PN Medical-Surgical Nursing Final Exam Dewit 3rd Edition With
Correct Answers
The home health nurse is caring for a patient with congestive heart failure (CHF). Which assessment finding
q q q q q q q q q q q q q q q q q
should the nurse report immediately to the physician?
q q q q q q q
A. Moderate shortness of breath after walking down the hall.
q q q q q q q q q
B. A 3 pound weight gain over the course of a week.
q q q q q q q q q q q q
C. Heart rate of 104 beats/min after ambulating to the bathroom.
q q q q q q q q q q
D. Increase urinary output to 50 mL in the last hour. - correct answer Answer:
q q q q q q q q q q q q q q
A. Shortness of breath after walking down the hall.
q q q q q q q q
The nurse is caring for a patient with C. difficile infection. Which action is most important for the nurse to take?
q q q q q q q q q q q q q q q q q q q q
A. Only use alcohol-based hand cleanser for hand hygiene.
q q q q q q q q
B. Always wear an impervious mask.
q q q q q
C. Don proper eye protection before providing care.
q q q q q q q
D. Put the patient on contact plus isolation. - correct answer Answer:
q q q q q q q q q q q
D. Put the patient on contact plus isolation
q q q q q q q
The nurse is caring for a patient with general sepsis. Which finding should first alert the nurse to a potential
q q q q q q q q q q q q q q q q q q q q
complication that warrants immediate attention? q q q q
,A. Increased lethargy
q q
B. Sudden coughing
q q
C. Elevated blood pressure
q q q
D. Cloudy urine - correct answer Answer:
q q q q q q q
A. Increased lethargy
q q
The nurse is teaching a patient about the purpose of his telemetry. Which statement indicates the nurse's
q q q q q q q q q q q q q q q q q
teaching has been successful? q q q
q
A. "I will need to stay in bed when the monitor is reading my heart waves."
q q q q q q q q q q q q q q q
B. "This test will help determine if I have a blockage in my arteries."
q q q q q q q q q q q q q
C. "If there is a problem with my heart valves, it will show up with telemetry."
q q q q q q q q q q q q q q q
D. "The nurses will be able to monitor my heart rate and rhythm." - correct answer Answer:
q q q q q q q q q q q q q q q q q
D. The nurses will be able to monitor my heart rate and rhythm.
q q q q q q q q q q q q
The nurse is working in a trauma unit and is accidentally stuck with an IV needle following venipuncture of the
q q q q q q q q q q q q q q q q q q q q
patient. What is the nurses first action?
q q q q q q
A. Immediately begin taking the two- to three-drug regimen.
q q q q q q q q
B. Report the stick to the charge nurse immediately so follow-up can be initiated.
q q q q q q q q q q q q q
C. Wash the punctured area with soap and water.
q q q q q q q q
D. Complete an incident report so immediate testing of the patient and nurse can begin. - correct answer
q q q q q q q q q q q q q q q q q q
Answer: q
C. Wash the punctured area with soap and water.
q q q q q q q q
The nurse is caring for a post-myocardial infarction (MI) patient who has been started on daily simvastatin
q q q q q q q q q q q q q q q q q
(Zocor) and a low-fat diet. Which statement best indicates the nurse's teaching has been successful?
q q q q q q q q q q q q q q
, A. "I will need to have blood work every month while taking Zocor."
q q q q q q q q q q q q
B. "I should take Zocor with grapefruit juice to help absorption."
q q q q q q q q q q
C. " I should call my doctor if I experience unexplained muscle pain."
q q q q q q q q q q q q
D. "I should take Zocor an hour before my biggest meal of the day." - correct answer Answer:
q q q q q q q q q q q q q q q q q
C. "I should call my doctor if I experience unexplained muscle pain."
q q q q q q q q q q q
Which area is the major focus of Healthy People 2020 and the primary mechanism through which to improve
q q q q q q q q q q q q q q q q q q
the health of Americans in the second decade of the century?
q q q q q q q q q q
A. Research funding
q q
B. Health information distribution
q q q
C. Healthy lifestyle encouragement
q q q
D. Health improvement program designs - correct answer Answer:
q q q q q q q q q
C. Healthy lifestyle encouragement
q q q
A 79-year-old patient with bacterial pneumonia becomes increasingly restless, confused, and agitated. The
q q q q q q q q q q q q q
patient's temperature is 100 F, and his pulse, blood pressure, and respirations are elevated since the last
q q q q q q q q q q q q q q q q q
assessment 6 hours ago. What action should the nurse take first? q q q q q q q q q q
A. Auscultate the patient's lungs
q q q q
B. Assess the patient's oxygen saturation
q q q q q
C. Administer the mild sedative as ordered
q q q q q q
D. Administer an ordered analgesic for discomfort - correct answer Answer:
q q q q q q q q q q
B. Assess the patient's oxygen saturation
q q q q q
When caring for a 10-hour post-abdominal surgery patient, which finding should the nurse report to the
q q q q q q q q q q q q q q q q
charge nurse? q
Correct Answers
The home health nurse is caring for a patient with congestive heart failure (CHF). Which assessment finding
q q q q q q q q q q q q q q q q q
should the nurse report immediately to the physician?
q q q q q q q
A. Moderate shortness of breath after walking down the hall.
q q q q q q q q q
B. A 3 pound weight gain over the course of a week.
q q q q q q q q q q q q
C. Heart rate of 104 beats/min after ambulating to the bathroom.
q q q q q q q q q q
D. Increase urinary output to 50 mL in the last hour. - correct answer Answer:
q q q q q q q q q q q q q q
A. Shortness of breath after walking down the hall.
q q q q q q q q
The nurse is caring for a patient with C. difficile infection. Which action is most important for the nurse to take?
q q q q q q q q q q q q q q q q q q q q
A. Only use alcohol-based hand cleanser for hand hygiene.
q q q q q q q q
B. Always wear an impervious mask.
q q q q q
C. Don proper eye protection before providing care.
q q q q q q q
D. Put the patient on contact plus isolation. - correct answer Answer:
q q q q q q q q q q q
D. Put the patient on contact plus isolation
q q q q q q q
The nurse is caring for a patient with general sepsis. Which finding should first alert the nurse to a potential
q q q q q q q q q q q q q q q q q q q q
complication that warrants immediate attention? q q q q
,A. Increased lethargy
q q
B. Sudden coughing
q q
C. Elevated blood pressure
q q q
D. Cloudy urine - correct answer Answer:
q q q q q q q
A. Increased lethargy
q q
The nurse is teaching a patient about the purpose of his telemetry. Which statement indicates the nurse's
q q q q q q q q q q q q q q q q q
teaching has been successful? q q q
q
A. "I will need to stay in bed when the monitor is reading my heart waves."
q q q q q q q q q q q q q q q
B. "This test will help determine if I have a blockage in my arteries."
q q q q q q q q q q q q q
C. "If there is a problem with my heart valves, it will show up with telemetry."
q q q q q q q q q q q q q q q
D. "The nurses will be able to monitor my heart rate and rhythm." - correct answer Answer:
q q q q q q q q q q q q q q q q q
D. The nurses will be able to monitor my heart rate and rhythm.
q q q q q q q q q q q q
The nurse is working in a trauma unit and is accidentally stuck with an IV needle following venipuncture of the
q q q q q q q q q q q q q q q q q q q q
patient. What is the nurses first action?
q q q q q q
A. Immediately begin taking the two- to three-drug regimen.
q q q q q q q q
B. Report the stick to the charge nurse immediately so follow-up can be initiated.
q q q q q q q q q q q q q
C. Wash the punctured area with soap and water.
q q q q q q q q
D. Complete an incident report so immediate testing of the patient and nurse can begin. - correct answer
q q q q q q q q q q q q q q q q q q
Answer: q
C. Wash the punctured area with soap and water.
q q q q q q q q
The nurse is caring for a post-myocardial infarction (MI) patient who has been started on daily simvastatin
q q q q q q q q q q q q q q q q q
(Zocor) and a low-fat diet. Which statement best indicates the nurse's teaching has been successful?
q q q q q q q q q q q q q q
, A. "I will need to have blood work every month while taking Zocor."
q q q q q q q q q q q q
B. "I should take Zocor with grapefruit juice to help absorption."
q q q q q q q q q q
C. " I should call my doctor if I experience unexplained muscle pain."
q q q q q q q q q q q q
D. "I should take Zocor an hour before my biggest meal of the day." - correct answer Answer:
q q q q q q q q q q q q q q q q q
C. "I should call my doctor if I experience unexplained muscle pain."
q q q q q q q q q q q
Which area is the major focus of Healthy People 2020 and the primary mechanism through which to improve
q q q q q q q q q q q q q q q q q q
the health of Americans in the second decade of the century?
q q q q q q q q q q
A. Research funding
q q
B. Health information distribution
q q q
C. Healthy lifestyle encouragement
q q q
D. Health improvement program designs - correct answer Answer:
q q q q q q q q q
C. Healthy lifestyle encouragement
q q q
A 79-year-old patient with bacterial pneumonia becomes increasingly restless, confused, and agitated. The
q q q q q q q q q q q q q
patient's temperature is 100 F, and his pulse, blood pressure, and respirations are elevated since the last
q q q q q q q q q q q q q q q q q
assessment 6 hours ago. What action should the nurse take first? q q q q q q q q q q
A. Auscultate the patient's lungs
q q q q
B. Assess the patient's oxygen saturation
q q q q q
C. Administer the mild sedative as ordered
q q q q q q
D. Administer an ordered analgesic for discomfort - correct answer Answer:
q q q q q q q q q q
B. Assess the patient's oxygen saturation
q q q q q
When caring for a 10-hour post-abdominal surgery patient, which finding should the nurse report to the
q q q q q q q q q q q q q q q q
charge nurse? q
