Exam (elaborations)

Med Surg Exam 1 Study Guide Questions And Answers 2024 graded A+

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Course
Med surg 1

Institution
Med Surg 1

Med Surg Exam 1 Study Guide Questions And Answers 2024 Med Surg Exam 1 Study Guide Questions And Answers 2024 Med Surg Exam 1 Study Guide Questions And Answers 2024

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Uploaded on August 20, 2024
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Type Exam (elaborations)
Contains Questions & answers

med surg exam 1 study guide questions and answers

Institution Med surg 1
Course Med surg 1

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Med Surg Exam 1 Study Guide
Questions And Answers 2024
A new nurse is working with a preceptor on a medical-surgical unit. The preceptor advises the new
nurse that which is the priority when working as a professional nurse?

a. Attending to holistic client needs

b. Ensuring client safety

c. Not making medication errors

d. Providing client-focused care - verified answer b. Ensuring client safety

A nurse is orienting a new client and family to the medical-surgical unit. What information does the
nurse provide to best help the client promote his or her own safety?

a. Encourage the client and family to be active partners.

b. Have the client monitor hand hygiene in caregivers.

c. Offer the family the opportunity to stay with the client.

d. Tell the client to always wear his or her armband. - verified answer a. Encourage the client and
family to be active partners.

A nurse is caring for a postoperative client on the surgical unit. The client's blood pressure was
142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action would the nurse take first?

a. Call the Rapid Response Team.

b. Document and continue to monitor.

c. Notify the primary health care provider.

d. Repeat the blood pressure in 15 minutes - verified answer a. Call the Rapid Response Team

A nurse wishes to provide client-centered care in all interactions. Which action by the nurse best
demonstrates this concept?

a. Assesses for cultural influences affecting health care.

b. Ensures that all the client's basic needs are met.

c. Tells the client and family about all upcoming tests.

d. Thoroughly orients the client and family to the room - verified answer A. Assess for cultural
influences affecting health care

,A client is going to be admitted for a scheduled surgical procedure. Which action does the nurse
explain is the most important thing the client can do to protect against errors?

a. Bring a list of all medications and what they are for.

b. Keep the provider's phone number by the telephone.

c. Make sure that all providers wash hands before entering the room.

d. Write down the name of each caregiver who comes in the room. - verified answer A. bring a list of
all medications and what they are for

Which action by the nurse working with a client best demonstrates respect for autonomy?

a. Asks if the client has questions before signing a consent.

b. Gives the client accurate information when questioned.

c. Keeps the promises made to the client and family.

d. Treats the client fairly compared to other clients. - verified answer a. Asks if the client has
questions before signing a consent

A nurse asks a more seasoned colleague to explain best practices when communicating with a
person from the lesbian, gay, bisexual, transgender, and questioning/queer (LGBTQ) community.
What answer by the faculty is most accurate?

a. Avoid embarrassing the client by asking questions.

b. Don't make assumptions about his or her health needs.

c. Most LGBTQ people do not want to share information.

d. No differences exist in communicating with this population - verified answer b. don't make
assumptions about his or her health needs

A nurse is calling the on-call health care provider about a client who had a hysterectomy 2 days ago
and has pain that is unrelieved by the prescribed opioid pain medication. Which statement
comprises the background portion of the SBAR format for communication?

a. "I would like you to order a different pain medication."

b. "This client has allergies to morphine and codeine."

c. "Dr. Smith doesn't like nonsteroidal anti-inflammatory meds."

d. "This client had a vaginal hysterectomy 2 days ago." - verified answer b. This client has allergies to
morphine and codeine

,A nurse working on a cardiac unit delegated taking vital signs to an experienced assistive personnel
(AP). Four hours later, the nurse notes that the client's blood pressure taken by the AP was much
higher than previous readings, and the client's mental status has changed. What action by the nurse
would most likely have prevented this negative outcome?

a. Determining if the AP knew how to take blood pressure

b. Double-checking the AP by taking another blood pressure

c. Providing more appropriate supervision of the AP

d. Taking the blood pressure instead of delegating the task - verified answer c. Providing more
appropriate supervision of the AP

A newly graduated nurse in the hospital states that because of being so new, participation in quality
improvement (QI) projects is not wise. What response by the precepting nurse is best?

a. "All staff nurses are required to participate in quality improvement here."

b. "Even being new, you can implement activities designed to improve care."

c. "It's easy to identify what indicators would be used to measure quality."

d. "You should ask to be assigned to the research and quality committee." - verified answer b. Even
being new, you can implement activities designed to improve care

A nurse is talking with a co-worker who is moving to a new state and needs to find new employment
there. What advice by the nurse is best?

a. Ask the hospitals there about standard nurse-client ratios.

b. Choose the hospital that has the newest technology.

c. Find a hospital that has achieved Magnet status.

d. Work in a facility affiliated with a medical or nursing school. - verified answer C. find a hospital
that has achieved Magnet status

A nurse manager wishes to ensure that the nurses on the unit are practicing at their highest levels of
competency. Which areas would the manager assess to determine if the nursing staff demonstrate
competency according to the Institute of Medicine (IOM) report Health Professions Education: A
Bridge to Quality? (Select all that apply.)

a. Collaborating with an interprofessional team

b. Implementing evidence-based care

c. Providing family-focused care

d. Routinely using informatics in practice

e. Using quality improvement in client care

, f. Formalizing systems thinking when implementing care - verified answer A,B,D,E

A nurse is interested in making interprofessional work a high priority. Which actions by the nurse
best demonstrate this skill? (Select all that apply.)

a. Consults with other disciplines on client care.

b. Coordinates discharge planning for home safety.

c. Participates in comprehensive client rounding.

d. Routinely asks other disciplines about client progress.

e. Shows the nursing care plans to other disciplines.

f. Delegate tasks to unlicensed personnel appropriately - verified answer A, B, C, D, F

The nurse utilizing evidence-based practice (EBP) considers which factors when planning care?
(Select all that apply.)

a. Cost-saving measures

b. Nurse's expertise

c. Client preferences

d. Research findings

e. Values of the client

f. Plan-do-study-act mode - verified answer B, C, D, E

A nurse manager wants to improve hand-off communication among the staff. What actions by the
manager would best help achieve this goal? (Select all that apply.)

a. Attend hand-off rounds to coach and mentor.

b. Create a template of suggested topics to include in report.

c. Encourage staff to ask questions during hand-off.

d. Give raises based on compliance with reporting.

e. Provide education on the SBAR method of communication - verified answer A, B, C, E

A nurse learns that the fastest growing subset of the older population is which group?

a. Elite old

b. Middle old

c. Old old

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