2024/ACTUAL EXAM WITH 200 QUESTIONS AND
CORRECT DETAILED ANSWERS/RN MED SURG
PROCTORED EXAM TESTBANK 2024-2025/LATEST
UPDATE/ALREADY GRADED A+
While talking with a patient with a diagnosis of end stage
liver disease. The caregiver
notices the patient is unable to stay awake and seems to fall
asleep in the middle of a
sentence. The caregiver recognizes these symptoms to be
indicative of what condition?
A. Hyperglycemia
B. Increased Bile production
C. Increased blood ammonia levels
D. Hypocalcaemia - ...SOLUTION:...C. Increased
blood ammonia levels
A caregiver is about to administer warfarin (Coumadin) to a
patient who has atrial
fibrillation. When the patient asks what his medication will
do, which of the
following is an appropriate nursing response?
a. It helps convert atrial fibrillation to sinus rhythm
b. Is dissolves clots in the bloodstream
c. It slows the response of the ventricles to the fast atrial
impulses
,d. It prevents strokes in patients who have atrial fibrillation -
...SOLUTION:...d. It prevents strokes in patients who have
atrial fibrillation
A caregiver in a cardiac care unit is caring for a patient with
acute heart failure. Which
of the following findings should the caregiver expect?
a. Decreased brain natriuretic peptide (BNP)
b. Elevated central venous pressure (CVP)
c. Decreased pulmonary pressure
d. Increases urinary outpu - ...SOLUTION:...b.
Elevated central venous pressure (CVP)
A patient comes into the ED reporting nausea and vomiting
that worsens when
lying down and without relief from antacids. The provider
suspects acute
pancreatitis. Which of the following lab test results should
the caregiver expect to see if
the patient has acute pancreatitis?
a. Decreased WBC
b. Increased serum amylase
c. Decreased serum lipase
d. Increased serum calcium - ...SOLUTION:...b.
Increased serum amylase
A caregiver in the ICU is caring for a patient who has acute
respiratory distress
syndrome (ARDS) and is receiving mechanical via an
endotracheal tube. The
provider plans to extubate her within the next 24 hour.
Which of the following is
,an important criterion for extubating the patient?
a. Ability to cough effectively
b. Adequate tidal volume without manually assisted breaths
c. No indication of infection
d. No need for supplemental oxygen -
...SOLUTION:...b. Adequate tidal volume without
manually assisted breaths
A patient with massive trauma and possible spinal cord
injury is admitted to the
emergency department (ED). Which finding by the
caregiver will help confirm a diagnosis
of neurogenic shock?
a. cool clammy skin
b. inspiratory crackles
c. apical heart rate of 48 beats/min
d. temperature 101.2* F - ...SOLUTION:...c. apical heart
rate of 48 beats/min
A patient with septic shock has a urine output of 20 mL/hr
for the past 3 hours.
The pulse rate is 120 and the central venous and pulmonary
artery wedge pressure
are 4. Which of these orders by the health care provider will
the caregiver question?
a. Give furosemide (Lasix) 40 mg IV
b. increase normal saline infusion to 150 mL/hr
c. Administer hydrocortisone (SoluCortef) 100 mg IV
d. Prepare to give drotrecogin alpha (Xigris) 24 mcg/kg/hr -
...SOLUTION:...a.Give furosemide (Lasix) 40 mg IV
, After receiving 1000 mL of normal saline, the central
venous pressure for a
patient who has septic shock is 10 mm Hg, but the blood
pressure is still 82/40 mm
Hg. The caregiver will anticipate the administration of
which of the following?
a. Nitroglycerin (Tridil)
b. Sodium nitroprusside (Nipride)
c. Drotrecogin alpha (Xigris)
d. Norepinephrine (Levophed) -
...SOLUTION:...d. Norepinephrine (Levophed)
Which of these findings is the best indicators that the fluid
resuscitation for a
patient with hypovolemic shock has been successful?
a. hemoglobin is within normal limits
b. Urine output is 60 mL over the last hour
c. Pulmonary artery wedge pressure (PAWP) is 10 mmHg
d. Mean arterial pressure (MAP) is 55 mm Hg -
...SOLUTION:...b. Urine output is 60 mL over the last hour
41. Which interventions will the caregiver include in the
plan of the care for a patient
who has cardiogenic shock?
a. Avoid elevating head of bed
b. Check temperature every 2 hours
c. Monitor breath sounds frequently
d. Assess skin for flushing and itching -
...SOLUTION:...c. Monitor breath sounds frequently
Which assessment is most important for the caregiver to
make in order to evaluate