Med Surg Test 1 Study Guide Questions
Which nursing action best exemplifies the concept of patient-centered care? - ANS-assesses
the patient's values and attitudes about advance directives
for which circumstance would the nurse alert the rapid response team? - ANS-patient has
difficulty breathing and intense chest pain
an older patient, who was treated for a hip fracture, is being discharged from the hospital and
transferred to a long-term care facility. what would be included in managing the transition of this
patient? - ANS-discharge care instructions related to the hip fracture and surgical site
Which health care workers are likely to be members of the rapid response team? select all that
apply (3) - ANS-critical care nurse, resp therapist, intensivist
What is the best way for the nurse to assess the patient's understanding after teaching? -
ANS-ask the pt to repeat back the information
which type of evidence would be rated highest on a level of evidence scale? - ANS-a nurse
researcher conducts a meta-analysis of all randomized controlled dietary studies among
children
which occurrence would be considered a sentinel event? - ANS-a 23 year old post partum
woman is admitted for abdominal pain and dies of sepsis
which nursing action exemplifies the goal of case management in an acute care setting? -
ANS-coordinating inpatient and community cased care before discharge
which nursing actions possess a high risk for contributing to error and patient harm? select all
that apply. (5) - ANS-caring for several unstable pt who require complex nursing and medical
interventions, administering cardiac medications bore evaluating vitals, preparing meds while
trying to answer a students questions about lab results, recognizing a pts change in mental
status but assuming that it is transitory, taking a verbal order over the phone from a health care
provider regarding a pts code status
which situation is an example of a nursing intervention that addresses the institute of
medicine/quality and safety education for nurses (IOM/QSEN) health care disparities
competency? - ANS-nurse listens with sensitivity while the lesbian patient talks about
discrimination
, according to ethical principles, which patient has been provided social justice? - ANS-patient
with no health insurance receives the same care as all other patients
when using the SBAR method, the nurse should include which information in the B section? -
ANS-admission diagnosis is new-onset type 2 diabetes
which tasks should the nurse delegate to an UAP. select all. (4) - ANS-turn pt every 2 hours,
feed pt bfast and lunch, assist pt with morning care, , take and record pt vitals
which occurrence does the joint commissions national patient safety goals designate as a high
risk issue? - ANS-administering medication that is not familiar to the nurse
which patient most likely to experience inequality in health care? - ANS-a 73 year old
transgender female who is asking for directions to the public restroom
which activities are performed by infusion nurses? select all that apply. - ANS-develop evidence
based policies and procedures, insert and maintain peripheral and central venous catheters,
consult on product selection and purchasing decisions, monitor patient outcomes of infusion
therapy, provide education to staff, patients, and families
the nurse is preparing to start an infusion of dextrose 10% in water (d10w). why would the nurse
infuse the solution through a central line? - ANS-osmolarity of the sln could cause phlebitis or
thrombosis
IV therapy with a hypotonic fluid is ordered for the patient. the nurse would plan to start which
solution? - ANS-0.45% NaCl
a patient with lung cancer is to receive his first chemotherapy treatment. which IV access
methods are appropriate for this pt. select all. - ANS-PICC, tunneled central venous catheter,
implanted port
a patient has a peripherally inserted central catheter and receives IV cisplatin. the drug has
infiltrated into the tissue, and redness is observed in the right lower side of the neck? what is the
nurse's first action? - ANS-stop the infusion and disconnect the IV line from the admin set
the nurse must inset a short peripheral IV cath. to decrease the risk of DVT or phlebitis, which
area of the arm should be chosen for insertion of the IV catheter? - ANS-forearm
while assessing a pt's IV site, the nurse identifies signs and symptoms of infiltration. what is the
first action that the nurse implements for this pt? - ANS-stop the IV infusion
the nurse is selecting a site for peripheral IV insertion. which patient condition influences the
choice of left versus right upper extremity? - ANS-regular renal dialysis with a shunt in the left
upper forearm
Which nursing action best exemplifies the concept of patient-centered care? - ANS-assesses
the patient's values and attitudes about advance directives
for which circumstance would the nurse alert the rapid response team? - ANS-patient has
difficulty breathing and intense chest pain
an older patient, who was treated for a hip fracture, is being discharged from the hospital and
transferred to a long-term care facility. what would be included in managing the transition of this
patient? - ANS-discharge care instructions related to the hip fracture and surgical site
Which health care workers are likely to be members of the rapid response team? select all that
apply (3) - ANS-critical care nurse, resp therapist, intensivist
What is the best way for the nurse to assess the patient's understanding after teaching? -
ANS-ask the pt to repeat back the information
which type of evidence would be rated highest on a level of evidence scale? - ANS-a nurse
researcher conducts a meta-analysis of all randomized controlled dietary studies among
children
which occurrence would be considered a sentinel event? - ANS-a 23 year old post partum
woman is admitted for abdominal pain and dies of sepsis
which nursing action exemplifies the goal of case management in an acute care setting? -
ANS-coordinating inpatient and community cased care before discharge
which nursing actions possess a high risk for contributing to error and patient harm? select all
that apply. (5) - ANS-caring for several unstable pt who require complex nursing and medical
interventions, administering cardiac medications bore evaluating vitals, preparing meds while
trying to answer a students questions about lab results, recognizing a pts change in mental
status but assuming that it is transitory, taking a verbal order over the phone from a health care
provider regarding a pts code status
which situation is an example of a nursing intervention that addresses the institute of
medicine/quality and safety education for nurses (IOM/QSEN) health care disparities
competency? - ANS-nurse listens with sensitivity while the lesbian patient talks about
discrimination
, according to ethical principles, which patient has been provided social justice? - ANS-patient
with no health insurance receives the same care as all other patients
when using the SBAR method, the nurse should include which information in the B section? -
ANS-admission diagnosis is new-onset type 2 diabetes
which tasks should the nurse delegate to an UAP. select all. (4) - ANS-turn pt every 2 hours,
feed pt bfast and lunch, assist pt with morning care, , take and record pt vitals
which occurrence does the joint commissions national patient safety goals designate as a high
risk issue? - ANS-administering medication that is not familiar to the nurse
which patient most likely to experience inequality in health care? - ANS-a 73 year old
transgender female who is asking for directions to the public restroom
which activities are performed by infusion nurses? select all that apply. - ANS-develop evidence
based policies and procedures, insert and maintain peripheral and central venous catheters,
consult on product selection and purchasing decisions, monitor patient outcomes of infusion
therapy, provide education to staff, patients, and families
the nurse is preparing to start an infusion of dextrose 10% in water (d10w). why would the nurse
infuse the solution through a central line? - ANS-osmolarity of the sln could cause phlebitis or
thrombosis
IV therapy with a hypotonic fluid is ordered for the patient. the nurse would plan to start which
solution? - ANS-0.45% NaCl
a patient with lung cancer is to receive his first chemotherapy treatment. which IV access
methods are appropriate for this pt. select all. - ANS-PICC, tunneled central venous catheter,
implanted port
a patient has a peripherally inserted central catheter and receives IV cisplatin. the drug has
infiltrated into the tissue, and redness is observed in the right lower side of the neck? what is the
nurse's first action? - ANS-stop the infusion and disconnect the IV line from the admin set
the nurse must inset a short peripheral IV cath. to decrease the risk of DVT or phlebitis, which
area of the arm should be chosen for insertion of the IV catheter? - ANS-forearm
while assessing a pt's IV site, the nurse identifies signs and symptoms of infiltration. what is the
first action that the nurse implements for this pt? - ANS-stop the IV infusion
the nurse is selecting a site for peripheral IV insertion. which patient condition influences the
choice of left versus right upper extremity? - ANS-regular renal dialysis with a shunt in the left
upper forearm
