RN VATI ADULT MEDICAL SURGICAL
COMPREHENSIVE EXAMINATION TEST
VERIFIED QUESTIONS AND ACCURATE
ANSWERS
●● Beta blockers (Propanolol)
Answer: - monitor: sore throat, vision changes, blurred vision, dry eyes,
dry mouth, abd cramping, colitis, acute pancreatitis
- notify provider: night cough
●● Factors that affect wound healing
Answer: - dehydration (UO)
- infection
- BMI <18.5 or >25
- malnutrition (low protein, vita C)
- age
- decreased hgb, tissue perfusion
- wound stress
●● HIV/AIDS
Answer: - positive response to treatment monitored by viral load
,- risk for infection: do not drink fluids left out for longer than 60 min,
clean toothbrush in dishwasher weekly, avoid fresh produce, check temp
daily
- dx test: ELISA confirmed by western blot/IFA, viral load
●● Fluid replacement
Answer: - monitor BUN
●● Cerebrovascular accident
Answer: - right sided: visual, spatial, proprioception; poor impulse
control/judgment; unilateral neglect
- left sided: language, math, analytical skills
●● Preventing UTIs
Answer: - wipe from front to back
- void after intercourse
- avoid baths
- drink 2-3 L of fluid daily
- cotton underwear
- urinate Q2-4h
●● Radiation therapy
Answer: - do not remove ink markings
, - wash area gently with warm water and mild soap
- avoid sun esposure for 1 year
- dispose body fluids in lead container
- limit visits to 30 min a day
- staff should wear dosimeter badge to monitor exposure
- keep all soiled linens in room until implant is removed
●● Kidney transplants
Answer: - hemodialysis sometimes needed following surgery because
kidneys from deceased donors may not function immediately
- requires lifelong immunosuppressive therapy
- complications: cardiovascular disease
●● Hemodialysis
Answer: - expected: weight loss, decrease BP, increase temp
- complications: hypocalcemia, bleeding, infection, hypovolemia,
anemia
- disequilibrium syndrome: nausea, restlessness, dysrhythmias, seizures,
headache
- notify: headache, nausea, dizziness during dialysis
- do not eat during dialysis
●● Inotropic medications
COMPREHENSIVE EXAMINATION TEST
VERIFIED QUESTIONS AND ACCURATE
ANSWERS
●● Beta blockers (Propanolol)
Answer: - monitor: sore throat, vision changes, blurred vision, dry eyes,
dry mouth, abd cramping, colitis, acute pancreatitis
- notify provider: night cough
●● Factors that affect wound healing
Answer: - dehydration (UO)
- infection
- BMI <18.5 or >25
- malnutrition (low protein, vita C)
- age
- decreased hgb, tissue perfusion
- wound stress
●● HIV/AIDS
Answer: - positive response to treatment monitored by viral load
,- risk for infection: do not drink fluids left out for longer than 60 min,
clean toothbrush in dishwasher weekly, avoid fresh produce, check temp
daily
- dx test: ELISA confirmed by western blot/IFA, viral load
●● Fluid replacement
Answer: - monitor BUN
●● Cerebrovascular accident
Answer: - right sided: visual, spatial, proprioception; poor impulse
control/judgment; unilateral neglect
- left sided: language, math, analytical skills
●● Preventing UTIs
Answer: - wipe from front to back
- void after intercourse
- avoid baths
- drink 2-3 L of fluid daily
- cotton underwear
- urinate Q2-4h
●● Radiation therapy
Answer: - do not remove ink markings
, - wash area gently with warm water and mild soap
- avoid sun esposure for 1 year
- dispose body fluids in lead container
- limit visits to 30 min a day
- staff should wear dosimeter badge to monitor exposure
- keep all soiled linens in room until implant is removed
●● Kidney transplants
Answer: - hemodialysis sometimes needed following surgery because
kidneys from deceased donors may not function immediately
- requires lifelong immunosuppressive therapy
- complications: cardiovascular disease
●● Hemodialysis
Answer: - expected: weight loss, decrease BP, increase temp
- complications: hypocalcemia, bleeding, infection, hypovolemia,
anemia
- disequilibrium syndrome: nausea, restlessness, dysrhythmias, seizures,
headache
- notify: headache, nausea, dizziness during dialysis
- do not eat during dialysis
●● Inotropic medications
