Med Surg 3 Final/MS3 Final, MSS: Emergency &
Disaster Nursing (Questions and Answers With
Rationale) 2023/2024 A+ Score Guide
1. A client suffers a stroke, in which speech is affected, pt. has expressive aphasia,
family wants to know what it means. What will be the most accurate?
a. Inability to comprehend speech
b. Normal speech except difficulty finding words
c. Impaired repetitions of speech
d. Chararactzied by inability to communication spontaneously - ANSWER D
2. Causes of hemorrhagic stroke?
a. Embolic
b. Thrombi,
c. Ischemia
d. Rupture of intracerebral vessel - ANSWER D
3. What will be a contraindication to thromobytics?
A prior stroke in 3 months
BP over 185/100
UTI
Therapeutic INR - ANSWER A prior stroke in 3 months
4. You are teaching someone who has Ischemic stroke about Aspirin? How do you
know teaching was effective?
I will take my aspirin whenever I have stroke symptoms, (not PRN)
Aspirin thins my blood like anticoagulants
Aspirin prevents from sticking together
I will check my INR. - ANSWER Aspirin prevents from sticking together
5. Patient has symptoms of stroke, they are going to have a CT scan, what is the
rationale?
They determine the effectiveness of cerebral circulation
They evaluates how much brain swollening is associated with stroke
It pinpoints the exact area of the brain affected by stroke
Provides treatment by differentiating hemorrhagic from Ischemic - ANSWER
Provides treatment by differentiating hemorrhagic from Ischemic
6. Pt has recent TIA (remember slide for TIA VRS CVA), which of the f.f will be a
future complications
TIA are caused by small bleeds that can be a warning sign of impending strokes
TIA doesn't not resolve in brain cell death tissue and increase the risk for strokes
, All benign signs that requires monitoring but no treatment
Accumulation of small deficits that will eventually ..... - ANSWER TIA doesn't not
resolve in brain cell death tissue and increase the risk for strokes
7. A nurse is observing interactions between a pt. who has expressive aphasia
strove pt. and family members, which of these will require the nurse to speak to the
family members how to effectively communicate to the pt. (Means what the family is
doing is incorrect)
The family member is speaking fast with a loud voice
Family member uses communication board
Member expresses one thought at a time
Family member uses nursing SLP as a resource for problems - ANSWER The
family member is speaking fast with a loud voice
8. Which of these pts. will you recognize as the pt. has AIDS
a. A pt. whose condom broke last night and his partner is HIV positive
b. Pt. is seeking care in outpatient care with complains of sore throat and rash after
having unprotected sex 4 weeks ago
c. Pt. has CD4 counts of 300 and has concerns about medication side effects
d. Pt. had CD4 count of 150 has cough and fever and is x-ray shows pneumonia -
ANSWER d. Pt. had CD4 count of 150 has cough and fever and is x-ray shows
pneumonia
9. Which patients are at high risk for contracting HIV?
IV drug users
Man who has unprotected sex with a man
Female patient who has HIV negative before beginning a monotonous relationship
and uses condom for all sex with HIV negative
85 yr. old who had one sexual partner in life
All persons between ages of 13-64 who are sexually active and have a diagnosis of
STD - ANSWER All persons between ages of 13-64 who are sexually active and
have a diagnosis of STD
10. Pt. who is post kidney transplant, NPO, getting 40mg of Lasix 2hrs ago, labs are
potassium 5.1, creatinine is 3.6, intake is 500ml, output is 40ml, temp is 99, BP
132/84, RR 24, Pulse 80 , 02 95, hemoglobin 10, Incision clean and dry, no
drainage, what does the nurse prioritize at the most diagnosis based on the lab
values?
a. Pt at risk for renal perfusion
Disaster Nursing (Questions and Answers With
Rationale) 2023/2024 A+ Score Guide
1. A client suffers a stroke, in which speech is affected, pt. has expressive aphasia,
family wants to know what it means. What will be the most accurate?
a. Inability to comprehend speech
b. Normal speech except difficulty finding words
c. Impaired repetitions of speech
d. Chararactzied by inability to communication spontaneously - ANSWER D
2. Causes of hemorrhagic stroke?
a. Embolic
b. Thrombi,
c. Ischemia
d. Rupture of intracerebral vessel - ANSWER D
3. What will be a contraindication to thromobytics?
A prior stroke in 3 months
BP over 185/100
UTI
Therapeutic INR - ANSWER A prior stroke in 3 months
4. You are teaching someone who has Ischemic stroke about Aspirin? How do you
know teaching was effective?
I will take my aspirin whenever I have stroke symptoms, (not PRN)
Aspirin thins my blood like anticoagulants
Aspirin prevents from sticking together
I will check my INR. - ANSWER Aspirin prevents from sticking together
5. Patient has symptoms of stroke, they are going to have a CT scan, what is the
rationale?
They determine the effectiveness of cerebral circulation
They evaluates how much brain swollening is associated with stroke
It pinpoints the exact area of the brain affected by stroke
Provides treatment by differentiating hemorrhagic from Ischemic - ANSWER
Provides treatment by differentiating hemorrhagic from Ischemic
6. Pt has recent TIA (remember slide for TIA VRS CVA), which of the f.f will be a
future complications
TIA are caused by small bleeds that can be a warning sign of impending strokes
TIA doesn't not resolve in brain cell death tissue and increase the risk for strokes
, All benign signs that requires monitoring but no treatment
Accumulation of small deficits that will eventually ..... - ANSWER TIA doesn't not
resolve in brain cell death tissue and increase the risk for strokes
7. A nurse is observing interactions between a pt. who has expressive aphasia
strove pt. and family members, which of these will require the nurse to speak to the
family members how to effectively communicate to the pt. (Means what the family is
doing is incorrect)
The family member is speaking fast with a loud voice
Family member uses communication board
Member expresses one thought at a time
Family member uses nursing SLP as a resource for problems - ANSWER The
family member is speaking fast with a loud voice
8. Which of these pts. will you recognize as the pt. has AIDS
a. A pt. whose condom broke last night and his partner is HIV positive
b. Pt. is seeking care in outpatient care with complains of sore throat and rash after
having unprotected sex 4 weeks ago
c. Pt. has CD4 counts of 300 and has concerns about medication side effects
d. Pt. had CD4 count of 150 has cough and fever and is x-ray shows pneumonia -
ANSWER d. Pt. had CD4 count of 150 has cough and fever and is x-ray shows
pneumonia
9. Which patients are at high risk for contracting HIV?
IV drug users
Man who has unprotected sex with a man
Female patient who has HIV negative before beginning a monotonous relationship
and uses condom for all sex with HIV negative
85 yr. old who had one sexual partner in life
All persons between ages of 13-64 who are sexually active and have a diagnosis of
STD - ANSWER All persons between ages of 13-64 who are sexually active and
have a diagnosis of STD
10. Pt. who is post kidney transplant, NPO, getting 40mg of Lasix 2hrs ago, labs are
potassium 5.1, creatinine is 3.6, intake is 500ml, output is 40ml, temp is 99, BP
132/84, RR 24, Pulse 80 , 02 95, hemoglobin 10, Incision clean and dry, no
drainage, what does the nurse prioritize at the most diagnosis based on the lab
values?
a. Pt at risk for renal perfusion
