©SIRJOEL EXAM SOLUTIONS
10/14/2024 11:14 PM
Med Surg Final Exam ivy tech Questions
And Correct Answers
Modifiable risk factors - answer✔Choices that can be altered to better health such as: weight,
tobacco use, alcohol use, corticosteroid use and sedentary lifestyle
Assess the airway - answer✔When a patient is deteriorating, this will be the nurse's number one
priority.
Systemic infection - answer✔An infection located throughout the body such as: fever, nausea
and vomiting, swollen lymph nodes, fatigue and rapid pulse/breathing
Localized infection - answer✔An infection located in a localized area only such as: pain,
erythema, swelling, warmth and drainage
Standard precaution - answer✔The believe that all body excretions, secretions and moist
membranes and tissues excluding perspiration are potentially infectious. Requires use of hand
hygiene and gloves
Contact precaution - answer✔A precautionary measure requiring the use of a gown and gloves
for patients who typically have: C. diff, MRSA/VRE, pediculosis, respiratory syncytial virus and
scabies
, ©SIRJOEL EXAM SOLUTIONS
10/14/2024 11:14 PM
Droplet precaution - answer✔A precautionary measure requiring the use of a gown, gloves and
mask for patients who typically have: diphtheria, streptococcal pharyngitis, pneumonia,
influenza, rubella, mumps and pertussis
Airborne precaution - answer✔A precautionary measure requiring the use of a gown, gloves and
N95 mask for patients who typically have: tuberculosis, measles, varicella
Peripheral arterial disease - answer✔The most appropriate position for a patient to relieve pain is
in the dependent position for this disease
Patient should not wear compression stockings if this condition is present
Magnetic resonance angiography - answer✔A diagnostic test for PVD that is commonly used to
assess blood flow in the peripheral arteries with use of contrast medium to help visualize blood
flow through arteries
Doppler probe - answer✔A diagnostic test for PVD that is a segmental systolic blood pressure
measurement of lower extremities at the thigh, calf and ankle
Blood pressure readings in thigh and calf are normally higher than readings on the upper
extremities. If pressures are lower than the brachial pressure, arterial disease may be present
, ©SIRJOEL EXAM SOLUTIONS
10/14/2024 11:14 PM
Ankle-brachial index (ABI) - answer✔A diagnostic test for PVD that is a comparison of ankle
and brachial pressure. A reading of less than 0.90 in either leg is diagnostic of PAD. Patients
with diabetes are known to have a falsely elevated reading
Plethysmography - answer✔A diagnostic test for PVD used to evaluate arterial flow in the lower
extremities. If an occlusion is present, the waveforms are decreased to flattened, depending upon
degree of occlusion
Peripheral venous disease - answer✔The patient with this condition can wear compression
stockings and must be educated to wear above the bend of the knee to avoid deterring circulation
Heparin and warfarin - answer✔Anticoagulants often given concurrently because warfarin
depresses synthesis of clotting factors, but does not have an effect on clotting factors currently
present
Takes 3-4 days before the clotting factors that are present decay and the therapeutic effects of
warfarin occur
Fluid volume deficit - answer✔Too little fluid leading to dehydration and hypovolemia
Fluid volume overload - answer✔Too much fluid leading to water intoxication and hypervolemia
Fluid volume deficit: Cardiovascular - answer✔When reference fluid volume, this condition
present as:
, ©SIRJOEL EXAM SOLUTIONS
10/14/2024 11:14 PM
• Increased HR to help maintain BP with less blood volume
• Weak peripheral pulses
• Orthostatic hypotension
• Flattened hand and neck veins
Fluid volume deficit: Respiratory - answer✔When referencing fluid volume, this condition
present as:
• Increased respirations due to decreased blood volume reducing perfusion and gas exchange
Fluid volume deficit: Skin - answer✔When referencing fluid volume, this condition present as:
• Poor skin turgor
• Dry and scaly
Fluid volume deficit: Neurologic - answer✔When referencing fluid volume, this condition
present as:
• Mental status change
10/14/2024 11:14 PM
Med Surg Final Exam ivy tech Questions
And Correct Answers
Modifiable risk factors - answer✔Choices that can be altered to better health such as: weight,
tobacco use, alcohol use, corticosteroid use and sedentary lifestyle
Assess the airway - answer✔When a patient is deteriorating, this will be the nurse's number one
priority.
Systemic infection - answer✔An infection located throughout the body such as: fever, nausea
and vomiting, swollen lymph nodes, fatigue and rapid pulse/breathing
Localized infection - answer✔An infection located in a localized area only such as: pain,
erythema, swelling, warmth and drainage
Standard precaution - answer✔The believe that all body excretions, secretions and moist
membranes and tissues excluding perspiration are potentially infectious. Requires use of hand
hygiene and gloves
Contact precaution - answer✔A precautionary measure requiring the use of a gown and gloves
for patients who typically have: C. diff, MRSA/VRE, pediculosis, respiratory syncytial virus and
scabies
, ©SIRJOEL EXAM SOLUTIONS
10/14/2024 11:14 PM
Droplet precaution - answer✔A precautionary measure requiring the use of a gown, gloves and
mask for patients who typically have: diphtheria, streptococcal pharyngitis, pneumonia,
influenza, rubella, mumps and pertussis
Airborne precaution - answer✔A precautionary measure requiring the use of a gown, gloves and
N95 mask for patients who typically have: tuberculosis, measles, varicella
Peripheral arterial disease - answer✔The most appropriate position for a patient to relieve pain is
in the dependent position for this disease
Patient should not wear compression stockings if this condition is present
Magnetic resonance angiography - answer✔A diagnostic test for PVD that is commonly used to
assess blood flow in the peripheral arteries with use of contrast medium to help visualize blood
flow through arteries
Doppler probe - answer✔A diagnostic test for PVD that is a segmental systolic blood pressure
measurement of lower extremities at the thigh, calf and ankle
Blood pressure readings in thigh and calf are normally higher than readings on the upper
extremities. If pressures are lower than the brachial pressure, arterial disease may be present
, ©SIRJOEL EXAM SOLUTIONS
10/14/2024 11:14 PM
Ankle-brachial index (ABI) - answer✔A diagnostic test for PVD that is a comparison of ankle
and brachial pressure. A reading of less than 0.90 in either leg is diagnostic of PAD. Patients
with diabetes are known to have a falsely elevated reading
Plethysmography - answer✔A diagnostic test for PVD used to evaluate arterial flow in the lower
extremities. If an occlusion is present, the waveforms are decreased to flattened, depending upon
degree of occlusion
Peripheral venous disease - answer✔The patient with this condition can wear compression
stockings and must be educated to wear above the bend of the knee to avoid deterring circulation
Heparin and warfarin - answer✔Anticoagulants often given concurrently because warfarin
depresses synthesis of clotting factors, but does not have an effect on clotting factors currently
present
Takes 3-4 days before the clotting factors that are present decay and the therapeutic effects of
warfarin occur
Fluid volume deficit - answer✔Too little fluid leading to dehydration and hypovolemia
Fluid volume overload - answer✔Too much fluid leading to water intoxication and hypervolemia
Fluid volume deficit: Cardiovascular - answer✔When reference fluid volume, this condition
present as:
, ©SIRJOEL EXAM SOLUTIONS
10/14/2024 11:14 PM
• Increased HR to help maintain BP with less blood volume
• Weak peripheral pulses
• Orthostatic hypotension
• Flattened hand and neck veins
Fluid volume deficit: Respiratory - answer✔When referencing fluid volume, this condition
present as:
• Increased respirations due to decreased blood volume reducing perfusion and gas exchange
Fluid volume deficit: Skin - answer✔When referencing fluid volume, this condition present as:
• Poor skin turgor
• Dry and scaly
Fluid volume deficit: Neurologic - answer✔When referencing fluid volume, this condition
present as:
• Mental status change
