Swift River: Week 1- Medical-Surgical
Questions and Answers Latest Version
100% Pass
What is the priority action when a patient with COPD becomes short of breath during
ambulation?
✔✔ Stop the activity and place the patient in high Fowler's position.
Why is incentive spirometry used postoperatively?
✔✔ To promote lung expansion and prevent atelectasis.
What is the most appropriate nursing intervention for a patient with a new tracheostomy and
thick secretions?
✔✔ Suction the tracheostomy as needed to maintain airway patency.
How should a nurse assess for fluid volume overload?
✔✔ Monitor for bounding pulses, crackles in lungs, and edema.
Which lab value is most important to monitor in a patient receiving warfarin?
1
,✔✔ INR level.
What is a priority intervention for a patient with a potassium level of 2.8 mEq/L?
✔✔ Notify the provider and prepare to administer potassium supplements.
What should the nurse do first when a patient complains of chest pain?
✔✔ Assess the pain and obtain vital signs.
How can a nurse prevent pressure ulcers in an immobile patient?
✔✔ Reposition the patient every 2 hours and assess skin regularly.
What action should be taken when a patient with diabetes is found diaphoretic and confused?
✔✔ Check the blood glucose level immediately.
What is the most important thing to do after administering IV morphine?
✔✔ Monitor respiratory rate and level of consciousness.
How can the nurse evaluate the effectiveness of diuretic therapy?
2
, ✔✔ Monitor urine output and daily weights.
What dietary instruction should be given to a patient with heart failure?
✔✔ Limit sodium intake.
What is the correct response if a patient's IV site is red, swollen, and painful?
✔✔ Stop the infusion and remove the IV catheter.
What should the nurse do if a post-op patient has not voided in 8 hours?
✔✔ Assess for bladder distention and notify the provider.
Why is early ambulation important after abdominal surgery?
✔✔ To reduce the risk of deep vein thrombosis and promote bowel function.
How does the nurse confirm placement of a nasogastric tube?
✔✔ Check the pH of aspirate and verify with an X-ray if needed.
What is the first step in managing a patient with hypoglycemia?
3
Questions and Answers Latest Version
100% Pass
What is the priority action when a patient with COPD becomes short of breath during
ambulation?
✔✔ Stop the activity and place the patient in high Fowler's position.
Why is incentive spirometry used postoperatively?
✔✔ To promote lung expansion and prevent atelectasis.
What is the most appropriate nursing intervention for a patient with a new tracheostomy and
thick secretions?
✔✔ Suction the tracheostomy as needed to maintain airway patency.
How should a nurse assess for fluid volume overload?
✔✔ Monitor for bounding pulses, crackles in lungs, and edema.
Which lab value is most important to monitor in a patient receiving warfarin?
1
,✔✔ INR level.
What is a priority intervention for a patient with a potassium level of 2.8 mEq/L?
✔✔ Notify the provider and prepare to administer potassium supplements.
What should the nurse do first when a patient complains of chest pain?
✔✔ Assess the pain and obtain vital signs.
How can a nurse prevent pressure ulcers in an immobile patient?
✔✔ Reposition the patient every 2 hours and assess skin regularly.
What action should be taken when a patient with diabetes is found diaphoretic and confused?
✔✔ Check the blood glucose level immediately.
What is the most important thing to do after administering IV morphine?
✔✔ Monitor respiratory rate and level of consciousness.
How can the nurse evaluate the effectiveness of diuretic therapy?
2
, ✔✔ Monitor urine output and daily weights.
What dietary instruction should be given to a patient with heart failure?
✔✔ Limit sodium intake.
What is the correct response if a patient's IV site is red, swollen, and painful?
✔✔ Stop the infusion and remove the IV catheter.
What should the nurse do if a post-op patient has not voided in 8 hours?
✔✔ Assess for bladder distention and notify the provider.
Why is early ambulation important after abdominal surgery?
✔✔ To reduce the risk of deep vein thrombosis and promote bowel function.
How does the nurse confirm placement of a nasogastric tube?
✔✔ Check the pH of aspirate and verify with an X-ray if needed.
What is the first step in managing a patient with hypoglycemia?
3
