Epic Adult Med Surg Nurse ACTUAL EXAM QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
Log in to Epic as the adult med surg nurse from your information
sheet. Open George Two's chart, What is he allergic to? - CORRECT
ANSWER No known allergies
Does George two have any orders to acknowledge? - CORRECT
ANSWER yes
In Gerorge TWO's chart, change the collection status in the storyboard
(left side of the patient's chart to Unit collect. Which lab collection
tasks appear in the Brain sidebar for this patient? Note: You may need
to expand the sidebar if it isn't open and you many need to use the
arrows to look back to a previous shift. - CORRECT ANSWER A.
wound culture
B. CBC and differential
C. Urine ketones
D. Urinalysis
Open your Kinsley patient's chart. which nurse recorded Kingley's
temperature reading at 0540? - CORRECT ANSWER A. Maurice
Foley
B. Patty Del Mar
Sidney Apple
D. Deb Gurnery
While assessing Kinsley's neurological function, you determine his
speech is slurred. What should you document in the Neuro (WDL) row -
CORRECT ANSWER A. Speech
B. Add a comment using the piece of paper icon
C. WDL, then document exceptions as appropriate
D. x, then document
,pick one
What was the line status of kingsley's right antecubital PIV yesterday
at 0701? - CORRECT ANSWER A. Capped
B. Infusing
C. Leaking
D. Infiltrated
You realize you documented the wrong administration site when
administering a medication. What should you do? - CORRECT
ANSWER A. Call the pharmacy and ask them to adjust the site.
B. Change the location on the LDA Avatar:
C. Click Edit Administration and update the site.
D. Delete the administration and document a new one with the correct
site.
how do you individualize a patient's care plan? - CORRECT
ANSWER Select one of the following
A. Document the patient's learning assessment.
B. Write a care plan progress note.
C. Choose relevant problem and goals
D. Open the More menu ( the down arrow button) and choose
individualize.
A nurse is assessing for early signs of compartment syndrome for a
client who has a short-leg fiberglass cast. Which of the following
findings should the nurse expect?
A. Capillary refill less than 2 seconds
B. Bounding distal pulses
C. Intense pain with movement
D. Erythema of the toes - CORRECT ANSWER C. Intense pain
with movement
A nurse is monitoring a client who is receiving 2 units packed RBCs.
Which of the following manifestations indicates a hemolytic
transfusion reaction?
,A. Chills
B. Hypertension
C. Bradycardia
D. Back pain - CORRECT ANSWER A. Chills
A nurse is caring for a client who had a total hip arthroplasty. Which of
the following actions should the nurse take to prevent hip dislocation?
A. Remove the wedge device when turning
B. Place two bed pillows between the legs when in bed
C. Encourage the client to lean forward when attempting to stand
D. Elevate the knees higher than the hips when sitting - CORRECT
ANSWER B. Place two bed pillows between the legs when in bed
A nurse is assessing a client who is preoperative and reports an
allergy to bananas. The nurse should recognize that the client is at
risk for an allergic cross-reactivity to which of the following
substances
A. Povidone-iodine
B. Adhesive tape
C. Latex
D. Anesthetics - CORRECT ANSWER C. Latex
A nurse is teaching a client about the use of an incentive spirometer.
Which of the following instructions should the nurse include in the
teaching?
A. Place hands on the upper abdomen during inhalation.
B. Position the mouthpiece 2.5 cm (1 in) from the mouth
C. Exhale slowly through pursed lips
D. Hold breaths about 3 to 5 seconds before exhaling - CORRECT
ANSWER C. Exhale slowly through pursed lips
A nurse is caring for a client who arrives at the emergency department
and reports vomiting and diarrhea for the past 3 days. The clients
serum potassium level is 2.8mEq/L. Which of the following
, interventions should the nurse implement first? Priority question
remember, what can I do first, you canstart a K+ drip without knowing
how their heart is affected.
A. Check the clients hand grasps
B. Administer an IV potassium drip
C. Listen to the clients bowel sounds
D. Initiate cardiac monitoring for the clients - CORRECT ANSWER
D. Initiate cardiac monitoring for the clients
A nurse is preparing to administer peritoneal dialysis to a client. Which
of the following actions should the nurse take?
A. Chill the dialysate before administration
B. Hang the drainage bag below the clients abdomen
C. Place the client in high-Fowlers position
D. Use clean technique to access the catheter - CORRECT
ANSWER B. Hang the drainage bag below the clients abdomen
A nurse is preforming a cranial nerve assessment on a client following
a head injury. Which of the following findings should the nurse expect
if the client has impaired function of the vestibulo cochlear nerve
(cranial nerve VIII)?
A. Inability to smell
B. loss of peripheral vision
C. Disequilibrium with movement
D. Deviation of the tongue from midline - CORRECT ANSWER C.
Disequilibrium with movement
A nurse is planning care for a client who is one day postoperative
Following an open cholecystectomy. Which of the following
interventions should the nurse include in the plan of care?
A. Place pillows under the clients knees
B. Avoid use of anticoagulants
C. Discourage leg exercises while in bed
AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
Log in to Epic as the adult med surg nurse from your information
sheet. Open George Two's chart, What is he allergic to? - CORRECT
ANSWER No known allergies
Does George two have any orders to acknowledge? - CORRECT
ANSWER yes
In Gerorge TWO's chart, change the collection status in the storyboard
(left side of the patient's chart to Unit collect. Which lab collection
tasks appear in the Brain sidebar for this patient? Note: You may need
to expand the sidebar if it isn't open and you many need to use the
arrows to look back to a previous shift. - CORRECT ANSWER A.
wound culture
B. CBC and differential
C. Urine ketones
D. Urinalysis
Open your Kinsley patient's chart. which nurse recorded Kingley's
temperature reading at 0540? - CORRECT ANSWER A. Maurice
Foley
B. Patty Del Mar
Sidney Apple
D. Deb Gurnery
While assessing Kinsley's neurological function, you determine his
speech is slurred. What should you document in the Neuro (WDL) row -
CORRECT ANSWER A. Speech
B. Add a comment using the piece of paper icon
C. WDL, then document exceptions as appropriate
D. x, then document
,pick one
What was the line status of kingsley's right antecubital PIV yesterday
at 0701? - CORRECT ANSWER A. Capped
B. Infusing
C. Leaking
D. Infiltrated
You realize you documented the wrong administration site when
administering a medication. What should you do? - CORRECT
ANSWER A. Call the pharmacy and ask them to adjust the site.
B. Change the location on the LDA Avatar:
C. Click Edit Administration and update the site.
D. Delete the administration and document a new one with the correct
site.
how do you individualize a patient's care plan? - CORRECT
ANSWER Select one of the following
A. Document the patient's learning assessment.
B. Write a care plan progress note.
C. Choose relevant problem and goals
D. Open the More menu ( the down arrow button) and choose
individualize.
A nurse is assessing for early signs of compartment syndrome for a
client who has a short-leg fiberglass cast. Which of the following
findings should the nurse expect?
A. Capillary refill less than 2 seconds
B. Bounding distal pulses
C. Intense pain with movement
D. Erythema of the toes - CORRECT ANSWER C. Intense pain
with movement
A nurse is monitoring a client who is receiving 2 units packed RBCs.
Which of the following manifestations indicates a hemolytic
transfusion reaction?
,A. Chills
B. Hypertension
C. Bradycardia
D. Back pain - CORRECT ANSWER A. Chills
A nurse is caring for a client who had a total hip arthroplasty. Which of
the following actions should the nurse take to prevent hip dislocation?
A. Remove the wedge device when turning
B. Place two bed pillows between the legs when in bed
C. Encourage the client to lean forward when attempting to stand
D. Elevate the knees higher than the hips when sitting - CORRECT
ANSWER B. Place two bed pillows between the legs when in bed
A nurse is assessing a client who is preoperative and reports an
allergy to bananas. The nurse should recognize that the client is at
risk for an allergic cross-reactivity to which of the following
substances
A. Povidone-iodine
B. Adhesive tape
C. Latex
D. Anesthetics - CORRECT ANSWER C. Latex
A nurse is teaching a client about the use of an incentive spirometer.
Which of the following instructions should the nurse include in the
teaching?
A. Place hands on the upper abdomen during inhalation.
B. Position the mouthpiece 2.5 cm (1 in) from the mouth
C. Exhale slowly through pursed lips
D. Hold breaths about 3 to 5 seconds before exhaling - CORRECT
ANSWER C. Exhale slowly through pursed lips
A nurse is caring for a client who arrives at the emergency department
and reports vomiting and diarrhea for the past 3 days. The clients
serum potassium level is 2.8mEq/L. Which of the following
, interventions should the nurse implement first? Priority question
remember, what can I do first, you canstart a K+ drip without knowing
how their heart is affected.
A. Check the clients hand grasps
B. Administer an IV potassium drip
C. Listen to the clients bowel sounds
D. Initiate cardiac monitoring for the clients - CORRECT ANSWER
D. Initiate cardiac monitoring for the clients
A nurse is preparing to administer peritoneal dialysis to a client. Which
of the following actions should the nurse take?
A. Chill the dialysate before administration
B. Hang the drainage bag below the clients abdomen
C. Place the client in high-Fowlers position
D. Use clean technique to access the catheter - CORRECT
ANSWER B. Hang the drainage bag below the clients abdomen
A nurse is preforming a cranial nerve assessment on a client following
a head injury. Which of the following findings should the nurse expect
if the client has impaired function of the vestibulo cochlear nerve
(cranial nerve VIII)?
A. Inability to smell
B. loss of peripheral vision
C. Disequilibrium with movement
D. Deviation of the tongue from midline - CORRECT ANSWER C.
Disequilibrium with movement
A nurse is planning care for a client who is one day postoperative
Following an open cholecystectomy. Which of the following
interventions should the nurse include in the plan of care?
A. Place pillows under the clients knees
B. Avoid use of anticoagulants
C. Discourage leg exercises while in bed
