MS3 - Advanced MedSurg Lessons Questions With
Complete Solutions
A patient with which condition would be assigned the highest
priority for treatment for an ED triage nurse who is assessing 4
victims involved in a MVC?
A. No pedal pulses
B. Open femur fracture
C. Bleeding facial lacerations
D. Paradoxical chest movement Correct Answers D.
Paradoxical chest movement
Bites from exotic snakes often cause damage by which method
of action?
A. Neurotoxicity
B. Cytotoxicity
C. Vasoactivity
D. Hemolysis Correct Answers A. Neurotoxicity
Match each degree of ARDS to the expected P/F ratio Correct
Answers P/F <300 with PEEP/CPAP ≥5cm H20 - mild ARDS
P/F <200 with PEEP/CPAP ≥5cm H20 - moderate ARDS
P/F <100 with PEEP/CPAP ≥5cm H20 - severe ARDS
Match each medication or medication class to its action Correct
Answers Reduce pain, anxiety, restlessness - morphine
Relieve bronchospasm - albuterol
Reduce pulmonary congestion - corticosteroids
Reduce airway inflammation - antibiotics
,Match each type of environmental emergency with the
appropriate description Correct Answers Injury resulting from
direct tissue damage or release of lethal toxins - bites and stings
Occurs when person becomes hypoxic following immersion in
liquid - submersion injury
Localized or systemic injuries whose predisposing factors
include age - cold related emergency
Thermoregulatory mechanisms can't compensate for temp
changes - heat related emergency
Which action would be included in the patient teaching for
"huff" coughing? SATA
A. Instruct the patient that huff coughing prevents the glottis
from closing
B. Instruct the patient to hold breath for 2-3 seconds
C. Instruct the patient to lie flat while attempting
D. Explain that patient should cough several times saying the
word "huff"
E. Explain that this activity should be performed only once daily
F. Instruct the patient to forcefully exhale Correct Answers A.
Instruct the patient that huff coughing prevents the glottis from
closing
B. Instruct the patient to hold breath for 2-3 seconds
D. Explain that patient should cough several times saying the
word "huff"
F. Instruct the patient to forcefully exhale
Which action would help decrease the risk for ARF?
A. Recognizing patients need to reduce energy usage and
support bedrest
, B. Identifying issues that might arise in the patient's family
interactions
C. Encouraging hydration and nutrition
D. Assessing patient for skin breakdown and renal problem
Correct Answers C. Encouraging hydration and nutrition
Which arterial blood gas (ABG) finding is expected in early
acute respiratory distress syndrome (ARDS)? SATA
A. PaO2 of 68mmHg
B. PaCO2 of 43mmHg
C. PH of 7.48
D. SaO2 of 98%
E. HCO3 of 20mEq/L Correct Answers A. PaO2 of 68mmHg
C. PH of 7.48
E. HCO2 of 20mEq/L
Which assessment is often overlooked during secondary survey?
A. Inspection and palpation of chest
B. Assessment of head, neck, face
C. Pelvis inspection and palpation
D. Posterior surface inspection Correct Answers D. Posterior
surface inspection
Which assessment would be most important for the nurse to
perform during the observation period of a 22-year-old patient
who is admitted after a drowning accident in a local pool and is
awake and breathing spontaneously?
A. Auscultate heart sounds
B. Palpate peripheral pulses
C. Auscultate breath sounds
Complete Solutions
A patient with which condition would be assigned the highest
priority for treatment for an ED triage nurse who is assessing 4
victims involved in a MVC?
A. No pedal pulses
B. Open femur fracture
C. Bleeding facial lacerations
D. Paradoxical chest movement Correct Answers D.
Paradoxical chest movement
Bites from exotic snakes often cause damage by which method
of action?
A. Neurotoxicity
B. Cytotoxicity
C. Vasoactivity
D. Hemolysis Correct Answers A. Neurotoxicity
Match each degree of ARDS to the expected P/F ratio Correct
Answers P/F <300 with PEEP/CPAP ≥5cm H20 - mild ARDS
P/F <200 with PEEP/CPAP ≥5cm H20 - moderate ARDS
P/F <100 with PEEP/CPAP ≥5cm H20 - severe ARDS
Match each medication or medication class to its action Correct
Answers Reduce pain, anxiety, restlessness - morphine
Relieve bronchospasm - albuterol
Reduce pulmonary congestion - corticosteroids
Reduce airway inflammation - antibiotics
,Match each type of environmental emergency with the
appropriate description Correct Answers Injury resulting from
direct tissue damage or release of lethal toxins - bites and stings
Occurs when person becomes hypoxic following immersion in
liquid - submersion injury
Localized or systemic injuries whose predisposing factors
include age - cold related emergency
Thermoregulatory mechanisms can't compensate for temp
changes - heat related emergency
Which action would be included in the patient teaching for
"huff" coughing? SATA
A. Instruct the patient that huff coughing prevents the glottis
from closing
B. Instruct the patient to hold breath for 2-3 seconds
C. Instruct the patient to lie flat while attempting
D. Explain that patient should cough several times saying the
word "huff"
E. Explain that this activity should be performed only once daily
F. Instruct the patient to forcefully exhale Correct Answers A.
Instruct the patient that huff coughing prevents the glottis from
closing
B. Instruct the patient to hold breath for 2-3 seconds
D. Explain that patient should cough several times saying the
word "huff"
F. Instruct the patient to forcefully exhale
Which action would help decrease the risk for ARF?
A. Recognizing patients need to reduce energy usage and
support bedrest
, B. Identifying issues that might arise in the patient's family
interactions
C. Encouraging hydration and nutrition
D. Assessing patient for skin breakdown and renal problem
Correct Answers C. Encouraging hydration and nutrition
Which arterial blood gas (ABG) finding is expected in early
acute respiratory distress syndrome (ARDS)? SATA
A. PaO2 of 68mmHg
B. PaCO2 of 43mmHg
C. PH of 7.48
D. SaO2 of 98%
E. HCO3 of 20mEq/L Correct Answers A. PaO2 of 68mmHg
C. PH of 7.48
E. HCO2 of 20mEq/L
Which assessment is often overlooked during secondary survey?
A. Inspection and palpation of chest
B. Assessment of head, neck, face
C. Pelvis inspection and palpation
D. Posterior surface inspection Correct Answers D. Posterior
surface inspection
Which assessment would be most important for the nurse to
perform during the observation period of a 22-year-old patient
who is admitted after a drowning accident in a local pool and is
awake and breathing spontaneously?
A. Auscultate heart sounds
B. Palpate peripheral pulses
C. Auscultate breath sounds
