Med Surg III: Final Questions With Complete Solutions
The emergency nurse is admitting a patient experiencing a GI bleed who is believed to be in the
compensatory stage of shock. What assessment finding would be most consistent with the early stage of
compensation? - (ANSWER)Cool, clammy skin
A nurse is providing care for a patient who has a recent diagnosis of Paget's disease. When planning this
patient's nursing care, interventions should address what nursing diagnoses? Select all that apply. -
(ANSWER)A.
Risk for Injury
B.
Disturbed Auditory Sensory Perception
C.
Impaired Physical Mobility
D.
Acute Pain
You are an emergency-room nurse caring for a trauma patient. Your patient has the following arterial
blood gas results: pH 7.26, PaCO2 28, HCO3 11 mEq/L. How would you interpret these results? -
(ANSWER)B.
Metabolic acidosis with a compensatory respiratory alkalosis
A nurse working at a disaster scene is assisting in triaging clients. Which client would the nurse triage as
expectant? - (ANSWER)B.
Client states that feeling in her breast area will gradually subside with time.
The medical nurse is creating the care plan of an adult patient requiring mechanical ventilation. What
nursing action is most appropriate? - (ANSWER)D.
Monitor cuff pressure every 8 hours.
A maintance dose of 2 mcg/min has been ordered usinga 8 mg in 250 mL solution. Calculate the mL/hr
flow rate. - (ANSWER)3.75 mL/hr
, Med Surg III: Final Questions With Complete Solutions
The nurse is caring for a patient who has been recently diagnosed with late stage pancreatic cancer. The
patient refuses to accept the diagnosis and refuses to adhere to treatment. What is the most likely
psychosocial purpose of this patient's strategy? - (ANSWER)C.
The patient may be trying to protect loved ones from the emotional effects of the illness.
A 73-year-old man comes into the emergency department (ED) by ambulance after slipping on a small
carpet in his home. The patient fell on his hip with a resultant fracture. He is alert and oriented; his
pupils are equal and reactive to light and accommodation. His heart rate is elevated, he is anxious and
thirsty, a Foley catheter is placed, and 40 mL of urine is present. What is the nurse's most likely
explanation for the low urine output? - (ANSWER)C.
The man is having a sympathetic reaction, which has stimulated the renin-angiotensin-aldosterone
system that results in diminished urine output.
The cardiac nurse is caring for a patient who has been diagnosed with dilated cardiomyopathy (DCM).
Echocardiography is likely to reveal what pathophysiological finding? - (ANSWER)C.
Decreased ejection fraction
The nurse is reviewing the echocardiography results of a patient who has just been diagnosed with
dilated cardiomyopathy (DCM). What changes in heart structure characterize DCM? - (ANSWER)A.
Dilated ventricles without hypertrophy of the ventricles
A patient is in the acute phase of a burn injury. One of the nursing diagnoses in the plan of care is
Ineffective Coping Related to Trauma of Burn Injury. What interventions appropriately address this
diagnosis? Select all that apply. - (ANSWER)B.
Teach the patient coping strategies.
C.
Promote truthful communication.
E.
Provide positive reinforcement.
The nurse caring for a patient with an endotracheal tube recognizes several disadvantages of an
endotracheal tube. What would the nurse recognize as a disadvantage of endotracheal tubes? -
(ANSWER)D.
The emergency nurse is admitting a patient experiencing a GI bleed who is believed to be in the
compensatory stage of shock. What assessment finding would be most consistent with the early stage of
compensation? - (ANSWER)Cool, clammy skin
A nurse is providing care for a patient who has a recent diagnosis of Paget's disease. When planning this
patient's nursing care, interventions should address what nursing diagnoses? Select all that apply. -
(ANSWER)A.
Risk for Injury
B.
Disturbed Auditory Sensory Perception
C.
Impaired Physical Mobility
D.
Acute Pain
You are an emergency-room nurse caring for a trauma patient. Your patient has the following arterial
blood gas results: pH 7.26, PaCO2 28, HCO3 11 mEq/L. How would you interpret these results? -
(ANSWER)B.
Metabolic acidosis with a compensatory respiratory alkalosis
A nurse working at a disaster scene is assisting in triaging clients. Which client would the nurse triage as
expectant? - (ANSWER)B.
Client states that feeling in her breast area will gradually subside with time.
The medical nurse is creating the care plan of an adult patient requiring mechanical ventilation. What
nursing action is most appropriate? - (ANSWER)D.
Monitor cuff pressure every 8 hours.
A maintance dose of 2 mcg/min has been ordered usinga 8 mg in 250 mL solution. Calculate the mL/hr
flow rate. - (ANSWER)3.75 mL/hr
, Med Surg III: Final Questions With Complete Solutions
The nurse is caring for a patient who has been recently diagnosed with late stage pancreatic cancer. The
patient refuses to accept the diagnosis and refuses to adhere to treatment. What is the most likely
psychosocial purpose of this patient's strategy? - (ANSWER)C.
The patient may be trying to protect loved ones from the emotional effects of the illness.
A 73-year-old man comes into the emergency department (ED) by ambulance after slipping on a small
carpet in his home. The patient fell on his hip with a resultant fracture. He is alert and oriented; his
pupils are equal and reactive to light and accommodation. His heart rate is elevated, he is anxious and
thirsty, a Foley catheter is placed, and 40 mL of urine is present. What is the nurse's most likely
explanation for the low urine output? - (ANSWER)C.
The man is having a sympathetic reaction, which has stimulated the renin-angiotensin-aldosterone
system that results in diminished urine output.
The cardiac nurse is caring for a patient who has been diagnosed with dilated cardiomyopathy (DCM).
Echocardiography is likely to reveal what pathophysiological finding? - (ANSWER)C.
Decreased ejection fraction
The nurse is reviewing the echocardiography results of a patient who has just been diagnosed with
dilated cardiomyopathy (DCM). What changes in heart structure characterize DCM? - (ANSWER)A.
Dilated ventricles without hypertrophy of the ventricles
A patient is in the acute phase of a burn injury. One of the nursing diagnoses in the plan of care is
Ineffective Coping Related to Trauma of Burn Injury. What interventions appropriately address this
diagnosis? Select all that apply. - (ANSWER)B.
Teach the patient coping strategies.
C.
Promote truthful communication.
E.
Provide positive reinforcement.
The nurse caring for a patient with an endotracheal tube recognizes several disadvantages of an
endotracheal tube. What would the nurse recognize as a disadvantage of endotracheal tubes? -
(ANSWER)D.
