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MED SURG 201 Section 2 Final Exam Practice Questions 2022.2023.

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MED SURG 201 Section 2 Final Exam Practice Questions 2022.2023.

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TestgBankg-gMedical-SurgicalgNursing:gConceptsgforgInterprofessionalgCollaborativegCareg9e

TestgBankgIgnataviciusgMedicalgSurgicalg9thg2017g(Chapterg1-

74gCompletegTestgBank)gTablegofgContents
Chapterg01:gOverviewgofgProfessionalgNursinggConceptsgforgMedical-SurgicalgNursing
Chapterg02:gOverviewgofgHealthgConceptsgforgMedical-
SurgicalgNursinggChapterg03:gCommongHealthgProblemsgofgOldergAdults
Chapterg04:gAssessmentgandgCaregofgPatientsgwithgPaingCha
pterg05:gGeneticgConceptsgforgMedical-SurgicalgNursing
Chapterg06:gRehabilitationgConceptsgforgChronicgandgDisablinggHealthgProblemsgC
hapterg07:gEnd-of-LifegCare
Chapterg08:gConceptsgofgEmergencygandgTraumagNursing
Chapterg09:gCaregofgPatientsgwithgCommongEnvironmentalgEmergenciesgCh
apterg10:gConceptsgofgEmergencygandgDisastergPreparedness
Chapterg11:gAssessmentgandgCaregofgPatientsgwithgFluidgandgElectrolytegImbalanc
esgChapterg12:gAssessmentgandgCaregofgPatientsgwithgAcid-BasegImbalances
Chapterg13:gInfusiongTherapy
Chapterg14:gCaregofgPreoperativegPatientsgCha
pterg15:gCaregofgIntraoperativegPatientsgChapter
g16:gCaregofgPostoperativegPatientsgChapterg17
:gInflammationgandgImmunity
Chapterg18:gCaregofgPatientsgwithgArthritisgandgOthergConnectivegTissuegDiseases
gChapterg19:gCaregofgPatientsgwithgHIVgDisease
Chapterg20:gCaregofgPatientsgwithgHypersensitivityg(Allergy)gandgAutoimmuni
tygChapterg21:gCancergDevelopment
Chapterg22:gCaregofgPatientsgwithgCancergCha
pterg23:gCaregofgPatientsgwithgInfection
Chapterg24:gAssessmentgofgthegSkin,gHair,gandgNailsg
Chapterg25:gCaregofgPatientsgwithgSkingProblemsgCha
pterg26:gCaregofgPatientsgwithgBurns
Chapterg27:gAssessmentgofgthegRespiratorygSystem
Chapterg28:gCaregofgPatientsgRequiringgOxygengTherapygorgTracheostomyg
Chapterg29:gCaregofgPatientsgwithgNoninfectiousgUppergRespiratorygProblem
sgChapterg30:gCaregofgPatientsgwithgNoninfectiousgLowergRespiratorygProble
msgChapterg31:gCaregofgPatientsgwithgInfectiousgRespiratorygProblems
Chapterg32:gCaregofgCriticallygIllgPatientsgwithgRespiratorygProblemsgCh
apterg33:gAssessmentgofgthegCardiovasculargSystem
Chapterg34:gCaregofgPatientsgwithgDysrhythmiasgCha
pterg35:gCaregofgPatientsgwithgCardiacgProblemsgCha
pterg36:gCaregofgPatientsgwithgVasculargProblemsgCha
pterg37:gCaregofgPatientsgwithgShock
Chapterg38:gCaregofgPatientsgwithgAcutegCoronarygSyndrome
sgChapterg39:gAssessmentgofgthegHematologicgSystem
Chapterg40:gCaregofgPatientsgwithgHematologicgProblemsgCh
apterg41:gAssessmentgofgthegNervousgSystem
Chapterg42:gCaregofgPatientsgwithgProblemsgofgthegCNS:gThegBraingCh
apterg43:gCaregofgPatientsgwithgProblemsgofgthegCNS:gThegSpinalgCord
Chapterg44:gCaregofgPatientsgwithgProblemsgofgthegPeripheralgNervousgSyst
emgChapterg45:gCaregofgCriticallygIllgPatientsgwithgNeurologicgProblems
Chapterg46:gAssessmentgofgthegEyegandgVision
Chapterg47:gCaregofgPatientsgwithgEyegandgVisiongProblems
Chapterg48:gAssessmentgandgCaregofgPatientsgwithgEargandgHearinggProble
msgChapterg49:gAssessmentgofgthegMusculoskeletalgSystem
Chapterg50:gCaregofgPatientsgwithgMusculoskeletalgProblemsg
Chapterg51:gCaregofgPatientsgwithgMusculoskeletalgTraumagC
hapterg52:gAssessmentgofgthegGastrointestinalgSystemgChapt
erg53:gCaregofgPatientsgwithgOralgCavitygProblemsgChapterg5
4:gCaregofgPatientsgwithgEsophagealgProblemsgChapterg55:g
CaregofgPatientsgwithgStomachgDisorders
Chapterg56:gCaregofgPatientsgwithgNoninflammatorygIntestinalgDisorders
gChapterg57:gCaregofgPatientsgwithgInflammatorygIntestinalgDisordersgC
hapterg58:gCaregofgPatientsgwithgLivergProblems
Chapterg59:gCaregofgPatientsgwithgProblemsgofgthegBiliarygSystemgandgPancreasgC
hapterg 60:g Careg ofg Patientsg withDoMwanllonaudteridtiboyn: :scUrunbdliefer1n9u8t5ri|tisocnrubalnifed19O8b5@
esgim
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Chapterg61:gAssessmentgofgthegEndocrinegSystem
Chapterg62:gCaregofgPatientsgwithgPituitarygandgAdrenalgGlandgProblems
Chapterg63:gCaregofgPatientsgwithgProblemsgofgthegThyroidgandgParathyroidgGland
sgChapterg64:gCaregofgPatientsgwithgDiabetesgMellitus
Chapterg65:gAssessmentgofgthegRenal/UrinarygSystem
gChapterg66:gCaregofgPatientsgwithgUrinarygProblemsg
Chapterg67:gCaregofgPatientsgwithgKidneygDisorders
Chapterg68:gCaregofgPatientsgwithgAcutegKidneygInjurygandgChronicgKidneygDiseas
egChapterg69:gAssessmentgofgthegReproductivegSystem
Chapterg70:gCaregofgPatientsgwithgBreastgDisordersgCha
pterg71:gCaregofgPatientsgwithgGynecologicgProblems
Chapterg72:gCaregofgPatientsgwithgMalegReproductivegProble
msgChapterg73:gCaregofgTransgendergPatients
Chapterg74:gCaregofgPatientsgwithgSexuallygTransmittedgDiseases


Chapterg01:gOverviewgofgProfessionalgNursinggConceptsgforgMedical-
gSurgicalgNursing


MULTIPLEg CHOICE

1. Agnursewishesgtogprovidegclient-
centeredgcareginallginteractions.gWhichgactiongbygthegnursegbestgdemonstratesgthisgconcept?
a. Assessesgforgculturalginfluencesgaffectingghealthgcare
b. Ensuresgthatgallgthegclientsgbasicgneedsgaregmet
c. Tellsgthegclientgandgfamilygaboutgallgupcominggtests
d. Thoroughlygorientsgthegclientgandgfamilygtogthegroom

ANS:gA
Competencyginclient-
focusedgcaregisgdemonstratedgwhengthegnursegfocusesgongcommunication,gculture,grespectgcompassion,gclient
geducation,gandgempowerment.gBygassessinggthegeffectgofgthegclientsgculturegonghealthgcare,g thisgnursegisgpracti
cinggclient-focusedgcare.gProvidinggforgbasicgneedsgdoesgnotgdemonstrategthisgcompetence.
Simplygtellinggthegclientgaboutgallgupcominggtestsgisgnotgprovidinggempoweringgeducation.gOrientinggthegclientg
andgfamilygtogtheroomgisgangimportantsafetymeasure,gbutnotdirectlyrelatedgtogdemonstratingclient-
centeredgcare.

DIF:gUnderstanding/ComprehensiongREF:g3
KEY:gPatient-
centeredgcare|gculturegMSC:gIntegratedgProcess:gCaringgNOT:gClientgN
eedsgCategory:gPsychosocialgIntegrity

2. Agnursegisgcaringgforgagpostoperativegclientgongthegsurgicalgunit.gThegclientsgbloodgpressuregwasg142/76gmm
gHgg30gminutesgago,gandgnowgisg88/50gmmgHg.gWhatgactiongbygthegnursegisbest?
a. CallgthegRapidgResponsegTeam.
b. Documentgandgcontinuegtogmonitor.
c. Notifygthegprimarygcaregprovider.
d. Repeatgbloodgpressuregmeasurementgin15gminutes.

ANS:gA
ThegpurposegofgthegRapidgResponsegTeamg(RRT)gisgtogintervenegwhengclientsgaregdeterioratinggbeforegtheygsuf
fergeithergrespiratorygorcardiacgarrest.gSincegthegclientghasmanifestedgagsignificantgchange,gthenursegshouldg callgth
egRRT.gChangesgingbloodgpressure,gmentalgstatus,gheartgrate,gandgpaingaregparticularlygsignificant.
Documentationgisgvital,gbutgthegnursegmustgdogmoregthangdocument.gThegprimarygcaregprovidergshouldgbe
gnotified,gbutgthisgisgnotgthegprioritygovergcallinggthegRRT.gThegclientsgbloodgpressuregshouldgbegreassesse
dgfrequently,gbutgthegprioritygisggettinggthegrapidgcaregtogtheclient.

DIF:gApplying/ApplicationgREF:g3
KEY:gRapidgResponsegTeamg(RRT)|gmedicalgemergenciesgMSC:
Integratedg Process:g Communicationg andg Documentation
NOT:gClientgNeedsgCategory:gPhysiologicalgIntegrity:gPhysiologicalgAdaptation

3. Agnursegisgorientinggagnewgclientgandgfamilygtogtheginpatientgunit.gWhatginformationgdoesgthegnursegprovidegtog
helpgthegclientgpromoteghisgorghergowngsafety?
a. Encouragegthegclientgandgfamilygtogbegactivegpartners.
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b. Havegthegclientgmonitorghandghygienegingcaregivers.
c. Offergthegfamilygthegopportunitygtogstaygwithgthegclient.
d. Tellg theg clientg tog alwaysg weargDhoiswnolroahdeerdabrym:g sbcarnubdl.ife1985g |g




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ANS:gA
Eachgactiongcouldgbegimportantgforgthegclientgorgfamilygtogperform.gHowever,gencouraginggthegclientgtogbegactiv
eginghisgorgherghealthgcaregasgagpartnergisgthegmostgcritical.gThegothergactionsgaregveryglimitedginscopegandgdognotg pr
ovidegthegbroadgprotectiongthatgbeinggactivegandginvolveddoes.

DIF:gUnderstanding/ComprehensiongREF:g3gKEY:
Patientgsafety

MSC:gIntegratedgProcess:gTeaching/Learning
NOT:gClientgNeedsgCategory:gSafegandgEffectivegCaregEnvironment:gSafetygandgInfectiongControl

4. Agnewgnursegisgworkinggwithgapreceptorgonganginpatientgmedical-
surgicalunit.gThegpreceptorgadvisesgthegstudentgthatgwhichgisgthegprioritygwhengworkinggasgagprofessi
onalnurse?
a. Attendinggtogholisticgclientgneeds
b. Ensuringgclientgsafety
c. Notgmakinggmedicationgerrors
d. Providingg client-focusedgcare

ANS:gB
Allgactionsgaregappropriategforgthegprofessionalgnurse.gHowever,gensuringgclientgsafetygisgthegpriority.gUpgtog98,000g
deathsgresulteachgyeargfromerrorsginhospitalcare,gaccordinggtogtheg2000gInstitutegofgMedicinegreport.gManygmoregcl
ientsghavegsufferedginjuriesgandglessgseriousgoutcomes.gEverygnurseghasgthegresponsibilitygtogguardgthegclientsgsaf
ety.

DIF:gUnderstanding/ComprehensiongREF:g2gKEY:
Patientgsafety
MSC:gIntegratedgProcess:gNursinggProcess:gIntervention
NOT:gClientgNeedsgCategory:gSafegandgEffectivegCaregEnvironment:gSafetygandgInfectiongControl

5. Agclientgisggoinggtogbegadmittedgforgagscheduledgsurgicalgprocedure.gWhichgactiongdoesgthegnursegexplaingis
gthegmostgimportantgthinggthegclientgcangdogtogprotectgagainsterrors?
a. Bringgaglistgofgallgmedicationsgandgwhatgtheygaregfor.
b. Keepgthegdoctorsgphonegnumbergbygthegtelephone.
c. Makegsuregallgprovidersgwashghandsgbeforegenteringgthegroom.
d. Writegdowngthegnamegofgeachgcaregivergwhogcomesgingthegroom.

ANS:gA
Medicationgerrorsgaregthegmostgcommongtypegofghealthgcaregmistake.gThegJointgCommissionsgSpeakgUpgcampaig
ngencouragesgclientsgtoghelpgensuregtheirgsafety.gOnegrecommendationgisgforgclientsgtogknowgallgtheirgmedicationsgan
dgwhygtheygtakegthem.gThisgwillghelpgpreventgmedicationgerrors.

DIF:gApplying/ApplicationgREF:g4
KEY:gSpeakgUpgcampaign|gpatientgsafetygMSC:gIntegratedgProcess:gTeaching/Learning
NOT:gClientgNeedsgCategory:gSafegandgEffectivegCaregEnvironment:gSafetygandgInfectiongControl

6. Whichgactiongbygthegnursegworkinggwithgagclientgbestgdemonstratesgrespectgforgautonomy?
a. Asksgifgthegclientghasgquestionsgbeforegsigninggagconsent
b. Givesgthegclientgaccurateginformationgwhengquestioned
c. Keepsgthegpromisesgmadegtogthegclientgandgfamily
d. Treatsgthegclientgfairlygcomparedgtogothergclients

ANS:gA
Autonomygisgself-
determination.gThegclientgshouldgmakedecisionsgregardinggcare.gWhengthegnursegobtainsagsignaturegongthegconsent
gform,gassessinggifgthegclientgstillghasgquestionsgisgvital,gbecausegwithoutgfullginformationgthegclientgcannotgprac
ticegautonomy.gGivinggaccurateginformationgisgpracticinggwithgveracity.
Keepinggpromisesgisgupholdinggfidelity.gTreatinggthegclientgfairlygisgprovidinggsocialgjustice.

DIF:gApplying/ApplicationgREF:g4
KEY:gAutonomy|gethicalgprinciplesgMSC:gIntegratedgProcess:gCaring
NOT:gClientgNeedsgCategory:gSafegandgEffectivegCaregEnvironment:gManagementgofgCare

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