NRS 3015 Medical Surgical Nursing I:
Final Exam ACTUAL UPDATED
QUESTIONS AND CORRECT ANSWERS
Rank these opioids in order of strength: Codeine, Fentanyl, Morphine, Dilaudid - CORRECT
ANSWERS✅✅Fentanyl, Dilaudid, Morphine, Codeine
What is the most important assessment the nurse completes before administering an opioid
agonist?
a.) hepatic labs
b.) respiratory rate
c.) bowel sounds
d.) pulse oximetry - CORRECT ANSWERS✅✅Respiratory Rate
Side effects of opioid agonists: (SATA)
a.) diminished cough reflex
b.) pruritis
c.) constipation
d.) increased fall risk - CORRECT ANSWERS✅✅A, B, C, D
The patient is ordered Acet/Hydromorph 325mg/5mg, the floor stocks Acet/Hydromorph
500mg/5mg. What should the nurse do?
a.) call the provider and ask for an order change
b.) call the pharmacy and request the lesser concentration
c.) administer the stocked dose - this is an acceptable substitution - CORRECT
ANSWERS✅✅call the pharmacy and request a lesser concentration
How fast can we push an opioid agonist intravenously?
,a.) over 1-2 minutes
b.) over 3-5 minutes
c.) over 10-15 minutes
d.) opioids should not be pushed IV - CORRECT ANSWERS✅✅over 3-5 minutes
Which patient should NOT receive an IVP opioid agonist?
a.) a 65-year old woman with a history of ovarian cancer and COPD
b.) a 24-year old male s/p appendectomy ambulating in the hall with a PTA
c.) a 44-year old male s/p surgical resection of the bowel with a history of SUD
d.) a 68-year old male with s/p prostatectomy and a pulse ox of 94% - CORRECT
ANSWERS✅✅a 24-year old male s/p appendectomy ambulating in the hall with a PTA
Opioid agonists should be given on a PRN basis and not scheduled.
True or False - CORRECT ANSWERS✅✅Both-ish, there's not enough information here to
answer this question
Why would we schedule opioid agonists for a patient's pain? (SATA)
a.) the patient will be participating in therapy or other painful activity
b.) the patient has had a major injury or surgery and pain is expected
c.) the nurse needs to schedule their care of their assignment` - CORRECT
ANSWERS✅✅A, B
How can we best assess pain in a non-verbal patient? (SATA)
a.) use a visual report aid that the patient can point to
b.) ask the patient to hold up fingers (1-10) related to pain level
c.) use the FACES scale to have them indicate which one best matches the pain
,d.) the nurse can match the patient's appearance to the FACES pain scale - CORRECT
ANSWERS✅✅A, B, C
A 2 day s/p knee replacement patient receiving opioids has N/V. What should the nurse do
first?
a.) hold the opioid medication at next dose
b.) palpate the abdomen
c.) auscultate the abdomen
d.) administer Zofran 4mg, IVP - CORRECT ANSWERS✅✅auscultate the abdomen
A patient with a 24-hour history of flank pain, N/V has orders: 2mg Dilaudid, UA, strain
urine, and Zofran. What do you do first?
a.) give Zofran
b.) give Dilaudid
c.) do the UA
d.) strain the urine - CORRECT ANSWERS✅✅Give Dilaudid
A 70-year old patient is ordered Norco 500/5 q6h and Tylenol 650 q8h. Is this safe?
a.) absolutely not
b.) yep, no worries here
c.) can I see some hepatic labs first?
d.) call the pharmacist - CORRECT ANSWERS✅✅absolutely not
What is the purpose of a surgical drain
a.) stop bleeding
b.) prevent accumulation of excess fluid
c.) prevent infection
, d.) provide sterile irrigation - CORRECT ANSWERS✅✅prevent accumulation of excess
fluid
Is a penrose an active drain?
True or False - CORRECT ANSWERS✅✅False
What type of drain is a Jackson-Pratt?
Active or Passive - CORRECT ANSWERS✅✅Active
The separation of a surgical incision or rupture of a would closure is called:
a.) eviseration
b.) dehiscence
c.) slough
d.) laceration - CORRECT ANSWERS✅✅dehiscence
The following findings could indicate a post-operative ileus: (SATA)
a.) fever
b.) absent bowel sounds
c.) absent flatus
d.) abdominal distension - CORRECT ANSWERS✅✅B, C, D
The acronym VTE means:
a.) vein to emboli
b.) venous thromboembolism
c.) variable thrombi
Final Exam ACTUAL UPDATED
QUESTIONS AND CORRECT ANSWERS
Rank these opioids in order of strength: Codeine, Fentanyl, Morphine, Dilaudid - CORRECT
ANSWERS✅✅Fentanyl, Dilaudid, Morphine, Codeine
What is the most important assessment the nurse completes before administering an opioid
agonist?
a.) hepatic labs
b.) respiratory rate
c.) bowel sounds
d.) pulse oximetry - CORRECT ANSWERS✅✅Respiratory Rate
Side effects of opioid agonists: (SATA)
a.) diminished cough reflex
b.) pruritis
c.) constipation
d.) increased fall risk - CORRECT ANSWERS✅✅A, B, C, D
The patient is ordered Acet/Hydromorph 325mg/5mg, the floor stocks Acet/Hydromorph
500mg/5mg. What should the nurse do?
a.) call the provider and ask for an order change
b.) call the pharmacy and request the lesser concentration
c.) administer the stocked dose - this is an acceptable substitution - CORRECT
ANSWERS✅✅call the pharmacy and request a lesser concentration
How fast can we push an opioid agonist intravenously?
,a.) over 1-2 minutes
b.) over 3-5 minutes
c.) over 10-15 minutes
d.) opioids should not be pushed IV - CORRECT ANSWERS✅✅over 3-5 minutes
Which patient should NOT receive an IVP opioid agonist?
a.) a 65-year old woman with a history of ovarian cancer and COPD
b.) a 24-year old male s/p appendectomy ambulating in the hall with a PTA
c.) a 44-year old male s/p surgical resection of the bowel with a history of SUD
d.) a 68-year old male with s/p prostatectomy and a pulse ox of 94% - CORRECT
ANSWERS✅✅a 24-year old male s/p appendectomy ambulating in the hall with a PTA
Opioid agonists should be given on a PRN basis and not scheduled.
True or False - CORRECT ANSWERS✅✅Both-ish, there's not enough information here to
answer this question
Why would we schedule opioid agonists for a patient's pain? (SATA)
a.) the patient will be participating in therapy or other painful activity
b.) the patient has had a major injury or surgery and pain is expected
c.) the nurse needs to schedule their care of their assignment` - CORRECT
ANSWERS✅✅A, B
How can we best assess pain in a non-verbal patient? (SATA)
a.) use a visual report aid that the patient can point to
b.) ask the patient to hold up fingers (1-10) related to pain level
c.) use the FACES scale to have them indicate which one best matches the pain
,d.) the nurse can match the patient's appearance to the FACES pain scale - CORRECT
ANSWERS✅✅A, B, C
A 2 day s/p knee replacement patient receiving opioids has N/V. What should the nurse do
first?
a.) hold the opioid medication at next dose
b.) palpate the abdomen
c.) auscultate the abdomen
d.) administer Zofran 4mg, IVP - CORRECT ANSWERS✅✅auscultate the abdomen
A patient with a 24-hour history of flank pain, N/V has orders: 2mg Dilaudid, UA, strain
urine, and Zofran. What do you do first?
a.) give Zofran
b.) give Dilaudid
c.) do the UA
d.) strain the urine - CORRECT ANSWERS✅✅Give Dilaudid
A 70-year old patient is ordered Norco 500/5 q6h and Tylenol 650 q8h. Is this safe?
a.) absolutely not
b.) yep, no worries here
c.) can I see some hepatic labs first?
d.) call the pharmacist - CORRECT ANSWERS✅✅absolutely not
What is the purpose of a surgical drain
a.) stop bleeding
b.) prevent accumulation of excess fluid
c.) prevent infection
, d.) provide sterile irrigation - CORRECT ANSWERS✅✅prevent accumulation of excess
fluid
Is a penrose an active drain?
True or False - CORRECT ANSWERS✅✅False
What type of drain is a Jackson-Pratt?
Active or Passive - CORRECT ANSWERS✅✅Active
The separation of a surgical incision or rupture of a would closure is called:
a.) eviseration
b.) dehiscence
c.) slough
d.) laceration - CORRECT ANSWERS✅✅dehiscence
The following findings could indicate a post-operative ileus: (SATA)
a.) fever
b.) absent bowel sounds
c.) absent flatus
d.) abdominal distension - CORRECT ANSWERS✅✅B, C, D
The acronym VTE means:
a.) vein to emboli
b.) venous thromboembolism
c.) variable thrombi
