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Medsurg test 1 davis advantage Exam 2025/2026 questions With Completed & Solutions.
Medsurg test 1 davis advantage Exam 2025/2026 questions With Completed & Solutions.
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Medsurg test 1 davis advantage questionsA 75-year-old man was at home watching television with his wife when he began displaying
strange symptoms. His wife called 911 and stated "Something is wrong with my husband. He
won't answer me when I speak to him. He is staring straight ahead, and drooling from his
mouth. Please send an ambulance immediately!" The ambulance arrived and transported the
man to the local Emergency Department.
You triage the man when he arrives. What priority nursing action would you complete first?
Obtain a complete set of vital signs.
Draw a serum glucose level.
Obtain a sterile urine specimen.
Ask the patient about his home meds. - ANS - Obtain a complete set of vital signs.
\A bone can fracture when which forces are present? Select all that apply.
Compression
Tension
Torsion
Gravity
Spring - ANS - Compression
Tension
Torsion
\A patient complains of pain due to shortness of breath. What is the nurse's best action to
alleviate the patient's discomfort?
Assist patient into a side-lying position.
Encourage an upright, forward-leaning position.
Apply heating pad to anterior chest.
Administer narcotics intravenously. - ANS - Encourage an upright, forward-leaning position.
\A patient diagnosed with a pulmonary embolism is receiving a heparin infusion. Which lab
should the nurse monitor in order to adjust the rate of infusion?
Prothrombin time
Partial thromboplastin time
Platelet count
Hemoglobin and hematocrit - ANS - Partial thromboplastin time
\A patient presents to the emergency department with symptoms of a pulmonary embolism.
What is the nurse's first action?
Obtain 12-lead ECG.
Administer IV saline.
,Apply oxygen.
Start heparin infusion. - ANS - Apply oxygen.
\A patient treated for a pulmonary embolism is being discharged from the hospital. Which
patient teaching should the nurse include in the teaching plan? Select all that apply.
Lab tests to check oral heparin effectiveness
Exercise regimen recommended by provider
Smoking cessation therapies or support group
Diet rich in saturated fat
Take prescribed medication at appropriate time - ANS - Exercise regimen recommended by
provider
Smoking cessation therapies or support group
Take prescribed medication at appropriate time
\A patient with a respiratory rate of 26 breaths/minute and an oxygen saturation of 92% on room
air complains of pain as a 10/10 following a motor vehicle crash. What is the nurse's priority of
care for this patient?
Patient verbalizes a tolerable level of pain.
Patient remains free from further injury.
Patient demonstrates improved respiratory status.
Patient uses incentive spirometer hourly as instructed. - ANS - Patient demonstrates improved
respiratory status.
\A patient with stroke is upset when told he cannot eat in his room without a staff member
present. What is the best explanation that the nurse can give the patient regarding this
information?
"This is the policy and unfortunately, I must enforce this rule."
"If you ask your healthcare provider to change this order, I am sure they will make an
exception."
"You are at risk of choking and aspirating when you eat due to your stroke."
"Why do you have a problem with this rule?" - ANS - "You are at risk of choking and aspirating
when you eat due to your stroke."
\Assessments that may indicate development of compartment syndrome: - ANS - Passive pain
at rest may cause you to suspect the development of compartment syndrome. Paresthesia may
also indicate compromised vascular perfusion to the affected limb. Absence of pain and pain
upon ambulation when assisted by PT are expected findings after this type of procedure.
Minimal hair growth can be affected by factors other than surgical intervention.
\Before a patient is discharged home following surgery, which criteria must be met? Select all
that apply.
Patient is awake and alert.
Patient is voiding normally.
Patient is eating and drinking normally.
Surgical wound is clean and dry.
, Patient verbalizes understanding of instructions. - ANS - All of them:
Patient is awake and alert.
Patient is voiding normally.
Patient is eating and drinking normally.
Surgical wound is clean and dry.
Patient verbalizes understanding of instructions.
\Before the D-dimer results are available, the patient calls the nursing station, complaining of
shortness of breath and appearing very anxious. What is your priority action?
Obtain vital signs, including oxygen saturation.
Medicate the client for anxiety.
Call the healthcare provider.
Check peripheral pulses bilaterally in the client's lower extremities. - ANS - Of the interventions
listed, you should first obtain a set of vital signs, including oxygen saturation. Checking the
peripheral pulses is an important assessment step, but is not related to the patient's present
concern. Medicating the client for anxiety is not the current priority. The healthcare provider will
need to be contacted but not until the patient is reassessed and vital signs are obtained.
\Complications to monitor for in addition to compartment syndrome: - ANS - A patient who has
had ORIF is at risk for numerous complications, including but not limited to fat embolism
syndrome, respiratory distress, and hypovolemia. Development of hypervolemia and
ketoacidosis would not typically occur.
\Diagnostic Testing for PE - ANS - Diagnostic testing for PE includes imaging and laboratory
studies. Diagnostic studies include an ECG, a chest CT with contrast (not without), a V/Q scan,
and pulmonary angiography. Laboratory studies include arterial blood gas analysis (not venous)
and a plasma D-dimer level.
\Drug Therapy to Treat PE - ANS - heparin
warfarin
altaplase
Protamine sulfate and vitamin K are antidotes for too much bleeding by heparin and warfarin
\During phase I of the postoperative period, the nurse notices that the patient's surgical dressing
contains an area of bright, red bleeding. Which action should the nurse take?
Assess the patient's temperature.
Notify the anesthesiologist.
Reinforce the surgical dressing.
Measure urinary output for past hour. - ANS - Reinforce the surgical dressing.
\During Phase I of the postoperative period, the nurse will perform which of the following priority
assessments? Select all that apply.
Capillary refill
Auscultation of bowel sounds
Vital signs
Level of consciousness
Airway patency - ANS - Vital signs
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