MED SURG FINAL EXAM Questions and
Answers (100% Correct Answers)
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Given that you are performing a comprehensive
pulmonary assessment on a patient with
respiratory disease. The laboratory result
showed some abnormalities. Which patient's
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laboratory results correctly correlate with the
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assessment questions?
Expert
A. Decreased lymphocyte- What medications are
you taking?
B. Elevated neutrophils- Do you smoke and or do
you have any respiratory infection?
C. Decreased eosinophils- Are you allergic to any
environmental factors?
D. Elevated red blood cells- Do you have a
history of anemia?
E. Decreased PaO2- Do you have any chronic
lung disorders? Ans: A. Decreased lymphocyte-
What medications are you taking?
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B. Elevated neutrophils- Do you smoke and or do
you have any respiratory infection?
E. Decreased PaO2- Do you have any chronic
lung disorders?
The ED manager is reviewing patient charts to
determine how well the staff performs when
treating patients with community-acquired
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pneumonia. What outcome demonstrates that
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goals for this patient type have been met?
Expert
A. Antibiotics started before admission
B. Blood cultures obtained within 20 minutes
C. Chest x-ray obtained within 30 minutes
D. Pulse ox obtained on all patients Ans: A.
Antibiotics started before admission
You are caring for a guy with a 20 pack year
smoking history. Which action is most important
when interviewing him?
A. Inform the patient that he needs to quit
smoking to stop further cancer development
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B. Advise the pt to be completely honest about
both tobacco and marijuana use
C. Use a non prejudicial approach to avoid
D. Do not give the pt false hope regarding cancer
tx and prognosis Ans: C. Use a non prejudicial
approach to avoid
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You are caring for a patient who received
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benzocaine spray prior to a recent
bronchoscopy. The pt presents with continuous
Expert
cyanosis even with oxygen therapy. What action
would the nurse take next?
A. Call RT to admin albuterol treatment
B. Activate RRT
C. Check the pt's peripheral pulses
D. Collect blood and sputum cultures Ans: B.
Activate RRT
Your patient has a tracheostomy, and is vented.
During assessment, you observe that the
patient's face is puffy and swollen. What should
be your first reaction?
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A. Check oxygen saturation
B. Notify the RRT
C. Hyper-oxygenate the pt
D. Assess the skin of the upper chest Ans: A.
Check oxygen saturation
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Which ABG result is most important for the
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nurse to report immediately to the health care
provider?
Expert
A. pH 7.34, PaO2 80 mmhg, PaCO2 41 mmhg, O2
sat 98%
B. pH 7.35, PaO2 85 mmhg, PaCO2 45 mmhg, O2
sat 95%
C. pH 7.46, PaO2 90 mmhg, PaCO2 32 mmhg, O2
sat 98%
D. pH 7.31, PaO2 91 mmhg, PaCO2 50 mmhg, O2
sat 96% Ans: D. pH 7.31, PaO2 91 mmhg, PaCO2
50 mmhg, O2 sat 96%
You are assessing the respiratory system of an
80 year old pt, which finding indicates that you
should take immediate action?