Med Surg 2 Remediation
1. Has an abrupt onset: What is true regarding bacterial pharyngitis that is untrue for
viral pharyngitis?
2. Shows respiratory function in motion: A worried patient asks the nurse to explain the
advantage of a fluroscopy. What is the nurse's best response regarding fluroscopy?
3. High fowler position and apply a cold dressing to reduce swelling: Which position
is the most appropriate for a patient returning from surgery with a nasal pack and
mustache dressing?
4. Becomes restless and has increases in vital signs: Which assessment should indicate
the necessity for a nurse to suction a patient with a traceostomy?
5. Observing voice rest: What is the most significant topic for a nurse to include in a
teaching plan for a pt with frequent episodes laryngitis?
6. Normal age-related changes: A 68 year old patient tells the nurse that her sense of
smell is not as acute as before, her nose is drier, and she occassionally get a nosebleed.
What should the nurse suspect?
7. Use a sterile solution of normal saline or other solution to wash the inner cannula
and then rinse with sterile water: What intervention should a nurse implement when
providing tracheostomy care?
8. Perfusion of the hand: A nurse performs an Allen test before performing the
arterial stick for an arterial blood gas. What does this test assess?
9. The lung may have been punctured during the procedure: What is the impor- tance
of the nurse closely monitoring bilateral breath sounds and chest movement after a
thoracentesis?
10.Have the person sit down and lean forward: What should the initial action of a
nurse be when providing first aid to a person with spontaneous epistaxis?
11.Previous respiratory disorders: What should the nurse exclude when docu- menting
the findings in the functional assessment portion of the nursing assessment for a pt with a
respiratory disorder?
12.A 23 year old patient with peritonsillar abscess: Which is the best candidate for a
tonsillectomy?
13.Notify the charge nurse or physician about a residual volume of 20mL: - What
action should a nurse implement to reduce the risk of aspiration in a patient receiving
continuous enteral feedings at a rate of 70ml/hour
14.Movement of air through narrowed airways: A nurse assesses wheezes in a patient
with asthma. What should the nurse know is the cause of wheezes?
15.Restlessness, tachycardia and tachypnea: What symptoms should a nurse expect
to see in a patient with hypoxemia?
, Med Surg 2 Remediation
16.fifth: To auscultate breath sounds in the right middle lobe from the anterior aspect, the
nurse should place the diaphragm of the stethoscope at which intercostal space?
17.Teaching the patient to swallow without aspiration: What is one major post-
operative difficulty for a patient having a supraglottic laryngectomy?
18.Pharynx, trachea, bronchi, alveoli: A patient asks the nurse how air goes from the
nose to the lung. The nurse draws the route according to which sequence?
19.Keeps pressure in the lungs after expiration: How does the ventilator function of
positive end-expiratory pressure assist the pt?
20.In a semi-fowler position: How should a nurse position a patient who had a left
pneumonectomy in the morning in an effort to enhance gas exchange?
21.Smoking: A 49 year old patient has multiple risk factor for coronary artery
disease. Which risk factor is considered modifiable?
22.Claudication: A 69 year old patient reports a burning, aching pain in the legs while
walking to the mailbox. These symptoms are relieved with rest. What should the nurse
expect?
23.Arterial stasis: A nurse notes ulcerations on the surfaces of a patient's toes. What
should this assessment most likely indicate?
24.Brownish skin discoloration on the lower legs: A nurse records the assess- ment of
stasis dermatitis on an intake assessment for a patient with peripheral vascular disease
(PVD). What is the best way to describe this finding
25.Wear compression stockings to promote circulation: A pt has returned from a vein
ligation and stripping. What are the appropiate instructions for a nurse to provide?
26.Fluid volume excess: A pt with acute congestive heart failure has jugular vein
distention, crackles bilaterally, and dyspnea. Which nursing diagnosis should have the
highest priority?
27.Unstable angina: A pt with angina pectoris complains of chest pain at rest and needs
to take three nitroglycerin (NTG) pills to relieve the pain. Of what should the nurse assess
this as a major symptom?
28.Wear gloves and warm socks when outdoors: A pt with Raynaud disease has
poor tissue perfusion and is being given discharge instructions. What should the nurse
include when providing this information?
29.Arterial occlusion: An obese postsurgical patient complains of sudden discom- fort in
her leg. The nurse assessses the leg and finds it cold and pale with no pedal or popliteal
pulse. What should the nurse suspect?
30.bowel sounds: What assessment should a nurse perform on a pt after the repair of an
abdominal aortic aneurysm
, Med Surg 2 Remediation
31.Trap to which other substances adhere: What do fibrous plaques of ather-
sclerosis serve as when they are laid down in the vessels?
32.Written instructions on diet and follow-up appointments: What information
should a nurse include in a pt discharge instruction after an acute myocardial infarction?
33.Painlessness: What is a characteristic of a venous stasis ulcer?
34.Balance activity with oxygen supply: What is an important teaching point for a pt
with mitral stenosis
35.Weight reduction: What pt teaching should be included for a pt with varicose veins?
36.Recurring chest pain: What should a nurse ask a pt related to past history of deep-
vein thrombosis (DVT) and other vascular problems?
37.Fever: Which postoperative sign should a nurse report immediately when caring for a
pt with an endarterectomy with a synthetic graft?
38.Do you have a cat?: A pt with HIV complains to the home health nurse that he has
been having watery diarrhea for the past 10 days. The nurse suspects toxoplasmosis .
What is the most significant question for the nurse to ask?
39.Male to male: What is the most common form of transmission of the HIV virus?
40.Training for B lymphocytes: What is the primary function in the immune
process of the spleen?
41.African American: Which population, according to statistics from the centers for
disease control and prevention CDC has the greatest incididence of human
immunodeficiency viral infection in the US?
42.Anal sex with condom: A nurse is assessing a pt with AIDS for risk factors. What
is recognized as the most risky behavior in the pt history?
43.Basophils: What is responsible for initiating the inflammatory response in addi- tion
to immunoglobulin?
44.Ineffective therapeutic regimen management: Which nursing diagnosis should
take priority in the care of an outpatient with AIDS?
45.Infection and bleeding: A pt with diagnosed with acute myeloid leukemia has had a
bone marrow transplant and has completed chemotherapy. What is the greatest risk for
this patient while healthy bone marrow is growing back?
46.I can still enjoy life and live pretty much as i want for the next several years: A
nurse is educating patients about the progression of HIV infections. Which statement by
the patient in the latent stage indicates that teaching has been effective?
47.Neutropenia: The nursing staff on an oncology unit cautions visitors to be free of
infections before visiting patients. What can chemotherapy and decreased bone marrow
production cause in these patients?
1. Has an abrupt onset: What is true regarding bacterial pharyngitis that is untrue for
viral pharyngitis?
2. Shows respiratory function in motion: A worried patient asks the nurse to explain the
advantage of a fluroscopy. What is the nurse's best response regarding fluroscopy?
3. High fowler position and apply a cold dressing to reduce swelling: Which position
is the most appropriate for a patient returning from surgery with a nasal pack and
mustache dressing?
4. Becomes restless and has increases in vital signs: Which assessment should indicate
the necessity for a nurse to suction a patient with a traceostomy?
5. Observing voice rest: What is the most significant topic for a nurse to include in a
teaching plan for a pt with frequent episodes laryngitis?
6. Normal age-related changes: A 68 year old patient tells the nurse that her sense of
smell is not as acute as before, her nose is drier, and she occassionally get a nosebleed.
What should the nurse suspect?
7. Use a sterile solution of normal saline or other solution to wash the inner cannula
and then rinse with sterile water: What intervention should a nurse implement when
providing tracheostomy care?
8. Perfusion of the hand: A nurse performs an Allen test before performing the
arterial stick for an arterial blood gas. What does this test assess?
9. The lung may have been punctured during the procedure: What is the impor- tance
of the nurse closely monitoring bilateral breath sounds and chest movement after a
thoracentesis?
10.Have the person sit down and lean forward: What should the initial action of a
nurse be when providing first aid to a person with spontaneous epistaxis?
11.Previous respiratory disorders: What should the nurse exclude when docu- menting
the findings in the functional assessment portion of the nursing assessment for a pt with a
respiratory disorder?
12.A 23 year old patient with peritonsillar abscess: Which is the best candidate for a
tonsillectomy?
13.Notify the charge nurse or physician about a residual volume of 20mL: - What
action should a nurse implement to reduce the risk of aspiration in a patient receiving
continuous enteral feedings at a rate of 70ml/hour
14.Movement of air through narrowed airways: A nurse assesses wheezes in a patient
with asthma. What should the nurse know is the cause of wheezes?
15.Restlessness, tachycardia and tachypnea: What symptoms should a nurse expect
to see in a patient with hypoxemia?
, Med Surg 2 Remediation
16.fifth: To auscultate breath sounds in the right middle lobe from the anterior aspect, the
nurse should place the diaphragm of the stethoscope at which intercostal space?
17.Teaching the patient to swallow without aspiration: What is one major post-
operative difficulty for a patient having a supraglottic laryngectomy?
18.Pharynx, trachea, bronchi, alveoli: A patient asks the nurse how air goes from the
nose to the lung. The nurse draws the route according to which sequence?
19.Keeps pressure in the lungs after expiration: How does the ventilator function of
positive end-expiratory pressure assist the pt?
20.In a semi-fowler position: How should a nurse position a patient who had a left
pneumonectomy in the morning in an effort to enhance gas exchange?
21.Smoking: A 49 year old patient has multiple risk factor for coronary artery
disease. Which risk factor is considered modifiable?
22.Claudication: A 69 year old patient reports a burning, aching pain in the legs while
walking to the mailbox. These symptoms are relieved with rest. What should the nurse
expect?
23.Arterial stasis: A nurse notes ulcerations on the surfaces of a patient's toes. What
should this assessment most likely indicate?
24.Brownish skin discoloration on the lower legs: A nurse records the assess- ment of
stasis dermatitis on an intake assessment for a patient with peripheral vascular disease
(PVD). What is the best way to describe this finding
25.Wear compression stockings to promote circulation: A pt has returned from a vein
ligation and stripping. What are the appropiate instructions for a nurse to provide?
26.Fluid volume excess: A pt with acute congestive heart failure has jugular vein
distention, crackles bilaterally, and dyspnea. Which nursing diagnosis should have the
highest priority?
27.Unstable angina: A pt with angina pectoris complains of chest pain at rest and needs
to take three nitroglycerin (NTG) pills to relieve the pain. Of what should the nurse assess
this as a major symptom?
28.Wear gloves and warm socks when outdoors: A pt with Raynaud disease has
poor tissue perfusion and is being given discharge instructions. What should the nurse
include when providing this information?
29.Arterial occlusion: An obese postsurgical patient complains of sudden discom- fort in
her leg. The nurse assessses the leg and finds it cold and pale with no pedal or popliteal
pulse. What should the nurse suspect?
30.bowel sounds: What assessment should a nurse perform on a pt after the repair of an
abdominal aortic aneurysm
, Med Surg 2 Remediation
31.Trap to which other substances adhere: What do fibrous plaques of ather-
sclerosis serve as when they are laid down in the vessels?
32.Written instructions on diet and follow-up appointments: What information
should a nurse include in a pt discharge instruction after an acute myocardial infarction?
33.Painlessness: What is a characteristic of a venous stasis ulcer?
34.Balance activity with oxygen supply: What is an important teaching point for a pt
with mitral stenosis
35.Weight reduction: What pt teaching should be included for a pt with varicose veins?
36.Recurring chest pain: What should a nurse ask a pt related to past history of deep-
vein thrombosis (DVT) and other vascular problems?
37.Fever: Which postoperative sign should a nurse report immediately when caring for a
pt with an endarterectomy with a synthetic graft?
38.Do you have a cat?: A pt with HIV complains to the home health nurse that he has
been having watery diarrhea for the past 10 days. The nurse suspects toxoplasmosis .
What is the most significant question for the nurse to ask?
39.Male to male: What is the most common form of transmission of the HIV virus?
40.Training for B lymphocytes: What is the primary function in the immune
process of the spleen?
41.African American: Which population, according to statistics from the centers for
disease control and prevention CDC has the greatest incididence of human
immunodeficiency viral infection in the US?
42.Anal sex with condom: A nurse is assessing a pt with AIDS for risk factors. What
is recognized as the most risky behavior in the pt history?
43.Basophils: What is responsible for initiating the inflammatory response in addi- tion
to immunoglobulin?
44.Ineffective therapeutic regimen management: Which nursing diagnosis should
take priority in the care of an outpatient with AIDS?
45.Infection and bleeding: A pt with diagnosed with acute myeloid leukemia has had a
bone marrow transplant and has completed chemotherapy. What is the greatest risk for
this patient while healthy bone marrow is growing back?
46.I can still enjoy life and live pretty much as i want for the next several years: A
nurse is educating patients about the progression of HIV infections. Which statement by
the patient in the latent stage indicates that teaching has been effective?
47.Neutropenia: The nursing staff on an oncology unit cautions visitors to be free of
infections before visiting patients. What can chemotherapy and decreased bone marrow
production cause in these patients?
