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Exam (elaborations)

Med-Surg Proctored Exam 2023 – Medical-Surgical Nursing Questions and Answers

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Med-Surg Proctored Exam 2023 – Medical-Surgical Nursing Questions and Answers

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23Med
~~~~~~~~~~~~~~~~~~~~~~~~~&&&&&&&&############################@@@@@@@@@@@@@@@@22/2026//2027
Surg
Med Proctored
Surg Proctored
2023!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~&&&&&&&&############################@
2023Med Surg Proctored 2023Med Surg Proctored 2023!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~Med Surg Proctor




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Proctored
~~~~~~~~~~~~~~~~~~~~~~~~~&&&&&&&&############################@@@@@@@@@@@@@@@@22/2026//2027
Med2023!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~&&&&&&&&############################@@@@@@@
Surg Proctored 2023Med Surg Proctored 2023!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~Med Surg Proctored 2023Med Surg Proctore

,23Med
~~~~~~~~~~~~~~~~~~~~~~~~~&&&&&&&&############################@@@@@@@@@@@@@@@@22/2026//2027
Surg
Med Proctored
Surg Proctored
2023!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~&&&&&&&&############################@
2023Med Surg Proctored 2023Med Surg Proctored 2023!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~Med Surg Proctor



1. A nurse in a burn treatment center is caring for a a."large incisions will be made in the eschar to improve circulation"
client who is admitted with
severe burns to both lower extremities and is
pending an escharotomy. The client's
spouse asks the nurse what the procedure entails.
Which of the following
nursing statements is appropriate?
a."large incisions will be made in the eschar to
improve circulation"
b. " I can call the doctor back here if you want me to"
c. "a piece of skin will be removed and grafted over
the burned area"
d. "dead tissue will be surgically removed"


A nurse is monitoring the fluid replacement of a client d. lactated ringers
who has sustained burns.
Which of the following fluids is used in the first 24
hours following a burn injury?
a. 5% dextrose in water
b. 5% dextrose in normal saline
c. normal saline
d. lactated ringers


A nurse is caring for a client who has full-thickness c. obtain a central venous pressure
burns all over 75% of his
body. Which of the following methods is appropriate
to accurately monitor the
cardiovascular system?
a. auscultate cuff blood pressure
b. palpate pulse pressure
c. obtain a central venous pressure
d. monitor the pulmonary artery pressure


4. A nurse is assessing the depth and extent of a d. Cause of the burn
client who has severe burns to the
face, neck, and upper extremities. Which of the
following factors is the first priority
when assessing the severity of the burn?
a. Age of the client
b. Associated medical history
c. Location of the burn
d. Cause of the burn


A client arrives at the emergency dept following an d. Maintain a patent airway
explosion at the chemical
plant. He has deep partial and full-thickness
chemical burns over more than 25 %
of his body surface area. What is the nurse's priority
intervention?
a. Initiate fluid resuscitation
b. Medication for pain
c. Administer antibiotics
d. Maintain a patent airway


A nurse is caring for a client who came the c. A heart muscle protein that appears in the bloodstream when there is
emergency dept reporting chest pain. damage to the heart
The provider suspects a myocardial infarction. While
waiting for the laboratory to
report the client's troponin levels, the client asks what
this blood test will show.
The nurse should explain that troponin is
a. An enzyme that indicates damage to brain, heart,
and skeletal muscle
tissues
b. A protein whose levels reflect the risk for coronary
artery disease
c. A heart muscle protein that appears in the
bloodstream when there is
damage to the heart
d. A protein that helps transport oxygen throughout
the body


A nurse is assessing a client who has disseminated d. Increased clotting factors
intravascular coagulation
(DIC). Which of the following should the nurse expect
in the findings?
a. Excessive thrombosis and bleeding
b. Progressive increase in platelet production
c. Immediate sodium and fluid retention
d. Increased clotting factors




Proctored
~~~~~~~~~~~~~~~~~~~~~~~~~&&&&&&&&############################@@@@@@@@@@@@@@@@22/2026//2027
Med2023!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~&&&&&&&&############################@@@@@@@
Surg Proctored 2023Med Surg Proctored 2023!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~Med Surg Proctored 2023Med Surg Proctore

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