NUR 242 Med-Surg Exam 1 2025/2026 |
Comprehensive Study Guide & Practice
Questions
.
Four Major subgroups of Late Adulthood - correct answer65 - 74 young old
75 - 84 middle old
85 - 99 old old
100 and older elite old
Lifestyle and Practice to Promote Wellness older adults - correct answerYearly flu
vaccine
pneumococcal vaccine
Shingles vaccine
tetanus and booster every 10 years
wear seat belts
alcohol in moderation
avoid smoking
smoke detectors
prevent falls - waxed floors and scattered rugs
medications as prescribed
avoid OTC medications unless primary care phyisican directs
Yearly physicial
regular exercise
socialization
reminisce
Common health Issues and Concerns older adults - correct answerDecreased nutrition
and hydration
Decreased mobility
Stress and loss
Accidents - falls most common/MVA
Drug use and misuse
Mental health/cognition problems (including substance abuse)
Elder neglect and abuse
GFTT ( Geriatric Failure To Thrive) Complex Syndrome - correct answerUnder nutrition
Impaired mobility
Depression
Cognitive impairment
,Depression older adults - correct answerMost common mental health/behavioral health
problem among older adults.
Use Geriatric Depression Scale form
Mood disorder having cognitive, affective, physical manifestations
Primary (lack of neurotransmitters)
Secondary or situational
Dementia older adults - correct answerslowly progresses
generally chronic
intellectual impairment
Most common Alzheimer's
Multi-infarct dementia, the second most common resulting from a vascular disorder
Delirium older adults - correct answerAcute and fluctuating onset
results from an unfamiliar place
Symptoms - inattentiveness, disorganized thinking, and altered level of consciousness
Nurse's role in Rehab - correct answerAdvocate for the patient and family
Create therapeutic rehab milieu
provide whole person patient-centered care
Collaborate with healthcare team for patient outcome and develop care plan
Communicate with effectively with all members of the health care team, patient and
family
Evaluate effectiveness of plan of care for the patient and family
Use Braden scale - skin break down risk
Safe Patient Handing and Mobility (SPHM) - correct answer-Maintain a wide, stable
base with your feet
-Put the bed at the correct height - waist level while providing direct care and hip level
when moving patients
- Keep the patient or work directly in front of you to prevent your spine from rotating
- Keep the patient as close to your body as possible to prevent reaching
walker - assisted and cane - assisted procedure - correct answer- Apply a transfer belt
around patients waist
- guide patient to a standing position
- remind patient to place both hands on the walker
- ensure that the patient's body is well balanced
walker teaching - correct answer- lift the walker
- move the walker about 2 feet forward and set it down on all legs
-while resting on the walker, take small steps
- check balance
- repeat sequence
, cane teaching - correct answer- be sure cane is at the height of the patients wrist when
the arm is placed at his or her side
- remind patient to place his or her strong hand on cane
- ensure that the patient's body is well balanced
- move the cane and weaker leg forward at the same time
- move the stronger leg one step forward
- check balance and repeat the sequence
Adaptive equipment - correct answerbuttonhook
extended shoehorn
plate guard and spork
gel pad
foam buildups
hook and loop fasteners
long-handled reacher
elastic shoelaces or velcro shoe closure
SCIP infection - 1 - correct answerProphylactic antibiotic received within one hour prior
to surgical incision (to establish bactericidal blood and tissue levels by the time the
surgical incision is made)
SCIP infection - 2 - correct answerProphylactic antibiotic selection for surgical patients
(increased risk for surgical infections)
SCIP infection - 3 - correct answerProphylactic Antibiotics discontinued within 24 hours
after surgery end time (provides benefit without risk)
SCIP infection - 4 - correct answerCardiac surgery patients with controlled 6 am
postoperative blood glucose (cardiac patients only) To avoid hyperglycemia
SCIP infection - 6 - correct answerSurgery patients with appropriate hair removal
(removal is performed with electric clippers or chemical depilatories) to avoid skin
abrasions and increase risk of surgical site infections
SCIP infection - 9 - correct answerUrinary catheter removed on postoperative day 1 or
postoperative day 2 with day of surgery being day zero ( to avoid urinary tract
infections)
SCIP infection - 10 - correct answerSurgery patients with preoperative temperature
management (prevent prolonged hyperthermia, which is associated with wound healing,
serious cardiac complications, altered drug metabolism, coagulation problems, and
higher surgical infections.
SCIP CARD - 2 - correct answerSurgery patients on beta-blocker therapy prior to arrival
who received a beta-blocker during the perioperative period ( receive beta-blocker prior
and continue immediately after surgery)
Comprehensive Study Guide & Practice
Questions
.
Four Major subgroups of Late Adulthood - correct answer65 - 74 young old
75 - 84 middle old
85 - 99 old old
100 and older elite old
Lifestyle and Practice to Promote Wellness older adults - correct answerYearly flu
vaccine
pneumococcal vaccine
Shingles vaccine
tetanus and booster every 10 years
wear seat belts
alcohol in moderation
avoid smoking
smoke detectors
prevent falls - waxed floors and scattered rugs
medications as prescribed
avoid OTC medications unless primary care phyisican directs
Yearly physicial
regular exercise
socialization
reminisce
Common health Issues and Concerns older adults - correct answerDecreased nutrition
and hydration
Decreased mobility
Stress and loss
Accidents - falls most common/MVA
Drug use and misuse
Mental health/cognition problems (including substance abuse)
Elder neglect and abuse
GFTT ( Geriatric Failure To Thrive) Complex Syndrome - correct answerUnder nutrition
Impaired mobility
Depression
Cognitive impairment
,Depression older adults - correct answerMost common mental health/behavioral health
problem among older adults.
Use Geriatric Depression Scale form
Mood disorder having cognitive, affective, physical manifestations
Primary (lack of neurotransmitters)
Secondary or situational
Dementia older adults - correct answerslowly progresses
generally chronic
intellectual impairment
Most common Alzheimer's
Multi-infarct dementia, the second most common resulting from a vascular disorder
Delirium older adults - correct answerAcute and fluctuating onset
results from an unfamiliar place
Symptoms - inattentiveness, disorganized thinking, and altered level of consciousness
Nurse's role in Rehab - correct answerAdvocate for the patient and family
Create therapeutic rehab milieu
provide whole person patient-centered care
Collaborate with healthcare team for patient outcome and develop care plan
Communicate with effectively with all members of the health care team, patient and
family
Evaluate effectiveness of plan of care for the patient and family
Use Braden scale - skin break down risk
Safe Patient Handing and Mobility (SPHM) - correct answer-Maintain a wide, stable
base with your feet
-Put the bed at the correct height - waist level while providing direct care and hip level
when moving patients
- Keep the patient or work directly in front of you to prevent your spine from rotating
- Keep the patient as close to your body as possible to prevent reaching
walker - assisted and cane - assisted procedure - correct answer- Apply a transfer belt
around patients waist
- guide patient to a standing position
- remind patient to place both hands on the walker
- ensure that the patient's body is well balanced
walker teaching - correct answer- lift the walker
- move the walker about 2 feet forward and set it down on all legs
-while resting on the walker, take small steps
- check balance
- repeat sequence
, cane teaching - correct answer- be sure cane is at the height of the patients wrist when
the arm is placed at his or her side
- remind patient to place his or her strong hand on cane
- ensure that the patient's body is well balanced
- move the cane and weaker leg forward at the same time
- move the stronger leg one step forward
- check balance and repeat the sequence
Adaptive equipment - correct answerbuttonhook
extended shoehorn
plate guard and spork
gel pad
foam buildups
hook and loop fasteners
long-handled reacher
elastic shoelaces or velcro shoe closure
SCIP infection - 1 - correct answerProphylactic antibiotic received within one hour prior
to surgical incision (to establish bactericidal blood and tissue levels by the time the
surgical incision is made)
SCIP infection - 2 - correct answerProphylactic antibiotic selection for surgical patients
(increased risk for surgical infections)
SCIP infection - 3 - correct answerProphylactic Antibiotics discontinued within 24 hours
after surgery end time (provides benefit without risk)
SCIP infection - 4 - correct answerCardiac surgery patients with controlled 6 am
postoperative blood glucose (cardiac patients only) To avoid hyperglycemia
SCIP infection - 6 - correct answerSurgery patients with appropriate hair removal
(removal is performed with electric clippers or chemical depilatories) to avoid skin
abrasions and increase risk of surgical site infections
SCIP infection - 9 - correct answerUrinary catheter removed on postoperative day 1 or
postoperative day 2 with day of surgery being day zero ( to avoid urinary tract
infections)
SCIP infection - 10 - correct answerSurgery patients with preoperative temperature
management (prevent prolonged hyperthermia, which is associated with wound healing,
serious cardiac complications, altered drug metabolism, coagulation problems, and
higher surgical infections.
SCIP CARD - 2 - correct answerSurgery patients on beta-blocker therapy prior to arrival
who received a beta-blocker during the perioperative period ( receive beta-blocker prior
and continue immediately after surgery)
