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Test bank for Med Surg 1 questions and verified answers
Test bank for Med Surg 1 questions and verified answers
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Med Surg 11. 1. A patient is being admitted to the hospital on the day before a scheduled surgery.
What is the most appropriate initial question for the nurse to ask this preoperative
patient?
2. a) "What did your surgeon say to you about the type of surgery you are having?"
3. b) "What questions do you have about your surgery?"
4. c) "What type of surgery are you having and why are you having it done?"
5. d) "What do you know about what will be done to you?" - ANS-c) "What type of surgery
are you having and why are you having it done?"
6. 10. The patient has been in the postanesthesia care unit (PACU) for one hour. The
patient is now groggy but able to respond to voice commands. While assessing the
patient, for what reason would the nurse check the bedclothes underneath the patient?
7. a) Determine drainage from tubes or drains
8. b) Assess for fluid balance
9. c) Detect for possible hemorrhage
10. d) Monitor perspiration - ANS-c) Detect for possible hemorrhage
11. 11. A 65-year-old was diagnosed and treated for right lower lobe pneumonia 4 days ago.
Today, the patient came to the ED reporting abrupt onset of chest pain that is worse with
inspiration. The nurse knows that the symptoms are consistent with:
12. a) Pleurisy
13. b) Stable angina
14. c) Bacteremia
15. d) Meningitis - ANS-a) Pleurisy
16. 12. The ED nurse is caring for Ginny, a 45-year-old female with a recent history of sexual
assault. Ginny came to the ED crying and shaking and stated that she had dyspnea,
feeling like she was choking and couldn't breathe, chest pain, and sweating. Ginny
reports that the symptoms started about 15 minutes before she came to the ED. Ginny's
symptoms are consistent with:
17. a) Myocardial Infarction
18. b) Pneumonia
19. c) Panic Attack
20. d) Influenza - ANS-c) Panic Attack
21. 13. A 86-year-old female has recent changes in her mental status, reports having no
appetite, and is running a low grade fever. The nurse suspects:
22. a) Delirium
23. b) Dementia
24. c) Urinary tract infection
25. d) Hypokalemia - ANS-c) Urinary tract infection
26. 14. Ted is a 76-year-old male who fell at home and sustained a fracture of his right hip.
He is being admitted to your unit and will have surgery in the morning. Ted has a past
, medical history of urinary calculi, benign prostatic hypertrophy, and hypertension. When
he arrived to the medical-surgical unit, he has a strong body odor and visible dirt on his
body. An indwelling urinary catheter was placed in the ED. Ted is at greatest risk for a
UTI is related to:
27. a) History of benign prostatic hypertrophy (BPH)
28. b) Poor hygiene
29. c) Indwelling urinary catheter
30. d) History of urinary calculi
31. e) His age - ANS-c) Indwelling urinary catheter
32. 15. A nurse knows that the patient teaching on the pneumococcal vaccine to a
65-year-old patient has been effective when the patient states:
33. a) "The injection will protect me from the flu this year"
34. b) "I am now protected from getting pneumonia during my lifetime"
35. c) "I will need re-vaccination in five years"
36. d) "Now I won't need antibiotics when I get pneumonia" - ANS-c) "I will need
re-vaccination in five years"
37. 16. A patient is 14 hours postop from a surgical decompression for compartment
syndrome at the site of an ORIF on the left femur. On assessment, the urine output is
100mL in 8 hours, and has a dark, reddish brown color. Based on this assessment
finding, the nurse will:
38. a) Check to see if the myoglobin levels decreased
39. b) Administer an ordered prn fluid bolus to reverse fluid volume deficit
40. c) Nothing; this is an expected finding following surgery
41. d) Assess the patient for signs of acute kidney injury - ANS-d) Assess the patient for
signs of acute kidney injury
42. 17. A nurse has completed cast care teaching following the application of a plaster cast.
The nurse knows that patient teaching has been effective when the patient states:
43. a) "I can shower and then pat the cast dry."
44. b) "If I wrap my cast in plastic, it will last longer."
45. c) "I will call my physician if I have an increase in pain or swelling."
46. d) "I will apply ice on the cast over the fracture site for the next 48 hours." - ANS-c) "I will
call my physician if I have an increase in pain or swelling."
47. 18. A 75-year-old male with a history of heart failure (HF) and diabetes mellitus type 2
presents to the ED with abdominal pain. A CT scan with contrast reveals a bowel
obstruction that requires surgical resection. On post-operative day 1, the patient
develops a severe headache and mental status changes. The resident orders a CT scan
with contrast of the head. Before sending the patient to the CT scan, what action is a
priority for the nurse?
48. a) Perform a complete neurological assessment before sending the patient to the CT
scan
49. b) Evaluate the morning creatinine and BUN lab results
50. c) Contact the on-call cardiologist for immediate evaluation of the patient's cardiac output
51. d) Hold IV fluids for 4 hours prior to the CT scan - ANS-b) Evaluate the morning
creatinine and BUN lab results
, 52. 19. A 75-year-old male with a history of heart failure (HF) and diabetes mellitus type 2
presents to the ED with abdominal pain. A CT scan with contrast reveals a bowel
obstruction that requires surgical resection. On post-operative day 1, the patient
develops a severe headache and mental status changes. The resident orders a CT scan
with contrast of the head.
53. Identify ways to prevent contrast-induced nephropathy. Select all that apply.
54. a) Use of low-osmolar contrast
55. b) Insert a urinary catheter to accurately measure urine output
56. c) Avoid multiple procedures over a 24-48 hour time period
57. d) Hydrate the patient before and after the procedure
58. e) Administer high-dose NSAIDS prior to the procedure - ANS-a) Use of low-osmolar
contrast
59. c) Avoid multiple procedures over a 24-48 hour time period
60. d) Hydrate the patient before and after the procedure
61. 2. A benzodiazepine has been administered to a patient preoperatively. After the drug
has been administered, the nurse plans to monitor the patient for which side effects?
Select all that apply.
62. a) Anxiety
63. b) Hypotension
64. c) Hypocalcemia
65. d) Level of Consciousness
66. e) Sedation - ANS-a) Anxiety
67. d) Level of Consciousness
68. e) Sedation
69. 20. A 80-year-old patient slipped on the ice and fell. The patient is brought to the ED for
evaluation for a possible hip fracture. Identify what should be included in the initial
assessment for a hip fracture. Select all that apply.
70. a) Co-morbid health conditions
71. b) External rotation of the affected leg
72. c) Shortening of the affected leg
73. d) Muscle spasms of affected leg
74. e) Pain at the fracture site
75. f) Condition of skin of the affected leg - ANS-b) External rotation of the affected leg
76. c) Shortening of the affected leg
77. d) Muscle spasms of affected leg
78. e) Pain at the fracture site
79. 21. The nurse is preparing to administer an intravenous (IV) insulin drip to a patient with
hyperglycemia. The nurse knows that only one insulin can be used intravenously. Which
insulin can only be given IV?
80. a) NPH
81. b) Regular
82. c) Lispro
83. d) Lantus - ANS-b) Regular
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