COMPLEX MED SURG EXAM 1 TEST
WITH COMPLETE SOLUTIONS
Serves nas nguidelines nfor ncritical ncare nnurses, nestablishes ngoals nfor npatient
ncare. n- ncorrect nanswer-AACN nStandards nfor nAcute nand nCritical nCare nNursing
nPractice
What nmakes ndelirium ndifferent nfrom ndementia? n- ncorrect nanswer-Delirium nis nfast
nonset, nacute nin nnature, nand nthere nis nusually na ncause nto nit.
True nor nFalse: nDelirium nis nassociated nwith nlow nrates nof nmortality nand
nmorbidity? n- ncorrect nanswer-False- nit nis nassociated nwith nhigh nrates nof nmortality
nand nmorbidity.
3 nTypes nof nDelirium nand ncharacteristics n- ncorrect nanswer-Hyperactive- nagitated,
ncombative, ndisoriented
Hypoactive- nquiet ndelirium
Mixed- nfluctuating nbetween nhyperactive nand nhypoactive
Risk nfactors nfor ndelirium n- ncorrect nanswer-Older nthan n70, ncame nfrom na nnursing
nhome, nhx nof nsubstance nabuse, nrenal nor nliver ndisease, ncentral nlines, nphysical
nrestraints.
Drug nof nchoice nfor ndelirium n- ncorrect nanswer-haloperidol
Biggest nrisk nfor ndelirium npatients n- ncorrect nanswer-FALLS
ABCDE nBundle nfor nDelirium n- ncorrect nanswer-A-Awakening n
B- nBreathing nCoordination
C- nChoice nof nSedation
, D- nDelirium nMonitoring
E-Early nmobility nand nexercise
living nwill, nadvanced ndirective n- ncorrect nanswer-A ndocument nthat nindicates nwhat
nmedical nintervention nan nindividual nwants nif nhe nor nshe nbecomes nincapable nof
nexpressing nthose nwishes.
Abandonment n- ncorrect nanswer--Severing nprofessional nrelationship nwhen npatient
nis nin nneed nof ncare
-Can neven nhappen nif nyou ngo nto nlunch nand ndo nnot ntransfer ncare nto nanother
nnurse
Moral nconflict n- ncorrect nanswer--Nurse nnot nrequired nto npractice nif nsituation
nviolates nmoral nor nreligious nbeliefs
-Must ntransfer ncare nto nanother nnurse nto navoid nabandonment
Witholding: nnot n________
Withdrawing: nnot n_________ n- ncorrect nanswer-Not ninitiating
Weaning nor nremoving
True nor nfalse: nfamily npresence nduring ncodes nis npromoted n- ncorrect nanswer-
True!
Breast nCancer nEarly nDetection nGuidelines n- ncorrect nanswer-40-44 nyrs- nwomen
nshould nhave nthe nchoice nto nhave nannual nmammograms
45-54- nshould nget nmammograms nannually
55 nand nolder- nshould nswitch nto nmammograms nevery n2 nyears
(unless ngenetically npredisposed nto nbreast ncancer, nthen nshould nget nan nMRI nand
nmammograms)
Colon nand nRectal nCancer nDetection nGuidelines n- ncorrect nanswer-Starting nat n50,
nboth nmen nand nwomen nshould nget na ncolonoscopy nevery n10 nyears.
Cervical nCancer nDetection nGuidelines n- ncorrect nanswer--Cervical ncancer ntesting
nshould nstart nat nage n21 n(every n3 nyears), nthose nunder nthis nage nshouldn't nbe
ntested. n
-Women nbetween n21 nand n29 nshould nalso nhave na nPap ndone nevery n3 nyears.
-Women n30-65 nshould nhave nPap nand nHPV nevery n5 nyears.
Endometrial n(uterine) ncancer nscreening n- ncorrect nanswer-At ntime nof nmenopause,
nwomen nshould nbe neducated nabout nsigns nand nsymptoms nof nendometrial ncancer
nand nshould nreport nany nextra nvaginal nbleeding nto ndoctors.
Lung ncancer nscreening n- ncorrect nanswer--Done nby nCT nscan
-Only nfor nhigh nrisk npatients, nmust nhave nall nof nthe nfollowing: n
1. n55-74 nyears nof nage
2. nIn ngood nhealth
3. nHave nat nleast na n30 npack nyear nsmoking nhistory
WITH COMPLETE SOLUTIONS
Serves nas nguidelines nfor ncritical ncare nnurses, nestablishes ngoals nfor npatient
ncare. n- ncorrect nanswer-AACN nStandards nfor nAcute nand nCritical nCare nNursing
nPractice
What nmakes ndelirium ndifferent nfrom ndementia? n- ncorrect nanswer-Delirium nis nfast
nonset, nacute nin nnature, nand nthere nis nusually na ncause nto nit.
True nor nFalse: nDelirium nis nassociated nwith nlow nrates nof nmortality nand
nmorbidity? n- ncorrect nanswer-False- nit nis nassociated nwith nhigh nrates nof nmortality
nand nmorbidity.
3 nTypes nof nDelirium nand ncharacteristics n- ncorrect nanswer-Hyperactive- nagitated,
ncombative, ndisoriented
Hypoactive- nquiet ndelirium
Mixed- nfluctuating nbetween nhyperactive nand nhypoactive
Risk nfactors nfor ndelirium n- ncorrect nanswer-Older nthan n70, ncame nfrom na nnursing
nhome, nhx nof nsubstance nabuse, nrenal nor nliver ndisease, ncentral nlines, nphysical
nrestraints.
Drug nof nchoice nfor ndelirium n- ncorrect nanswer-haloperidol
Biggest nrisk nfor ndelirium npatients n- ncorrect nanswer-FALLS
ABCDE nBundle nfor nDelirium n- ncorrect nanswer-A-Awakening n
B- nBreathing nCoordination
C- nChoice nof nSedation
, D- nDelirium nMonitoring
E-Early nmobility nand nexercise
living nwill, nadvanced ndirective n- ncorrect nanswer-A ndocument nthat nindicates nwhat
nmedical nintervention nan nindividual nwants nif nhe nor nshe nbecomes nincapable nof
nexpressing nthose nwishes.
Abandonment n- ncorrect nanswer--Severing nprofessional nrelationship nwhen npatient
nis nin nneed nof ncare
-Can neven nhappen nif nyou ngo nto nlunch nand ndo nnot ntransfer ncare nto nanother
nnurse
Moral nconflict n- ncorrect nanswer--Nurse nnot nrequired nto npractice nif nsituation
nviolates nmoral nor nreligious nbeliefs
-Must ntransfer ncare nto nanother nnurse nto navoid nabandonment
Witholding: nnot n________
Withdrawing: nnot n_________ n- ncorrect nanswer-Not ninitiating
Weaning nor nremoving
True nor nfalse: nfamily npresence nduring ncodes nis npromoted n- ncorrect nanswer-
True!
Breast nCancer nEarly nDetection nGuidelines n- ncorrect nanswer-40-44 nyrs- nwomen
nshould nhave nthe nchoice nto nhave nannual nmammograms
45-54- nshould nget nmammograms nannually
55 nand nolder- nshould nswitch nto nmammograms nevery n2 nyears
(unless ngenetically npredisposed nto nbreast ncancer, nthen nshould nget nan nMRI nand
nmammograms)
Colon nand nRectal nCancer nDetection nGuidelines n- ncorrect nanswer-Starting nat n50,
nboth nmen nand nwomen nshould nget na ncolonoscopy nevery n10 nyears.
Cervical nCancer nDetection nGuidelines n- ncorrect nanswer--Cervical ncancer ntesting
nshould nstart nat nage n21 n(every n3 nyears), nthose nunder nthis nage nshouldn't nbe
ntested. n
-Women nbetween n21 nand n29 nshould nalso nhave na nPap ndone nevery n3 nyears.
-Women n30-65 nshould nhave nPap nand nHPV nevery n5 nyears.
Endometrial n(uterine) ncancer nscreening n- ncorrect nanswer-At ntime nof nmenopause,
nwomen nshould nbe neducated nabout nsigns nand nsymptoms nof nendometrial ncancer
nand nshould nreport nany nextra nvaginal nbleeding nto ndoctors.
Lung ncancer nscreening n- ncorrect nanswer--Done nby nCT nscan
-Only nfor nhigh nrisk npatients, nmust nhave nall nof nthe nfollowing: n
1. n55-74 nyears nof nage
2. nIn ngood nhealth
3. nHave nat nleast na n30 npack nyear nsmoking nhistory
