Exam (elaborations)

ADULT MEDICAL SURGICAL PRE

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ADULT MEDICAL SURGICAL PRE

Institution

ADULT MEDICAL SURGICAL

Course

ADULT MEDICAL SURGICAL

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Institution: ADULT MEDICAL SURGICAL
Course: ADULT MEDICAL SURGICAL

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Uploaded on: March 14, 2025
Number of pages: 15
Written in: 2024/2025
Type: Exam (elaborations)
Contains: Questions & answers

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adult medical surgical pre

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ADULT MEDICAL SURGICAL PRE-
ASSESSMENT QUESTIONS WITH
CORRECT ANSWERS 2025/2026
Save
AAnurseAinAanAemergencyAdepartmentAisAcaringAforAaAclientAwhoAhadAaAseizureAandAbecameAun
responsiveAafterAstatingAsheAhadAaAsudden,AsevereAheadacheAandAvomiting.ATheAclient'sAvitalAs
ignsAareAasAfollows:AbloodApressureAofA198/110AmmAHg,ApulseAofA82/min,ArespirationsAofA24/
min,AandAaAtemperatureAofA38.2°ACA(100.8°AF).AWhichAofAtheAfollowingAneurologicAdisordersAsh
ouldAtheAnurseAsuspect?

TransientAischemicAattackA(TIA)

HemorrhagicAstroke

ThromboticAstroke

EmbolicAstrokeA-AcorrectAanswersHemorrhagicAstroke

AAclientAwhoAhasAaAhemorrhagicAstrokeAoftenAexperiencesAaAsuddenAonsetAofAsymptomsAinclu
dingAsuddenAonsetAofAaAsevereAheadache,AaAdecreaseAinAtheAlevelAofAconsciousness,AandAseizu
res.AHemorrhagicAstrokesAoccurAwhenAbleedingAoccursAinAtheAbrainAcausedAbyAtheAruptureAofA
anAaneurysmAorAarteriovenousAmalformation,AhypertensionAandAatherosclerosis,AorAtrauma.

AAnurseAisApreparingAtoAadministerApotassiumAchlorideAelixirA40AmEqAdividedAintoA2AequalAdos
esAeveryA12Ahr.AAvailableAisA6.7AmEq/5AmL.AHowAmanyAmLAshouldAtheAnurseAadministerAperAdo
se?A

(RoundAtheAanswerAtoAtheAnearestAwholeAnumber.AUseAaAleadingAzeroAifAitAapplies.ADoAnotAuseA
aAtrailingAzero.)A-AcorrectAanswers15AmL

AAnurseAisAteachingAaAclientAwhoAhasAgastroesophagealArefluxAdiseaseAaboutAmanagingAhisAilln
ess.AWhichAofAtheAfollowingArecommendationsAshouldAtheAnurseAincludeAinAtheAteaching?

LimitAfluidAintakeAnotArelatedAtoAmeals.

, ChewAonAmintAleavesAtoArelieveAindigestion.

AvoidAeatingAwithinA3AhrAofAbedtime.

SeasonAfoodsAwithAblackApepper.A-AcorrectAanswersAvoidAeatingAwithinA3AhrAofAbedtime.

TheAnurseAshouldAinstructAtheAclientAtoAeatAsmall,AfrequentAmealsAbutAtoAavoidAeatingAwithA3Ah
rAofAbedtime.

AAnurseAisAreviewingAtheAarterialAbloodAgasA(ABG)AresultsAofAaAclientAwhoAtheAproviderAsuspect
sAhasAmetabolicAacidosis.AWhichAofAtheAfollowingAresultsAshouldAtheAnurseAexpectAtoAsee?

pHAbelowA7.35

HCO3AaboveA26AmEq/L

PaO2AbelowA70AmmAHg

PaCO2AaboveA45AmmAHgA-AcorrectAanswerspHAbelowA7.35

WithAacidosis,AtheApHAisAbelowA7.35.AHowever,AtheApHAaloneAdoesAnotAindicateAwhetherAtheAp
roblemAisAmetabolicAorArespiratory.AAApHAaboveA7.45AindicatesAalkalosis.

AAnurseAisAcaringAforAaAfemaleAclientAinAtheAemergencyAdepartmentAwhoAreportsAshortnessAofA
breathAandApainAinAtheAlungAarea.ASheAstatesAthatAsheAstartedAtakingAbirthAcontrolApillsA3Aweek
sAagoAandAthatAsheAsmokes.AHerAheartArateAisA110/min,ArespiratoryArateA40/min,AandAbloodApr
essureA140/80AmmAHg.AHerAarterialAbloodAgasesAareApHA7.50,APaCO2A29AmmAHg,APaO2A60Amm
AHg,AHCO3A20AmEq/L,AandASaO2A86%.AWhichAofAtheAfollowingAisAtheApriorityAnursingAinterventi

on?

PrepareAforAmechanicalAventilation.

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