Complex Med-Surg Exam 1 – Complete Test with Solutions

Serves nas nguidelines nfor ncritical ncare nnurses, nestablishes ngoals nfor npatient
ncare. n- ncorrect nanswer-AACN nStandards nfor nAcute nand nCritical nCare nNursing
nPractice


What nmakes ndelirium ndifferent nfrom ndementia? n- ncorrect nanswer-Delirium nis nfast
nonset, nacute nin nnature, nand nthere nis nusually na ncause nto nit.


True nor nFalse: nDelirium nis nassociated nwith nlow nrates nof nmortality nand
nmorbidity? n- ncorrect nanswer-False- nit nis nassociated nwith nhigh nrates nof nmortality
nand nmorbidity.


3 nTypes nof nDelirium nand ncharacteristics n- ncorrect nanswer-Hyperactive- nagitated,
ncombative, ndisoriented
Hypoactive- nquiet ndelirium
Mixed- nfluctuating nbetween nhyperactive nand nhypoactive

Risk nfactors nfor ndelirium n- ncorrect nanswer-Older nthan n70, ncame nfrom na nnursing
nhome, nhx nof nsubstance nabuse, nrenal nor nliver ndisease, ncentral nlines, nphysical
nrestraints.


Drug nof nchoice nfor ndelirium n- ncorrect nanswer-haloperidol

Biggest nrisk nfor ndelirium npatients n- ncorrect nanswer-FALLS

ABCDE nBundle nfor nDelirium n- ncorrect nanswer-A-Awakening n
B- nBreathing nCoordination

, C- nChoice nof nSedation
D- nDelirium nMonitoring
E-Early nmobility nand nexercise

living nwill, nadvanced ndirective n- ncorrect nanswer-A ndocument nthat nindicates nwhat
nmedical nintervention nan nindividual nwants nif nhe nor nshe nbecomes nincapable nof
nexpressing nthose nwishes.


Abandonment n- ncorrect nanswer--Severing nprofessional nrelationship nwhen npatient
nis nin nneed nof ncare
-Can neven nhappen nif nyou ngo nto nlunch nand ndo nnot ntransfer ncare nto nanother
nnurse


Moral nconflict n- ncorrect nanswer--Nurse nnot nrequired nto npractice nif nsituation
nviolates nmoral nor nreligious nbeliefs
-Must ntransfer ncare nto nanother nnurse nto navoid nabandonment

Witholding: nnot n________
Withdrawing: nnot n_________ n- ncorrect nanswer-Not ninitiating
Weaning nor nremoving

True nor nfalse: nfamily npresence nduring ncodes nis npromoted n- ncorrect nanswer-
True!

Breast nCancer nEarly nDetection nGuidelines n- ncorrect nanswer-40-44 nyrs- nwomen
nshould nhave nthe nchoice nto nhave nannual nmammograms
45-54- nshould nget nmammograms nannually
55 nand nolder- nshould nswitch nto nmammograms nevery n2 nyears
(unless ngenetically npredisposed nto nbreast ncancer, nthen nshould nget nan nMRI nand
nmammograms)


Colon nand nRectal nCancer nDetection nGuidelines n- ncorrect nanswer-Starting nat n50,
nboth nmen nand nwomen nshould nget na ncolonoscopy nevery n10 nyears.


Cervical nCancer nDetection nGuidelines n- ncorrect nanswer--Cervical ncancer ntesting
nshould nstart nat nage n21 n(every n3 nyears), nthose nunder nthis nage nshouldn't nbe
ntested. n
-Women nbetween n21 nand n29 nshould nalso nhave na nPap ndone nevery n3 nyears.
-Women n30-65 nshould nhave nPap nand nHPV nevery n5 nyears.

Endometrial n(uterine) ncancer nscreening n- ncorrect nanswer-At ntime nof nmenopause,
nwomen nshould nbe neducated nabout nsigns nand nsymptoms nof nendometrial ncancer
nand nshould nreport nany nextra nvaginal nbleeding nto ndoctors.


Lung ncancer nscreening n- ncorrect nanswer--Done nby nCT nscan
-Only nfor nhigh nrisk npatients, nmust nhave nall nof nthe nfollowing: n
1. n55-74 nyears nof nage
2. nIn ngood nhealth
3. nHave nat nleast na n30 npack nyear nsmoking nhistory