NUl 185/l NU185l Examl 4–l (NEWl 2026/l
2027l Update)l Medical-Surgicall Nursingl IIl
Prepl |l Questionsl &l Answersl |l Gradel A|l
100%l Correctl (Verifiedl Solutions)-l Galen
QUESTION
Whenl caringl forl al patientl withl pneumothoraxl afterl anl accident,l thel nursel notesl suddenl
hypotensionl andl worseningl respiratoryl distress.l Nextl step:
Answer:
Preparel forl chestl decompressionl (needlel thoracostomyl /l chestl tube)l perl protocoll —l
tensionl pneumothoraxl isl life-threatening
QUESTION
Al patientl isl tol undergol renall biopsy.l Whichl pre-l orl post-carel isl essential?
Answer:
Checkl coagulationl studiesl preprocedure;l monitorl forl hematurial andl vitall signsl
postprocedurel (bleedingl risk)
QUESTION
Al patientl developingl peritoneall dialysisl exit-sitel infectionl mayl presentl with:
Answer:
Red,l tenderl exitl sitel withl possiblel purulentl drainagel —l reportl andl treatl perl protocol
QUESTION
Al nursel teachingl aboutl creatininel clearancel explainsl thatl itl isl decreasedl when:
Answer:
,GFRl isl reducedl (e.g.,l inl CKDl orl dehydration)
QUESTION
Smallpoxl (historical)l lesionsl havel whatl characteristicl thatl mayl bel testedl inl disasterl
response?
Answer:
Lesionsl concentratedl onl palmsl andl solesl andl progressl inl synchronousl stagesl (importantl
forl recognitionl inl bioterrorl events)
QUESTION
Al patientl arrivesl withl chemicall contaminationl onl clothing.l Thel bestl containmentl stepl is:
Answer:
Removel contaminatedl clothingl withl tongsl andl isolate;l decontaminatel surfacel andl
personnell perl protocoll tol preventl secondaryl contamination
QUESTION
Al patientl undergoingl hemodialysisl reportsl headache,l nausea,l andl restlessnessl duringl thel
firstl hour.l Thel nursel suspectsl dialysisl disequilibriuml syndrome.l Bestl initiall action:
Answer:
Slowl orl stopl dialysisl andl notifyl provider;l managel symptomsl (thisl syndromel isl duel tol
rapidl removall ofl solutesl leadingl tol cerebrall edema)
QUESTION
Opioidl overdose
Answer:
naloxone,l repeatl asl needed;l supportl airway
QUESTION
,Amphetaminel intoxication
Answer:
agitation,l franticl speech;l supportivel andl sedatingl measuresl perl protocol.
QUESTION
Pheochromocytoma
Answer:
al benignl tumorl ofl thel adrenall medullal thatl causesl thel glandl tol producel excessl
epinephrine
QUESTION
Pheochromocytoma
Answer:
↑BP,l headache,l diaphoresis;l preparel forl alphal thenl betal blockadel preop.
QUESTION
70/30l Insulinl Mix
Answer:
Al mixturel ofl NPHl andl Regularl insulinl withl anl onsetl ofl 30-60l minutes,l peakl ofl 3-8l
hours,l andl durationl ofl 10-18l hours.
QUESTION
Whatl tol watchl forl inl 70/30l insulin
Answer:
peaksl laterl (watchl forl hypoglycemial severall hoursl postl injection)
QUESTION
, Postl Transsphenoidall Hypophysectomy
Answer:
•l Watchl forl CSFl leakage(pinkl tingedl onl nasall packing)l andl seizures
•l Nol blowingl nose,l straws,l sneezing,l coughing
•l HOBl elevated
•l Sinusl infectionl contraindicated
•l Monitorl forl DIl (notl enoughl ADH):frequenturinationl andl thirst
QUESTION
Addison'sl Diseasel S/S
Answer:
hyponatremia,l hyperkalemia,l hyperpigmentation,l saltl craving.
QUESTION
Hemodialysis
Answer:
holdl antihypertensivesl priorl tol treatmentl tol avoidl hypotension.
QUESTION
Peritoneall dialysisl complications:
Answer:
peritonitisl (cloudyl effluent),l slowl outflowl (kinks/position),l exitl sitel infection.
QUESTION
Whichl environmentl isl appropriatel forl al patientl withl suspectedl retinall detachment?
Answer:
Darkenedl orl diml room,l minimizel eyel movement
2027l Update)l Medical-Surgicall Nursingl IIl
Prepl |l Questionsl &l Answersl |l Gradel A|l
100%l Correctl (Verifiedl Solutions)-l Galen
QUESTION
Whenl caringl forl al patientl withl pneumothoraxl afterl anl accident,l thel nursel notesl suddenl
hypotensionl andl worseningl respiratoryl distress.l Nextl step:
Answer:
Preparel forl chestl decompressionl (needlel thoracostomyl /l chestl tube)l perl protocoll —l
tensionl pneumothoraxl isl life-threatening
QUESTION
Al patientl isl tol undergol renall biopsy.l Whichl pre-l orl post-carel isl essential?
Answer:
Checkl coagulationl studiesl preprocedure;l monitorl forl hematurial andl vitall signsl
postprocedurel (bleedingl risk)
QUESTION
Al patientl developingl peritoneall dialysisl exit-sitel infectionl mayl presentl with:
Answer:
Red,l tenderl exitl sitel withl possiblel purulentl drainagel —l reportl andl treatl perl protocol
QUESTION
Al nursel teachingl aboutl creatininel clearancel explainsl thatl itl isl decreasedl when:
Answer:
,GFRl isl reducedl (e.g.,l inl CKDl orl dehydration)
QUESTION
Smallpoxl (historical)l lesionsl havel whatl characteristicl thatl mayl bel testedl inl disasterl
response?
Answer:
Lesionsl concentratedl onl palmsl andl solesl andl progressl inl synchronousl stagesl (importantl
forl recognitionl inl bioterrorl events)
QUESTION
Al patientl arrivesl withl chemicall contaminationl onl clothing.l Thel bestl containmentl stepl is:
Answer:
Removel contaminatedl clothingl withl tongsl andl isolate;l decontaminatel surfacel andl
personnell perl protocoll tol preventl secondaryl contamination
QUESTION
Al patientl undergoingl hemodialysisl reportsl headache,l nausea,l andl restlessnessl duringl thel
firstl hour.l Thel nursel suspectsl dialysisl disequilibriuml syndrome.l Bestl initiall action:
Answer:
Slowl orl stopl dialysisl andl notifyl provider;l managel symptomsl (thisl syndromel isl duel tol
rapidl removall ofl solutesl leadingl tol cerebrall edema)
QUESTION
Opioidl overdose
Answer:
naloxone,l repeatl asl needed;l supportl airway
QUESTION
,Amphetaminel intoxication
Answer:
agitation,l franticl speech;l supportivel andl sedatingl measuresl perl protocol.
QUESTION
Pheochromocytoma
Answer:
al benignl tumorl ofl thel adrenall medullal thatl causesl thel glandl tol producel excessl
epinephrine
QUESTION
Pheochromocytoma
Answer:
↑BP,l headache,l diaphoresis;l preparel forl alphal thenl betal blockadel preop.
QUESTION
70/30l Insulinl Mix
Answer:
Al mixturel ofl NPHl andl Regularl insulinl withl anl onsetl ofl 30-60l minutes,l peakl ofl 3-8l
hours,l andl durationl ofl 10-18l hours.
QUESTION
Whatl tol watchl forl inl 70/30l insulin
Answer:
peaksl laterl (watchl forl hypoglycemial severall hoursl postl injection)
QUESTION
, Postl Transsphenoidall Hypophysectomy
Answer:
•l Watchl forl CSFl leakage(pinkl tingedl onl nasall packing)l andl seizures
•l Nol blowingl nose,l straws,l sneezing,l coughing
•l HOBl elevated
•l Sinusl infectionl contraindicated
•l Monitorl forl DIl (notl enoughl ADH):frequenturinationl andl thirst
QUESTION
Addison'sl Diseasel S/S
Answer:
hyponatremia,l hyperkalemia,l hyperpigmentation,l saltl craving.
QUESTION
Hemodialysis
Answer:
holdl antihypertensivesl priorl tol treatmentl tol avoidl hypotension.
QUESTION
Peritoneall dialysisl complications:
Answer:
peritonitisl (cloudyl effluent),l slowl outflowl (kinks/position),l exitl sitel infection.
QUESTION
Whichl environmentl isl appropriatel forl al patientl withl suspectedl retinall detachment?
Answer:
Darkenedl orl diml room,l minimizel eyel movement
