Med_Surg 201_Exam Questions with Answers
1. A patient is ordered to start an IV Dopamine drip at 5 mcg/kg/min. The patient weighs
180 Ilbs. You have a bag of Dopamine that reads 400 mg/250 mL. What will you set the
IV pump drip rate (mL/hr) at?
a. 0.3
b. 16.9
c. 15.3
d. 32
2. A patient is ordered to start an IV dopamine at 5 mcg/kg/min. The patient weighs 57 kg.
You have a bag of dopamine that reads 400 mg/ 250 mL. What will you set the IV pump
drip rate (mL/hr) at?
a. 20.5
b. 12
c. 10.7
d. 0.2
3. Doctor’s order says: 0.8 L of Normal Saline to infuse over 45 minutes. What is the hourly
rate?
a. 106 ml/hr
b. 1.067 ml/hr
c. 0.16 ml/hr
d. 16 ml/hr
4. Doctor’s orders says: “ 300 mL of Ampicillin Sodium 500 mg to infuse over 40 minutes.
“Drip factor: 20 gtt/mL
a. 100 gtt/min
b. 150 gtt/ min
c. 20 gtt/ min
d. 80 gtt/min
5. Doctor’s order says: “Two 250 mL. Packed red blood cells to infuse over 4 hours.” Drip
factor: 15 gtt/ mL.
a. 31 gtt/min
b. 19 gtt/min
c. 30 gtt/min
d. 32 gtt/ min
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6. The nurse has implemented a care plan for an adult patient with gastroesophageal
reflux disorder (GERD). On the next clinic visit, which statement by the patient indicates
adherence to the plan of care?
a. “I still like wearing my spandex camisoles.”
b. “I have switched from margaritas to wine.”
c. “I lay down flay after eating to promote digestion.”
d. “I’ve lost 6 pounds because I eat every 3 hours and never before bed.”
7. A patient is admitted to the emergency department reporting a burning pain in the
chest of a 7 on a 0 to 10 pain scale and diagnosed with gastroesophageal reflux disorder
(GERD) secondary to hiatal hernia. Based on this data, what is the priority nursing
diagnosis?
a. Dysfunctional Gastrointestinal Motility
b. Fluid Volume Deficit (FVD)
c. Acute pain
d. Ineffective Health Maintenance
8. The nurse conducts an assessment for a patient who is admitted for the treatment of
gastro esophageal reflux disease (GERD). Which assessment finding requires an
immediate intervention by the nurse?
a. Wheezing
b. Bloating
c. Flatulence
d. Eructation
9. The nurse is explaining the alteration in normal function to a patient recently diagnosed
with gastroesophageal reflux disease (GERD). Which etiology contributing to GERD does
the nurse include in the teaching session?
a. Incompetent lower esophageal sphincter
b. Decreased pressure within the stomach
c. Transient constriction of the lower esophageal sphincter
d. Prolonged constriction of the upper esophageal sphincter
10. The nurse monitors for which clinical manifestations in the patient diagnosed with
acute gastritis?
a. Peripheral edema
b. Eructation
c. Epigastric pain
d. Constipation
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