TEST #1 CUMULATIVE STUDY GUIDE (MED-SURG) EXAM
QUESTIONS AND ANSWERS LATEST DOWNLOAD 2024/2025
BEST COMPLETE SOLUTION RATED A+ FOR SUCCESS
22 .An overweight patient (BMI 28.1 kg/m2) is scheduled for a laparoscopic cholecystectomy
at an outpatient surgery setting. The nurse knows that
a. surgery will involve multiple small incisions.
b. this setting is not appropriate for this procedure.
c. surgery will involve removing a portion of the liver.
d. the patient will need special preparation because of obesity - CORRECT ANSWERS a.
surgery will involve multiple small incisions.
23. Which nursing action should the operating room (OR) nurse manager delegate to the
registered nurse first assistant (RNFA) when caring for a surgical patient?
a. Adjust the doses of administered anesthetics.
b. Make surgical incision and suture incisions as needed.
c. Coordinate transfer of the patient to the operating table.
d. Provide postoperative teaching about coughing to the patient. - CORRECT ANSWERS b.
Make surgical incision and suture incisions as needed.
24. What are the signs and symptoms of hypovolemia? Select all that apply.
a. SOB
b. Hypotension
c. Increased respiratory rate
d. Tachycardia
e. Warm, moist skin
f. Thirst
g. Crackles in lungs - CORRECT ANSWERS b. Hypotension
d. Tachycardia
f. Thirst
25. What are the signs and symptoms of fluid overload? Select all that apply.
a. SOB
b. Hypotension
c. Increased respiratory rate
,TEST #1 CUMULATIVE STUDY GUIDE (MED-SURG) EXAM
QUESTIONS AND ANSWERS LATEST DOWNLOAD 2024/2025
BEST COMPLETE SOLUTION RATED A+ FOR SUCCESS
d. Tachycardia
e. Warm, moist skin
f. Thirst
g. Crackles in lungs - CORRECT ANSWERS a. SOB
c. Increased respiratory rate
e. Warm, moist skin
g. Crackles in lungs
27. During the postoperative care of a 76-year-old patient, the nurse monitors the patient's
intake and output carefully, knowing that the patient is at risk for fluid and electrolyte
imbalances primarily because
a. older adults have an impaired thirst mechanism and need reminding to drink fluids.
b. water accounts for a greater percentage of body weight in the older adult than in younger
adults.
c. older adults are more likely than younger adults to lose extracellular fluid during surgical
procedures.
d. small losses of fluid are significant because body fluids account for 45% to 50% of body
weight in older adults. - CORRECT ANSWERS d. small losses of fluid are significant because
body fluids account for 45% to 50% of body weight in older adults.
29. An older woman was admitted to the medical unit with GI bleeding and fluid volume
deficit. Clinical manifestations of this problem are (select all that apply)
a. weight loss.
b. dry oral mucosa.
c. full bounding pulse.
d. engorged neck veins.
e. decreased central venous pressure. - CORRECT ANSWERS a. weight loss.
b. dry oral mucosa.
e. decreased central venous pressure.
30. The nursing care for a patient with hyponatremia and fluid volume excess includes
a. fluid restriction.
,TEST #1 CUMULATIVE STUDY GUIDE (MED-SURG) EXAM
QUESTIONS AND ANSWERS LATEST DOWNLOAD 2024/2025
BEST COMPLETE SOLUTION RATED A+ FOR SUCCESS
b. administration of hypotonic IV fluids.
c. administration of a cation-exchange resin.
d. placement of an indwelling urinary catheter. - CORRECT ANSWERS a. fluid restriction
31. The nurse should be alert for which manifestations in a patient receiving a loop diuretic?
a. Restlessness and agitation
b. Paresthesias and irritability
c. Weak, irregular pulse and poor muscle tone
d. Increased blood pressure and muscle spasms - CORRECT ANSWERS c. Weak, irregular
pulse and poor muscle tone
33. It is important for the nurse to assess for which clinical manifestation(s) in a patient who
has just undergone a total thyroidectomy (select all that apply)?
a. Confusion
b. Weight gain
c. Depressed reflexes
d. Circumoral numbness
e. Positive Chvostek's sign - CORRECT ANSWERS a. Confusion
d. Circumoral numbness
e. Positive Chvostek's sign
34. The nurse expects the long-term treatment of a patient with hyperphosphatemia
secondary to renal failure will include
a. fluid restriction.
b. calcium supplements.
c. magnesium supplements.
d. increased intake of dairy products. - CORRECT ANSWERS b. calcium supplements
35. The lungs act as an acid-base buffer by
a. increasing respiratory rate and depth when CO2 levels in the blood are high, reducing acid
load.
, TEST #1 CUMULATIVE STUDY GUIDE (MED-SURG) EXAM
QUESTIONS AND ANSWERS LATEST DOWNLOAD 2024/2025
BEST COMPLETE SOLUTION RATED A+ FOR SUCCESS
b. increasing respiratory rate and depth when CO2 levels in the blood are low, reducing base
load.
c. decreasing respiratory rate and depth when CO2 levels in the blood are high, reducing
acid load.
d. decreasing respiratory rate and depth when CO2 levels in the blood are low, increasing
acid load. - CORRECT ANSWERS a. increasing respiratory rate and depth when CO2 levels in
the blood are high, reducing acid load.
36. A patient has the following arterial blood gas results: pH 7.52, PaCO2 30 mm Hg, HCO3−
24 mEq/L. The nurse determines that these results indicate
a. metabolic acidosis.
b. metabolic alkalosis.
c. respiratory acidosis.
d. respiratory alkalosis. - CORRECT ANSWERS d. respiratory alkalosis.
37. The typical fluid replacement for the patient with a fluid volume deficit is
a. dextran.
b. 0.45% saline.
c. lactated Ringer's.
d. 5% dextrose in 0.45% saline. - CORRECT ANSWERS c. lactated Ringer's.
39. Shock, aspirin overdose, infection, renal desease, DKA, and diarrhea are all common
causes of:
a. Respiratory alkalosis
b. Metabolic acidosis
c. Respiratory acidosis
d. Metabolic alkalosis - CORRECT ANSWERS b. Metabolic acidosis
40. Antacid use, vomiting, GI suction, and potassium wasting diuretics are all common
causes of:
a. Respiratory alkalosis
b. Metabolic acidosis
QUESTIONS AND ANSWERS LATEST DOWNLOAD 2024/2025
BEST COMPLETE SOLUTION RATED A+ FOR SUCCESS
22 .An overweight patient (BMI 28.1 kg/m2) is scheduled for a laparoscopic cholecystectomy
at an outpatient surgery setting. The nurse knows that
a. surgery will involve multiple small incisions.
b. this setting is not appropriate for this procedure.
c. surgery will involve removing a portion of the liver.
d. the patient will need special preparation because of obesity - CORRECT ANSWERS a.
surgery will involve multiple small incisions.
23. Which nursing action should the operating room (OR) nurse manager delegate to the
registered nurse first assistant (RNFA) when caring for a surgical patient?
a. Adjust the doses of administered anesthetics.
b. Make surgical incision and suture incisions as needed.
c. Coordinate transfer of the patient to the operating table.
d. Provide postoperative teaching about coughing to the patient. - CORRECT ANSWERS b.
Make surgical incision and suture incisions as needed.
24. What are the signs and symptoms of hypovolemia? Select all that apply.
a. SOB
b. Hypotension
c. Increased respiratory rate
d. Tachycardia
e. Warm, moist skin
f. Thirst
g. Crackles in lungs - CORRECT ANSWERS b. Hypotension
d. Tachycardia
f. Thirst
25. What are the signs and symptoms of fluid overload? Select all that apply.
a. SOB
b. Hypotension
c. Increased respiratory rate
,TEST #1 CUMULATIVE STUDY GUIDE (MED-SURG) EXAM
QUESTIONS AND ANSWERS LATEST DOWNLOAD 2024/2025
BEST COMPLETE SOLUTION RATED A+ FOR SUCCESS
d. Tachycardia
e. Warm, moist skin
f. Thirst
g. Crackles in lungs - CORRECT ANSWERS a. SOB
c. Increased respiratory rate
e. Warm, moist skin
g. Crackles in lungs
27. During the postoperative care of a 76-year-old patient, the nurse monitors the patient's
intake and output carefully, knowing that the patient is at risk for fluid and electrolyte
imbalances primarily because
a. older adults have an impaired thirst mechanism and need reminding to drink fluids.
b. water accounts for a greater percentage of body weight in the older adult than in younger
adults.
c. older adults are more likely than younger adults to lose extracellular fluid during surgical
procedures.
d. small losses of fluid are significant because body fluids account for 45% to 50% of body
weight in older adults. - CORRECT ANSWERS d. small losses of fluid are significant because
body fluids account for 45% to 50% of body weight in older adults.
29. An older woman was admitted to the medical unit with GI bleeding and fluid volume
deficit. Clinical manifestations of this problem are (select all that apply)
a. weight loss.
b. dry oral mucosa.
c. full bounding pulse.
d. engorged neck veins.
e. decreased central venous pressure. - CORRECT ANSWERS a. weight loss.
b. dry oral mucosa.
e. decreased central venous pressure.
30. The nursing care for a patient with hyponatremia and fluid volume excess includes
a. fluid restriction.
,TEST #1 CUMULATIVE STUDY GUIDE (MED-SURG) EXAM
QUESTIONS AND ANSWERS LATEST DOWNLOAD 2024/2025
BEST COMPLETE SOLUTION RATED A+ FOR SUCCESS
b. administration of hypotonic IV fluids.
c. administration of a cation-exchange resin.
d. placement of an indwelling urinary catheter. - CORRECT ANSWERS a. fluid restriction
31. The nurse should be alert for which manifestations in a patient receiving a loop diuretic?
a. Restlessness and agitation
b. Paresthesias and irritability
c. Weak, irregular pulse and poor muscle tone
d. Increased blood pressure and muscle spasms - CORRECT ANSWERS c. Weak, irregular
pulse and poor muscle tone
33. It is important for the nurse to assess for which clinical manifestation(s) in a patient who
has just undergone a total thyroidectomy (select all that apply)?
a. Confusion
b. Weight gain
c. Depressed reflexes
d. Circumoral numbness
e. Positive Chvostek's sign - CORRECT ANSWERS a. Confusion
d. Circumoral numbness
e. Positive Chvostek's sign
34. The nurse expects the long-term treatment of a patient with hyperphosphatemia
secondary to renal failure will include
a. fluid restriction.
b. calcium supplements.
c. magnesium supplements.
d. increased intake of dairy products. - CORRECT ANSWERS b. calcium supplements
35. The lungs act as an acid-base buffer by
a. increasing respiratory rate and depth when CO2 levels in the blood are high, reducing acid
load.
, TEST #1 CUMULATIVE STUDY GUIDE (MED-SURG) EXAM
QUESTIONS AND ANSWERS LATEST DOWNLOAD 2024/2025
BEST COMPLETE SOLUTION RATED A+ FOR SUCCESS
b. increasing respiratory rate and depth when CO2 levels in the blood are low, reducing base
load.
c. decreasing respiratory rate and depth when CO2 levels in the blood are high, reducing
acid load.
d. decreasing respiratory rate and depth when CO2 levels in the blood are low, increasing
acid load. - CORRECT ANSWERS a. increasing respiratory rate and depth when CO2 levels in
the blood are high, reducing acid load.
36. A patient has the following arterial blood gas results: pH 7.52, PaCO2 30 mm Hg, HCO3−
24 mEq/L. The nurse determines that these results indicate
a. metabolic acidosis.
b. metabolic alkalosis.
c. respiratory acidosis.
d. respiratory alkalosis. - CORRECT ANSWERS d. respiratory alkalosis.
37. The typical fluid replacement for the patient with a fluid volume deficit is
a. dextran.
b. 0.45% saline.
c. lactated Ringer's.
d. 5% dextrose in 0.45% saline. - CORRECT ANSWERS c. lactated Ringer's.
39. Shock, aspirin overdose, infection, renal desease, DKA, and diarrhea are all common
causes of:
a. Respiratory alkalosis
b. Metabolic acidosis
c. Respiratory acidosis
d. Metabolic alkalosis - CORRECT ANSWERS b. Metabolic acidosis
40. Antacid use, vomiting, GI suction, and potassium wasting diuretics are all common
causes of:
a. Respiratory alkalosis
b. Metabolic acidosis
