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Exam (elaborations)

MED SURG EXAM 4 QUESTIONS WITH CORRECT ANSWERS 2025

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MED SURG EXAM 4 QUESTIONS WITH CORRECT ANSWERS 2025

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MEDSURG ATI
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Institution
MEDSURG ATI
Course
MEDSURG ATI

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Uploaded on
January 12, 2025
Number of pages
54
Written in
2024/2025
Type
Exam (elaborations)
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MED/SURG EXAM 4 QUESTIONS WITH
CORRECT ANSWERS 2025
TheWrecoveryWroomWnurseWisWadmittingWaWpatientWfromWtheWORWfollowingWtheWpatientsWsuccessfulWsple
nectomy.WWhatWisWtheWfirstWassessmentWthatWtheWnurseWshouldWperformWonWthisWnewlyWadmittedWpatie
nt?

A)WHeartWrateWandWrhythm

B)WSkinWintegrity

C)WCoreWbodyWtemperature

D)WAirwayWpatencyW-WCORRECTWANSWERW-D)WAirwayWpatency



TheWprimaryWobjectiveWinWtheWimmediateWpostoperativeWperiodWisWtoWmaintainWventilationWand,Wthus,Wp
reventWhypoxemiaWandWhypercapnia.WBothWcanWoccurWifWtheWairwayWisWobstructedWandWventilationWisWre
duced.WThisWassessmentWisWfollowedWbyWcardiovascularWstatusWandWtheWconditionWofWtheWsurgicalWsite.W
TheWcoreWtemperatureWwouldWbeWassessedWafterWtheWairway,WcardiovascularWstatus,WandWwoundW(skinWi
ntegrity).



AnWadultWpatientWisWinWtheWrecoveryWroomWfollowingWaWnephrectomyWperformedWforWtheWtreatmentWofW
renalWcellWcarcinoma.WTheWpatientsWvitalWsignsWandWlevelWofWconsciousnessWstabilized,WbutWtheWpatientWt
henWcomplainsWofWsevereWnauseaWandWbeginsWtoWretch.WWhatWshouldWtheWnurseWdoWnext?

A)WAdministerWaWdoseWofWIVWanalgesic

B)WApplyWaWcoolWclothWtoWtheWpatientsWforehead

C)WOfferWtheWpatientWaWsmallWamountWofWiceWchips

D)WTurnWtheWpatientWcompletelyWtoWoneWsideW-WCORRECTWANSWERW-
D)WTurnWtheWpatientWcompletelyWtoWoneWside



TurningWtheWpatientWcompletelyWtoWoneWsideWallowsWcollectedWfluidWtoWescapeWfromWtheWsideWofWtheWm
outhWifWtheWpatientWvomits.WAfterWturningWtheWpatientWtoWtheWside,WtheWnurseWcanWofferWaWcoolWclothWt
oWtheWpatientsWforehead.WIceWchipsWcanWincreaseWfeelingsWofWnausea.WAnWanalgesicWisWnotWadministered
WforWnauseaWandWvomiting.




TheWperioperativeWnurseWisWpreparingWtoWdischargeWaWfemaleWpatientWhomeWfromWdayWsurgeryWperform
edWunderWgeneralWanesthetic.WWhatWinstructionWshouldWtheWnurseWgiveWtheWpatientWpriorWtoWtheWpatie
ntWleavingWtheWhospital?

,A)WTheWpatientWshouldWnotWdriveWherselfWhome

B)WTheWpatientWshouldWtakeWanWOTCWsleepingWpillWforW2Wnights

C)WTheWpatientWshouldWattemptWtoWeatWaWlargeWmealWatWhomeWtoWaidWwoundWhealing

D)WTheWpatientWshouldWremainWinWbedWforWtheWfirstW48WhoursWpostoperative.W-WCORRECTWANSWERW-
A)WTheWpatientWshouldWnotWdriveWherselfWhome



AlthoughWrecoveryWtimeWvaries,WdependingWonWtheWtypeWandWextentWofWsurgeryWandWtheWpatientsWover
allWcondition,WinstructionsWusuallyWadviseWlimitedWactivityWforW24WtoW48Whours.WCompleteWbedrestWisWco
ntraindicatedWinWmostWcases,Whowever.WDuringWthisWtime,WtheWpatientWshouldWnotWdriveWaWvehicleWandW
shouldWeatWonlyWasWtolerated.WTheWnurseWdoesWnotWnormallyWmakeWOTCWrecommendationsWforWhypnoti
cs.



TheWnurseWisWcaringWforWaW78-year-
oldWmanWwhoWhasWhadWanWoutpatientWcholecystectomy.WTheWnurseWisWgettingWhimWupWforWhisWfirstWwalk
Wpostoperatively.WToWdecreaseWtheWpotentialWforWorthostaticWhypotensionWandWconsequentWfalls,WwhatWs

houldWtheWnurseWhaveWtheWpatientWdo?

A)WSitWinWaWchairWforW10WminutesWpriorWtoWambulating

B)WDrinkWplentyWofWfluidsWtoWincreaseWcirculatingWbloodWvolume

C)WStandWuprightWforW2WtoW3WminutesWpriorWtoWambulating

D)WPerformWrange-of-motionWexercisesWforWeachWjointW-WCORRECTWANSWERW-
C)WStandWuprightWforW2WtoW3WminutesWpriorWtoWambulating



OlderWadultsWareWatWanWincreasedWriskWforWorthostaticWhypotensionWsecondaryWtoWage-
relatedWchangesWinWvascularWtone.WTheWpatientWshouldWsitWupWandWthenWstandWforW2WtoW3WminutesWbef
oreWambulatingWtoWalleviateWorthostaticWhypotension.WTheWnurseWshouldWassessWtheWpatientsWabilityWto
WmobilizeWsafely,WbutWfullWassessmentWofWrangeWofWmotionWinWallWjointsWisWnotWnormallyWnecessary.WSitti

ngWinWaWchairWandWincreasingWfluidWintakeWareWinsufficientWtoWpreventWorthostaticWhypotensionWandWcon
sequentWfalls.



TheWperioperativeWnurseWisWprovidingWcareWforWaWpatientWwhoWisWrecoveringWonWtheWpostsurgicalWunitWf
ollowingWaWtransurethralWprostateWresectionW(TUPR).WTheWpatientWisWreluctantWtoWambulate,WcitingWtheW
needWtoWrecoverWinWbed.WForWwhatWcomplicationWisWtheWpatientWmostWatWrisk?

A)WAtelectasis

B)WAnemia

,C)WDehydration

D)WPeripheralWedemaW-WCORRECTWANSWERW-A)WAtelectasis



AtelectasisWoccursWwhenWtheWpostoperativeWpatientWfailsWtoWmove,Wcough,WandWbreatheWdeeply.WWithWg
oodWnursingWcare,WthisWisWanWavoidableWcomplication,WbutWreducedWmobilityWgreatlyWincreasesWtheWrisk.
WAnemiaWoccursWrarelyWandWusuallyWinWsituationsWwhereWtheWpatientWlosesWaWsignificantWamountWofWblo

odWorWcontinurseWbleedingWpostoperatively.WFluidWshiftsWpostoperativelyWmayWresultWinWdehydrationWan
dWperipheralWedema,WbutWtheWpatientWisWmostWatWriskWforWatelectasis.



TheWnurseWisWcaringWforWaWpatientWonWtheWmedicalWsurgicalWunitWpostoperativeWdayW5.WDuringWeachWpat
ientWassessment,WtheWnurseWevaluatesWtheWpatientWforWinfection.WWhichWofWtheWfollowingWwouldWbeWm
ostWindicativeWofWinfection?

A)WPresenceWofWanWindwellingWurinaryWcatheter

B)WRectalWtemperatureWofW99.5WFW(37.5C)

C)WRed,Wwarm,WtenderWincision

D)WWhiteWbloodWcellW(WBC)WcountWofW8,000/mLW-WCORRECTWANSWERW-C)WRed,Wwarm,WtenderWincision



Redness,Wwarmth,WandWtendernessWinWtheWincisionWareaWshouldWleadWtheWnurseWtoWsuspectWaWpostoper
ativeWinfection.WTheWpresenceWofWanyWinvasiveWdeviceWpredisposesWaWpatientWtoWinfection,WbutWbyWitself
WdoesWnotWindicateWinfection.WAnWoralWtemperatureWofW99.5FWmayWnotWsignalWinfectionWinWaWpostoperat

iveWpatientWbecauseWofWtheWinflammatoryWprocess.WAWnormalWWBCWcountWrangesWfromW4,000WtoW10,00
0/mL



TheWnurseWisWpreparingWtoWchangeWaWpatientsWabdominalWdressing.WTheWnurseWrecognizesWtheWfirstWste
pWisWtoWprovideWtheWpatientWwithWinformationWregardingWtheWprocedure.WWhichWofWtheWfollowingWexpla
nationsWshouldWtheWnurseWprovideWtoWtheWpatient?

A)WTheWdressingWchangeWisWoftenWpainful,WandWweWwillWbeWgivingWyouWpainWmedicationWpriorWtoWtheWpr
ocedureWsoWyouWdoWnotWhaveWtoWworry

B)WDuringWtheWdressingWchange,WIWwillWprovideWprivacyWatWaWtimeWofWyourWchoosing,WitWshouldWnotWbeW
painful,WandWyouWcanWlookWatWtheWincisionWandWhelpWwithWtheWprocedureWifWyouWwantWto.

C)WTheWdressingWchangeWshouldWnotWbeWpainful,WbutWyouWcanWneverWbeWsure,WandWinfectionWisWalwaysW
aWconcern

D)WTheWbestWtimeWforWdoingWaWdressingWchangeWisWduringWlunchWsoWweWareWnotWinterrupted.WIWwillWpro
videWprivacy,WandWitWshouldWnotWbeWpainful.W-WCORRECTWANSWERW-

, B)WDuringWtheWdressingWchange,WIWwillWprovideWprivacyWatWaWtimeWofWyourWchoosing,WitWshouldWnotWbeW
painful,WandWyouWcanWlookWatWtheWincisionWandWhelpWwithWtheWprocedureWifWyouWwantWto.



WhenWhavingWdressingWchanged,WtheWpatientWneedsWtoWbeWinformedWthatWtheWdressingWchangeWisWaWsi
mpleWprocedureWwithWlittleWdiscomfort;WprivacyWwillWbeWprovided;WandWtheWpatientWisWfreeWtoWlookWatWt
heWincisionWorWevenWassistWinWtheWdressingWchangeWitself.WIfWtheWpatientWdecidesWtoWlookWatWtheWincisio
n,WassuranceWisWgivenWthatWtheWincisionWwillWshrinkWasWitWhealsWandWthatWtheWrednessWwillWlikelyWfade.W
DressingWchangesWshouldWnotWbeWpainful,WbutWgivingWpainWmedicationWpriorWtoWtheWprocedureWisWalway
sWaWgoodWpreventiveWmeasure.WTellingWtheWpatientWthatWtheWdressingWchangeWshouldWnotWbeWpainful,Wb
utWyouWcanWneverWbeWsure,WandWinfectionWisWalwaysWaWconcernWdoesWnotWofferWtheWpatientWanyWrealWinf
ormationWorWoptionsWandWservesWonlyWtoWcreateWfear.WTheWbestWtimeWforWdressingWchangesWisWwhenWitW
isWmostWconvenientWforWtheWpatient;WnutritionWisWimportantWsoWinterruptingWlunchWisWprobablyWaWpoorW
choice.



AWpatientWisW2WhoursWpostoperativeWwithWaWFoleyWcatheterWinWsitu.WTheWlastWhourlyWurineWoutputWrecor
dedWforWthisWpatientWwasW10WmL.WTheWtubingWofWtheWFoleyWisWpatent.WWhatWshouldWtheWnurseWdo?

A)WIrrigateWtheWFoleyWwithW30WmLWnormalWsaline

B)WNotifyWtheWphysicianWandWcontinueWtoWmonitorWtheWhourlyWurineWoutputWclosely

C)WDecreaseWtheWIVWfluidWrateWandWmassageWtheWpatientsWabdomen

D)WHaveWtheWpatientWsitWinWhigh-FlowlersWposition.W-WCORRECTWANSWERW-
B)WNotifyWtheWphysicianWandWcontinueWtoWmonitorWtheWhourlyWurineWoutputWclosely



IfWtheWpatientWhasWanWindwellingWurinaryWcatheter,WhourlyWoutputsWareWmonitoredWandWratesWofWlessWth
anW30WmL/hrWareWreported.WTheWurineWoutputWshouldWcontinueWtoWbeWmonitoredWhourlyWbyWtheWnurse.
WIrrigationWwouldWnotWbeWwarranted.




TheWnurseWisWcaringWforWaW79-year-
oldWmanWwhoWhasWreturnedWtoWtheWpostsurgicalWunitWfollowingWabdominalWsurgery.WTheWpatientWisWuna
bleWtoWambulateWandWisWnowWrefusingWtoWwearWanWexternalWpneumaticWcompressionWstocking.WTheWnur
seWshouldWexplainWthatWrefusingWtoWwearWexternalWpneumaticWcompressionWstockingsWincreasesWhisWrisk
WofWwhatWpostsurgicalWcomplication?



A)WSepsis

B)WInfection

C)WPulmonaryWembolism

D)WHematomaW-WCORRECTWANSWERW-C)WPulmonaryWembolism

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