Med Surg 2 Final Exam Questions And Correct Verified Answers

MED SURG 2 FINAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS
AA2PatientA2wasA2admittedA2forA2shortnessA2ofA2breath.A2TheA2nurseA2connectsA2theA2pati
entA2toA2theA2cardiacA2monitor.A2AccordingA2toA2theA2stripA2below,A2whichA2treatmentA2isA2
appropriateA2forA2theA2patient?
a.A2administerA2adenosine
b.A2administerA2aA2thiazideA2medication
c.A2adminsterA2anA2oralA2anticoagulant
d.A2administerA2aA2betaA2blockerA2-A2Ans--c.

AnA2acuteA2myocardialA2infarctionA2patientA2ambulatedA2inA2theA2hospitalA2hallway.A2Whe
nA2evaluatingA2theA2patientA2response,A2whichA2wouldA2indicateA2theA2exerciseA2levelA2sh
ouldA2beA2decreased?
a.A2oxygenA2satuartionA2changesA2fromA2100%A2toA298%
b.A2bloodA2pressureA2changesA2fromA2118/60A2toA2126/26
c.A2respiratoryA2rateA2changesA2fromA214A2toA220
d.A2heartA2rateA2changesA2fromA266-101A2-A2Ans--d.

TheA2nurseA2isA2caringA2forA270-year-
oldA2patientA2whoA2theA2nurseA2suspectsA2havingA2difficultyA2hearing.
TheA2nurseA2isA2providingA2dischargeA2instructions.A2TheA2patientA2isA2noddingA2asA2theA2
chargeA2nurse
discussesA2theA2orders.A2WhatA2actionA2shouldA2theA2nurseA2takeA2toA2assessA2whetherA2
orA2notA2theA2patient
heardA2andA2understoodA2whatA2sheA2hasA2said?

a.A2AskA2theA2patientA2toA2repeatA2backA2whatA2heA2wasA2instructedA2toA2do
b.A2AskA2theA2patientA2ifA2heA2understoodA2theA2instructionsA2andA2askA2himA2toA2signA2the
A2form
c.A2AskA2anotherA2nurseA2toA2witnessA2providingA2instructionsA2toA2theA2patient
d.A2CallA2theA2wifeA2andA2provideA2theA2instructionA2toA2herA2-A2Ans--a.

*StatementA2terminallyA2illA2ptA2toA2caregiver.A2-A2Ans--"StopA2takingA2chemo-
therapyA2medications."

*MarkedA2edema.A2WhichA2medication?A2-A2Ans--

AA2nurseA2hasA2committedA2aA2seriousA2medicationA2errorA2andA2reportedA2theA2errorA2toA
2theA2hospital's
adverseA2medicationA2errorA2hotlineA2asA2wellA2toA2theA2unitA2manager.A2TheA2managerA2i
sA2aA2firmA2believerA2in
developingA2criticalA2thinkingA2skills.A2FromA2thisA2standA2pointA2whatA2actionA2byA2theA2m
anageA2wouldA2beA2the
bestA2toA2nurtureA2thisA2abilityA2inA2theA2nurseA2whoA2madeA2theA2error?

,a.A2LetA2theA2nurseA2workA2withA2moreA2experienceA2nursesA2whenA2givingA2medications
b.A2HaveA2theA2nurseA2presentA2andA2in-serviceA2relatedA2toA2theA2causeA2ofA2theA2error
c.A2SendA2theA2nurseA2toA2refresherA2courseA2onA2medicationA2administration
d.A2InA2structA2nurseA2toA2writeA2aA2paperA2onA2howA2toA2avoidA2thisA2typeA2ofA2errorA2-
A2Ans--b.


TheA2nurseA2isA2takingA2careA2ofA2aA2patientA2justA2diagnosedA2withA2CHF.A2TheA2patientA2
isA2anA2attorneyA2andA2hasA2broughtA2hisA2workA2withA2himA2toA2doA2atA2theA2hospital.A2He
A2isA2constantlyA2onA2theA2phoneA2discussingA2workA2andA2seemsA2veryA2hurried.A2TheA2n
urseA2assessesA2thisA2toA2beA2whatA2typeA2ofA2stress?

a.AcuteA2stress
b.A2EpidodicA2stress
c.A2ChronicA2stress
d.A2NormalA2stressA2-A2Ans--b.

WhichA2ofA2theA2followingA2conditionsA2putsA2aA2patientA2atA2riskA2forA2acuteA2respiratoryA2
distressA2syndrome?
(selectA2all)

a.A2DrugA2reaction
b.A2HeadA2injury
c.A2Pancreatitis
d.A2Sepsis
e.A2HighA2altitudesA2-A2Ans--a.
b.
c.
d.

TheA2nurseA2isA2caringA2forA2aA2patientA2onA2aA2cardiacA2monitorA2andA2notesA2aA2peakedA
2TA2wave.A2WhatA2labA2willA2theA2nurseA2expectA2toA2find?


a.A2hypercalcemia
b.A2hyperkalemia
c.A2hypokalemia
d.hypocalcemiaA2-A2Ans--b.

TheA2patientA2hasA2justA2beenA2diagnosedA2withA2anA2MI.A2TheA2patientA2asksA2forA2infor
mationA2aboutA2theA2diseaseA2andA2looksA2forA2anyA2supportA2groups.A2TheA2nurseA2asse
ssesA2thisA2toA2beA2whatA2typeA2ofA2copingA2strategy?

a.A2problemA2focused
b.A2meaningA2focused
c.A2emotionalA2focused
d.A2maladaptiveA2focusedA2-A2Ans--a.

, TheA2nurseA2isA2caringA2forA2aA2patientA2diagnosedA2withA2heartA2failure.A2TheA2nurseA2isA
2preparingA2toA2administerA2digoxinA2toA2theA2patient.A2TheA2patientA2reportsA2nausea,A2vo
mitingA2andA2aA2headache.A2TheA2nurseA2notesA2aA2respiratoryA2rateA2ofA219A2breathsA2pe
rA2minA2andA2HRA2ofA258A2BPMA2andA2bloodA2pressureA2ofA2120/78.A2WhatA2willA2theA2nur
seA2do?

a.A2holdA2theA2doseA2ofA2digoxinA2andA2notifyA2theA2providerA2ofA2possibleA2toxicity
b.A2requestA2anA2orderA2forA2anA2anti-emeticA2andA2analgesic
c.A2reassureA2theA2patientA2thatA2theseA2areA2commonA2sighsA2andA2selfA2limitingA2effects
d.A2administerA2theA2nextA2doseA2asA2orderedA2sinceA2theseA2areA2minorA2sideA2effectsA2-
A2Ans--a.


WhenA2planningA2theA2responseA2toA2theA2potentialA2useA2ofA2smallpoxA2asA2anA2agentA2o
fA2terrorism,A2theA2emergencyA2departmentA2(ED)A2nurse-
managerA2willA2planA2toA2obtainA2sufficientA2quantitiesA2of

a.A2vaccine
b.A2antibiotics
c.A2blood
d.A2atropineA2-A2Ans--a.

WhatA2assessmentA2findingA2wouldA2theA2nurseA2considerA2toA2beA2relativeA2ofA2hypovole
mia?

a.A2fluidA2movingA2intoA2theA2intracellularA2space
b.A2elevatedA2systolicA2bloodA2pressureA2
c.A2elevatedA2meanA2arterialA2pressure
d.A2fluidA2movingA2intoA2theA2extravascularA2spaceA2-A2Ans--d.

TheA2nurseA2isA2caringA2forA2aA2patientA2withA2burns.A2TheA2totalA2bodyA2surfaceA2areaA2af
fectedA2isA263%.A2TheA2nurseA2mustA2provideA2woundA2careA2forA2thisA2patient.A2WhatA2int
erventionsA2shouldA2theA2nurseA2include?A2(SelectA2All)

a.A2wearA2aA2gown,mask,glovesA2andA2protectiveA2eyeA2gearA2whileA2providingA2care
b.A2useA2sterileA2techniqueA2whenA2applyingA2newA2dressings
c.A2useA2scrubA2brushA2toA2debrideA2wounds
d.A2provideA2painA2medicationA22A2hoursA2priorA2toA2dressingA2changes
e.A2provideA2painA2medicationA230A2minutesA2priorA2toA2dressingA2changesA2-A2Ans--a.
b.
e.

AsA2aA2memberA2ofA2theA2strokeA2team,A2theA2nurseA2knowsA2thatA2thrombolyticA2therapyA
2carriesA2theA2potentialA2forA2benefitA2andA2forA2harm.A2TheA2nurseA2shouldA2beA2cognizan
tA2ofA2whatA2contraindicationsA2forA2thrombolyticA2therapy?A2SelectA2allA2thatA2apply.