Med Surg Exam 3 Newest 2025/2026 Complete All 150 Questions And
Correct Detailed Answers |Already Graded A+||Already Graded A+
To confirm an acid-base imbalance, it is necessary to assess which findings from a client's
arterial blood gas (ABG) results? Select all that apply.
a)PaCO2
b)HCO3
c)K+
d)Glucose
e)Na+
f)pH - ANSWER=a,b,f
A nurse caring for a patient who is receiving an IV solution via a central vein suspects the
complication of an air embolism. Which of the following are signs and symptoms consistent
with that diagnosis? Select all that apply.
a)Cyanosis
b)Hypertension
c)Tachycardia
d)Dyspnea
e)Crackles on auscultation
f)Shoulder pain - ANSWER=a,c,d,f
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A client with chronic renal failure has a serum potassium level of 6.8 mEq/L. What should the
nurse assess first?
Pulse
Respirations
Blood pressure
Temperature - ANSWER=Pulse
Oncotic pressure refers to the
amount of pressure needed to stop the flow of water by osmosis.
number of dissolved particles contained in a unit of fluid.
osmotic pressure exerted by proteins.
excretion of substances such as glucose through increased urine output. - ANSWER=osmotic
pressure exerted by proteins
A client has a respiratory rate of 38 breaths/min. What effect does breathing faster have on
arterial pH level?
Decreases arterial pH
Provides long-term pH regulation
Increases arterial pH
No effect - ANSWER=Increases arterial pH
Latex allergy actions - ANSWER=Actions appropriate for a latex allergy before surgery include
placing an allergy ID band, using latex-free equipment, and notifying the surgical team.
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Inappropriate instruction after abdominal surgery - ANSWER=The instruction 'Do not ambulate
until cleared' is inappropriate after abdominal surgery.
Urine output less than 30 mL/hr - ANSWER=Indicates possible renal impairment or poor
perfusion, requiring the nurse to notify the provider.
Importance of early ambulation after surgery - ANSWER=Early ambulation prevents DVTs and
improves lung expansion.
Medication to continue before surgery - ANSWER=Antihypertensives should be continued
before surgery to maintain blood pressure.
Lab results indicating hypothyroidism - ANSWER=High TSH and low T3/T4 indicate
hypothyroidism.
Concerning symptom in hyperthyroidism - ANSWER=A heart rate of 138 bpm is the most
concerning symptom in hyperthyroidism.
Essential nutrient for thyroid hormone production - ANSWER=Iodine is essential for the
synthesis of T3 and T4.
Expected findings with Addison's disease - ANSWER=Bronze pigmentation, hyperkalemia, and
hyponatremia are expected findings with Addison's disease.
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Specific test for Cushing's syndrome - ANSWER=The 24-hour urinary free cortisol test is most
specific for Cushing's syndrome.
Physical signs of Cushing's syndrome - ANSWER=Moon face and easy bruising are physical signs
suggestive of Cushing's syndrome.
Typical symptom of acromegaly - ANSWER=Increased shoe size is a typical symptom of
acromegaly.
Intervention for SIADH - ANSWER=Fluid restriction is the correct intervention for SIADH.
Hormones secreted by the adrenal medulla - ANSWER=The adrenal medulla secretes
catecholamines such as epinephrine and norepinephrine.
Cortisol - ANSWER=A steroid hormone produced by the adrenal cortex that regulates
metabolism and immune response.
Aldosterone - ANSWER=A hormone produced by the adrenal glands that regulates sodium and
potassium levels, influencing blood pressure.
Epinephrine and norepinephrine - ANSWER=Catecholamines that regulate the fight-or-flight
response.