Complex Med Surg Exam 1 questions
with correct answers 2024
Serves as guidelines for critical care nurses, establishes goals for patient care. - Correct
AnswersAACN Standards for Acute and Critical Care Nursing Practice
What makes delirium different from dementia? - Correct AnswersDelirium is fast onset,
acute in nature, and there is usually a cause to it.
True or False: Delirium is associated with low rates of mortality and morbidity? - Correct
AnswersFalse- it is associated with high rates of mortality and morbidity.
3 Types of Delirium and characteristics - Correct AnswersHyperactive- agitated,
combative, disoriented
Hypoactive- quiet delirium
Mixed- fluctuating between hyperactive and hypoactive
Risk factors for delirium - Correct AnswersOlder than 70, came from a nursing home, hx
of substance abuse, renal or liver disease, central lines, physical restraints.
Drug of choice for delirium - Correct Answershaloperidol
Biggest risk for delirium patients - Correct AnswersFALLS
ABCDE Bundle for Delirium - Correct AnswersA-Awakening
B- Breathing Coordination
C- Choice of Sedation
D- Delirium Monitoring
E-Early mobility and exercise
living will, advanced directive - Correct AnswersA document that indicates what medical
intervention an individual wants if he or she becomes incapable of expressing those
wishes.
Abandonment - Correct Answers-Severing professional relationship when patient is in
need of care
-Can even happen if you go to lunch and do not transfer care to another nurse
Moral conflict - Correct Answers-Nurse not required to practice if situation violates moral
or religious beliefs
-Must transfer care to another nurse to avoid abandonment
Witholding: not ________
Withdrawing: not _________ - Correct AnswersNot initiating
Weaning or removing
, True or false: family presence during codes is promoted - Correct AnswersTrue!
Breast Cancer Early Detection Guidelines - Correct Answers40-44 yrs- women should
have the choice to have annual mammograms
45-54- should get mammograms annually
55 and older- should switch to mammograms every 2 years
(unless genetically predisposed to breast cancer, then should get an MRI and
mammograms)
Colon and Rectal Cancer Detection Guidelines - Correct AnswersStarting at 50, both
men and women should get a colonoscopy every 10 years.
Cervical Cancer Detection Guidelines - Correct Answers-Cervical cancer testing should
start at age 21 (every 3 years), those under this age shouldn't be tested.
-Women between 21 and 29 should also have a Pap done every 3 years.
-Women 30-65 should have Pap and HPV every 5 years.
Endometrial (uterine) cancer screening - Correct AnswersAt time of menopause,
women should be educated about signs and symptoms of endometrial cancer and
should report any extra vaginal bleeding to doctors.
Lung cancer screening - Correct Answers-Done by CT scan
-Only for high risk patients, must have all of the following:
1. 55-74 years of age
2. In good health
3. Have at least a 30 pack year smoking history
Prostate cancer screening - Correct Answers-If you decide to be tested, you should get
a PSA blood test with or without a rectal exam. How often you're tested will depend on
your PSA level.
-At age 50, men should ask doctors if they are at risk for developing prostate cancer.
Where is blood produced? - Correct Answersbone marrow
What makes up the majority of blood? - Correct Answersplasma
What is hematopoiesis and where does it occur? - Correct AnswersThe process of
replenishing blood cells
Main site is in the bone marrow---makes stem cells which then differentiate into
leukocytes, erythrocytes, and thrombocytes
Function of the liver? - Correct AnswersFilters and stores our blood supply. This is our
reserve in case we lose a large amount of blood.
What do lymph nodes do? - Correct Answersfilter lymph and foreign matter
with correct answers 2024
Serves as guidelines for critical care nurses, establishes goals for patient care. - Correct
AnswersAACN Standards for Acute and Critical Care Nursing Practice
What makes delirium different from dementia? - Correct AnswersDelirium is fast onset,
acute in nature, and there is usually a cause to it.
True or False: Delirium is associated with low rates of mortality and morbidity? - Correct
AnswersFalse- it is associated with high rates of mortality and morbidity.
3 Types of Delirium and characteristics - Correct AnswersHyperactive- agitated,
combative, disoriented
Hypoactive- quiet delirium
Mixed- fluctuating between hyperactive and hypoactive
Risk factors for delirium - Correct AnswersOlder than 70, came from a nursing home, hx
of substance abuse, renal or liver disease, central lines, physical restraints.
Drug of choice for delirium - Correct Answershaloperidol
Biggest risk for delirium patients - Correct AnswersFALLS
ABCDE Bundle for Delirium - Correct AnswersA-Awakening
B- Breathing Coordination
C- Choice of Sedation
D- Delirium Monitoring
E-Early mobility and exercise
living will, advanced directive - Correct AnswersA document that indicates what medical
intervention an individual wants if he or she becomes incapable of expressing those
wishes.
Abandonment - Correct Answers-Severing professional relationship when patient is in
need of care
-Can even happen if you go to lunch and do not transfer care to another nurse
Moral conflict - Correct Answers-Nurse not required to practice if situation violates moral
or religious beliefs
-Must transfer care to another nurse to avoid abandonment
Witholding: not ________
Withdrawing: not _________ - Correct AnswersNot initiating
Weaning or removing
, True or false: family presence during codes is promoted - Correct AnswersTrue!
Breast Cancer Early Detection Guidelines - Correct Answers40-44 yrs- women should
have the choice to have annual mammograms
45-54- should get mammograms annually
55 and older- should switch to mammograms every 2 years
(unless genetically predisposed to breast cancer, then should get an MRI and
mammograms)
Colon and Rectal Cancer Detection Guidelines - Correct AnswersStarting at 50, both
men and women should get a colonoscopy every 10 years.
Cervical Cancer Detection Guidelines - Correct Answers-Cervical cancer testing should
start at age 21 (every 3 years), those under this age shouldn't be tested.
-Women between 21 and 29 should also have a Pap done every 3 years.
-Women 30-65 should have Pap and HPV every 5 years.
Endometrial (uterine) cancer screening - Correct AnswersAt time of menopause,
women should be educated about signs and symptoms of endometrial cancer and
should report any extra vaginal bleeding to doctors.
Lung cancer screening - Correct Answers-Done by CT scan
-Only for high risk patients, must have all of the following:
1. 55-74 years of age
2. In good health
3. Have at least a 30 pack year smoking history
Prostate cancer screening - Correct Answers-If you decide to be tested, you should get
a PSA blood test with or without a rectal exam. How often you're tested will depend on
your PSA level.
-At age 50, men should ask doctors if they are at risk for developing prostate cancer.
Where is blood produced? - Correct Answersbone marrow
What makes up the majority of blood? - Correct Answersplasma
What is hematopoiesis and where does it occur? - Correct AnswersThe process of
replenishing blood cells
Main site is in the bone marrow---makes stem cells which then differentiate into
leukocytes, erythrocytes, and thrombocytes
Function of the liver? - Correct AnswersFilters and stores our blood supply. This is our
reserve in case we lose a large amount of blood.
What do lymph nodes do? - Correct Answersfilter lymph and foreign matter
