Medical-Surgical Final Exam
What does Medicare part A cover? - ANS-- 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? - ANS-- A flat fee for each pt DRG regardless of the
length of stay
What is holistic Nursing Care? - ANS-- Care of the pt as a whole.
What is the difference between a Therapeutic and Social Relationship? - ANS-- Social is not
goal directed, and meets the needs of each person in the relationship
What is a Long Term Care Facility? What is its purpose? - ANS--
What is a nursing goal for a pt in a long term facility? - ANS--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?
- ANS-- Board of Nursing
What intervention would you do for a pt with a dx of nutrition less than body requirements? -
ANS-- Protein shake
A nurse suspects a problem in a pt's plan of care, what should the nurse do? - ANS-- Alert
someone of the problem.
What is the purpose of a care plan? - ANS-- 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? - ANS-- diffusion: substances move back and forth until
evenly dissolved.
- passive
, What is the 1st sign of dehydration for an 80 year old (elderly)? - ANS-- Constipation
Calculate flow Rate, Volume, and Time: - ANS-- pg 53 tells you how
How to flush a Saline Lock? - ANS-- With 30mL of normal saline.
Why is height and weight measured before surgery? - ANS-- To calculate the anesthesia dose.
What do you do if a pt refuses to remove their wedding band before surgery? - ANS-- Secure
and cover it.
What is a 1st day post-op intervention to prevent atelectasis? - ANS-- Deep coughing Q2hrs.
Notify charge nurse or physician when a Pt hasn't voided after how many hours? - ANS-- 8 hrs.
What do you do before getting the pt up out of bed for the first time after surgery? - ANS--
Raise the head of the bed
What do you teach the pt to do when they are prescribed antibiotics for an infection? - ANS--
Don't stop taking it after you start to "feel better", take as prescribed.
Teaching about parasites for pt traveling to a different country. - ANS-- Drink bottled water.
Signs Emergency - ANS--
Who gives the most accurate measurement of pain? - ANS-- The pt
What is the pain medication to reduce seizure threshold? - ANS-- Tramadol (so avoid it, you
want to RAISE the seizure threshold)
Define Benign Neoplasm. Why doesn't it spread to other areas? - ANS-- Benign Neoplasm:
Harmless abnormal replication of cells.
- It is in a capsule.
Cultural perception of Pain- Arab - ANS-- They expect pain to be controlled and treated
promptly.
Pt teaching of massages - ANS-- long firm strokes.
Cancer Risk Factors - ANS-- 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!!!!!!!!
What does Medicare part A cover? - ANS-- 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? - ANS-- A flat fee for each pt DRG regardless of the
length of stay
What is holistic Nursing Care? - ANS-- Care of the pt as a whole.
What is the difference between a Therapeutic and Social Relationship? - ANS-- Social is not
goal directed, and meets the needs of each person in the relationship
What is a Long Term Care Facility? What is its purpose? - ANS--
What is a nursing goal for a pt in a long term facility? - ANS--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?
- ANS-- Board of Nursing
What intervention would you do for a pt with a dx of nutrition less than body requirements? -
ANS-- Protein shake
A nurse suspects a problem in a pt's plan of care, what should the nurse do? - ANS-- Alert
someone of the problem.
What is the purpose of a care plan? - ANS-- 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? - ANS-- diffusion: substances move back and forth until
evenly dissolved.
- passive
, What is the 1st sign of dehydration for an 80 year old (elderly)? - ANS-- Constipation
Calculate flow Rate, Volume, and Time: - ANS-- pg 53 tells you how
How to flush a Saline Lock? - ANS-- With 30mL of normal saline.
Why is height and weight measured before surgery? - ANS-- To calculate the anesthesia dose.
What do you do if a pt refuses to remove their wedding band before surgery? - ANS-- Secure
and cover it.
What is a 1st day post-op intervention to prevent atelectasis? - ANS-- Deep coughing Q2hrs.
Notify charge nurse or physician when a Pt hasn't voided after how many hours? - ANS-- 8 hrs.
What do you do before getting the pt up out of bed for the first time after surgery? - ANS--
Raise the head of the bed
What do you teach the pt to do when they are prescribed antibiotics for an infection? - ANS--
Don't stop taking it after you start to "feel better", take as prescribed.
Teaching about parasites for pt traveling to a different country. - ANS-- Drink bottled water.
Signs Emergency - ANS--
Who gives the most accurate measurement of pain? - ANS-- The pt
What is the pain medication to reduce seizure threshold? - ANS-- Tramadol (so avoid it, you
want to RAISE the seizure threshold)
Define Benign Neoplasm. Why doesn't it spread to other areas? - ANS-- Benign Neoplasm:
Harmless abnormal replication of cells.
- It is in a capsule.
Cultural perception of Pain- Arab - ANS-- They expect pain to be controlled and treated
promptly.
Pt teaching of massages - ANS-- long firm strokes.
Cancer Risk Factors - ANS-- 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!!!!!!!!
