Exam 1 & Exam 2: NSG233/ NSG 233 (2024/ 2025
Updates STUDY BUNDLE PACKAGE) Med Surg III
Exams| Questions and Verified Answers| 100%
Correct| Grade A – Herzing
The emergency nurse is admitting a patient experiencing a GI bleed who is believed
to be in the compensatory stage of shock. What assessment finding would be most
consistent with the early stage of compensation? - ANSWERCool, clammy skin
A nurse is providing care for a patient who has a recent diagnosis of Paget's disease.
When planning this patient's nursing care, interventions should address what nursing
diagnoses? Select all that apply. - ANSWERA.
Risk for Injury
B.
Disturbed Auditory Sensory Perception
C.
Impaired Physical Mobility
D.
Acute Pain
You are an emergency-room nurse caring for a trauma patient. Your patient has the
following arterial blood gas results: pH 7.26, PaCO2 28, HCO3 11 mEq/L. How would
you interpret these results? - ANSWERB.
Metabolic acidosis with a compensatory respiratory alkalosis
A nurse working at a disaster scene is assisting in triaging clients. Which client would
the nurse triage as expectant? - ANSWERB.
Client states that feeling in her breast area will gradually subside with time.
The medical nurse is creating the care plan of an adult patient requiring mechanical
ventilation. What nursing action is most appropriate? - ANSWERD.
Monitor cuff pressure every 8 hours.
A maintance dose of 2 mcg/min has been ordered usinga 8 mg in 250 mL solution.
Calculate the mL/hr flow rate. - ANSWER3.75 mL/hr
The nurse is caring for a patient who has been recently diagnosed with late stage
pancreatic cancer. The patient refuses to accept the diagnosis and refuses to adhere
to treatment. What is the most likely psychosocial purpose of this patient's strategy?
- ANSWERC.
The patient may be trying to protect loved ones from the emotional effects of the
illness.
, A 73-year-old man comes into the emergency department (ED) by ambulance after
slipping on a small carpet in his home. The patient fell on his hip with a resultant
fracture. He is alert and oriented; his pupils are equal and reactive to light and
accommodation. His heart rate is elevated, he is anxious and thirsty, a Foley catheter
is placed, and 40 mL of urine is present. What is the nurse's most likely explanation
for the low urine output? - ANSWERC.
The man is having a sympathetic reaction, which has stimulated the renin-
angiotensin-aldosterone system that results in diminished urine output.
The cardiac nurse is caring for a patient who has been diagnosed with dilated
cardiomyopathy (DCM). Echocardiography is likely to reveal what pathophysiological
finding? - ANSWERC.
Decreased ejection fraction
The nurse is reviewing the echocardiography results of a patient who has just been
diagnosed with dilated cardiomyopathy (DCM). What changes in heart structure
characterize DCM? - ANSWERA.
Dilated ventricles without hypertrophy of the ventricles
A patient is in the acute phase of a burn injury. One of the nursing diagnoses in the
plan of care is Ineffective Coping Related to Trauma of Burn Injury. What
interventions appropriately address this diagnosis? Select all that apply. - ANSWERB.
Teach the patient coping strategies.
C.
Promote truthful communication.
E.
Provide positive reinforcement.
The nurse caring for a patient with an endotracheal tube recognizes several
disadvantages of an endotracheal tube. What would the nurse recognize as a
disadvantage of endotracheal tubes? - ANSWERD.
The cough reflex is depressed.
The nurse is caring for a patient with chronic obstructive pulmonary disease (COPD).
The patient has been receiving high-flow oxygen therapy for an extended time. What
symptoms should the nurse anticipate if the patient were experiencing oxygen
toxicity? - ANSWERB.
Dyspnea and substernal pain
A patient has been admitted to a medical unit with a diagnosis of polymyalgia
rheumatica (PMR). The nurse should be aware of what aspects of PMR? Select all
that apply. - ANSWERAnswers: A.
PMR has an association with the genetic marker HLA-DR4.
D.
PMR occurs predominately in Caucasians.
E.
Immunoglobulin deposits occur in PMR.
Updates STUDY BUNDLE PACKAGE) Med Surg III
Exams| Questions and Verified Answers| 100%
Correct| Grade A – Herzing
The emergency nurse is admitting a patient experiencing a GI bleed who is believed
to be in the compensatory stage of shock. What assessment finding would be most
consistent with the early stage of compensation? - ANSWERCool, clammy skin
A nurse is providing care for a patient who has a recent diagnosis of Paget's disease.
When planning this patient's nursing care, interventions should address what nursing
diagnoses? Select all that apply. - ANSWERA.
Risk for Injury
B.
Disturbed Auditory Sensory Perception
C.
Impaired Physical Mobility
D.
Acute Pain
You are an emergency-room nurse caring for a trauma patient. Your patient has the
following arterial blood gas results: pH 7.26, PaCO2 28, HCO3 11 mEq/L. How would
you interpret these results? - ANSWERB.
Metabolic acidosis with a compensatory respiratory alkalosis
A nurse working at a disaster scene is assisting in triaging clients. Which client would
the nurse triage as expectant? - ANSWERB.
Client states that feeling in her breast area will gradually subside with time.
The medical nurse is creating the care plan of an adult patient requiring mechanical
ventilation. What nursing action is most appropriate? - ANSWERD.
Monitor cuff pressure every 8 hours.
A maintance dose of 2 mcg/min has been ordered usinga 8 mg in 250 mL solution.
Calculate the mL/hr flow rate. - ANSWER3.75 mL/hr
The nurse is caring for a patient who has been recently diagnosed with late stage
pancreatic cancer. The patient refuses to accept the diagnosis and refuses to adhere
to treatment. What is the most likely psychosocial purpose of this patient's strategy?
- ANSWERC.
The patient may be trying to protect loved ones from the emotional effects of the
illness.
, A 73-year-old man comes into the emergency department (ED) by ambulance after
slipping on a small carpet in his home. The patient fell on his hip with a resultant
fracture. He is alert and oriented; his pupils are equal and reactive to light and
accommodation. His heart rate is elevated, he is anxious and thirsty, a Foley catheter
is placed, and 40 mL of urine is present. What is the nurse's most likely explanation
for the low urine output? - ANSWERC.
The man is having a sympathetic reaction, which has stimulated the renin-
angiotensin-aldosterone system that results in diminished urine output.
The cardiac nurse is caring for a patient who has been diagnosed with dilated
cardiomyopathy (DCM). Echocardiography is likely to reveal what pathophysiological
finding? - ANSWERC.
Decreased ejection fraction
The nurse is reviewing the echocardiography results of a patient who has just been
diagnosed with dilated cardiomyopathy (DCM). What changes in heart structure
characterize DCM? - ANSWERA.
Dilated ventricles without hypertrophy of the ventricles
A patient is in the acute phase of a burn injury. One of the nursing diagnoses in the
plan of care is Ineffective Coping Related to Trauma of Burn Injury. What
interventions appropriately address this diagnosis? Select all that apply. - ANSWERB.
Teach the patient coping strategies.
C.
Promote truthful communication.
E.
Provide positive reinforcement.
The nurse caring for a patient with an endotracheal tube recognizes several
disadvantages of an endotracheal tube. What would the nurse recognize as a
disadvantage of endotracheal tubes? - ANSWERD.
The cough reflex is depressed.
The nurse is caring for a patient with chronic obstructive pulmonary disease (COPD).
The patient has been receiving high-flow oxygen therapy for an extended time. What
symptoms should the nurse anticipate if the patient were experiencing oxygen
toxicity? - ANSWERB.
Dyspnea and substernal pain
A patient has been admitted to a medical unit with a diagnosis of polymyalgia
rheumatica (PMR). The nurse should be aware of what aspects of PMR? Select all
that apply. - ANSWERAnswers: A.
PMR has an association with the genetic marker HLA-DR4.
D.
PMR occurs predominately in Caucasians.
E.
Immunoglobulin deposits occur in PMR.
