MED/SURG I FINAL EXAM REVIEW QUESTIONS AND CORRECT ANSWERS

MED/SURG I FINAL EXAM REVIEW
QUESTIONS AND CORRECT
ANSWERS
AA2nurseA2assessesA2aA2postoperativeA2patientA22A2daysA2afterA2chestA2surgery.A2WhatA2fi
ndingsA2indicateA2thatA2theA2patientA2requiresA2betterA2painA2managementA2(selectA2allA2th
atA2apply)?
a.A2Confusion
b.A2Hypoglycemia
c.A2PoorA2coughA2effort
d.A2ShallowA2breathing
e.A2ElevatedA2temperatureA2-A2Ans--AA2CA2DA2E

AA2patientA2whoA2isA2hospitalizedA2withA2aA2pelvicA2fractureA2afterA2aA2motorA2vehicleA2acc
identA2justA2receivedA2newsA2thatA2theA2driverA2ofA2theA2carA2diedA2fromA2multipleA2injuries
.A2WhatA2actionsA2shouldA2theA2nurseA2takeA2basedA2onA2knowledgeA2ofA2theA2physiologic
A2stressA2reactionsA2thatA2mayA2occurA2inA2thisA2patientA2(selectA2allA2thatA2apply)?
a.A2AssessA2forA2bradycardia.
b.A2ObserveA2forA2decreasedA2appetite.
c.A2AskA2aboutA2epigastricA2discomfort.
d.A2MonitorA2forA2decreasedA2respiratoryA2rate.
e.A2CheckA2forA2elevatedA2bloodA2glucoseA2levels.A2-A2Ans--BA2CA2E

TheA2healthA2careA2providerA2ordersA2aA2patient-
controlledA2analgesiaA2(PCA)A2machineA2toA2provideA2painA2reliefA2forA2aA2patientA2withA2a
cuteA2surgicalA2painA2whoA2hasA2neverA2receivedA2opioidsA2before.A2WhichA2nursingA2acti
onsA2regardingA2opioidA2administrationA2areA2appropriateA2atA2thisA2timeA2(selectA2allA2that
A2apply)?
a.A2AssessA2forA2signsA2thatA2theA2patientA2isA2becomingA2addictedA2toA2theA2opioid.
b.A2MonitorA2forA2therapeuticA2andA2adverseA2effectsA2ofA2opioidA2administration.
c.A2EmphasizeA2thatA2theA2riskA2ofA2someA2opioidA2sideA2effectsA2increasesA2overA2time.
d.A2TeachA2theA2patientA2aboutA2howA2analgesicsA2improveA2postoperativeA2activityA2level
s.
e.A2ProvideA2instructionsA2onA2decreasingA2opioidA2dosesA2byA2theA2secondA2postoperativ
eA2day.A2-A2Ans--BA2D

AA2patientA2developsA2neutropeniaA2afterA2receivingA2chemotherapy.A2WhichA2informatio
nA2aboutA2waysA2toA2preventA2infectionA2willA2theA2nurseA2includeA2inA2theA2teachingA2plan
A2(selectA2allA2thatA2apply)?
a.A2CookA2foodA2thoroughlyA2beforeA2eating.
b.A2ChooseA2lowA2fiber,A2lowA2residueA2foods.
c.A2AvoidA2publicA2transportationA2suchA2asA2buses.

,d.A2UseA2rectalA2suppositoriesA2ifA2neededA2forA2constipation.
e.A2TalkA2toA2theA2oncologistA2beforeA2havingA2anyA2dentalA2work.A2-A2Ans--AA2CA2E

TheA2nurseA2usesA2theA2Situation-Background-Assessment-
RecommendationA2(SBAR)A2formatA2toA2communicateA2aA2changeA2inA2patientA2statusA2t
oA2aA2healthA2careA2provider.A2InA2whichA2orderA2shouldA2theA2nurseA2makeA2theA2followin
gA2statements?A2
a.A2"TheA2patientA2needsA2toA2beA2evaluatedA2immediatelyA2andA2mayA2needA2intubationA2
andA2mechanicalA2ventilation."
b.A2"TheA2patientA2wasA2admittedA2yesterdayA2withA2heartA2failureA2andA2hasA2beenA2recei
vingA2furosemideA2(Lasix)A2forA2diuresis,A2butA2urineA2outputA2hasA2beenA2low."
c.A2"TheA2patientA2hasA2cracklesA2audibleA2throughoutA2theA2posteriorA2chest,A2andA2theA2
mostA2recentA2oxygenA2saturationA2isA289%.A2HerA2conditionA2isA2veryA2unstable."
d.A2"ThisA2isA2theA2nurseA2onA2theA2surgicalA2unit.A2AfterA2assessingA2theA2patient,A2IA2amA
2veryA2concernedA2aboutA2increasedA2shortnessA2ofA2breathA2overA2theA2pastA2hour."A2-
A2Ans--DA2BA2CA2A


WhileA2ambulatingA2inA2theA2room,A2aA2patientA2complainsA2ofA2feelingA2dizzy.A2InA2whatA2
orderA2willA2theA2nurseA2accomplishA2theA2followingA2activities?A2
a.A2HaveA2theA2patientA2sitA2downA2inA2aA2chair.
b.A2GiveA2theA2patientA2somethingA2toA2drink.
c.A2TakeA2theA2patient'sA2bloodA2pressureA2(BP).
d.A2InformA2theA2patient'sA2healthA2careA2provider.A2-A2Ans--AA2CA2BA2D

InA2whatA2orderA2willA2theA2nurseA2performA2theseA2actionsA2whenA2doingA2aA2physicalA2as
sessmentA2forA2aA2patientA2admittedA2withA2abdominalA2pain?A2
a.A2PercussA2theA2abdomenA2toA2locateA2anyA2areasA2ofA2dullness.
b.A2PalpateA2theA2abdomenA2toA2checkA2forA2tendernessA2orA2masses.
c.A2InspectA2theA2abdomenA2forA2distentionA2orA2otherA2abnormalities.
d.A2AuscultateA2theA2abdomenA2forA2theA2presenceA2ofA2bowelA2sounds.A2-A2Ans--
CA2DA2AA2B

TheA2followingA2fourA2patientsA2arriveA2inA2theA2emergencyA2departmentA2(ED)A2afterA2aA2
motorA2vehicleA2collision.A2InA2whichA2orderA2shouldA2theA2nurseA2assessA2them?A2
a.A2AA274-yr-oldA2patientA2withA2palpitationsA2andA2chestA2pain
b.A2AA243-yr-oldA2patientA2complainingA2ofA27/10A2abdominalA2pain
c.A2AA221-yr-oldA2patientA2withA2multipleA2fracturesA2ofA2theA2faceA2andA2jaw
d.A2AA237-yr-oldA2patientA2withA2aA2misalignedA2lowerA2leftA2legA2withA2intactA2pulsesA2-
A2Ans--CA2AA2BA2D


WhichA2informationA2isA2mostA2importantA2forA2theA2nurseA2toA2reportA2toA2theA2healthA2car
eA2providerA2aboutA2aA2patientA2whoA2hasA2beenA2usingA2vareniclineA2(Chantix)?
a.A2TheA2patientA2continuesA2toA2smokeA2aA2fewA2cigarettesA2everyA2day.
b.A2TheA2patientA2complainsA2ofA2headachesA2thatA2occurA2almostA2daily.
c.A2TheA2patientA2complainsA2ofA2new-onsetA2sadnessA2andA2depression.
d.A2TheA2patientA2says,A2"IA2haveA2decidedA2thatA2IA2amA2notA2readyA2toA2quit."A2-A2Ans--C

, AnA2alertA2olderA2patientA2whoA2takesA2multipleA2medicationsA2forA2chronicA2cardiacA2andA
2pulmonaryA2diseasesA2livesA2withA2aA2daughterA2whoA2worksA2duringA2theA2day.A2DuringA
2aA2clinicA2visit,A2theA2patientA2verbalizesA2toA2theA2nurseA2thatA2sheA2hasA2aA2strainedA2rel
ationshipA2withA2herA2daughterA2andA2doesA2notA2enjoyA2beingA2aloneA2allA2day.A2WhichA2
nursingA2diagnosisA2shouldA2theA2nurseA2assignA2asA2theA2priorityA2forA2thisA2patient?
a.A2SocialA2isolationA2relatedA2toA2fatigue
b.A2RiskA2forA2injuryA2relatedA2toA2drugA2interactions
c.A2CaregiverA2roleA2strainA2relatedA2toA2familyA2employmentA2schedule
d.A2CompromisedA2familyA2copingA2relatedA2toA2theA2patient'sA2careA2needsA2-A2Ans--B

WhichA2methodA2shouldA2theA2nurseA2useA2toA2gatherA2theA2mostA2completeA2assessmen
tA2ofA2anA2olderA2patient?
a.A2ReviewA2theA2patient'sA2healthA2recordA2forA2previousA2assessments.
b.A2UseA2aA2geriatricA2assessmentA2instrumentA2toA2evaluateA2theA2patient.
c.A2AskA2theA2patientA2toA2writeA2downA2medicalA2problemsA2andA2medications.
d.A2InterviewA2bothA2theA2patientA2andA2theA2primaryA2caregiverA2forA2theA2patient.A2-
A2Ans--B


AnA2olderA2AsianA2AmericanA2patientA2tellsA2theA2nurseA2thatA2sheA2hasA2livedA2inA2theA2U
nitedA2StatesA2forA250A2years.A2TheA2patientA2speaksA2EnglishA2andA2livesA2inA2aA2predom
inantlyA2AsianA2neighborhood.A2WhichA2actionA2byA2theA2nurseA2isA2mostA2appropriate?
a.A2IncludeA2aA2shamanA2whenA2planningA2theA2patient'sA2care.
b.A2AvoidA2directA2eyeA2contactA2withA2theA2patientA2duringA2care.
c.A2AskA2theA2patientA2aboutA2anyA2specialA2culturalA2beliefsA2orA2practices.
d.A2InvolveA2theA2patient'sA2oldestA2sonA2toA2assistA2withA2healthA2careA2decisions.A2-
A2Ans--C


TheA2nurseA2isA2preparingA2toA2performA2aA2focusedA2assessmentA2forA2aA2patientA2compl
ainingA2ofA2shortnessA2ofA2breath.A2WhichA2equipmentA2willA2beA2needed?
a.A2FlashlightA2
c.A2TongueA2blades
b.A2StethoscopeA2
d.A2PercussionA2hammerA2-A2Ans--B

WhichA2nursingA2actionA2willA2beA2mostA2helpfulA2inA2decreasingA2theA2riskA2forA2drug-
drugA2interactionsA2inA2anA2olderA2adult?
a.A2TeachA2theA2patientA2toA2haveA2allA2prescriptionsA2filledA2atA2theA2sameA2pharmacy.
b.A2MakeA2aA2scheduleA2forA2theA2patientA2asA2aA2reminderA2ofA2whenA2toA2takeA2eachA2m
edication.
c.A2InstructA2theA2patientA2toA2avoidA2takingA2over-the-
counterA2(OTC)A2medicationsA2orA2supplements.
d.A2AskA2theA2patientA2toA2bringA2allA2medications,A2supplements,A2andA2herbsA2toA2eachA2
appointment.A2-A2Ans--D