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NUR 170 |Exam 1| Medical surgical( NCLEX)| 100% Verified Questions & Answers|Updated Solution

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A pre-op Pt’s Hemoglobin level is 8 in the labs. What will the Hematocrit level be? A. 18 ■■ B. 24 C. 30 D. 36 14. What non-pharmacological method will work immediately for pain relief?A. Ice B. Music ■■ C. TENS (relief within 1 hr) D. Heat Blood — continue assessment A. Stop transfusion B. Slow infusion C. Call provider ■■ D. Continue assessment Right when pt comes out from Sx, make sure pt is stable. PRIORITY is O2 status! A. Check incision B. Check VS later ■■ C. ABCs / Oxygenation first D. Check urine Pt cannot have which non-pharm medication along with an epidural? They will not feel the burning from this option. A. PCA pump B. Ice pack C. Warm blanket ■■ D. Heat therapy When removing the PICC line, tell pt to Bare Down (hold their breath). Prevents air embolism. A. Slow breaths B. Turn head ■■ C. Bear down (Valsalva) D. Hold breath for 5 seconds . What is a bad site to insert an IV?A. Forearm B. Hand ■■ C. Wrist D. AC 20. Medazolam is given for the patient's anxiety before surgery begins, what should we provide the patient as a safety precaution/Fall Risk precaution? A. Warm blankets B. Bed alarm ■■ C. Call light D. Deep breathing . A pt has a fluid imbalance (Hyponatremia). This puts the pt at risk for having seizures since it affects the BRAIN, what electrolyte needs to be assessed? A. Potassium B. Magnesium ■■ C. Sodium D. Calcium . What is a Vitamin B12 deficiency sign/symptom? A. Rash ■■ B. Glossitis (beefy red tongue) C. Bruising D. Pallor Pt is having tendon reflex issues and the heart, which electrolyte is abnormal? A. Sodium B. Calcium■■ C. Magnesium D. Potassium If potassium level is already low, what do I do so that it doesn’t all get excreted by the diuretic Furosemide? A. Give more fluids B. Double dose ■■ C. Hold the Furosemide D. Give aluminum hydroxide

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NUR 170 Exam 1 Medical surgical
NCLEX-Style Questions
1. A patient complains of neuromuscular spasms when the nurse
lightly taps their cheek. This finding is a positive sign of which
electrolyte imbalance indicator?
A. Trousseau’s
sign B.
Babinski reflex
■■ C. Chvostek’s sign
D. Kernig’s sign

2. A patient is diagnosed with iron deficiency anemia. Which of the
following is the least invasive treatment option the nurse should
recommend?
A. Iron dextran IM injections
B. Ferrous sulfate oral tablets
■■ C. Dietary changes: turkey and spinach
D. Iron sucrose IV infusion

3. Pain management for Sickle cell anemia to in crisis, what would
we administer ordered Morphine for?
A. Fever
B. Infection
■■ C. Increased pain
D. Nausea

4. If Morphine is wearing off 2hrs into the 4hr mark, what would the
Dr order an NSAID for?
A. Chronic pain
B. Neuropathic pain
■■ C. Breakthrough pain
D. Referred pain

, 5. Pt with general anesthesia was intubated (had a tube in throat).
After performing a throat assessment, what is a major concern in
the finding?
A. Mild sore throat
B. Hoarse voice
■■ C. Lump in the throat
D. Dry mucous membranes

6. After teaching the pt with demonstration about how to empty the
JP drain, how will we know the pt understands to do this on their
own at home?
A. Verbalizes understanding
B. Avoids touching drain
■■ C. Teach-back (return demonstration)
D. Empties once daily
7. Pt that already has comorbidities = high risk for delayed wound
healing. What is the most common post-op complication?
A. Hemorrhage
B. Infection
■■ C. Dehiscence
D. Evisceration

8. What is the best medication to treat a Diabetic’s neuropathic
pain? Ex: Pt had an amputation & developed phantom limb pain.
What treatment is best?
A. Morphine
■■ B. Gabapentin
C.
Acetaminophe
n D. Ketorolac

9. Female pt has heart attack & complains of jaw, GI, or shoulder
pain. What type of pain is this?
A. Radiating

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