Med-Surg 3 Final Exam Study Guide High-Yield Nursing
Review for Success exam questions and answers verified
A+ tips NEW!!!!
1. What formula is commonly used to figure fluid resuscitation n eeds for the
burn victim?: The Baxter Formula.
2. What is the Baxter formula and how much do you administer in the first 8
hours?: (3ml)x(weight in kg)x(TBSA burned) = ml's in first 24 hours.
>give 1/2 in the 1st 8 hours.
3. In what 3 ways may a wound heal?: -Primary intention: approximate wound
edges by staples/sutures.
-Secondary intention:
leave open to drain or there are no wound edges to approximate.
-Tertiary intention: leave open to drain and then approximate wound edges.
4. What type of gloves should be worn to remove a dressing?: Clean
5. What type of gloves should be worn to apply a new dressing?: Sterile.
6. Jenny has suffered burns to her left anterior leg, left anterior arm and
the upper 1/2 of her back. What is her % of burns? What is the formula for
calculating burns called?: 9 + 4.5 + 9 = 23%
Rule of Nines.
7. An elderly male patient presents w/ c/o anuria. The nurse anticipates an
order for what?: Urinary catheter placement.
8. How are belladonna and opium (B&O) administered after prostate surgery?-
: Rectally as a suppository.
9. During a transurethral procedure, where is the incision made?: Instruments
are inserted through the urethra.
10. Cherry has a vaginal yeast infection. She asks what causes this type of
infection. You will tell her?: Candida albicans.
11. What are the risk factors associated w/ breast cancer?: -Obesity.
-High alcohol intake.
-Early menarche.
-Late pregnancy.
-High fat diet.
12. Lab values to monitor for ARF and/or CRF include?: Creatinine, BUN, and
RBC's.
*Renal failure decreases production of erythropoiten.*
13. Long term steroid use is a common cause of what endocrine disorder?: -
Cushing's syndrome.
,Med-Surg 3 Final Exam Study Guide High-Yield Nursing
Review for Success exam questions and answers verified
A+ tips NEW!!!!
14. Your patient has hyperthyroidism. What are your priority nursing interven-
tions?: -Calm quiet environment.
-Monitor VS.
-Adm. beta-blockers, ice-packs.
,Med-Surg 3 Final Exam Study Guide High-Yield Nursing
Review for Success exam questions and answers verified
A+ tips NEW!!!!
15. What interventions are important for clients w/ a hx of CHF?: -Weigh daily.
-Limit fluid intake.
-Assess respiratory status.
16. What type of tumor should the nurse suspect if a pt has had an adrenalec-
tomy?: Pheochromocytoma.
17. What is an important intervention/teaching for a pt diagnosed w/ Otitis
Media?: Do not put anything into the ear, take all of your antibiotics.
18. Addison's dz is characterized by low serum levels of what?: -Sodium.
-Sugar.
-Steroid levels.
19. Dementia pts will do best when they are exposed to what type of daily
activity?: A routine daily plan; reorient.
20. Regular insulin is considered short acting. Lantus is an example of a long
acting insulin. What type of insulin is NPH?: Intermediate acting.
21. After measuring body fluids that are removed during a procedure the nurse
must do what?: Describe and document the amount and type of fluid.
22. What inhibits synthesis of specific clotting factors in the liver and takes
3-4 days to exert an anticoagulant effect?: Warfarin.
23. After an abdominal surgery the client will be kept NPO until...: the return of
bowel sounds.
24. Jerry has a wound infection. What S/S do you expect to find on your
bedside assessment?: -Elevated temp.
-Purulent drainage.
-Pain and/or edema.
25. Hemorrhage will have what effect on the urinary system?: Decreased UO-
kidneys are shunting all fluids to vital organs.
26. What are routine early interventions for chest pain?: Oxygen, nitro, mor-
phine (lidocaine last)
27. A full thickness burn is often described as:: Red, leathery, and painless or
4th degree.
28. Lilly has a positive Chvostek's sign, a positive Trousseau's sign, and is c/o
parasthesias. What electrolyte imbalance do you suspect?: Hypocalcemia; can
also c/o tingling in fingers and toes.
29. A client w/ leukemia has developed a fever. What interventions are impor-
tant?: -Reverse isolation.
-Assess for source of infection.
Review for Success exam questions and answers verified
A+ tips NEW!!!!
1. What formula is commonly used to figure fluid resuscitation n eeds for the
burn victim?: The Baxter Formula.
2. What is the Baxter formula and how much do you administer in the first 8
hours?: (3ml)x(weight in kg)x(TBSA burned) = ml's in first 24 hours.
>give 1/2 in the 1st 8 hours.
3. In what 3 ways may a wound heal?: -Primary intention: approximate wound
edges by staples/sutures.
-Secondary intention:
leave open to drain or there are no wound edges to approximate.
-Tertiary intention: leave open to drain and then approximate wound edges.
4. What type of gloves should be worn to remove a dressing?: Clean
5. What type of gloves should be worn to apply a new dressing?: Sterile.
6. Jenny has suffered burns to her left anterior leg, left anterior arm and
the upper 1/2 of her back. What is her % of burns? What is the formula for
calculating burns called?: 9 + 4.5 + 9 = 23%
Rule of Nines.
7. An elderly male patient presents w/ c/o anuria. The nurse anticipates an
order for what?: Urinary catheter placement.
8. How are belladonna and opium (B&O) administered after prostate surgery?-
: Rectally as a suppository.
9. During a transurethral procedure, where is the incision made?: Instruments
are inserted through the urethra.
10. Cherry has a vaginal yeast infection. She asks what causes this type of
infection. You will tell her?: Candida albicans.
11. What are the risk factors associated w/ breast cancer?: -Obesity.
-High alcohol intake.
-Early menarche.
-Late pregnancy.
-High fat diet.
12. Lab values to monitor for ARF and/or CRF include?: Creatinine, BUN, and
RBC's.
*Renal failure decreases production of erythropoiten.*
13. Long term steroid use is a common cause of what endocrine disorder?: -
Cushing's syndrome.
,Med-Surg 3 Final Exam Study Guide High-Yield Nursing
Review for Success exam questions and answers verified
A+ tips NEW!!!!
14. Your patient has hyperthyroidism. What are your priority nursing interven-
tions?: -Calm quiet environment.
-Monitor VS.
-Adm. beta-blockers, ice-packs.
,Med-Surg 3 Final Exam Study Guide High-Yield Nursing
Review for Success exam questions and answers verified
A+ tips NEW!!!!
15. What interventions are important for clients w/ a hx of CHF?: -Weigh daily.
-Limit fluid intake.
-Assess respiratory status.
16. What type of tumor should the nurse suspect if a pt has had an adrenalec-
tomy?: Pheochromocytoma.
17. What is an important intervention/teaching for a pt diagnosed w/ Otitis
Media?: Do not put anything into the ear, take all of your antibiotics.
18. Addison's dz is characterized by low serum levels of what?: -Sodium.
-Sugar.
-Steroid levels.
19. Dementia pts will do best when they are exposed to what type of daily
activity?: A routine daily plan; reorient.
20. Regular insulin is considered short acting. Lantus is an example of a long
acting insulin. What type of insulin is NPH?: Intermediate acting.
21. After measuring body fluids that are removed during a procedure the nurse
must do what?: Describe and document the amount and type of fluid.
22. What inhibits synthesis of specific clotting factors in the liver and takes
3-4 days to exert an anticoagulant effect?: Warfarin.
23. After an abdominal surgery the client will be kept NPO until...: the return of
bowel sounds.
24. Jerry has a wound infection. What S/S do you expect to find on your
bedside assessment?: -Elevated temp.
-Purulent drainage.
-Pain and/or edema.
25. Hemorrhage will have what effect on the urinary system?: Decreased UO-
kidneys are shunting all fluids to vital organs.
26. What are routine early interventions for chest pain?: Oxygen, nitro, mor-
phine (lidocaine last)
27. A full thickness burn is often described as:: Red, leathery, and painless or
4th degree.
28. Lilly has a positive Chvostek's sign, a positive Trousseau's sign, and is c/o
parasthesias. What electrolyte imbalance do you suspect?: Hypocalcemia; can
also c/o tingling in fingers and toes.
29. A client w/ leukemia has developed a fever. What interventions are impor-
tant?: -Reverse isolation.
-Assess for source of infection.
