Madonna University

RN VATI ADULT MEDICAL SURGICAL QUESTIONS WITH ANSWERS (100% CORRECT ANSWERS)

When a client first enters the hospital for an elective surgical procedure, the nurse should perform an assessment termed a) entry. b) comprehensive. c) focused. d) exploratory - Answer B What are nurses able to detect through the health assessment? a) Areas that need referral to a specialist b) Areas that need in-hospital care c) Areas in need of health adjustments d) Areas that need continuous care - Answer C A nurse is conducting a health assessment. How wi...

The nurse is providing care for a 61-year-old female smoker who is 30 kg overweight and was diagnosed with type 2 diabetes several years prior. Which of the following teaching points regarding the prevention of peripheral artery disease (PAD) is most accurate? a) "If you develop swelling in your ankles or feet, then you should seek emergency care." b) "I'll show you how to check your pulses at your groin, knees and feet to monitor your risk of PAD." c) "Quitting smoki...

Hygiene which of the following is not a form of inspection? a.) behavior b.) hygine c.) posture d.) skin texture e.) skin color - Answer d.) skin texture when percussing the abdomen, the sound heard should be...? a.) tympanic b.) resonant c.) flat d.) dull - Answer a.) tympanic which of the following is an example of the background in SBAR? a.) BP 120/80, respiratory rate 12, pulse 88, SpO2 99%, and temperature 97.7 b.) hello, I am calling regarding Ms. Jones in room...

Nurse's role in health assessment - Answer 1. promote health 2. prevent illness 3. treat human responses to health or illness 4. advocate for individuals, families, communities, and populations. OLDCARTS - Answer onset location duration characteristics aggravating/alleviating factors relieving factors timing severity prevention techniques - Answer primary prevention: preventing problems, educating secondary: early diagnosis, screenings tertiary: focuses on ...

objective data - Answer information that is seen, heard, felt, or smelled by an observer; signs subjective data - Answer things a person tells you about that you cannot observe through your senses; symptoms Nursing documentation - Answer SOAP and SBAR SOAP - Answer subjective (what the patient says), objective (what you observe), analysis (diagnosing giving nursing diagnosis), plan (educate the patient and plan) SBAR - Answer Situation: patient's name...

When the nurse assesses a 78-year-old patient with pneumonia, what is the priority assessment? a. Breath sounds b. Airway patency c. Respiratory rate d. Percussion sounds - Answer B A 45-year-old man has been admitted to the hospital with suspicion of pulmonary embolism. Which of the following symptoms should the nurse report to the primary health practitioner immediately? a. Chest pain b. Shortness of breath c. Respirations 20 breaths/min d. Productive cough - Answer a ...

Components of a health assessment - Answer - health history (subjective data) - physical examination (objective data) - documentation of data These are all components of a ____________ Primary source data - Answer subjective data collected directly from the patient Secondary source data - Answer data acquired from another individual (family member) Signs - Answer objective data observed, felt, heard, or measured (ex. rash, enlarged lymph nodes, swelling of ext...

Cartilage - Answer Allows bones to slide over one another, reduces friction, prevents damage, absorbs shock. tendon - Answer Connects muscle to bone ligament - Answer Connect bone to bone to stabilize joints and limit movement bursae - Answer Fluid-filled sacs in areas of friction to cushion bones or ligaments that might rub against each other. meniscus - Answer Cartilage disk between bones to absorb shock and cushion joints. fascia - Answer Fla...

Alcohol is a risk for which of the following cancers? Select all that apply. a. esophageal b. stomach c. colon d. bladder - Answer esophageal colon Which of the following are risk factors for stomach cancer? Select all that apply. a. Blood type A b. age c. tobacco d. alcohol - Answer blood type A age tobacco You inspected your patient's abdomen, what is your next step? a. assess d. palpate c. auscultate d. nothing, you are done - Answer auscultate Acc...

body mass index (BMI) - Answer weight in kg/(height in m squared) underweight - Answer BMI <18.49 normal - Answer BMI 18.5-24.9 overweight - Answer BMI 25-29.9 obesity class I - Answer BMI 30-34.9 obesity class II - Answer BMI 35-39.9 obesity class III - Answer BMI >40 d. iron deficiency - Answer Spooning of the nails is related to: a. anemia b. protein malnutrition c. vitamin deficiency d. iron deficiency c. ina...

A nurse is a preceptor for a nurse who just graduated from nursing school. When caring for a patient, the new graduate nurse begins to explain to the patient the purpose of completing a physical assessment. Which of the following statements made by the new graduate nurse requires the preceptor to intervene? a. "I will use the information from my assessment to figure out if your antihypertensive medication is working effectively." b. "Nursing assessment data are used only to provide ...

According to the American Nurses Association, the professional nurse's role involves four broad areas that define nursing practice. True or False - Answer True Diagnostic reasoning is a seven-step process of _________ thinking; the nurse gathers and clusters data, draws inferences, and develops nursing diagnoses. - Answer critical Health assessment is the first step of the nursing process and includes the health assessment, which is ___________ data, and the physical assessm...

The nurse is scheduled to administer 100 ml of packed RBCs to 3-year-old Am. Which one of the following is NOT a correct guideline when administering the blood? a. Take vital signs before administration b. Infuse the blood through an appropriate filter c. Administer 50 ml of the blood within the first few minutes to detect for possible reactions before proceeding with the remainder of the infusion d. Start the blood within 30 minutes of its arrival from the blood band or return it to the b...

what does health promotion during infancy include? - Answer a discussion of the primary immunizations with the baby's parents why have immunizations been important? - Answer decreasing the incidence of infectious diseases that routinely caused serious illness and sometimes death at what age, CAN many primary immunizations be given? - Answer any age when are many primary immunizations RECOMMENDED to be given? - Answer begin during infancy to help protect vulner...

Chadwick's sign - Answer Bluish purple discoloration of the cervix, vagina, and labia during pregnancy GTPAL - Answer Gravida, Term, Preterm, Abortions, Living 1st day of last known period + 7 days - 3 months - Answer Nagele's rule baby's back - Answer where to put the transducer unfused sutures - Answer allow fetus to move through birth canal low RR - Answer not normal during labor lightening - Answer The movement of the fetus...

The heart and other components of the circulatory system begin to develop from the mesoderm during the ____ week of gestation and are completely forms by the _______ week. - Answer fourth and eighth cardiac output - Answer the volume of blood ejected by the heart in 1 minute contraction = - Answer systole relaxation= - Answer diastole mothers with a history of lupus erythematosus snd diabetes put at risk their child for - Answer heart disease What kid...

Infants gain an average weight of ___ by 6 months old. - Answer 7.26 kg (16lbs) Transmission Based precautions - Answer is indicated for patients suspected of infection of colonization of transmissible organisms (Airborne Precautions, Droplet, and Contact) Standard precautions include - Answer gloves, gown, mask, goggles, to prevent contamination from blood or body fluids A child needs increased fluids when? - Answer 1. Fever 2. Vomiting/diarrhea 3. high outpu...

Late preterm - Answer 34 to 36 completed weeks moderately preterm - Answer 32-34 weeks very preterm - Answer less than 32 weeks extremely preterm - Answer born at or before 25 weeks of pregnancy Low birth weight - Answer birth weight under 2500g irrespective of gestational age respiratory distress syndrome - Answer related to lack of pulmonary surfactant at birth broncopulmonary dysplasia - Answer related to the need for ventilator supp...

The nurse administers the Confusion Assessment Method (CAM) tool to differentiate among various cognitive disorders, primarily because: A. delirium can be reversed by treating the underlying cause B. depression in a common cause of dementia in older adults C. nursing care should be based on the cause of cognitive impairments D. drug therapy with antipsychotics is indicated in the treatment of dementia - Answer A. delirium can be reversible the CAM is used to diagnose delirium Nur...