LPN 131 MED-SURG FINAL EXAM STUDY GUIDE QUESTIONS
AND ANSWERS
Prior to administering the pre-op medication of morphine and versed, the nurse should confirm that: -
CORRECT ANSWER✅✅✅Consent form is signed
The post anesthesia care unit nurse determined that the patient's Aldrete score is 9. The nurse on the
postoperative unit knows that that means: - CORRECT ANSWER✅✅✅Patient will soon be
transferred to the post-op unit
The patient's initial vital signs immediately on return from surgery are BP of 140/90, Pulse of 80,
respirations of 14, temp 98 degrees. One hour later the vitals are BP of 130/84, pulse is 72, respirations
are 16, and temp are 98.1 - CORRECT ANSWER✅✅✅Note the assessment as normal post-op
recovery
When the clinic nurse starts to take the cast off the grade II sprain, the patient asks why it's being
removed as he still has pain. The nurse explains that the cast is removed because: - CORRECT
ANSWER✅✅✅Long-term immobilization can lead to permanent disability. Casts and splints are left
on only until the joint is strengthened
While the nurse is giving care to the 35-year-old man who sustained a fractures pelvis and bilateral
fractures of the femur in a motorcycle accident yesterday, the patient complains of SOB and is audibly
wheezing. An assessment of the O2 sat was 76%. What should the nurse do first? - CORRECT
ANSWER✅✅✅Raise the patient to a high-fowler's position
The 30 year old man who's in Russell's traction with a Pearson attachment for a fracture of the tibia
complains of intense pain at the fracture site. The nurse assesses a temp of 102 and increased swelling
at the fracture site with clear respirations. These assessments suggest: - CORRECT
ANSWER✅✅✅Osteomyelitis
The nurse is caring for a client with pneumonia. The nurse is told that the blood gas results indicate pH
of 7.50, a PCO2 of 30mm, and HCO3 of 24. The nurse determines that these results indicate: - CORRECT
ANSWER✅✅✅Respiratory alkalosis
AND ANSWERS
Prior to administering the pre-op medication of morphine and versed, the nurse should confirm that: -
CORRECT ANSWER✅✅✅Consent form is signed
The post anesthesia care unit nurse determined that the patient's Aldrete score is 9. The nurse on the
postoperative unit knows that that means: - CORRECT ANSWER✅✅✅Patient will soon be
transferred to the post-op unit
The patient's initial vital signs immediately on return from surgery are BP of 140/90, Pulse of 80,
respirations of 14, temp 98 degrees. One hour later the vitals are BP of 130/84, pulse is 72, respirations
are 16, and temp are 98.1 - CORRECT ANSWER✅✅✅Note the assessment as normal post-op
recovery
When the clinic nurse starts to take the cast off the grade II sprain, the patient asks why it's being
removed as he still has pain. The nurse explains that the cast is removed because: - CORRECT
ANSWER✅✅✅Long-term immobilization can lead to permanent disability. Casts and splints are left
on only until the joint is strengthened
While the nurse is giving care to the 35-year-old man who sustained a fractures pelvis and bilateral
fractures of the femur in a motorcycle accident yesterday, the patient complains of SOB and is audibly
wheezing. An assessment of the O2 sat was 76%. What should the nurse do first? - CORRECT
ANSWER✅✅✅Raise the patient to a high-fowler's position
The 30 year old man who's in Russell's traction with a Pearson attachment for a fracture of the tibia
complains of intense pain at the fracture site. The nurse assesses a temp of 102 and increased swelling
at the fracture site with clear respirations. These assessments suggest: - CORRECT
ANSWER✅✅✅Osteomyelitis
The nurse is caring for a client with pneumonia. The nurse is told that the blood gas results indicate pH
of 7.50, a PCO2 of 30mm, and HCO3 of 24. The nurse determines that these results indicate: - CORRECT
ANSWER✅✅✅Respiratory alkalosis
