b b b b b b
AL EXAM WITH 200 QUESTIONS AND CORRECT DE
b b b b b b b
TAILED ANSWERS/RN MED SURG PROCTORED EX b b b b b
AM TESTBANK 2026- b b
2027/LATEST UPDATE/ALREADY GRADED A+ b b b
While talking with a patient with a diagnosis of end stage liver
b b b b b b b b b b b b b
disease. The caregiver b b
notices the patient is unable to stay awake and seems to fall asle
b b b b b b b b b b b b
ep in the middle of a
b b b b b
sentence. The caregiver recognizes these symptoms to be indic
b b b b b b b b
ative of what condition?
b b b
A. Hyperglycemia
B. Increased Bile production b b
C. Increased blood ammonia levels b b b
D. Hypocalcaemia - b
...SOLUTION:...C. Increased blood ammonia levels
b b b b b
A caregiver is about to administer warfarin (Coumadin) to a pa
b b b b b b b b b b
tient who has atrial
b b b
fibrillation. When the patient asks what his medication will do,
b b b b b b b b b b
which of the b b
following is an appropriate nursing response? b b b b b
a. It helps convert atrial fibrillation to sinus rhythm
b b b b b b b
b. Is dissolves clots in the bloodstream
b b b b b
c. It slows the response of the ventricles to the fast atrial im
b b b b b b b b b b b
pulses
,d. It prevents strokes in patients who have atrial fibrillation -
b b b b b b b b b
...SOLUTION:...d. It prevents strokes in patients who have atr b b b b b b b b
ial fibrillationb
A caregiver in a cardiac care unit is caring for a patient with acut
b b b b b b b b b b b b b
e heart failure. Which
b b b
of the following findings should the caregiver expect?
b b b b b b b
a. Decreased brain natriuretic peptide (BNP) b b b b
b. Elevated central venous pressure (CVP) b b b b
c. Decreased pulmonary pressure b b
d. Increases urinary outpu - b b b
...SOLUTION:...b. Elevated central venous pressure (
b b b b b b
CVP)
A patient comes into the ED reporting nausea and vomiting tha
b b b b b b b b b b
t worsens when
b b
lying down and without relief from antacids. The provider susp
b b b b b b b b b
ects acute b
pancreatitis. Which of the following lab test results should theb b b b b b b b b b
caregiver expect to see if b b b b
the patient has acute pancreatitis?
b b b b
a. Decreased WBC b
b. Increased serum amylase b b
c. Decreased serum lipase b b
d. Increased serum calcium - b b b
...SOLUTION:...b. Increased serum amylase
b b b b
A caregiver in the ICU is caring for a patient who has acute resp
b b b b b b b b b b b b b
iratory distress b
syndrome (ARDS) and is receiving mechanical via an endotra
b b b b b b b b
cheal tube. The b b
provider plans to extubate her within the next 24 hour. Which o
b b b b b b b b b b b
f the following is
b b b
,an important criterion for extubating the patient?
b b b b b b
a. Ability to cough effectively b b b
b. Adequate tidal volume without manually assisted breaths b b b b b b
c. No indication of infection
b b b
d. No need for supplemental oxygen -
b b b b b
...SOLUTION:...b. Adequate tidal volume without manua
b b b b b b
lly assisted breaths
b b
A patient with massive trauma and possible spinal cord injury i
b b b b b b b b b b
s admitted to the
b b b
emergency department (ED). Which finding by the caregiver
b b b b b b b b
will help confirm a diagnosis
b b b b
of neurogenic shock?
b b
a. cool clammy skin b b
b. inspiratory crackles b
c. apical heart rate of 48 beats/min
b b b b b
d. temperature 101.2* F - b b b
...SOLUTION:...c. apical heart rate of 48 beats/min
b b b b b b b
A patient with septic shock has a urine output of 20 mL/hr for t
b b b b b b b b b b b b b
he past 3 hours.
b b b
The pulse rate is 120 and the central venous and pulmonary art
b b b b b b b b b b b
ery wedge pressure
b b
are 4. Which of these orders by the health care provider will the
b b b b b b b b b b b b b
caregiver question? b
a. Give furosemide (Lasix) 40 mg IV
b b b b b
b. increase normal saline infusion to 150 mL/hr b b b b b b
c. Administer hydrocortisone (SoluCortef) 100 mg IV b b b b b
d. Prepare to give drotrecogin alpha (Xigris) 24 mcg/kg/hr -
b b b b b b b b
...SOLUTION:...a.Give furosemide (Lasix) 40 mg IV b b b b b
, After receiving 1000 mL of normal saline, the central venous p
b b b b b b b b b b
ressure for a b b
patient who has septic shock is 10 mm Hg, but the blood pressu
b b b b b b b b b b b b
re is still 82/40 mm
b b b b
Hg. The caregiver will anticipate the administration of which o
b b b b b b b b b
f the following?
b b
a. Nitroglycerin (Tridil) b
b. Sodium nitroprusside (Nipride) b b
c. Drotrecogin alpha (Xigris) b b
d. Norepinephrine (Levophed) - b b
...SOLUTION:...d. Norepinephrine (Levophed)
b b b
Which of these findings is the best indicators that the fluid resu
b b b b b b b b b b b
scitation for a b b
patient with hypovolemic shock has been successful?
b b b b b b
a. hemoglobin is within normal limits b b b b
b. Urine output is 60 mL over the last hour
b b b b b b b b
c. Pulmonary artery wedge pressure (PAWP) is 10 mmHg b b b b b b b
d. Mean arterial pressure (MAP) is 55 mm Hg -
b b b b b b b b
...SOLUTION:...b. Urine output is 60 mL over the last hour b b b b b b b b b
41. Which interventions will the caregiver include in the plan
b b b b b b b b b
of the care for a patient
b b b b b
who has cardiogenic shock?
b b b
a. Avoid elevating head of bed b b b b
b. Check temperature every 2 hours b b b b
c. Monitor breath sounds frequently b b b
d. Assess skin for flushing and itching - b b b b b b
...SOLUTION:...c. Monitor breath sounds frequently
b b b b b
Which assessment is most important for the caregiver to make in
b b b b b b b b b b
order to evaluate
b b b