MED SURG QUESTIONS AND CORRECT
ANSWERS (LATEST UPDATE).
After obtaining a blood specimen from a client's peripherally inserted
central catheter (PICC), which of the following actions should the nurse
take next? - CorreCt Answers -Flush with 20 mL 0.9% sodium chloride.
A nurse is providing dietary teaching to a client who has a new diagnosis of
IBS. What food recommendation should the nurse include? - CorreCt
Answers -Bran fiber (it forms the stool)
A nurse is teaching a client who is at 41 weeks gestation about a nonstress
test. What information should the nurse include in the teaching regarding
what will be attached to her? - CorreCt Answers -You will have a Doppler
transducer applied to your abdomen during the test
A nurse is creating a plan of care for a client who is postop followign a
coronary artery bypass graft (CABG). To prevent complications of cardiac
surgery, which of the following instructions should the nurse include in the
plan of care? - CorreCt Answers -Check the client's hgb level is chest tube
drainage is 300 mL in the first 1 hr. Notify physician if >100 mL/hr
drainage
A nurse in an acute care mental health facility is placing a client in
seclusion and restraints. What action should the nurse plan to take in
regards to the provider? - CorreCt Answers -Have the provider evaluate the
client IN PERSON within one hour
,What lab findings are indicative of rheumatic fever - CorreCt Answers -
Elevated sedimentation rate and C-reactive protein
Lab value and nutritional status - CorreCt Answers -Serum Albumin
hypertension and severe headache - CorreCt Answers -
A nurse is rceiving the lab results of a client who has osteomyelitis and is
receivign tobramycin. What findings would indicate an adverse effect of the
medication - CorreCt Answers -BUN 30
BUN range - CorreCt Answers -10-20 mg/dL
A mental health nurse is caring for a client who recently states, "I wish I
was dead." following a suicide attempt. What response by the nurse is
appropriate - CorreCt Answers -You seem like you're feeling hopeless
A client who received Mantoux test 48 hours ago and has an induration -
CorreCt Answers -needs follow up care
A nurse is caring for a client who has undergone a modified radical
mastectomy. The client has a closed-suction drain. What action should the
nurse take in regards to resetting the vacuum - CorreCt Answers -Rest the
vacuum by compressing the container
A nurse is planning to admin 2 units of packed RBC's to an older adult
client who has anemia. What actions should the nurse plan to take -
CorreCt Answers -Asses the client's lung sounds prior to the infusion
,Verify with another nurse that the unit of blood is compatible with the
client's blood type
A nurse is caring for a client who has C. Diff. What actions should the nurse
take - CorreCt Answers -Change gloves after contact with infectious
material
Wear gown while providing care
A community health nurse receives a referral for a facility home visit. What
task should the nurse perform first? - CorreCt Answers -Clarify the source
of the referral
A nurse is caring for a 3 day old newborn who has a congenital heart defect.
What intervention should the nurse include to decrease cardiac demand for
the newborn regarding feedings - CorreCt Answers -Feed the infant when
she is awake and crying
A nurse is caring for a newborn who has hyperbilirubinemia and a new
prescription for phototherapy. Which of the following actions should the
nurse plan to take
a,. discontinue is the newborn's urine turns brown
b. Feed the newborn 15 mL glucose water every 3 hr
c. Apply a moisterizing lotion to the newborns skin twice daily
d. change the newborn position every 2 hr - CorreCt Answers -change the
newborn position every 2 hours
-this will maximize exposure of the skin to the light
, A suspension medication must be what prior to admin? - CorreCt Answers -
Shaken well
At what temperature should amoxicillin/clavulanate be kept? - CorreCt
Answers -cool (the fridge)
When should you discard any unused amoxicillin? - CorreCt Answers -after
14 days
how often is amoxicillin given to children - CorreCt Answers -every 8-12
hours as prescribed to maintain blood levels
The expected value for aPTT is - CorreCt Answers -40 seconds
A therapeutic level of heparin increases the aPTT by a factor of - CorreCt
Answers -1.5-2 making the aPTT 60-80 seconds
INR expected reference range for a client with pulmonary embolism -
CorreCt Answers -2.5-3.5
what kind of medication is alteplase - CorreCt Answers -a thrombolytic
medication
A nurse is preparing to teach about dietary management to a client who has
Chron's disease and an enteroenteric fistula (formation of a fistula between