PN MEDICAL-SURGICAL NURSING FINAL EXAM DEWIT 3RD EDITION QUESTIONS AND
ANSWERS
A Patient was admitted for shortness of breath. The nurse connects the patient to the cardiac monitor.
According to the strip below, which treatment is appropriate for the patient?
a. administer adenosine
b. administer a thiazide medication
c. adminster an oral anticoagulant
d. administer a beta blocker - (ANSWER)c.
An acute myocardial infarction patient ambulated in the hospital hallway. When evaluating the patient
response, which would indicate the exercise level should be decreased?
a. oxygen satuartion changes from 100% to 98%
b. blood pressure changes from 118/60 to 126/26
c. respiratory rate changes from 14 to 20
d. heart rate changes from 66-101 - (ANSWER)d.
The nurse is caring for 70-year-old patient who the nurse suspects having difficulty hearing.
The nurse is providing discharge instructions. The patient is nodding as the charge nurse
discusses the orders. What action should the nurse take to assess whether or not the patient
heard and understood what she has said?
a. Ask the patient to repeat back what he was instructed to do
b. Ask the patient if he understood the instructions and ask him to sign the form
c. Ask another nurse to witness providing instructions to the patient
d. Call the wife and provide the instruction to her - (ANSWER)a.
*Statement terminally ill pt to caregiver. - (ANSWER)"Stop taking chemo-therapy medications."
*Marked edema. Which medication? - (ANSWER)
,PN MEDICAL-SURGICAL NURSING FINAL EXAM DEWIT 3RD EDITION QUESTIONS AND
ANSWERS
A nurse has committed a serious medication error and reported the error to the hospital's
adverse medication error hotline as well to the unit manager. The manager is a firm believer in
developing critical thinking skills. From this stand point what action by the manage would be the
best to nurture this ability in the nurse who made the error?
a. Let the nurse work with more experience nurses when giving medications
b. Have the nurse present and in-service related to the cause of the error
c. Send the nurse to refresher course on medication administration
d. In struct nurse to write a paper on how to avoid this type of error - (ANSWER)b.
The nurse is taking care of a patient just diagnosed with CHF. The patient is an attorney and has brought
his work with him to do at the hospital. He is constantly on the phone discussing work and seems very
hurried. The nurse assesses this to be what type of stress?
a.Acute stress
b. Epidodic stress
c. Chronic stress
d. Normal stress - (ANSWER)b.
Which of the following conditions puts a patient at risk for acute respiratory distress syndrome?
(select all)
a. Drug reaction
b. Head injury
c. Pancreatitis
d. Sepsis
e. High altitudes - (ANSWER)a.
b.
,PN MEDICAL-SURGICAL NURSING FINAL EXAM DEWIT 3RD EDITION QUESTIONS AND
ANSWERS
c.
d.
The nurse is caring for a patient on a cardiac monitor and notes a peaked T wave. What lab will the
nurse expect to find?
a. hypercalcemia
b. hyperkalemia
c. hypokalemia
d.hypocalcemia - (ANSWER)b.
The patient has just been diagnosed with an MI. The patient asks for information about the disease and
looks for any support groups. The nurse assesses this to be what type of coping strategy?
a. problem focused
b. meaning focused
c. emotional focused
d. maladaptive focused - (ANSWER)a.
The nurse is caring for a patient diagnosed with heart failure. The nurse is preparing to administer
digoxin to the patient. The patient reports nausea, vomiting and a headache. The nurse notes a
respiratory rate of 19 breaths per min and HR of 58 BPM and blood pressure of 120/78. What will the
nurse do?
a. hold the dose of digoxin and notify the provider of possible toxicity
b. request an order for an anti-emetic and analgesic
c. reassure the patient that these are common sighs and self limiting effects
d. administer the next dose as ordered since these are minor side effects - (ANSWER)a.
, PN MEDICAL-SURGICAL NURSING FINAL EXAM DEWIT 3RD EDITION QUESTIONS AND
ANSWERS
When planning the response to the potential use of smallpox as an agent of terrorism, the emergency
department (ED) nurse-manager will plan to obtain sufficient quantities of
a. vaccine
b. antibiotics
c. blood
d. atropine - (ANSWER)a.
What assessment finding would the nurse consider to be relative of hypovolemia?
a. fluid moving into the intracellular space
b. elevated systolic blood pressure
c. elevated mean arterial pressure
d. fluid moving into the extravascular space - (ANSWER)d.
The nurse is caring for a patient with burns. The total body surface area affected is 63%. The nurse must
provide wound care for this patient. What interventions should the nurse include? (Select All)
a. wear a gown,mask,gloves and protective eye gear while providing care
b. use sterile technique when applying new dressings
c. use scrub brush to debride wounds
d. provide pain medication 2 hours prior to dressing changes
e. provide pain medication 30 minutes prior to dressing changes - (ANSWER)a.
b.
e.
ANSWERS
A Patient was admitted for shortness of breath. The nurse connects the patient to the cardiac monitor.
According to the strip below, which treatment is appropriate for the patient?
a. administer adenosine
b. administer a thiazide medication
c. adminster an oral anticoagulant
d. administer a beta blocker - (ANSWER)c.
An acute myocardial infarction patient ambulated in the hospital hallway. When evaluating the patient
response, which would indicate the exercise level should be decreased?
a. oxygen satuartion changes from 100% to 98%
b. blood pressure changes from 118/60 to 126/26
c. respiratory rate changes from 14 to 20
d. heart rate changes from 66-101 - (ANSWER)d.
The nurse is caring for 70-year-old patient who the nurse suspects having difficulty hearing.
The nurse is providing discharge instructions. The patient is nodding as the charge nurse
discusses the orders. What action should the nurse take to assess whether or not the patient
heard and understood what she has said?
a. Ask the patient to repeat back what he was instructed to do
b. Ask the patient if he understood the instructions and ask him to sign the form
c. Ask another nurse to witness providing instructions to the patient
d. Call the wife and provide the instruction to her - (ANSWER)a.
*Statement terminally ill pt to caregiver. - (ANSWER)"Stop taking chemo-therapy medications."
*Marked edema. Which medication? - (ANSWER)
,PN MEDICAL-SURGICAL NURSING FINAL EXAM DEWIT 3RD EDITION QUESTIONS AND
ANSWERS
A nurse has committed a serious medication error and reported the error to the hospital's
adverse medication error hotline as well to the unit manager. The manager is a firm believer in
developing critical thinking skills. From this stand point what action by the manage would be the
best to nurture this ability in the nurse who made the error?
a. Let the nurse work with more experience nurses when giving medications
b. Have the nurse present and in-service related to the cause of the error
c. Send the nurse to refresher course on medication administration
d. In struct nurse to write a paper on how to avoid this type of error - (ANSWER)b.
The nurse is taking care of a patient just diagnosed with CHF. The patient is an attorney and has brought
his work with him to do at the hospital. He is constantly on the phone discussing work and seems very
hurried. The nurse assesses this to be what type of stress?
a.Acute stress
b. Epidodic stress
c. Chronic stress
d. Normal stress - (ANSWER)b.
Which of the following conditions puts a patient at risk for acute respiratory distress syndrome?
(select all)
a. Drug reaction
b. Head injury
c. Pancreatitis
d. Sepsis
e. High altitudes - (ANSWER)a.
b.
,PN MEDICAL-SURGICAL NURSING FINAL EXAM DEWIT 3RD EDITION QUESTIONS AND
ANSWERS
c.
d.
The nurse is caring for a patient on a cardiac monitor and notes a peaked T wave. What lab will the
nurse expect to find?
a. hypercalcemia
b. hyperkalemia
c. hypokalemia
d.hypocalcemia - (ANSWER)b.
The patient has just been diagnosed with an MI. The patient asks for information about the disease and
looks for any support groups. The nurse assesses this to be what type of coping strategy?
a. problem focused
b. meaning focused
c. emotional focused
d. maladaptive focused - (ANSWER)a.
The nurse is caring for a patient diagnosed with heart failure. The nurse is preparing to administer
digoxin to the patient. The patient reports nausea, vomiting and a headache. The nurse notes a
respiratory rate of 19 breaths per min and HR of 58 BPM and blood pressure of 120/78. What will the
nurse do?
a. hold the dose of digoxin and notify the provider of possible toxicity
b. request an order for an anti-emetic and analgesic
c. reassure the patient that these are common sighs and self limiting effects
d. administer the next dose as ordered since these are minor side effects - (ANSWER)a.
, PN MEDICAL-SURGICAL NURSING FINAL EXAM DEWIT 3RD EDITION QUESTIONS AND
ANSWERS
When planning the response to the potential use of smallpox as an agent of terrorism, the emergency
department (ED) nurse-manager will plan to obtain sufficient quantities of
a. vaccine
b. antibiotics
c. blood
d. atropine - (ANSWER)a.
What assessment finding would the nurse consider to be relative of hypovolemia?
a. fluid moving into the intracellular space
b. elevated systolic blood pressure
c. elevated mean arterial pressure
d. fluid moving into the extravascular space - (ANSWER)d.
The nurse is caring for a patient with burns. The total body surface area affected is 63%. The nurse must
provide wound care for this patient. What interventions should the nurse include? (Select All)
a. wear a gown,mask,gloves and protective eye gear while providing care
b. use sterile technique when applying new dressings
c. use scrub brush to debride wounds
d. provide pain medication 2 hours prior to dressing changes
e. provide pain medication 30 minutes prior to dressing changes - (ANSWER)a.
b.
e.
