NUR 417 Med Surg Final Exam Latest Update 2026 | Exam
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1. Which preventive measure is specifically recommended to reduce the
transmission of Hepatitis A?
Antibiotics
Hand washing
Surgery
Blood transfusion
2. Why is it critical to immobilize the patient's head, neck, and spine before
performing other actions in cases of suspected spinal cord injury?
It is necessary for monitoring cardiac rhythm.
It allows for immediate infusion of fluids.
It ensures the patient receives oxygen quickly.
Immobilization prevents further injury to the spinal cord and
stabilizes the patient.
3. If a patient with C5 spinal cord trauma shows signs of respiratory distress,
which action should be prioritized after immobilization?
c. Administer O2 using a non-rebreather mask.
b. Monitor cardiac rhythm and blood pressure.
e. Transfer the patient to radiology for spinal computed tomography
(CT).
a. Infuse normal saline at 150 mL/hr.
,4. Why is it critical for the nurse to stabilize the knife rather than remove it
during the initial assessment?
The knife is not a serious threat to the patient.
Stabilizing the knife is unnecessary in this situation.
Removing the knife could cause further injury and increase
bleeding.
The nurse should focus on cleaning the wound instead.
5. The nurse is caring for a client with massive trauma and possible spinal cord
injury admitted to the emergency department (ED). Which assessment finding
by the nurse will help confirm a diagnosis of neurogenic shock?
Temperature 38.4 C (101.2 F)
Heart rate 45 breaths/minute
Cool, clammy extremities
Inspiratory crackles
6. Which statement by the nurse when explaining the purpose of end-
expiratory pressure (PEEP) to the family members of a patient with acute
respiratory distress syndrome is accurate?
PEEP will prevent lung damage while
PEEP prevents the air sacs from collapsing during exhalation
PEEP will push more aire into the lungs during inhalation
PEEP allows the breathing machine to deliver 100% oxygen to the
lungs
7. A person comes into the triage room who has been impaled by a knife in the
upper abdomen. The triage nurse immediately calls for help. Which of the
, following actions should be implemented by the nurse in relation to the
knife?
remove the knife and apply pressure
stabilize the knife without removal and minimal manipulation
manipulate the knife to facilitate assessment of injured organs
disarm the person with the knife
8. How many cups of drainage a day will the patient expect after their bowel
has adjusted to their new ileostomy.
4 (950mL)
1 (240mL)
8 (1920mL)
2 (500 mL)
9. What is a common nursing intervention for a patient with ineffective cerebral
tissue perfusion?
Monitoring vital signs closely
Encouraging ambulation
Administering antibiotics
Providing nutritional support
10. Which parameter is best for the nurse to monitor to determine whether the
prescribed IV mannitol (Osmitrol) has been effective for an unconscious
patient?
Oxygen saturation
Intracranial pressure
, Blood pressure
Hematocrit
11. Describe how neurogenic shock affects the cardiovascular system in a
patient with a spinal cord injury.
Neurogenic shock causes increased heart rate and blood pressure
due to sympathetic stimulation.
Neurogenic shock leads to vasodilation and decreased vascular
resistance, resulting in hypotension.
Neurogenic shock results in increased vascular resistance and
hypertension.
Neurogenic shock has no effect on the cardiovascular system.
12. Describe how heart rate and preload can influence stroke volume.
Preload is unrelated to stroke volume or heart rate.
Higher heart rates always increase stroke volume regardless of
preload.
An increase in preload enhances stroke volume, while heart rate
can affect the time available for filling the heart.
Heart rate has no effect on stroke volume, but preload decreases it.
13. What is a common clinical finding associated with neurogenic shock in
patients with spinal cord injuries?
Bradycardia
Hypertension
Hypotension
Prep | Verified Questions & Answers | Instant Download
1. Which preventive measure is specifically recommended to reduce the
transmission of Hepatitis A?
Antibiotics
Hand washing
Surgery
Blood transfusion
2. Why is it critical to immobilize the patient's head, neck, and spine before
performing other actions in cases of suspected spinal cord injury?
It is necessary for monitoring cardiac rhythm.
It allows for immediate infusion of fluids.
It ensures the patient receives oxygen quickly.
Immobilization prevents further injury to the spinal cord and
stabilizes the patient.
3. If a patient with C5 spinal cord trauma shows signs of respiratory distress,
which action should be prioritized after immobilization?
c. Administer O2 using a non-rebreather mask.
b. Monitor cardiac rhythm and blood pressure.
e. Transfer the patient to radiology for spinal computed tomography
(CT).
a. Infuse normal saline at 150 mL/hr.
,4. Why is it critical for the nurse to stabilize the knife rather than remove it
during the initial assessment?
The knife is not a serious threat to the patient.
Stabilizing the knife is unnecessary in this situation.
Removing the knife could cause further injury and increase
bleeding.
The nurse should focus on cleaning the wound instead.
5. The nurse is caring for a client with massive trauma and possible spinal cord
injury admitted to the emergency department (ED). Which assessment finding
by the nurse will help confirm a diagnosis of neurogenic shock?
Temperature 38.4 C (101.2 F)
Heart rate 45 breaths/minute
Cool, clammy extremities
Inspiratory crackles
6. Which statement by the nurse when explaining the purpose of end-
expiratory pressure (PEEP) to the family members of a patient with acute
respiratory distress syndrome is accurate?
PEEP will prevent lung damage while
PEEP prevents the air sacs from collapsing during exhalation
PEEP will push more aire into the lungs during inhalation
PEEP allows the breathing machine to deliver 100% oxygen to the
lungs
7. A person comes into the triage room who has been impaled by a knife in the
upper abdomen. The triage nurse immediately calls for help. Which of the
, following actions should be implemented by the nurse in relation to the
knife?
remove the knife and apply pressure
stabilize the knife without removal and minimal manipulation
manipulate the knife to facilitate assessment of injured organs
disarm the person with the knife
8. How many cups of drainage a day will the patient expect after their bowel
has adjusted to their new ileostomy.
4 (950mL)
1 (240mL)
8 (1920mL)
2 (500 mL)
9. What is a common nursing intervention for a patient with ineffective cerebral
tissue perfusion?
Monitoring vital signs closely
Encouraging ambulation
Administering antibiotics
Providing nutritional support
10. Which parameter is best for the nurse to monitor to determine whether the
prescribed IV mannitol (Osmitrol) has been effective for an unconscious
patient?
Oxygen saturation
Intracranial pressure
, Blood pressure
Hematocrit
11. Describe how neurogenic shock affects the cardiovascular system in a
patient with a spinal cord injury.
Neurogenic shock causes increased heart rate and blood pressure
due to sympathetic stimulation.
Neurogenic shock leads to vasodilation and decreased vascular
resistance, resulting in hypotension.
Neurogenic shock results in increased vascular resistance and
hypertension.
Neurogenic shock has no effect on the cardiovascular system.
12. Describe how heart rate and preload can influence stroke volume.
Preload is unrelated to stroke volume or heart rate.
Higher heart rates always increase stroke volume regardless of
preload.
An increase in preload enhances stroke volume, while heart rate
can affect the time available for filling the heart.
Heart rate has no effect on stroke volume, but preload decreases it.
13. What is a common clinical finding associated with neurogenic shock in
patients with spinal cord injuries?
Bradycardia
Hypertension
Hypotension
