MED SURG EXAM 2025 WITH CORRECT ANSWERS.

MED SURG EXAM 1 2025 WITH
CORRECT ANSWERS




A - correct answer The nurse includes which nursing diagnosis in the plan
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of care for the patient admitted with pneumonia?
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A. Anxiety related to hypoxia
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B. Deficient knowledge related to cause of disorder
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C. Fear related to the threat of pain
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D. Ineffective breathing pattern related to decreased
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surfactant



C - correct answer The nurse is reviewing orders on the patient who is to
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receive supplemental oxygen. It is a priority for the
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nurse to follow up with the provider about which
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order?

A. Nasal cannula at 2 L/min
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B. Venturi mask at 24% concentration
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C. Nasal cannula at 8 L/min
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D. Venturi mask at 50% concentration
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A, B, C, E - correct answer What is the most important information for the nurse
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to include in the teaching plan about management of
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,home oxygen therapy? (Select all that apply.)e e e e e e




A. Do not change the settings of the oxygen without
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the health-care provider's permission.
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B. Place "No smoking" signs within the home.
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C. Oxygen is a fire hazard.
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D. Others may smoke around you as long as you do
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not smoke. e




E. Keep a fire extinguisher near the oxygen source
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A, D - correct answer The nurse is caring for a patient who is receiving
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oxygen therapy via the Venturi mask. Which e e e e e e




complications are associated with oxygen therapy? e e e e e




(Select all that apply.) e e e




A. Oxygen toxicity
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B. Cachexia
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C. Bradycardia
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D. Absorption atelectasis
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E. Increased dead space
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A - correct answer The nurse is caring for a patient who has just been
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orally intubated. Which action should the nurse
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take first? e




A. Assess for symmetrical chest rise and fall with
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ventilation

B. Provide mouth care to assure a clean oral cavity
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C. Assess the need for nutritional support by an oral
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nasogastric tube e




D. Provide a communication board for the patient
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and family e

,D - correct answer When the nurse is performing postural drainage for
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the patient, which factor promotes the movement
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of secretions to the upper airways?
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A. Dilation of alveoli
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B. Action of the cilia
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C. Muscle contraction
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D. Force of gravity
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B - correct answer The nurse is screening patients for their risk of
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developing VAP. The nurse considers which patient at e e e e e e e




greatest risk? e




A. A patient who was extubated within 24 hours
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of being intubated
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B. A patient intubated and placed on mechanical
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ventilation less than 72 hours ago e e e e e




C. A patient with the head of the bed elevated
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45 degrees e




D. A patient who was placed on a nasal cannula after
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being extubated e




B - correct answer A nursing preceptor is observing a newly hired nurse
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prioritizing patient rounds. Correct prioritization of e e e e e




assigned patients is indicated if the new nurse assesses e e e e e e e e




which patient first? e e




A. A patient with cellulitis of the right lower leg
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B. A patient who was extubated 2 hours ago
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C. A patient who was ordered nebulizer
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treatments prn e

, D. A patient with an IV of D51
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/2 NS at 125 mL/hr e e e e




D - correct answer You are preparing a patient for surgery and have
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asked her to verify her information on her patient e e e e e e e e




identification band. She tells you that the birth e e e e e e e




date is incorrect on her identification band. The most
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appropriate action by the nurse at this time is which e e e e e e e e e




of the following? e e




A. Cross out the birth date and put the correct one in
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its place with the nurse's initials.
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B. Ask the family members to validate the patient's
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birth date. e




C. Call the surgeon's office to validate the birth date.
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D. Ask the admissions office to please send a corrected
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identification band. e




A, C, D - correct answer The nurse should report the following findings from
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a patient's history as an increased risk for DVTs
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postoperatively. (Select all that apply.) e e e e




A. History of smokinge e e




B. Age e




C. History of DVTs with previous pregnancy
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D. Borderline hypertension
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E. Allergies e




C - correct answer Which of the following patients presents the greatest
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risk for a negative response to anesthesia?
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A. A 40-year-old male with high blood pressure
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