MED SURG 2 FINAL EXAM LATEST ACTUAL EXAM QUESTIONS AND
CORRECT ANSWERS
A Patient was admitted for shortness of breath. The nurse connects the patient to
the cardiac monitor. According to the strip below, which treatment is appropriate
for the patient?
a. administer adenosine
b. administer a thiazide medication
c. administer an oral anticoagulant
d. administer a beta blocker
c.
An acute myocardial infarction patient ambulated in the hospital hallway. When
evaluating the patient response, which would indicate the exercise level should be
decreased?
a. oxygen saturation changes from 100% to 98%
b. blood pressure changes from 118/60 to 126/26
c. respiratory rate changes from 14 to 20
d. heart rate changes from 66-101
d.
The nurse is caring for 70-year-old patient who the nurse suspects having difficulty
hearing.
The nurse is providing discharge instructions. The patient is nodding as the charge
nurse
discusses the orders. What action should the nurse take to assess whether or not the
patient
heard and understood what she has said?
a. Ask the patient to repeat back what he was instructed to do
b. Ask the patient if he understood the instructions and ask him to sign the form
c. Ask another nurse to witness providing instructions to the patient
d. Call the wife and provide the instruction to her
a.
,The nurse is caring for a patient on a cardiac monitor and notes a peaked T wave.
What lab will the nurse expect to find?
a. hypercalcemia
b. hyperkalemia
c. hypokalemia
d. hypocalcemia
b.
*The nurse is caring for a patient that has a family history of CAD. The nurse is
teaching the patient about diabetes risk factors. Which are modifiable risk factors
to be included on the patient teaching plan? (Select all that apply)
a. Obesity
b. Family history
c. Sedentary lifestyle
d. Gestational diabetes
e. Hyperlipidemia
a.
c.
e.
The nurse is caring for a 33-year-old patient who arrived in the emergency room
with acute respiratory distress. Which assessment finding requires the most rapid
action by the nurse?
a. The patients Pa02 is 45
b. The patients PaC02 is 33
c. The patients’ respirations are shallow
d. The patients heart rate is 92
a.
When planning the response to the potential use of smallpox as an agent of
terrorism, the emergency department (ED) nurse-manager will plan to obtain
sufficient quantities of
, a. vaccine
b. antibiotics
c. blood
d. atropine
a.
What assessment finding would the nurse consider to be relative of hypovolemia?
a. fluid moving into the intracellular space
b. elevated systolic blood pressure
c. elevated mean arterial pressure
d. fluid moving into the extravascular space
d.
*Statement terminally ill pt to caregiver.
"Stop taking chemo-therapy medications."
*Marked edema. Which medication?
A nurse has committed a serious medication error and reported the error to the
hospital's
adverse medication error hotline as well to the unit manager. The manager is a firm
believer in
developing critical thinking skills. From this stand point what action by the manage
would be the
best to nurture this ability in the nurse who made the error?
a. Let the nurse work with more experience nurses when giving medications
b. Have the nurse present and in-service related to the cause of the error
c. Send the nurse to refresher course on medication administration
d. In struct nurse to write a paper on how to avoid this type of error
b.
The patient has just been diagnosed with an MI. The patient asks for information
about the disease and looks for any support groups. The nurse assesses this to be
CORRECT ANSWERS
A Patient was admitted for shortness of breath. The nurse connects the patient to
the cardiac monitor. According to the strip below, which treatment is appropriate
for the patient?
a. administer adenosine
b. administer a thiazide medication
c. administer an oral anticoagulant
d. administer a beta blocker
c.
An acute myocardial infarction patient ambulated in the hospital hallway. When
evaluating the patient response, which would indicate the exercise level should be
decreased?
a. oxygen saturation changes from 100% to 98%
b. blood pressure changes from 118/60 to 126/26
c. respiratory rate changes from 14 to 20
d. heart rate changes from 66-101
d.
The nurse is caring for 70-year-old patient who the nurse suspects having difficulty
hearing.
The nurse is providing discharge instructions. The patient is nodding as the charge
nurse
discusses the orders. What action should the nurse take to assess whether or not the
patient
heard and understood what she has said?
a. Ask the patient to repeat back what he was instructed to do
b. Ask the patient if he understood the instructions and ask him to sign the form
c. Ask another nurse to witness providing instructions to the patient
d. Call the wife and provide the instruction to her
a.
,The nurse is caring for a patient on a cardiac monitor and notes a peaked T wave.
What lab will the nurse expect to find?
a. hypercalcemia
b. hyperkalemia
c. hypokalemia
d. hypocalcemia
b.
*The nurse is caring for a patient that has a family history of CAD. The nurse is
teaching the patient about diabetes risk factors. Which are modifiable risk factors
to be included on the patient teaching plan? (Select all that apply)
a. Obesity
b. Family history
c. Sedentary lifestyle
d. Gestational diabetes
e. Hyperlipidemia
a.
c.
e.
The nurse is caring for a 33-year-old patient who arrived in the emergency room
with acute respiratory distress. Which assessment finding requires the most rapid
action by the nurse?
a. The patients Pa02 is 45
b. The patients PaC02 is 33
c. The patients’ respirations are shallow
d. The patients heart rate is 92
a.
When planning the response to the potential use of smallpox as an agent of
terrorism, the emergency department (ED) nurse-manager will plan to obtain
sufficient quantities of
, a. vaccine
b. antibiotics
c. blood
d. atropine
a.
What assessment finding would the nurse consider to be relative of hypovolemia?
a. fluid moving into the intracellular space
b. elevated systolic blood pressure
c. elevated mean arterial pressure
d. fluid moving into the extravascular space
d.
*Statement terminally ill pt to caregiver.
"Stop taking chemo-therapy medications."
*Marked edema. Which medication?
A nurse has committed a serious medication error and reported the error to the
hospital's
adverse medication error hotline as well to the unit manager. The manager is a firm
believer in
developing critical thinking skills. From this stand point what action by the manage
would be the
best to nurture this ability in the nurse who made the error?
a. Let the nurse work with more experience nurses when giving medications
b. Have the nurse present and in-service related to the cause of the error
c. Send the nurse to refresher course on medication administration
d. In struct nurse to write a paper on how to avoid this type of error
b.
The patient has just been diagnosed with an MI. The patient asks for information
about the disease and looks for any support groups. The nurse assesses this to be
