ANCC Med/Surg Review Questions
from Class with Accurate Answers
32 yo is recuperating after a MVA resulting in a lower extremity
amputation. During PT, he is obviously angry when attempting to place
his prostehsis. The RN should allow him to verbalize his feelings and
A) assist him to deal w/ his anger.
B) Emphasize the importance of cooperating & engaging in therapy
C) Make a referral to the staff psychiatrist
D) Reschedule therapy until he is able to control his anger. correct
answer A) assist him to deal w/ his anger.
45 yo F w/ late stage 3 CKD GFR = 35 ml/min pH 7.36, PA CO2 - 35,
HCO3 =19
A) respiratory acidosis
B) Metabolic Acidosis
C) COmpenstated respiratory acidosis
D) Compensated metabolic acidosis correct answer D) Compensated
metabolic acidosis
A decrease in PACO2 from 40 to 18 indicates that the patient
A) hypoxia
B) respiratory alkalosis
C) is breathing faster/depper than normal
,D) aspirin overdose correct answer C) is breathing faster/depper than
normal
A patient w/ a casted fractured fibula c/o severe burning pain & tingling
in the leg. HIs toes are cool and cyanotic. The RN's first acn is to:
A) Call MD
B) Elevate the extremity about he level of the heart
C) GIve pain meds & Reassess in 30 minutes
D) Have the pt complete leg exercises q1h correct answer A) Call MD
an 82 yo pt w/ advanced dementia has just returned to unit following
an ORIF of the R hip. Pt is nonverbal, but is moaning and appears
uncomfortable. Which pain scale would be the most helpful in
assessing this pt's pain?
A) FACES scale
B) FLACC Scale.
C) Numeric rating scale
D) Visual analog scale? correct answer B) Flacc Scale
An elderly male pt c/o inability to achieve an erection. What is the most
important intervention for the nurse when interviewing the client?
A)Speak loudly to make sure the patient understands
B) set the temperature in the exam room at a comfy level
C) Ensure communication is nonjudgmental and respectful
, D) Inquire about past relationships. correct answer C) Ensure
communication is nonjudgmental and respectful
Asthma pt has been prescribed an inhaled corticosteroid for control of
her disease. which patient teaching is most important for this patient?
A) use 2 puffs when an attack of wheezing occurs.
B) don't mix this medication w/ other inhalers
C) rinse mouth and spit immediately after use
D) Use of this medication should be minized to prevent s/e correct
answer C) rinse mouth and spit immediately after use
Barriers to research use by RN may include which of the follwoing
A) UNdertaking work historically done by doctors.
B) Defining nurses as devoted and obedient
C) Adopting an attitude that research is too complex to implement
D) Justifying the selection of interventions with the most valid evidence.
correct answer C) Adopting an attitude that research is too complex to
implement
COPD severity classification correct answer iv
example of 2ndary prevention is:
A) Annual flu vaccine
from Class with Accurate Answers
32 yo is recuperating after a MVA resulting in a lower extremity
amputation. During PT, he is obviously angry when attempting to place
his prostehsis. The RN should allow him to verbalize his feelings and
A) assist him to deal w/ his anger.
B) Emphasize the importance of cooperating & engaging in therapy
C) Make a referral to the staff psychiatrist
D) Reschedule therapy until he is able to control his anger. correct
answer A) assist him to deal w/ his anger.
45 yo F w/ late stage 3 CKD GFR = 35 ml/min pH 7.36, PA CO2 - 35,
HCO3 =19
A) respiratory acidosis
B) Metabolic Acidosis
C) COmpenstated respiratory acidosis
D) Compensated metabolic acidosis correct answer D) Compensated
metabolic acidosis
A decrease in PACO2 from 40 to 18 indicates that the patient
A) hypoxia
B) respiratory alkalosis
C) is breathing faster/depper than normal
,D) aspirin overdose correct answer C) is breathing faster/depper than
normal
A patient w/ a casted fractured fibula c/o severe burning pain & tingling
in the leg. HIs toes are cool and cyanotic. The RN's first acn is to:
A) Call MD
B) Elevate the extremity about he level of the heart
C) GIve pain meds & Reassess in 30 minutes
D) Have the pt complete leg exercises q1h correct answer A) Call MD
an 82 yo pt w/ advanced dementia has just returned to unit following
an ORIF of the R hip. Pt is nonverbal, but is moaning and appears
uncomfortable. Which pain scale would be the most helpful in
assessing this pt's pain?
A) FACES scale
B) FLACC Scale.
C) Numeric rating scale
D) Visual analog scale? correct answer B) Flacc Scale
An elderly male pt c/o inability to achieve an erection. What is the most
important intervention for the nurse when interviewing the client?
A)Speak loudly to make sure the patient understands
B) set the temperature in the exam room at a comfy level
C) Ensure communication is nonjudgmental and respectful
, D) Inquire about past relationships. correct answer C) Ensure
communication is nonjudgmental and respectful
Asthma pt has been prescribed an inhaled corticosteroid for control of
her disease. which patient teaching is most important for this patient?
A) use 2 puffs when an attack of wheezing occurs.
B) don't mix this medication w/ other inhalers
C) rinse mouth and spit immediately after use
D) Use of this medication should be minized to prevent s/e correct
answer C) rinse mouth and spit immediately after use
Barriers to research use by RN may include which of the follwoing
A) UNdertaking work historically done by doctors.
B) Defining nurses as devoted and obedient
C) Adopting an attitude that research is too complex to implement
D) Justifying the selection of interventions with the most valid evidence.
correct answer C) Adopting an attitude that research is too complex to
implement
COPD severity classification correct answer iv
example of 2ndary prevention is:
A) Annual flu vaccine
