Med-Surg Exam 1 NURS 371 Questions
With Correct Answers
Past health hx, health/current (heart, lung, diabetes, surgeries), family hx,
reaction problems to anesthesia (pt/fam) current medications, allergies,
recreational drug use, latex screen and a comprehensive body system review is
all a part of a ______________ assessment? - ANSWER Pre-op
meds (prescriptions, OTC, herbal, dietary supplements, NSAID/Antiplatelets can
effect bleeding/coumadin, warfarin/take off before surgery)
Can interact with anesthesia
what medications should the nurse document for a pre-op patient? - ANSWER
prescription, OTC, herbal, recreational, antiplatelets, NSAID, dietary
supplements
The priority nursing interventions for a pre-op pt is to get baseline vitals/labs,
___________ access, NPO, prep the site, and the most important is
_______________ which the Dr is responsible for informing the pt of the procedure
and risks. The nurse is responsible for making sure that it is completed before
surgery. - ANSWER IV, informed consent
Pre-op teaching is important. Teach the client about TCDB/IS, tubes/drains, pain
control, and forms to be signed and placed in chart such as ________, _________,
______, ______? - ANSWER Informed consent, blood transfusions, advance
directives, power of attorney
Good to know. Post-op interventions.
VS, airway patency, O2sat, TCDB/IS, repositions q2, hydrate, lung sounds, pain
control, DVT prevention (TEDS, SCD, site care, discharge education - ANSWER
Case management begins on admission and it is a collaborative process of
assessment , facilitation, and advocacy options/services to meet the clients
needs to promote?
a. quality and cost effective outcomes
b. consumer demands and profit
c. communication
d. independence - ANSWER a
,changes in reimbursement systems, people living longer, increase in complex
chronic diseases (mult), consumer demans, expense r/t technology, more
people needing access to diminishing Dr and advanced technology are the
____________ behind case management and is why it is needed in todays
healthcare system? - ANSWER Driving forces
The primary goal of case management is to avoid __________________ and
________________? - ANSWER fragmentation of care and control cost
True of False, case management begins at admission and end at discharge? -
ANSWER True
which of the following is the nurses role in case management?
a. admission, transfer, discharge, post discharge orders
b. initiation, revision, evaluation of plan of care
c. report clients status to team
d. coordinate discharge plan, facilitate referrals and utilization of community
resources - ANSWER a, b, c, d
Good to know different types of insurance providers
medicare (elderly), medicaid (low income), KCHIP (for kids), Tri-Care (military
insurance), individual, employer - ANSWER
what are the four causative agents of infections? - ANSWER 1. bacterial (E.coli,
Staph)
2. viral (HIV, herpes)
3. fungal (candida, aspergillus)
4. protozoa/parasites (malaria)
Match the following to it correct term.
(droplet, contact, airborne, vector borne)
a. __________ animals or insects as intermediaries (malaria, Lymes Disease,
Rocky Mountain Spotted Fever)
b. ___________ sneezing, coughing, talkinging (Flu, pertussis,
Steptococcalpneumonia )
c. ____________direct physical contact or indirect contact with an inanimate
object (C-diff, herpes simplex virus, impetigo)
d. ____________ sneezing, coughing (measles, varicella, TB) - ANSWER a. vector
borne
b. droplet
c. contact
d. airborne
, which of the following pre-dispose someone to develop an infection?
a. medication therapy, immunocompromised, glucocosteriod, chemo
b. chronic diseases (diabetes, renal/hepatic, lung,resp)
c. Environmental
d. health care worker - ANSWER a, b, c
which of the following are reasons to avoid immunizations (red flag)?
a. bad reaction/allergies to eggs
b. women ages 30-40
c. pregnant/lactating
d. fever within 24 hrs
e. immunocompromised
f. age 65-75 - ANSWER a, c, d, e
general s/s of an infection include which of the following?
a. fever, chills, increase WBC
b. loss of consciousness, pallor, decrease in Bp
c. fever, chills, decrease in WBC
d. hyperemia, inflammation - ANSWER a
which of the following would a nurse typically see change with an infection
affecting the brain?
a. Nausea, Vomiting, anorexia
b. nuchal rigidity (painful stiff neck)
c.photophobia
d. SOB, change LOC
e. heachach, change in LOC - ANSWER b,c, e
The purpose for performing a WBC with Differential is that it provides
information about the ________________________ . The normal WBC level is
__________ to ___________. can be slightly lower in the elderly. if its decreased
(leukopenia below 4,300) may be an immune problem/immunocompromised. -
ANSWER type of infection.
5,0000-10,000
If Neutrophils are elevated, it is a sign that the infection is _________ related.
If Lymphocytes are elevated, it is a sign that the infection is _________ related.
If Eosinophils are elevated, it is a sign that the infection is __________ related. -
ANSWER Bacterial
viral
parasite/allergen
With Correct Answers
Past health hx, health/current (heart, lung, diabetes, surgeries), family hx,
reaction problems to anesthesia (pt/fam) current medications, allergies,
recreational drug use, latex screen and a comprehensive body system review is
all a part of a ______________ assessment? - ANSWER Pre-op
meds (prescriptions, OTC, herbal, dietary supplements, NSAID/Antiplatelets can
effect bleeding/coumadin, warfarin/take off before surgery)
Can interact with anesthesia
what medications should the nurse document for a pre-op patient? - ANSWER
prescription, OTC, herbal, recreational, antiplatelets, NSAID, dietary
supplements
The priority nursing interventions for a pre-op pt is to get baseline vitals/labs,
___________ access, NPO, prep the site, and the most important is
_______________ which the Dr is responsible for informing the pt of the procedure
and risks. The nurse is responsible for making sure that it is completed before
surgery. - ANSWER IV, informed consent
Pre-op teaching is important. Teach the client about TCDB/IS, tubes/drains, pain
control, and forms to be signed and placed in chart such as ________, _________,
______, ______? - ANSWER Informed consent, blood transfusions, advance
directives, power of attorney
Good to know. Post-op interventions.
VS, airway patency, O2sat, TCDB/IS, repositions q2, hydrate, lung sounds, pain
control, DVT prevention (TEDS, SCD, site care, discharge education - ANSWER
Case management begins on admission and it is a collaborative process of
assessment , facilitation, and advocacy options/services to meet the clients
needs to promote?
a. quality and cost effective outcomes
b. consumer demands and profit
c. communication
d. independence - ANSWER a
,changes in reimbursement systems, people living longer, increase in complex
chronic diseases (mult), consumer demans, expense r/t technology, more
people needing access to diminishing Dr and advanced technology are the
____________ behind case management and is why it is needed in todays
healthcare system? - ANSWER Driving forces
The primary goal of case management is to avoid __________________ and
________________? - ANSWER fragmentation of care and control cost
True of False, case management begins at admission and end at discharge? -
ANSWER True
which of the following is the nurses role in case management?
a. admission, transfer, discharge, post discharge orders
b. initiation, revision, evaluation of plan of care
c. report clients status to team
d. coordinate discharge plan, facilitate referrals and utilization of community
resources - ANSWER a, b, c, d
Good to know different types of insurance providers
medicare (elderly), medicaid (low income), KCHIP (for kids), Tri-Care (military
insurance), individual, employer - ANSWER
what are the four causative agents of infections? - ANSWER 1. bacterial (E.coli,
Staph)
2. viral (HIV, herpes)
3. fungal (candida, aspergillus)
4. protozoa/parasites (malaria)
Match the following to it correct term.
(droplet, contact, airborne, vector borne)
a. __________ animals or insects as intermediaries (malaria, Lymes Disease,
Rocky Mountain Spotted Fever)
b. ___________ sneezing, coughing, talkinging (Flu, pertussis,
Steptococcalpneumonia )
c. ____________direct physical contact or indirect contact with an inanimate
object (C-diff, herpes simplex virus, impetigo)
d. ____________ sneezing, coughing (measles, varicella, TB) - ANSWER a. vector
borne
b. droplet
c. contact
d. airborne
, which of the following pre-dispose someone to develop an infection?
a. medication therapy, immunocompromised, glucocosteriod, chemo
b. chronic diseases (diabetes, renal/hepatic, lung,resp)
c. Environmental
d. health care worker - ANSWER a, b, c
which of the following are reasons to avoid immunizations (red flag)?
a. bad reaction/allergies to eggs
b. women ages 30-40
c. pregnant/lactating
d. fever within 24 hrs
e. immunocompromised
f. age 65-75 - ANSWER a, c, d, e
general s/s of an infection include which of the following?
a. fever, chills, increase WBC
b. loss of consciousness, pallor, decrease in Bp
c. fever, chills, decrease in WBC
d. hyperemia, inflammation - ANSWER a
which of the following would a nurse typically see change with an infection
affecting the brain?
a. Nausea, Vomiting, anorexia
b. nuchal rigidity (painful stiff neck)
c.photophobia
d. SOB, change LOC
e. heachach, change in LOC - ANSWER b,c, e
The purpose for performing a WBC with Differential is that it provides
information about the ________________________ . The normal WBC level is
__________ to ___________. can be slightly lower in the elderly. if its decreased
(leukopenia below 4,300) may be an immune problem/immunocompromised. -
ANSWER type of infection.
5,0000-10,000
If Neutrophils are elevated, it is a sign that the infection is _________ related.
If Lymphocytes are elevated, it is a sign that the infection is _________ related.
If Eosinophils are elevated, it is a sign that the infection is __________ related. -
ANSWER Bacterial
viral
parasite/allergen
