MED SURG -1 EXAM 1 2025 WITH CORRECT ANSWERS.

MED SURG #1 EXAM 1 2025 WITH
CORRECT ANSWERS




A patient has a nursing diagnosis of ineffective airway clearance related to retained secretions, excessive
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mucus, and ineffective cough as evidenced by adventitious breath sounds. What should the nurse include in
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the NCP as an appropriate NOC outcome and NIC intervention for this nursing diagnosis?
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1. Aspiration Prevention (NOC) and Aspiration Procedures (NIC)
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2. Respiratory Status: Gas Exchange (NOC) and Oxygen Therapy (NIC)
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3. Respiratory Status: Ventilation (NOC) and Respiratory Monitoring (NIC)
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4. Respiratory Status: Airway Patency (NOC) and Airway Management (NIC) - correct answer 4. Respiratory
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Status: Airway Patency (NOC) and Airway Management (NIC)
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A nurse teaches a student nurse about evidence-based nursing practice guidelines. Which statement, if made
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by the student nurse, indicates understanding of the teaching?
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1. "Patient care is based on research findings instead of the expertise of the nurse."
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2. "Patient preferences should not be considered if guidelines are supported by evidence."
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3. "Nursing care provided is based on the best evidence for quality care and desired outcomes."
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4. "Practice guidelines are used so that professional decisions about patient care are unnecessary." - correct
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answer 3. "Nursing care provided is based on the best evidence for quality care and desired outcomes.
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,a nurse is caring for an older adult who has a new diagnosis of type 2 diabetes and reports to have difficulty
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following the diet plan and and taking his medication which of the following actions can the nurse take so the
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patient is more compliant? e e e




1. as the dietitation to assist with meal planning
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2. contact the clients support system
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3. assess for age related cognitive awareness
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4. encourage to use a daily medication dispenser
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5.provide educational materials for at home usage - correct answer 1. as the dietitation to assist with meal
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planning e




2. contact the clients support system
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4. encourage to use a daily medication dispenser
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5.provide educational materials for at home usage e e e e e e




a nurse in a health care clinic is evaluating the level of wellness for clients using the illness-wellness
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continuum. The nurse should identify which of the following clients as at the center of the continuum.?
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1. college student w influenza
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2. older adult with new diagnosis of type 2 diabetes
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3. New mother with a UTI
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4. Young male with a long history of controlled arthritis - correct answer 4. Young male with a long history of
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controlled arthritis e




A nurse is evaluating clients at a health fair for modifiable variables affecting health and wellness. Which
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variables can the nurse identify as modifiable? e e e e e e




a. smoking on occasion
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2. BMI of 28
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3. Alopecia
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4. Trisomy 21
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5. History of reflux - correct answer a. smoking on occasion
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2. BMI of 28
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5. History of reflux
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, A nurse is caring for a patient who was just told she has breast cancer. The nurse evaluates the clients
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response. Which of the following statements reflects a lack of understanding of an illness perspective?
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a. " i have no family history of breast cancer"
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b. " I need a second opinion, there is no lump"
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c. " I am glad we live in a city where there is several large hospitals"
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d. "I will schedule my surgery next week over the holidays" - correct answer b. " I need a second opinion, there
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is no lump"
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an example of a nursing activity that best reflects the the ANA's definition of nursing is:
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1. treating dysarythmias that occur in a patient in the coronary care unit
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2. diagnosing a patient with a tube feed with risk of aspiration
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3. establishing protocols for a patient in the emergency department
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4. providing antianxiety drugs for a patient who has disturbed sleep disorder - correct answer 2. diagnosing a
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patient with a tube feed with risk of aspiration e e e e e e e e




A nurse working on the med surg unit in an urban hospital would like to become certified in med surg nursing.
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The nurse knows this process might require:
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a. BSN e




b. Formal training in advanced nursing process
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c. experience for a certain amount of time in med surg nursing
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d. membership in a med surg speciality organization - correct answer c. experience for a certain amount of
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time in med surg nursing e e e e




Nurse is providing care for a patient after R hip surgery. W/I a pay for performance center a critical role of the
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nurse is: e




a. ensure care is using minimal supplies
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b. discharge after # of approved days of care
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c. implement measures to decrease risk of infection
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d. assess how well patient is able to pay the health care costs - correct answer c. implement measures to
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decrease risk of infection e e e