Update) Medical Surgical Nursing II|
Review with Questions and Verified
Quiz_________________?
. A child with a heart defect is placed on a maintenance dose of Lanoxin elixir. The ordered
dose is 0.07 mg/kg/day in 2 divided doses. The child weighs 19 pounds. What is the
maximum amount of medication that will be given per dose by the registered nurse? -
Answer✅
Record your answer to the nearest tenth using decimals (for example, write 0.5 instead of
½). Do not include words or abbreviations in your answer. First you need to change pounds
to kg. 0.07mg x 8.6 = 0.6 divided by 2= 0.3mg Answer: 0.3 Reference: Treas & Wilkinson
2nd edition, p. 787-788 Review drug calculations
Quiz_________________?
. A newborn develops physiologic jaundice, and the mother asks the registered nurse why
this happened. Which response by the RN would be most accurate? -
Answer✅
"Because his liver is a bit immature, the baby can't break down the bilirubin as fast as
needed." Reference: Silbert-Flagg & Pillitteri 8th edition, p. 441 Review the causes of
physiologic jaundice.
1
, Quiz_________________?
. RN determines further teaching is needed regarding infant car safety when which patient
statement is made? -
Answer✅
"We disarmed one front seat air bag so we can put the car seat in the front seat." Review
car seat safety Reference: Silbert-Flagg & Pillitteri 8th edition, pp. 459-460
Quiz_________________?
. What should the registered nurse include in the explanation of the action of Lanoxin to
the parents of an infant prescribed on this medication? -
Answer✅
Slows and strengthens the heartbeat Reference: Silbert-Flagg & Pillitteri 8th edition, p. 1136
Review the indication, action and side effects of digoxin
Quiz_________________?
. What teaching should the registered nurse provide to the parents of a child recovering
from repair of a cleft palate? -
Answer✅
The child may have increased episodes of chronic otitis media. Review post-op management
of repair for cleft palate. Reference: Silbert-Flagg & Pillitteri 8th edition, p. 728
Quiz_________________?
. Which interventions would the registered nurse implement while feeding a post operative
cleft palate repair patient? Select all that apply. -
Answer✅
. Review post-op care for cleft palate repair • Keep pacifiers away from the infant's mouth. •
Provide age appropriate soft foods. • Offer liquids from a cup. • Keep spoons away from the
infant's mouth. Reference: Silbert-Flagg & Pillitteri 8th edition, p. 727
Quiz_________________?
. Which postoperative services would the registered nurse anticipate making arrangements
for following a cleft palate repair? Select all that apply. -
2
, Answer✅
Review long term management of babies with cleft palate • Pediatric otolaryngology •
Hearing screening • Speech therapy • Pediatric dentist Reference: Silbert-Flagg & Pillitteri 8th
edition, pp. 724-728
Quiz_________________?
"Ten Steps to Successful Breastfeeding", which is an evidence-based program created by the
World Health Organization and UNICEF to promote and support breastfeeding.
True or False -
Answer✅
True
Quiz_________________?
A 2-day-old infant received a Vitamin K injection in the delivery room. Which sign and
symptom in the infant indicates to the registered nurse the intervention was effective? -
Answer✅
Blood clots after heel stick. Reference: Silbert-Flagg & Pillitteri 8th edition, p. 431 Review
the indication for Vitamin K.
Quiz_________________?
A child is diagnosed with Hirschsprung disease. Which finding would the RN expect the
parents to report in the child's history? -
Answer✅
Chronic constipation Review assessment findings for Hirschsprung disease Reference:
Silbert-Flagg & Pillitteri 8th edition, p. 1283-1284
Quiz_________________?
A client with cystic fibrosis is admitted to the hospital with pneumonia. The registered nurse
has Ineffective airway clearance as a primary nursing diagnosis. Which outcome should be
the priority? -
Answer✅
3
, The client will have clear breath sounds in bilateral lower lobes by discharge. Review nursing
outcomes for Ineffective Airway clearance. Reference: Silbert-Flagg & Pillitteri 8th edition, p.
1121
Quiz_________________?
A collection of blood in the subcutaneous layer of tissue of the perineum. The overlying
skin, as a rule is intact with no noticeable trauma. Most like to occur after a rapid
spontaneous births -
Answer✅
Perineal Hematomas
Quiz_________________?
A female carrier learns that she is the carrier of an X-linked recessive disease. Her spouse is
free of the disease. What would the registered nurse teach the patient about the frequency
of this disease in future children? -
Answer✅
All male children will have a 50% risk to inherit the disease. Reference: Silbert-Flagg &
Pillitteri 8th edition, pp 158 Review inheritance patterns for X-linked recessive disorders
Quiz_________________?
A first time mother who gave birth yesterday asks when her milk will come in. What should
the nurse teach her? -
Answer✅
You will notice changes a few days after delivery.
Quiz_________________?
A localized dilation of an artery either within the original diameter of the artery (fusiform)
or an out pouching of the artery (saccular). -
Answer✅
Aortic Aneurysm
4
Review with Questions and Verified
Quiz_________________?
. A child with a heart defect is placed on a maintenance dose of Lanoxin elixir. The ordered
dose is 0.07 mg/kg/day in 2 divided doses. The child weighs 19 pounds. What is the
maximum amount of medication that will be given per dose by the registered nurse? -
Answer✅
Record your answer to the nearest tenth using decimals (for example, write 0.5 instead of
½). Do not include words or abbreviations in your answer. First you need to change pounds
to kg. 0.07mg x 8.6 = 0.6 divided by 2= 0.3mg Answer: 0.3 Reference: Treas & Wilkinson
2nd edition, p. 787-788 Review drug calculations
Quiz_________________?
. A newborn develops physiologic jaundice, and the mother asks the registered nurse why
this happened. Which response by the RN would be most accurate? -
Answer✅
"Because his liver is a bit immature, the baby can't break down the bilirubin as fast as
needed." Reference: Silbert-Flagg & Pillitteri 8th edition, p. 441 Review the causes of
physiologic jaundice.
1
, Quiz_________________?
. RN determines further teaching is needed regarding infant car safety when which patient
statement is made? -
Answer✅
"We disarmed one front seat air bag so we can put the car seat in the front seat." Review
car seat safety Reference: Silbert-Flagg & Pillitteri 8th edition, pp. 459-460
Quiz_________________?
. What should the registered nurse include in the explanation of the action of Lanoxin to
the parents of an infant prescribed on this medication? -
Answer✅
Slows and strengthens the heartbeat Reference: Silbert-Flagg & Pillitteri 8th edition, p. 1136
Review the indication, action and side effects of digoxin
Quiz_________________?
. What teaching should the registered nurse provide to the parents of a child recovering
from repair of a cleft palate? -
Answer✅
The child may have increased episodes of chronic otitis media. Review post-op management
of repair for cleft palate. Reference: Silbert-Flagg & Pillitteri 8th edition, p. 728
Quiz_________________?
. Which interventions would the registered nurse implement while feeding a post operative
cleft palate repair patient? Select all that apply. -
Answer✅
. Review post-op care for cleft palate repair • Keep pacifiers away from the infant's mouth. •
Provide age appropriate soft foods. • Offer liquids from a cup. • Keep spoons away from the
infant's mouth. Reference: Silbert-Flagg & Pillitteri 8th edition, p. 727
Quiz_________________?
. Which postoperative services would the registered nurse anticipate making arrangements
for following a cleft palate repair? Select all that apply. -
2
, Answer✅
Review long term management of babies with cleft palate • Pediatric otolaryngology •
Hearing screening • Speech therapy • Pediatric dentist Reference: Silbert-Flagg & Pillitteri 8th
edition, pp. 724-728
Quiz_________________?
"Ten Steps to Successful Breastfeeding", which is an evidence-based program created by the
World Health Organization and UNICEF to promote and support breastfeeding.
True or False -
Answer✅
True
Quiz_________________?
A 2-day-old infant received a Vitamin K injection in the delivery room. Which sign and
symptom in the infant indicates to the registered nurse the intervention was effective? -
Answer✅
Blood clots after heel stick. Reference: Silbert-Flagg & Pillitteri 8th edition, p. 431 Review
the indication for Vitamin K.
Quiz_________________?
A child is diagnosed with Hirschsprung disease. Which finding would the RN expect the
parents to report in the child's history? -
Answer✅
Chronic constipation Review assessment findings for Hirschsprung disease Reference:
Silbert-Flagg & Pillitteri 8th edition, p. 1283-1284
Quiz_________________?
A client with cystic fibrosis is admitted to the hospital with pneumonia. The registered nurse
has Ineffective airway clearance as a primary nursing diagnosis. Which outcome should be
the priority? -
Answer✅
3
, The client will have clear breath sounds in bilateral lower lobes by discharge. Review nursing
outcomes for Ineffective Airway clearance. Reference: Silbert-Flagg & Pillitteri 8th edition, p.
1121
Quiz_________________?
A collection of blood in the subcutaneous layer of tissue of the perineum. The overlying
skin, as a rule is intact with no noticeable trauma. Most like to occur after a rapid
spontaneous births -
Answer✅
Perineal Hematomas
Quiz_________________?
A female carrier learns that she is the carrier of an X-linked recessive disease. Her spouse is
free of the disease. What would the registered nurse teach the patient about the frequency
of this disease in future children? -
Answer✅
All male children will have a 50% risk to inherit the disease. Reference: Silbert-Flagg &
Pillitteri 8th edition, pp 158 Review inheritance patterns for X-linked recessive disorders
Quiz_________________?
A first time mother who gave birth yesterday asks when her milk will come in. What should
the nurse teach her? -
Answer✅
You will notice changes a few days after delivery.
Quiz_________________?
A localized dilation of an artery either within the original diameter of the artery (fusiform)
or an out pouching of the artery (saccular). -
Answer✅
Aortic Aneurysm
4
