Medical Surgical Nursing Final
nn nn nn nn
Exams Study Questions With 100%
nn nn nn nn
Correct Answers A Graded
nn nn nn nn
nn
nn
nn
nn
nn nn
1. nnA nnpatient nnis nnbeing nnadmitted nnto nnthe nnhospital nnon nnthe nnday nnbefore nna nnscheduled
nnsurgery. nnWhat nnis nnthe nnmost nnappropriate nninitial nnquestion nnfor nnthe nnnurse nnto nnask
nnthis nnpreoperative nnpatient? nn
a) "What nndid nnyour nnsurgeon nnsay nnto nnyou nnabout nnthe nntype nnof nnsurgery nnyou nnare
nnhaving?" nn
b) "What nnquestions nndo nnyou nnhave nnabout nnyour nnsurgery?" nn
c) "What nntype nnof nnsurgery nnare nnyou nnhaving nnand nnwhy nnare nnyou nnhaving nnit nndone?" nn
d) "What nndo nnyou nnknow nnabout nnwhat nnwill nnbe nndone nnto nnyou?" nn- nnCORRECT
nnANSWER-c) nn"What nntype nnof nnsurgery nnare nnyou nnhaving nnand nnwhy nnare nnyou
nnhaving nnit nndone?" nn
nn
2. nnA nnbenzodiazepine nnhas nnbeen nnadministered nnto nna nnpatient nnpreoperatively.
nnAfter nnthe nndrug nnhas nnbeen nnadministered, nnthe nnnurse nnplans nnto nnmonitor nnthe
nnpatient nnfor nnwhich nnside nneffects? nnSelect nnall nnthat nnapply. nna) nnAnxiety nn
b) Hypotension nn
c) Hypocalcemia nn
d) Level nnof nnConsciousness nn
e) Sedation nn- nnCORRECT nnANSWER-a) nnAnxiety nn
d) Level nnof nnConsciousness nn
e) Sedation nn
nn
3. nnA nnpreoperative nnpatient nnhas nnan nnelevated nnhemoglobin nnand nnhematocrit. nnWhat
nnwould nnthe nn
nn
nurse nnsuspect nnregarding nnthe nnsignificance nnof nnthis nnincreased
nnvalue?
nn
a) nnImmune nn
nndeficiency
b) nnKidney
nndysfunction
nn
c)
nnMalignancy
nn
d) nnDehydration nn- nnCORRECT nnANSWER-d)
nnDehydration
nn
4. nnWhich nnactivities nnshould nnthe nnnurse nncarry nnout nnin nnthe nnpreoperative nnperiod nnfor
nna nnclient nnscheduled nnfor nnsurgery? nnSelect nnall nnthat nnapply. nn
,a) Identify nnpotential nnor nnactual nnhealth nnproblems. nn
b) Verify nnthe nnpresence nnof nna nnsigned nnconsent nnform. nn
c) Assess nnpatient's nnresponse nnto nninterventions. nn
d) Intervene nnto nnprevent nncomplications. nn
e) nnAssess nneffectiveness nnof nnteaching nnrelated nnto nnpostoperative nnrecovery. nn-
nnCORRECT nn
nn
ANSWER-a) nnIdentify nnpotential nnor nnactual nnhealth
nnproblems.
nn
b) nnVerify nnthe nnpresence nnof nna nnsigned nnconsent
nnform.
nn
e) nnAssess nneffectiveness nnof nnteaching nnrelated nnto nnpostoperative
nnrecovery.
nn
5. nnA nnpatient nnhaving nnsurgery nnhas nna nndegree nnof nnrisk nnassociated nnwith nnthe nnsurgery.
nnThe nnnurse nnwould nnevaluate nnwhich nnpatient-related nnfactors nnas nncontributing nnto nna
nnhigh nndegree nnof nnrisk nnassociated nnwith nnsurgery? nnSelect nnall nnthat nnapply. nn
a) Type nnof nninstitution nnwhere nnsurgery nnis nnperformed nn
b) Involvement nnof nnvital nnorgans nn
c) Average nnnutritional nnstatus nn
d) Low nnlikelihood nnof nnprocedure nncomplications nn
e) A nnhistory nnof nnrespiratory nndisease nnand nndiabetes nn- nnCORRECT nnANSWER-b)
nnInvolvement nnof nnvital nnorgans nn
e) nnA nnhistory nnof nnrespiratory nndisease nnand nndiabetes nn
nn
6. nnA nnpatient nnhas nnjust nnentered nnthe nnpostanesthesia nncare nnunit nn(PACU) nnfrom
nnsurgery. nnFor nnwhich nnpriority nnneeds nnshould nnthe nnnurse nnimmediately nnassess nnthe
nnpostoperative nnpatient? nna) nnVital nnsigns, nnlevel nnof nnconsciousness, nnpresence nnof
nnpain nn
b) Skin nncoloring, nnsurgical nnincision, nnlimb nnmovements nn
c) Skin nntemperature, nnblood nnpressure, nnmental nnstatus nn
d) Temperature, nnemotional nnstatus, nnwound nndrainage nn- nnCORRECT nnANSWER-a)
nnVital nnsigns, nnlevel nnof nnconsciousness, nnpresence nnof nnpain nn
nn
7. nnThe nnnurse nnin nnthe nnpostanesthesia nncare nnunit nn(PACU) nnis nnassessing nna
nnpostoperative nnpatient. nnWhich nnindicators nnsuggest nnto nnthe nnnurse nnan nnalteration nnin
nntissue nnperfusion? nnSelect nnall nnthat nnapply. nn
a) Pallor nnor nncyanosis nn
b) Difficulty nnwith nnmobility nn
c) Pain nnin nnthe nnincision nnarea nn
d) Fluid nnloss nn
e) Decreased nnurinary nnoutput nn- nnCORRECT nnANSWER-a) nnPallor nnor nncyanosis nnd)
nnFluid nnloss nn
e) nnDecreased nnurinary nnoutput nn
nn
,8. nnAfter nnsurgery, nnthe nnnurse nnencourages nnthe nnpatient nnto nnmove nnfrom nnside nnto nnside
nnat nnleast nnevery nn2 nnhours. nnThe nnpatient nnquestions nnthis nnactivity. nnHow nndoes nnthe
nnnurse nnexplain nnthe nnpurpose nnof nnthis nnintervention? nn
a) Assist nnperistalsis nnto nnreturn nnmore nnquickly nn
b) Lessen nnmuscle nnweakness nn
c) Increase nnpatient's nnability nnto nnsleep nn
d) Let nnthe nnlungs nnalternatively nnachieve nnmaximum nnexpansion nn- nnCORRECT
nnANSWER-d) nnLet nnthe nnlungs nnalternatively nnachieve nnmaximum nnexpansion nn
nn
9. nnThe nnnurse nnis nncreating nna nnplan nnof nncare nnfor nna nnpostoperative nnpatient. nnThe
nnnursing nndiagnosis nnin nnacute nnpain. nnWhat nnwould nnbe nnappropriate nnoutcomes nnfor
nnthis nnpatient? nnSelect nnall nnthat nnapply. nn
a) Balanced nnfluid nnintake nnand nnoutput nn
b) Seeks nnhelp nnas nnneeded nn
c) Absence nnof nnnonverbal nnsigns nnof nnpain nn
d) Performs nnleg nnexercises nnas nninstructed nn
e) Verbally nnrates nnpain nnas nn3 nnon nna nn1 nnto nn10 nnscale nn- nnCORRECT nnANSWER-c)
nnAbsence nnof nnnonverbal nnsigns nnof nnpain nn
e) nnVerbally nnrates nnpain nnas nn3 nnon nna nn1 nnto nn10 nnscale nn
nn
10. nnThe nnpatient nnhas nnbeen nnin nnthe nnpostanesthesia nncare nnunit nn(PACU) nnfor nnone
nnhour. nnThe nnpatient nnis nnnow nngroggy nnbut nnable nnto nnrespond nnto nnvoice nncommands.
nnWhile nnassessing nnthe nnpatient, nnfor nnwhat nnreason nnwould nnthe nnnurse nncheck nnthe
nnbedclothes nnunderneath nnthe nnpatient? nna) nnDetermine nndrainage nnfrom nntubes nnor
nndrains nn
b) Assess nnfor nnfluid nnbalance nn
c) Detect nnfor nnpossible nnhemorrhage nn
d) Monitor nnperspiration nn- nnCORRECT nnANSWER-c) nnDetect nnfor nnpossible
nnhemorrhage nn
nn
11. nnA nn65-year-old nnwas nndiagnosed nnand nntreated nnfor nnright nnlower nnlobe
nnpneumonia nn4 nndays nnago. nnToday, nnthe nnpatient nncame nnto nnthe nnED nnreporting
nnabrupt nnonset nnof nnchest nnpain nnthat nnis nnworse nnwith nninspiration. nnThe nnnurse
nnknows nnthat nnthe nnsymptoms nnare nnconsistent nnwith: nna) nnPleurisy nn
b) Stable nnangina nn
c) Bacteremia nn
d) Meningitis nn- nnCORRECT nnANSWER-a) nnPleurisy nn
nn
12. nnThe nnED nnnurse nnis nncaring nnfor nnGinny, nna nn45-year-old nnfemale nnwith nna nnrecent
nnhistory nnof nnsexual nnassault. nnGinny nncame nnto nnthe nnED nncrying nnand nnshaking nnand
nnstated nnthat nnshe nnhad nndyspnea, nnfeeling nnlike nnshe nnwas nnchoking nnand nncouldn't
nnbreathe, nnchest nnpain, nnand nnsweating. nn
Ginny nnreports nnthat nnthe nnsymptoms nnstarted nnabout nn15 nnminutes nnbefore nnshe nncame
nnto nnthe nnED. nnGinny's nnsymptoms nnare nnconsistent nnwith: nna) nnMyocardial nnInfarction nn
b) Pneumonia nn
c) Panic nnAttack nn
, d) Influenza nn- nnCORRECT nnANSWER-c) nnPanic nnAttack nn
nn
13. nnA nn86-year-old nnfemale nnhas nnrecent nnchanges nnin nnher nnmental nnstatus, nnreports
nnhaving nnno nnappetite, nnand nnis nnrunning nna nnlow nngrade nnfever. nnThe nnnurse
nnsuspects: nna) nnDelirium nn
b) Dementia nn
c) Urinary nntract nninfection nn
d) Hypokalemia nn- nnCORRECT nnANSWER-c) nnUrinary nntract nninfection nn
nn
14. nnTed nnis nna nn76-year-old nnmale nnwho nnfell nnat nnhome nnand nnsustained nna nnfracture nnof
nnhis nnright nnhip. nn
He nnis nnbeing nnadmitted nnto nnyour nnunit nnand nnwill nnhave nnsurgery nnin nnthe nnmorning. nnTed
nnhas nna nnpast nnmedical nnhistory nnof nnurinary nncalculi, nnbenign nnprostatic nnhypertrophy,
nnand nnhypertension. nnWhen nnhe nnarrived nnto nnthe nnmedical-surgical nnunit, nnhe nnhas nna
nnstrong nnbody nnodor nnand nnvisible nndirt nnon nnhis nnbody. nnAn nnindwelling nnurinary nncatheter
nnwas nnplaced nnin nnthe nnED. nnTed nnis nnat nngreatest nnrisk nnfor nna nnUTI nnis nnrelated nnto: nn
a) History nnof nnbenign nnprostatic nnhypertrophy nn(BPH) nn
b) Poor nnhygiene nn
c) Indwelling nnurinary nncatheter nn
d) History nnof nnurinary nncalculi nn
e) His nnage nn- nnCORRECT nnANSWER-c) nnIndwelling nnurinary nncatheter nn
nn
15. nnA nnnurse nnknows nnthat nnthe nnpatient nnteaching nnon nnthe nnpneumococcal nnvaccine
nnto nna nn65-yearold nnpatient nnhas nnbeen nneffective nnwhen nnthe nnpatient nnstates: nna) nn"The
nninjection nnwill nnprotect nnme nnfrom nnthe nnflu nnthis nnyear" nn
b) "I nnam nnnow nnprotected nnfrom nngetting nnpneumonia nnduring nnmy nnlifetime" nn
c) "I nnwill nnneed nnre-vaccination nnin nnfive nnyears" nn
d) "Now nnI nnwon't nnneed nnantibiotics nnwhen nnI nnget nnpneumonia" nn- nnCORRECT
nnANSWER-c) nn"I nnwill nnneed nnre-vaccination nnin nnfive nnyears" nn
nn
16. nnA nnpatient nnis nn14 nnhours nnpostop nnfrom nna nnsurgical nndecompression nnfor
nncompartment nnsyndrome nnat nnthe nnsite nnof nnan nnORIF nnon nnthe nnleft nnfemur. nnOn
nnassessment, nnthe nnurine nnoutput nnis nn100mL nnin nn8 nnhours, nnand nnhas nna nndark, nnreddish
nnbrown nncolor. nnBased nnon nnthis nnassessment nnfinding, nnthe nnnurse nnwill: nn
a) Check nnto nnsee nnif nnthe nnmyoglobin nnlevels nndecreased nn
b) Administer nnan nnordered nnprn nnfluid nnbolus nnto nnreverse nnfluid nnvolume nndeficit nn
c) Nothing; nnthis nnis nnan nnexpected nnfinding nnfollowing nnsurgery nn
d) Assess nnthe nnpatient nnfor nnsigns nnof nnacute nnkidney nninjury nn- nnCORRECT nnANSWER-
d) nnAssess nnthe nnpatient nnfor nnsigns nnof nnacute nnkidney nninjury nn
nn
17. nnA nnnurse nnhas nncompleted nncast nncare nnteaching nnfollowing nnthe nnapplication nnof nna
nnplaster nncast. nn
The nnnurse nnknows nnthat nnpatient nnteaching nnhas nnbeen nneffective nnwhen nnthe
nnpatient nnstates: nna) nn"I nncan nnshower nnand nnthen nnpat nnthe nncast nndry." nn
b) "If nnI nnwrap nnmy nncast nnin nnplastic, nnit nnwill nnlast nnlonger." nn
c) "I nnwill nncall nnmy nnphysician nnif nnI nnhave nnan nnincrease nnin nnpain nnor nnswelling." nn
nn nn nn nn
Exams Study Questions With 100%
nn nn nn nn
Correct Answers A Graded
nn nn nn nn
nn
nn
nn
nn
nn nn
1. nnA nnpatient nnis nnbeing nnadmitted nnto nnthe nnhospital nnon nnthe nnday nnbefore nna nnscheduled
nnsurgery. nnWhat nnis nnthe nnmost nnappropriate nninitial nnquestion nnfor nnthe nnnurse nnto nnask
nnthis nnpreoperative nnpatient? nn
a) "What nndid nnyour nnsurgeon nnsay nnto nnyou nnabout nnthe nntype nnof nnsurgery nnyou nnare
nnhaving?" nn
b) "What nnquestions nndo nnyou nnhave nnabout nnyour nnsurgery?" nn
c) "What nntype nnof nnsurgery nnare nnyou nnhaving nnand nnwhy nnare nnyou nnhaving nnit nndone?" nn
d) "What nndo nnyou nnknow nnabout nnwhat nnwill nnbe nndone nnto nnyou?" nn- nnCORRECT
nnANSWER-c) nn"What nntype nnof nnsurgery nnare nnyou nnhaving nnand nnwhy nnare nnyou
nnhaving nnit nndone?" nn
nn
2. nnA nnbenzodiazepine nnhas nnbeen nnadministered nnto nna nnpatient nnpreoperatively.
nnAfter nnthe nndrug nnhas nnbeen nnadministered, nnthe nnnurse nnplans nnto nnmonitor nnthe
nnpatient nnfor nnwhich nnside nneffects? nnSelect nnall nnthat nnapply. nna) nnAnxiety nn
b) Hypotension nn
c) Hypocalcemia nn
d) Level nnof nnConsciousness nn
e) Sedation nn- nnCORRECT nnANSWER-a) nnAnxiety nn
d) Level nnof nnConsciousness nn
e) Sedation nn
nn
3. nnA nnpreoperative nnpatient nnhas nnan nnelevated nnhemoglobin nnand nnhematocrit. nnWhat
nnwould nnthe nn
nn
nurse nnsuspect nnregarding nnthe nnsignificance nnof nnthis nnincreased
nnvalue?
nn
a) nnImmune nn
nndeficiency
b) nnKidney
nndysfunction
nn
c)
nnMalignancy
nn
d) nnDehydration nn- nnCORRECT nnANSWER-d)
nnDehydration
nn
4. nnWhich nnactivities nnshould nnthe nnnurse nncarry nnout nnin nnthe nnpreoperative nnperiod nnfor
nna nnclient nnscheduled nnfor nnsurgery? nnSelect nnall nnthat nnapply. nn
,a) Identify nnpotential nnor nnactual nnhealth nnproblems. nn
b) Verify nnthe nnpresence nnof nna nnsigned nnconsent nnform. nn
c) Assess nnpatient's nnresponse nnto nninterventions. nn
d) Intervene nnto nnprevent nncomplications. nn
e) nnAssess nneffectiveness nnof nnteaching nnrelated nnto nnpostoperative nnrecovery. nn-
nnCORRECT nn
nn
ANSWER-a) nnIdentify nnpotential nnor nnactual nnhealth
nnproblems.
nn
b) nnVerify nnthe nnpresence nnof nna nnsigned nnconsent
nnform.
nn
e) nnAssess nneffectiveness nnof nnteaching nnrelated nnto nnpostoperative
nnrecovery.
nn
5. nnA nnpatient nnhaving nnsurgery nnhas nna nndegree nnof nnrisk nnassociated nnwith nnthe nnsurgery.
nnThe nnnurse nnwould nnevaluate nnwhich nnpatient-related nnfactors nnas nncontributing nnto nna
nnhigh nndegree nnof nnrisk nnassociated nnwith nnsurgery? nnSelect nnall nnthat nnapply. nn
a) Type nnof nninstitution nnwhere nnsurgery nnis nnperformed nn
b) Involvement nnof nnvital nnorgans nn
c) Average nnnutritional nnstatus nn
d) Low nnlikelihood nnof nnprocedure nncomplications nn
e) A nnhistory nnof nnrespiratory nndisease nnand nndiabetes nn- nnCORRECT nnANSWER-b)
nnInvolvement nnof nnvital nnorgans nn
e) nnA nnhistory nnof nnrespiratory nndisease nnand nndiabetes nn
nn
6. nnA nnpatient nnhas nnjust nnentered nnthe nnpostanesthesia nncare nnunit nn(PACU) nnfrom
nnsurgery. nnFor nnwhich nnpriority nnneeds nnshould nnthe nnnurse nnimmediately nnassess nnthe
nnpostoperative nnpatient? nna) nnVital nnsigns, nnlevel nnof nnconsciousness, nnpresence nnof
nnpain nn
b) Skin nncoloring, nnsurgical nnincision, nnlimb nnmovements nn
c) Skin nntemperature, nnblood nnpressure, nnmental nnstatus nn
d) Temperature, nnemotional nnstatus, nnwound nndrainage nn- nnCORRECT nnANSWER-a)
nnVital nnsigns, nnlevel nnof nnconsciousness, nnpresence nnof nnpain nn
nn
7. nnThe nnnurse nnin nnthe nnpostanesthesia nncare nnunit nn(PACU) nnis nnassessing nna
nnpostoperative nnpatient. nnWhich nnindicators nnsuggest nnto nnthe nnnurse nnan nnalteration nnin
nntissue nnperfusion? nnSelect nnall nnthat nnapply. nn
a) Pallor nnor nncyanosis nn
b) Difficulty nnwith nnmobility nn
c) Pain nnin nnthe nnincision nnarea nn
d) Fluid nnloss nn
e) Decreased nnurinary nnoutput nn- nnCORRECT nnANSWER-a) nnPallor nnor nncyanosis nnd)
nnFluid nnloss nn
e) nnDecreased nnurinary nnoutput nn
nn
,8. nnAfter nnsurgery, nnthe nnnurse nnencourages nnthe nnpatient nnto nnmove nnfrom nnside nnto nnside
nnat nnleast nnevery nn2 nnhours. nnThe nnpatient nnquestions nnthis nnactivity. nnHow nndoes nnthe
nnnurse nnexplain nnthe nnpurpose nnof nnthis nnintervention? nn
a) Assist nnperistalsis nnto nnreturn nnmore nnquickly nn
b) Lessen nnmuscle nnweakness nn
c) Increase nnpatient's nnability nnto nnsleep nn
d) Let nnthe nnlungs nnalternatively nnachieve nnmaximum nnexpansion nn- nnCORRECT
nnANSWER-d) nnLet nnthe nnlungs nnalternatively nnachieve nnmaximum nnexpansion nn
nn
9. nnThe nnnurse nnis nncreating nna nnplan nnof nncare nnfor nna nnpostoperative nnpatient. nnThe
nnnursing nndiagnosis nnin nnacute nnpain. nnWhat nnwould nnbe nnappropriate nnoutcomes nnfor
nnthis nnpatient? nnSelect nnall nnthat nnapply. nn
a) Balanced nnfluid nnintake nnand nnoutput nn
b) Seeks nnhelp nnas nnneeded nn
c) Absence nnof nnnonverbal nnsigns nnof nnpain nn
d) Performs nnleg nnexercises nnas nninstructed nn
e) Verbally nnrates nnpain nnas nn3 nnon nna nn1 nnto nn10 nnscale nn- nnCORRECT nnANSWER-c)
nnAbsence nnof nnnonverbal nnsigns nnof nnpain nn
e) nnVerbally nnrates nnpain nnas nn3 nnon nna nn1 nnto nn10 nnscale nn
nn
10. nnThe nnpatient nnhas nnbeen nnin nnthe nnpostanesthesia nncare nnunit nn(PACU) nnfor nnone
nnhour. nnThe nnpatient nnis nnnow nngroggy nnbut nnable nnto nnrespond nnto nnvoice nncommands.
nnWhile nnassessing nnthe nnpatient, nnfor nnwhat nnreason nnwould nnthe nnnurse nncheck nnthe
nnbedclothes nnunderneath nnthe nnpatient? nna) nnDetermine nndrainage nnfrom nntubes nnor
nndrains nn
b) Assess nnfor nnfluid nnbalance nn
c) Detect nnfor nnpossible nnhemorrhage nn
d) Monitor nnperspiration nn- nnCORRECT nnANSWER-c) nnDetect nnfor nnpossible
nnhemorrhage nn
nn
11. nnA nn65-year-old nnwas nndiagnosed nnand nntreated nnfor nnright nnlower nnlobe
nnpneumonia nn4 nndays nnago. nnToday, nnthe nnpatient nncame nnto nnthe nnED nnreporting
nnabrupt nnonset nnof nnchest nnpain nnthat nnis nnworse nnwith nninspiration. nnThe nnnurse
nnknows nnthat nnthe nnsymptoms nnare nnconsistent nnwith: nna) nnPleurisy nn
b) Stable nnangina nn
c) Bacteremia nn
d) Meningitis nn- nnCORRECT nnANSWER-a) nnPleurisy nn
nn
12. nnThe nnED nnnurse nnis nncaring nnfor nnGinny, nna nn45-year-old nnfemale nnwith nna nnrecent
nnhistory nnof nnsexual nnassault. nnGinny nncame nnto nnthe nnED nncrying nnand nnshaking nnand
nnstated nnthat nnshe nnhad nndyspnea, nnfeeling nnlike nnshe nnwas nnchoking nnand nncouldn't
nnbreathe, nnchest nnpain, nnand nnsweating. nn
Ginny nnreports nnthat nnthe nnsymptoms nnstarted nnabout nn15 nnminutes nnbefore nnshe nncame
nnto nnthe nnED. nnGinny's nnsymptoms nnare nnconsistent nnwith: nna) nnMyocardial nnInfarction nn
b) Pneumonia nn
c) Panic nnAttack nn
, d) Influenza nn- nnCORRECT nnANSWER-c) nnPanic nnAttack nn
nn
13. nnA nn86-year-old nnfemale nnhas nnrecent nnchanges nnin nnher nnmental nnstatus, nnreports
nnhaving nnno nnappetite, nnand nnis nnrunning nna nnlow nngrade nnfever. nnThe nnnurse
nnsuspects: nna) nnDelirium nn
b) Dementia nn
c) Urinary nntract nninfection nn
d) Hypokalemia nn- nnCORRECT nnANSWER-c) nnUrinary nntract nninfection nn
nn
14. nnTed nnis nna nn76-year-old nnmale nnwho nnfell nnat nnhome nnand nnsustained nna nnfracture nnof
nnhis nnright nnhip. nn
He nnis nnbeing nnadmitted nnto nnyour nnunit nnand nnwill nnhave nnsurgery nnin nnthe nnmorning. nnTed
nnhas nna nnpast nnmedical nnhistory nnof nnurinary nncalculi, nnbenign nnprostatic nnhypertrophy,
nnand nnhypertension. nnWhen nnhe nnarrived nnto nnthe nnmedical-surgical nnunit, nnhe nnhas nna
nnstrong nnbody nnodor nnand nnvisible nndirt nnon nnhis nnbody. nnAn nnindwelling nnurinary nncatheter
nnwas nnplaced nnin nnthe nnED. nnTed nnis nnat nngreatest nnrisk nnfor nna nnUTI nnis nnrelated nnto: nn
a) History nnof nnbenign nnprostatic nnhypertrophy nn(BPH) nn
b) Poor nnhygiene nn
c) Indwelling nnurinary nncatheter nn
d) History nnof nnurinary nncalculi nn
e) His nnage nn- nnCORRECT nnANSWER-c) nnIndwelling nnurinary nncatheter nn
nn
15. nnA nnnurse nnknows nnthat nnthe nnpatient nnteaching nnon nnthe nnpneumococcal nnvaccine
nnto nna nn65-yearold nnpatient nnhas nnbeen nneffective nnwhen nnthe nnpatient nnstates: nna) nn"The
nninjection nnwill nnprotect nnme nnfrom nnthe nnflu nnthis nnyear" nn
b) "I nnam nnnow nnprotected nnfrom nngetting nnpneumonia nnduring nnmy nnlifetime" nn
c) "I nnwill nnneed nnre-vaccination nnin nnfive nnyears" nn
d) "Now nnI nnwon't nnneed nnantibiotics nnwhen nnI nnget nnpneumonia" nn- nnCORRECT
nnANSWER-c) nn"I nnwill nnneed nnre-vaccination nnin nnfive nnyears" nn
nn
16. nnA nnpatient nnis nn14 nnhours nnpostop nnfrom nna nnsurgical nndecompression nnfor
nncompartment nnsyndrome nnat nnthe nnsite nnof nnan nnORIF nnon nnthe nnleft nnfemur. nnOn
nnassessment, nnthe nnurine nnoutput nnis nn100mL nnin nn8 nnhours, nnand nnhas nna nndark, nnreddish
nnbrown nncolor. nnBased nnon nnthis nnassessment nnfinding, nnthe nnnurse nnwill: nn
a) Check nnto nnsee nnif nnthe nnmyoglobin nnlevels nndecreased nn
b) Administer nnan nnordered nnprn nnfluid nnbolus nnto nnreverse nnfluid nnvolume nndeficit nn
c) Nothing; nnthis nnis nnan nnexpected nnfinding nnfollowing nnsurgery nn
d) Assess nnthe nnpatient nnfor nnsigns nnof nnacute nnkidney nninjury nn- nnCORRECT nnANSWER-
d) nnAssess nnthe nnpatient nnfor nnsigns nnof nnacute nnkidney nninjury nn
nn
17. nnA nnnurse nnhas nncompleted nncast nncare nnteaching nnfollowing nnthe nnapplication nnof nna
nnplaster nncast. nn
The nnnurse nnknows nnthat nnpatient nnteaching nnhas nnbeen nneffective nnwhen nnthe
nnpatient nnstates: nna) nn"I nncan nnshower nnand nnthen nnpat nnthe nncast nndry." nn
b) "If nnI nnwrap nnmy nncast nnin nnplastic, nnit nnwill nnlast nnlonger." nn
c) "I nnwill nncall nnmy nnphysician nnif nnI nnhave nnan nnincrease nnin nnpain nnor nnswelling." nn
