3/14/25, 5:38 PM Medical-Surgical Nursing Exam #1
Medical-Surgical Nursing Exam #1
Medical-Surgical Nursing Exam 1 NEWEST VERSION COMPLETE
ACTUAL EXAM WITH QUESTIONS AND CORRECT DETAILED
ANSWERS (RATIONALES) (A+ GUIDE SOLUTION) BRAND NEW
2025
- Identify patients correctly
- Improve staff communication
- Use medicines safely
What Are the 2017 - Use alarms safely
Hospital National Patient - Identify patient safety risks
Safety Goals? - Prevent Infection
- Prevent mistakes in surgery
- Respiratory rate, lung sounds, O2 Saturation
REPORT: History of dyspnea, coughing, or hemoptysis
Respiratory System (Blood)
Objective Data: - COPD or Asthma (High risk for atelectasis and
hypoxemia)
- Smokers (Encourage to quit)
- Level of Consciousness, can they follow commands,
Nervous System sight, hearing
Objective Data: - Evaluation of neurological functioning (Vision or
hearing loss can influence results)
- Cognitive function (Determine if any deficits are
present)
- Kidney problems, frequency of urination, urgency,
blood, period
- History of renal diseases
- Assess BUN, Creatinine, Specific Gravity
Genitourinary System
Objective Data: Renal Dysfunction contributes to:
- Fluid and electrolyte problems
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0
, 3/14/25, 5:38 PM Medical-Surgical Nursing Exam #1
- Altered response to drugs
- Increased risk of infection
- Jaundice, Ascites
Hepatic System Objective - Liver involved in drug metabolism and clotting
Data: - Hepatic dysfunction may increase risk of postoperative
complications
- Ulcers
- History of skin and musculoskeletal problems
Integumentary System
(Arthritis, stroke deficit problems, ask the
Objective Data:
patient if they are comfortable)
- History of pressure ulcers (Vulnerable)
- Arthritis (Changes in knuckles, if their head
Musculoskeletal System needs to be put back, bring mobility aid)
Objective Data: - Cannot flex lumbar spine
- Clients with Diabetes Mellitus are
especially at risk for delayed healing time,
Endocrine System changes in blood sugar, higher risk for
Objective Data:
infections
- Clients with thyroid dysfunction have an altered
metabolic rate
- Clients with adrenal insufficiency (Addison's
Disease) also do not heal as well; sterioids
- Auto-Immune Disorders
- Will not heal as well
Immune System Objective - Clients with a history of compromised immune system
Data: or use of
immunosuppressant drugs can have infections and
delayed healing
- Assess Electrolytes
Fluid and Electrolyte - Use of diuretics (Evaluate serum electrolyte levels; can
Balance Objective Data: alter K+)
- NPO Status (Dehydrated)
- Critical assessment for older adults because they have
a reduced adaptive capacity
/ 2/1
0
Medical-Surgical Nursing Exam #1
Medical-Surgical Nursing Exam 1 NEWEST VERSION COMPLETE
ACTUAL EXAM WITH QUESTIONS AND CORRECT DETAILED
ANSWERS (RATIONALES) (A+ GUIDE SOLUTION) BRAND NEW
2025
- Identify patients correctly
- Improve staff communication
- Use medicines safely
What Are the 2017 - Use alarms safely
Hospital National Patient - Identify patient safety risks
Safety Goals? - Prevent Infection
- Prevent mistakes in surgery
- Respiratory rate, lung sounds, O2 Saturation
REPORT: History of dyspnea, coughing, or hemoptysis
Respiratory System (Blood)
Objective Data: - COPD or Asthma (High risk for atelectasis and
hypoxemia)
- Smokers (Encourage to quit)
- Level of Consciousness, can they follow commands,
Nervous System sight, hearing
Objective Data: - Evaluation of neurological functioning (Vision or
hearing loss can influence results)
- Cognitive function (Determine if any deficits are
present)
- Kidney problems, frequency of urination, urgency,
blood, period
- History of renal diseases
- Assess BUN, Creatinine, Specific Gravity
Genitourinary System
Objective Data: Renal Dysfunction contributes to:
- Fluid and electrolyte problems
/ 1/1
0
, 3/14/25, 5:38 PM Medical-Surgical Nursing Exam #1
- Altered response to drugs
- Increased risk of infection
- Jaundice, Ascites
Hepatic System Objective - Liver involved in drug metabolism and clotting
Data: - Hepatic dysfunction may increase risk of postoperative
complications
- Ulcers
- History of skin and musculoskeletal problems
Integumentary System
(Arthritis, stroke deficit problems, ask the
Objective Data:
patient if they are comfortable)
- History of pressure ulcers (Vulnerable)
- Arthritis (Changes in knuckles, if their head
Musculoskeletal System needs to be put back, bring mobility aid)
Objective Data: - Cannot flex lumbar spine
- Clients with Diabetes Mellitus are
especially at risk for delayed healing time,
Endocrine System changes in blood sugar, higher risk for
Objective Data:
infections
- Clients with thyroid dysfunction have an altered
metabolic rate
- Clients with adrenal insufficiency (Addison's
Disease) also do not heal as well; sterioids
- Auto-Immune Disorders
- Will not heal as well
Immune System Objective - Clients with a history of compromised immune system
Data: or use of
immunosuppressant drugs can have infections and
delayed healing
- Assess Electrolytes
Fluid and Electrolyte - Use of diuretics (Evaluate serum electrolyte levels; can
Balance Objective Data: alter K+)
- NPO Status (Dehydrated)
- Critical assessment for older adults because they have
a reduced adaptive capacity
/ 2/1
0
