NUR201
Medical Surgical Nursing I
MIDTERM EXAM REVIEW
© 2024/2025
,1. A 68-year-old patient with a history of chronic obstructive
pulmonary disease (COPD) is hospitalized with acute respiratory
distress. Which of the following nursing interventions is the highest
priority?
- A) Administer scheduled bronchodilators
- B) Assess oxygen saturation
- C) Position the patient in a high Fowler's position
- D) Review the patient’s medication history
Correct Answer: B) Assess oxygen saturation
Rationale: Assessing oxygen saturation is crucial to determine
the extent of respiratory distress and the need for supplemental
oxygen.
2. Which finding in a patient recovering from abdominal surgery
should alert the nurse to the possibility of a postoperative
complication?
- A) Pain at the incision site
- B) Urine output of 30 mL/hr
- C) Temperature of 100.4°F (38°C)
- D) Increased distension of the abdomen
Correct Answer: D) Increased distension of the abdomen
© 2024/2025
, Rationale: Increased abdominal distension could indicate a
complication such as ileus or hemorrhage.
3. A patient presents with chest pain and elevated troponin levels.
What is the most immediate nursing intervention needed?
- A) Administer aspirin
- B) Start IV fluids
- C) Prepare for a chest X-ray
- D) Obtain a 12-lead ECG
Correct Answer: D) Obtain a 12-lead ECG
Rationale: Immediate assessment with a 12-lead ECG is
critical in diagnosing potential myocardial infarction.
4. Which patient would most likely benefit from a continuous
positive airway pressure (CPAP) device?
- A) Patient with asthma
- B) Patient with obstructive sleep apnea
- C) Patient with pneumonia
- D) Patient with lung cancer
Correct Answer: B) Patient with obstructive sleep apnea
Rationale: CPAP is specifically indicated for patients with
obstructive sleep apnea to maintain airway patency during sleep.
© 2024/2025
Medical Surgical Nursing I
MIDTERM EXAM REVIEW
© 2024/2025
,1. A 68-year-old patient with a history of chronic obstructive
pulmonary disease (COPD) is hospitalized with acute respiratory
distress. Which of the following nursing interventions is the highest
priority?
- A) Administer scheduled bronchodilators
- B) Assess oxygen saturation
- C) Position the patient in a high Fowler's position
- D) Review the patient’s medication history
Correct Answer: B) Assess oxygen saturation
Rationale: Assessing oxygen saturation is crucial to determine
the extent of respiratory distress and the need for supplemental
oxygen.
2. Which finding in a patient recovering from abdominal surgery
should alert the nurse to the possibility of a postoperative
complication?
- A) Pain at the incision site
- B) Urine output of 30 mL/hr
- C) Temperature of 100.4°F (38°C)
- D) Increased distension of the abdomen
Correct Answer: D) Increased distension of the abdomen
© 2024/2025
, Rationale: Increased abdominal distension could indicate a
complication such as ileus or hemorrhage.
3. A patient presents with chest pain and elevated troponin levels.
What is the most immediate nursing intervention needed?
- A) Administer aspirin
- B) Start IV fluids
- C) Prepare for a chest X-ray
- D) Obtain a 12-lead ECG
Correct Answer: D) Obtain a 12-lead ECG
Rationale: Immediate assessment with a 12-lead ECG is
critical in diagnosing potential myocardial infarction.
4. Which patient would most likely benefit from a continuous
positive airway pressure (CPAP) device?
- A) Patient with asthma
- B) Patient with obstructive sleep apnea
- C) Patient with pneumonia
- D) Patient with lung cancer
Correct Answer: B) Patient with obstructive sleep apnea
Rationale: CPAP is specifically indicated for patients with
obstructive sleep apnea to maintain airway patency during sleep.
© 2024/2025
