NUR 1211 MEDICAL SURGICAL FINAL EXAM ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
What does Medicare part A cover? - ANSWER: - Available w/out cost to those eligible
for the program
- Help pay inpatient hospital care, including drugs, supplies, labs tests, radiology,
intensive care unit
- Covers 20 days after hospitalization for skilled nursing facility care for rehab
services, home health, and hospice care.
- DOES NOT pay for nursing come custodial services, private rooms, telephones, or
TV provided by hospital or skilled nursing facilities.
What is the main cost component of DRG? - ANSWER: - A flat fee for each pt DRG
regardless of the length of stay
What is holistic Nursing Care? - ANSWER: - Care of the pt as a whole.
What is the difference between a Therapeutic and Social Relationship? - ANSWER: -
Social is not goal directed, and meets the needs of each person in the relationship
What is a nursing goal for a pt in a long term facility? - ANSWER: -achieve as much
autonomy as possible
Who would you contact to find out your scope of practice if you were moving to a
different state? - ANSWER: - Board of Nursing
What intervention would you do for a pt with a dx of nutrition less than body
requirements? - ANSWER: - Protein shake
A nurse suspects a problem in a pt's plan of care, what should the nurse do? -
ANSWER: - Alert someone of the problem.
What is the purpose of a care plan? - ANSWER: - To alert the nurse and staff of the
pt's problems
- Serves as a reminder of interventions to help Pt from potential problems.
- (Prevention)
Define diffusion. Is it active or passive? - ANSWER: - diffusion: substances move back
and forth until evenly dissolved.
- passive
What is the 1st sign of dehydration for an 80 year old (elderly)? - ANSWER: -
Constipation
Calculate flow Rate, Volume, and Time: - ANSWER: - pg 53 tells you how
, How to flush a Saline Lock? - ANSWER: - With 30mL of normal saline.
Why is height and weight measured before surgery? - ANSWER: - To calculate the
anesthesia dose.
What do you do if a pt refuses to remove their wedding band before surgery? -
ANSWER: - Secure and cover it.
What is a 1st day post-op intervention to prevent atelectasis? - ANSWER: - Deep
coughing Q2hrs.
Notify charge nurse or physician when a Pt hasn't voided after how many hours? -
ANSWER: - 8 hrs.
What do you do before getting the pt up out of bed for the first time after surgery? -
ANSWER: - Raise the head of the bed
What do you teach the pt to do when they are prescribed antibiotics for an
infection? - ANSWER: - Don't stop taking it after you start to "feel better", take as
prescribed.
Teaching about parasites for pt traveling to a different country. - ANSWER: - Drink
bottled water.
Who gives the most accurate measurement of pain? - ANSWER: - The pt
What is the pain medication to reduce seizure threshold? - ANSWER: - Tramadol (so
avoid it, you want to RAISE the seizure threshold)
Define Benign Neoplasm. Why doesn't it spread to other areas? - ANSWER: - Benign
Neoplasm: Harmless abnormal replication of cells.
- It is in a capsule.
Cultural perception of Pain- Arab - ANSWER: - They expect pain to be controlled and
treated promptly.
Pt teaching of massages - ANSWER: - long firm strokes.
Cancer Risk Factors - ANSWER: - Depends on the chemical exposed to and the
length of time exposed to it.
- Just Remember: The FARMER that has been exposed to chemicals for years!!!!!!!!
Staging of Tumor. How do TNM numbers classify? - ANSWER: - Staging: according to
substances of which the tumor is formed.
- T: primary tumor
- N: regional nodes
QUESTIONS AND CORRECT DETAILED ANSWERS
What does Medicare part A cover? - ANSWER: - Available w/out cost to those eligible
for the program
- Help pay inpatient hospital care, including drugs, supplies, labs tests, radiology,
intensive care unit
- Covers 20 days after hospitalization for skilled nursing facility care for rehab
services, home health, and hospice care.
- DOES NOT pay for nursing come custodial services, private rooms, telephones, or
TV provided by hospital or skilled nursing facilities.
What is the main cost component of DRG? - ANSWER: - A flat fee for each pt DRG
regardless of the length of stay
What is holistic Nursing Care? - ANSWER: - Care of the pt as a whole.
What is the difference between a Therapeutic and Social Relationship? - ANSWER: -
Social is not goal directed, and meets the needs of each person in the relationship
What is a nursing goal for a pt in a long term facility? - ANSWER: -achieve as much
autonomy as possible
Who would you contact to find out your scope of practice if you were moving to a
different state? - ANSWER: - Board of Nursing
What intervention would you do for a pt with a dx of nutrition less than body
requirements? - ANSWER: - Protein shake
A nurse suspects a problem in a pt's plan of care, what should the nurse do? -
ANSWER: - Alert someone of the problem.
What is the purpose of a care plan? - ANSWER: - To alert the nurse and staff of the
pt's problems
- Serves as a reminder of interventions to help Pt from potential problems.
- (Prevention)
Define diffusion. Is it active or passive? - ANSWER: - diffusion: substances move back
and forth until evenly dissolved.
- passive
What is the 1st sign of dehydration for an 80 year old (elderly)? - ANSWER: -
Constipation
Calculate flow Rate, Volume, and Time: - ANSWER: - pg 53 tells you how
, How to flush a Saline Lock? - ANSWER: - With 30mL of normal saline.
Why is height and weight measured before surgery? - ANSWER: - To calculate the
anesthesia dose.
What do you do if a pt refuses to remove their wedding band before surgery? -
ANSWER: - Secure and cover it.
What is a 1st day post-op intervention to prevent atelectasis? - ANSWER: - Deep
coughing Q2hrs.
Notify charge nurse or physician when a Pt hasn't voided after how many hours? -
ANSWER: - 8 hrs.
What do you do before getting the pt up out of bed for the first time after surgery? -
ANSWER: - Raise the head of the bed
What do you teach the pt to do when they are prescribed antibiotics for an
infection? - ANSWER: - Don't stop taking it after you start to "feel better", take as
prescribed.
Teaching about parasites for pt traveling to a different country. - ANSWER: - Drink
bottled water.
Who gives the most accurate measurement of pain? - ANSWER: - The pt
What is the pain medication to reduce seizure threshold? - ANSWER: - Tramadol (so
avoid it, you want to RAISE the seizure threshold)
Define Benign Neoplasm. Why doesn't it spread to other areas? - ANSWER: - Benign
Neoplasm: Harmless abnormal replication of cells.
- It is in a capsule.
Cultural perception of Pain- Arab - ANSWER: - They expect pain to be controlled and
treated promptly.
Pt teaching of massages - ANSWER: - long firm strokes.
Cancer Risk Factors - ANSWER: - Depends on the chemical exposed to and the
length of time exposed to it.
- Just Remember: The FARMER that has been exposed to chemicals for years!!!!!!!!
Staging of Tumor. How do TNM numbers classify? - ANSWER: - Staging: according to
substances of which the tumor is formed.
- T: primary tumor
- N: regional nodes
