MED/SURG I FINAL EXAM REVIEW QUESTIONS AND ANSWERS
LATEST UPDATE 2024/2025 BEST COMPLETE SOLUTION GRADED A+
FOR SUCCESS
The nurse uses the Situation-Background-Assessment-Recommendation (SBAR) format to
communicate a change in patient status to a health care provider. In which order should the
nurse make the following statements?
a. "The patient needs to be evaluated immediately and may need intubation and mechanical
ventilation."
b. "The patient was admitted yesterday with heart failure and has been receiving furosemide
(Lasix) for diuresis, but urine output has been low."
c. "The patient has crackles audible throughout the posterior chest, and the most recent
oxygen saturation is 89%. Her condition is very unstable."
d. "This is the nurse on the surgical unit. After assessing the patient, I am very concerned
about increased shortness of breath over the past hour." - CORRECT ANSWERS D B C A
While ambulating in the room, a patient complains of feeling dizzy. In what order will the
nurse accomplish the following activities?
a. Have the patient sit down in a chair.
b. Give the patient something to drink.
c. Take the patient's blood pressure (BP).
d. Inform the patient's health care provider. - CORRECT ANSWERS A C B D
In what order will the nurse perform these actions when doing a physical assessment for a
patient admitted with abdominal pain?
a. Percuss the abdomen to locate any areas of dullness.
b. Palpate the abdomen to check for tenderness or masses.
c. Inspect the abdomen for distention or other abnormalities.
d. Auscultate the abdomen for the presence of bowel sounds. - CORRECT ANSWERS C D A B
The following four patients arrive in the emergency department (ED) after a motor vehicle
collision. In which order should the nurse assess them?
a. A 74-yr-old patient with palpitations and chest pain
b. A 43-yr-old patient complaining of 7/10 abdominal pain
c. A 21-yr-old patient with multiple fractures of the face and jaw
,MED/SURG I FINAL EXAM REVIEW QUESTIONS AND ANSWERS
LATEST UPDATE 2024/2025 BEST COMPLETE SOLUTION GRADED A+
FOR SUCCESS
d. A 37-yr-old patient with a misaligned lower left leg with intact pulses - CORRECT
ANSWERS C A B D
Which information is most important for the nurse to report to the health care provider
about a patient who has been using varenicline (Chantix)?
a. The patient continues to smoke a few cigarettes every day.
b. The patient complains of headaches that occur almost daily.
c. The patient complains of new-onset sadness and depression.
d. The patient says, "I have decided that I am not ready to quit." - CORRECT ANSWERS C
An alert older patient who takes multiple medications for chronic cardiac and pulmonary
diseases lives with a daughter who works during the day. During a clinic visit, the patient
verbalizes to the nurse that she has a strained relationship with her daughter and does not
enjoy being alone all day. Which nursing diagnosis should the nurse assign as the priority for
this patient?
a. Social isolation related to fatigue
b. Risk for injury related to drug interactions
c. Caregiver role strain related to family employment schedule
d. Compromised family coping related to the patient's care needs - CORRECT ANSWERS B
Which method should the nurse use to gather the most complete assessment of an older
patient?
a. Review the patient's health record for previous assessments.
b. Use a geriatric assessment instrument to evaluate the patient.
c. Ask the patient to write down medical problems and medications.
d. Interview both the patient and the primary caregiver for the patient. - CORRECT
ANSWERS B
An older Asian American patient tells the nurse that she has lived in the United States for 50
years. The patient speaks English and lives in a predominantly Asian neighborhood. Which
action by the nurse is most appropriate?
a. Include a shaman when planning the patient's care.
b. Avoid direct eye contact with the patient during care.
, MED/SURG I FINAL EXAM REVIEW QUESTIONS AND ANSWERS
LATEST UPDATE 2024/2025 BEST COMPLETE SOLUTION GRADED A+
FOR SUCCESS
c. Ask the patient about any special cultural beliefs or practices.
d. Involve the patient's oldest son to assist with health care decisions. - CORRECT ANSWERS
C
A nurse assesses a postoperative patient 2 days after chest surgery. What findings indicate
that the patient requires better pain management (select all that apply)?
a. Confusion
b. Hypoglycemia
c. Poor cough effort
d. Shallow breathing
e. Elevated temperature - CORRECT ANSWERS A C D E
A patient who is hospitalized with a pelvic fracture after a motor vehicle accident just
received news that the driver of the car died from multiple injuries. What actions should the
nurse take based on knowledge of the physiologic stress reactions that may occur in this
patient (select all that apply)?
a. Assess for bradycardia.
b. Observe for decreased appetite.
c. Ask about epigastric discomfort.
d. Monitor for decreased respiratory rate.
e. Check for elevated blood glucose levels. - CORRECT ANSWERS B C E
The health care provider orders a patient-controlled analgesia (PCA) machine to provide pain
relief for a patient with acute surgical pain who has never received opioids before. Which
nursing actions regarding opioid administration are appropriate at this time (select all that
apply)?
a. Assess for signs that the patient is becoming addicted to the opioid.
b. Monitor for therapeutic and adverse effects of opioid administration.
c. Emphasize that the risk of some opioid side effects increases over time.
d. Teach the patient about how analgesics improve postoperative activity levels.
e. Provide instructions on decreasing opioid doses by the second postoperative day. -
CORRECT ANSWERS B D
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