NRS 3015 MEDICAL SURGICAL NURSING I: FINAL EXAM
(2025) comprehensive questions and verified detailed
solutions ( MULTIPLE CHOICES) |100% CORRECT!!
Why would we schedule opioid agonists for a patient's pain? (SATA)
a.) the patient will be participating in therapy or other painful activity
b.) the patient has had a major injury or surgery and pain is expected
c.) the nurse needs to schedule their care of their assignment` - ans -A, B
How can we best assess pain in a non-verbal patient? (SATA)
a.) use a visual report aid that the patient can point to
b.) ask the patient to hold up fingers (1-10) related to pain level
c.) use the FACES scale to have them indicate which one best matches the pain
d.) the nurse can match the patient's appearance to the FACES pain scale - ans -A,
B, C
A 2 day s/p knee replacement patient receiving opioids has N/V. What should the
nurse do first?
a.) hold the opioid medication at next dose
b.) palpate the abdomen
c.) auscultate the abdomen
d.) administer Zofran 4mg, IVP - ans -auscultate the abdomen
A patient with a 24-hour history of flank pain, N/V has orders: 2mg Dilaudid, UA,
strain urine, and Zofran. What do you do first?
a.) give Zofran
b.) give Dilaudid
c.) do the UA
d.) strain the urine - ans -Give Dilaudid
A 70-year old patient is ordered Norco 500/5 q6h and Tylenol 650 q8h. Is this
safe?
,a.) absolutely not
b.) yep, no worries here
c.) can I see some hepatic labs first?
d.) call the pharmacist - ans -absolutely not
What is the purpose of a surgical drain
a.) stop bleeding
b.) prevent accumulation of excess fluid
c.) prevent infection
d.) provide sterile irrigation - ans -prevent accumulation of excess fluid
Is a penrose an active drain?
True or False - ans -False
What type of drain is a Jackson-Pratt?
Active or Passive - ans -Active
The separation of a surgical incision or rupture of a would closure is called:
a.) eviseration
b.) dehiscence
c.) slough
d.) laceration - ans -dehiscence
The following findings could indicate a post-operative ileus: (SATA)
a.) fever
b.) absent bowel sounds
c.) absent flatus
d.) abdominal distension - ans -B, C, D
The acronym VTE means:
,a.) vein to emboli
b.) venous thromboembolism
c.) variable thrombi
d.) vein tenderness - ans -venous thromboembolism
This route of Heparin administration is used for VTE prophylaxis:
a.) IM
b.) SubQ
c.) PO
d.) IV - ans -SubQ
Which patient is MOST at risk for developing VTE?
a.) 45-year old with hyperlipidemia & diabetes
b.) 70-year old with severe anxiety
c.) 25-year old with IV drug dependency
d.) 60-year old day 1 post-op knee replacement
- ans -60-year old 1 day post-op knee replacement
Etomidate (Amidate)
a.) anticholinergic
b.) adrenergic agonist, inotropic
c.) hynotic, anesthesia induction agent
d.) antiplatelet - ans -hynotic, anesthesia induction agent
Why does Fentanyl cause hypotension?
a.) vasoconstriction
b.) vasodilation
c.) dizziness
d.) bradycardia - ans -vasodilation
Atropine
a.) speeds up the heart
, b.) slows down the heart
c.) stops the heart
d.) increases contractility of the heart - ans -speeds up the heart
Atropine is classified as a/an
a.) anticholinergic
b.) parasympatholitic
c.) both a & b
d.) neither a or b - ans -both a & b
Atropine can be used post-operative to decrease N/V
True or False - ans -True
Midazolam is an ___ and a ___ ___
a.) anticholinergic, muscle relaxer
b.) anxiolytic, muscle relaxer - ans -anxiolytic, muscle relaxer
Midazolam is in the following drug family:
a.) opioid
b.) NSAID
c.) benzodiazepine
d.) antihistamine - ans -benzodiazepine
What is the reversal agent for Midazolam?
a.) naloxone
b.) there is no reversal agent
c.) morphine
d.) flumazenil - ans -flumazenil
In healthy patients, midazolam is recommended to be given:
a.) 1mg/minute until patient is completely sedated
(2025) comprehensive questions and verified detailed
solutions ( MULTIPLE CHOICES) |100% CORRECT!!
Why would we schedule opioid agonists for a patient's pain? (SATA)
a.) the patient will be participating in therapy or other painful activity
b.) the patient has had a major injury or surgery and pain is expected
c.) the nurse needs to schedule their care of their assignment` - ans -A, B
How can we best assess pain in a non-verbal patient? (SATA)
a.) use a visual report aid that the patient can point to
b.) ask the patient to hold up fingers (1-10) related to pain level
c.) use the FACES scale to have them indicate which one best matches the pain
d.) the nurse can match the patient's appearance to the FACES pain scale - ans -A,
B, C
A 2 day s/p knee replacement patient receiving opioids has N/V. What should the
nurse do first?
a.) hold the opioid medication at next dose
b.) palpate the abdomen
c.) auscultate the abdomen
d.) administer Zofran 4mg, IVP - ans -auscultate the abdomen
A patient with a 24-hour history of flank pain, N/V has orders: 2mg Dilaudid, UA,
strain urine, and Zofran. What do you do first?
a.) give Zofran
b.) give Dilaudid
c.) do the UA
d.) strain the urine - ans -Give Dilaudid
A 70-year old patient is ordered Norco 500/5 q6h and Tylenol 650 q8h. Is this
safe?
,a.) absolutely not
b.) yep, no worries here
c.) can I see some hepatic labs first?
d.) call the pharmacist - ans -absolutely not
What is the purpose of a surgical drain
a.) stop bleeding
b.) prevent accumulation of excess fluid
c.) prevent infection
d.) provide sterile irrigation - ans -prevent accumulation of excess fluid
Is a penrose an active drain?
True or False - ans -False
What type of drain is a Jackson-Pratt?
Active or Passive - ans -Active
The separation of a surgical incision or rupture of a would closure is called:
a.) eviseration
b.) dehiscence
c.) slough
d.) laceration - ans -dehiscence
The following findings could indicate a post-operative ileus: (SATA)
a.) fever
b.) absent bowel sounds
c.) absent flatus
d.) abdominal distension - ans -B, C, D
The acronym VTE means:
,a.) vein to emboli
b.) venous thromboembolism
c.) variable thrombi
d.) vein tenderness - ans -venous thromboembolism
This route of Heparin administration is used for VTE prophylaxis:
a.) IM
b.) SubQ
c.) PO
d.) IV - ans -SubQ
Which patient is MOST at risk for developing VTE?
a.) 45-year old with hyperlipidemia & diabetes
b.) 70-year old with severe anxiety
c.) 25-year old with IV drug dependency
d.) 60-year old day 1 post-op knee replacement
- ans -60-year old 1 day post-op knee replacement
Etomidate (Amidate)
a.) anticholinergic
b.) adrenergic agonist, inotropic
c.) hynotic, anesthesia induction agent
d.) antiplatelet - ans -hynotic, anesthesia induction agent
Why does Fentanyl cause hypotension?
a.) vasoconstriction
b.) vasodilation
c.) dizziness
d.) bradycardia - ans -vasodilation
Atropine
a.) speeds up the heart
, b.) slows down the heart
c.) stops the heart
d.) increases contractility of the heart - ans -speeds up the heart
Atropine is classified as a/an
a.) anticholinergic
b.) parasympatholitic
c.) both a & b
d.) neither a or b - ans -both a & b
Atropine can be used post-operative to decrease N/V
True or False - ans -True
Midazolam is an ___ and a ___ ___
a.) anticholinergic, muscle relaxer
b.) anxiolytic, muscle relaxer - ans -anxiolytic, muscle relaxer
Midazolam is in the following drug family:
a.) opioid
b.) NSAID
c.) benzodiazepine
d.) antihistamine - ans -benzodiazepine
What is the reversal agent for Midazolam?
a.) naloxone
b.) there is no reversal agent
c.) morphine
d.) flumazenil - ans -flumazenil
In healthy patients, midazolam is recommended to be given:
a.) 1mg/minute until patient is completely sedated
