
patient who is receiving mechanical ventilation. Which intervention will most
directly treat this finding?
a. Reposition the patient every 1 to 2 hours.
b. Increase suctioning frequency to every hour.
2
