Advanced Med-Surg Final Test Bank 2026 | Latest Update |
Graded A+
1. In a scenario where a burn patient presents with signs of hypovolemic shock,
what would be the immediate nursing intervention regarding fluid
management?
Apply topical ointments to the burn area.
Administer Lactated Ringer's (LR) solutions to restore fluid volume.
Start intravenous antibiotics to prevent infection.
Provide oral fluids to the patient.
2. What is the primary purpose of a biograft dressing in burn management?
To reduce scarring.
To provide pain relief.
To promote healing and protect the wound.
To prevent infection.
3. Describe how a biograft dressing contributes to the healing process of burns.
A biograft dressing is used to cool the burn area.
A biograft dressing only serves to absorb excess fluids.
A biograft dressing provides a protective barrier and supports the
regeneration of skin tissue.
A biograft dressing is primarily for cosmetic purposes.
4. What is the initial symptom that indicates the onset of progressive shock?
Increased heart rate
, Decreased urine output
Altered mental status
Low blood pressure
5. If a patient presents with multiple risk factors for coronary artery disease,
what preventive measures should be recommended?
Immediate surgical intervention to clear arteries.
Complete bed rest and inactivity.
Lifestyle modifications such as a balanced diet, regular exercise,
and smoking cessation.
Increased consumption of saturated fats.
6. If a patient presents with an abnormal P wave on their ECG, what potential
cardiac issue might this indicate?
Atrial enlargement or dysfunction
Heart block
Ventricular hypertrophy
Myocardial infarction
7. What is the primary purpose of an escharotomy in burn management?
To relieve pressure caused by eschar.
To remove dead tissue from the burn.
To promote healing of the burn.
To prevent infection in the burn area.
,8. In a scenario where a patient is admitted with severe burns, what immediate
nursing intervention should be prioritized during the acute phase?
Administering pain medication
Preparing for surgical grafting
Conducting a psychological assessment
Initiating fluid resuscitation
9. Describe the role of Lactated Ringer's (LR) solutions in the management of
burn patients within the first day post-injury.
Lactated Ringer's solutions help to restore fluid balance and
maintain blood pressure in burn patients.
Lactated Ringer's solutions are used to prevent infection in burn
wounds.
Lactated Ringer's solutions are used to provide pain relief for burn
patients.
Lactated Ringer's solutions are primarily for nutritional
supplementation.
10. In a clinical scenario where a patient presents with signs of initial shock, what
immediate intervention should be prioritized?
Providing psychological support
Administration of pain relief medication
Monitoring vital signs only
Restoration of adequate tissue perfusion
11. A patient presents with rapid breathing and lightheadedness. What condition
might they be experiencing, and what immediate intervention should be
, considered?
Respiratory acidosis; administer oxygen therapy.
Respiratory distress; initiate emergency intubation.
Respiratory alkalosis; provide reassurance and encourage slow,
deep breathing.
Metabolic alkalosis; increase fluid intake.
12. Describe the progression of symptoms that occur following skin contact with
anthrax.
Symptoms start with a high fever and chills, followed by respiratory
distress.
The initial symptom is severe abdominal pain leading to nausea.
The symptoms begin with a raised bump that itches, which then
develops into a sore with a characteristic black center.
Symptoms manifest as a persistent cough and chest pain.
13. If a patient presents with flu-like symptoms and a history of exposure to
animal products, what should be the immediate nursing intervention
regarding anthrax inhalation?
Provide symptomatic treatment and discharge the patient.
Initiate isolation precautions and notify infectious disease
specialists.
Conduct a full respiratory assessment and wait for lab results.
Administer antibiotics immediately without further assessment.
Graded A+
1. In a scenario where a burn patient presents with signs of hypovolemic shock,
what would be the immediate nursing intervention regarding fluid
management?
Apply topical ointments to the burn area.
Administer Lactated Ringer's (LR) solutions to restore fluid volume.
Start intravenous antibiotics to prevent infection.
Provide oral fluids to the patient.
2. What is the primary purpose of a biograft dressing in burn management?
To reduce scarring.
To provide pain relief.
To promote healing and protect the wound.
To prevent infection.
3. Describe how a biograft dressing contributes to the healing process of burns.
A biograft dressing is used to cool the burn area.
A biograft dressing only serves to absorb excess fluids.
A biograft dressing provides a protective barrier and supports the
regeneration of skin tissue.
A biograft dressing is primarily for cosmetic purposes.
4. What is the initial symptom that indicates the onset of progressive shock?
Increased heart rate
, Decreased urine output
Altered mental status
Low blood pressure
5. If a patient presents with multiple risk factors for coronary artery disease,
what preventive measures should be recommended?
Immediate surgical intervention to clear arteries.
Complete bed rest and inactivity.
Lifestyle modifications such as a balanced diet, regular exercise,
and smoking cessation.
Increased consumption of saturated fats.
6. If a patient presents with an abnormal P wave on their ECG, what potential
cardiac issue might this indicate?
Atrial enlargement or dysfunction
Heart block
Ventricular hypertrophy
Myocardial infarction
7. What is the primary purpose of an escharotomy in burn management?
To relieve pressure caused by eschar.
To remove dead tissue from the burn.
To promote healing of the burn.
To prevent infection in the burn area.
,8. In a scenario where a patient is admitted with severe burns, what immediate
nursing intervention should be prioritized during the acute phase?
Administering pain medication
Preparing for surgical grafting
Conducting a psychological assessment
Initiating fluid resuscitation
9. Describe the role of Lactated Ringer's (LR) solutions in the management of
burn patients within the first day post-injury.
Lactated Ringer's solutions help to restore fluid balance and
maintain blood pressure in burn patients.
Lactated Ringer's solutions are used to prevent infection in burn
wounds.
Lactated Ringer's solutions are used to provide pain relief for burn
patients.
Lactated Ringer's solutions are primarily for nutritional
supplementation.
10. In a clinical scenario where a patient presents with signs of initial shock, what
immediate intervention should be prioritized?
Providing psychological support
Administration of pain relief medication
Monitoring vital signs only
Restoration of adequate tissue perfusion
11. A patient presents with rapid breathing and lightheadedness. What condition
might they be experiencing, and what immediate intervention should be
, considered?
Respiratory acidosis; administer oxygen therapy.
Respiratory distress; initiate emergency intubation.
Respiratory alkalosis; provide reassurance and encourage slow,
deep breathing.
Metabolic alkalosis; increase fluid intake.
12. Describe the progression of symptoms that occur following skin contact with
anthrax.
Symptoms start with a high fever and chills, followed by respiratory
distress.
The initial symptom is severe abdominal pain leading to nausea.
The symptoms begin with a raised bump that itches, which then
develops into a sore with a characteristic black center.
Symptoms manifest as a persistent cough and chest pain.
13. If a patient presents with flu-like symptoms and a history of exposure to
animal products, what should be the immediate nursing intervention
regarding anthrax inhalation?
Provide symptomatic treatment and discharge the patient.
Initiate isolation precautions and notify infectious disease
specialists.
Conduct a full respiratory assessment and wait for lab results.
Administer antibiotics immediately without further assessment.
