Understanding Medical Surgical Nursing 5th Edition by R.N. Williams, Linda S. (Author), R.N. Hopper, Paula D. (Author)
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Understanding Med-Surg Chapter 1 2024
1. After receiving morning report, which patient should the licensed
practical nurse/licensed vocational nurse (LPN/LVN) assess first?
a. A patient who needs discharge teaching
b. A patient who needs assistance to ambulate
c. A patient who states, No one cares about me.
d. A patient who has a temperature of 106F (41.1C): d. A patient who has a
temperature of 106F (41.1C)
2. During a class discussion, two nursing students demonstrated
intellectual courage. What action did the nursing students perform?
a. Considered being in the other persons situation
b. Expected proof that the use of restraints is safe
c. Conducted additional research on the use of restraints in patient care
d. Listened to each others point of view regarding the use of patient
restraints-: d. Listened to each others point of view regarding the use of patient
restraints
3. The nursing staff is planning a celebratory dinner and cake for a newly
licensed practical nurse. Which of the new nurses human needs is supported
by these actions?
a. Self-esteem
b. Physiological
c. Self-actualization
d. Safety and security: a. Self-esteem
4. A patient with a newly fractured femur reports a pain level of 8/10, and
analgesic medication is not due for another 50 minutes. Which actions should
the nurse take?
a. Reposition the patient.
b. Give the medication in 30 minutes.
c. Notify the registered nurse (RN) or physician.
d. Tell the patient it is too early for pain medication: c. Notify the registered
nurse (RN) or physician.
5. The nursing instructor is planning a teaching session on critical thinking
for students. What should the instructor say when explaining critical
thinking?
a. Collect data concerning the patients problem.
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, Understanding Med-Surg Chapter 1 2024
b. Think of different ways to help relieve a patients problem.
c. Determine if an action worked to eliminate a patient problem
d. Use knowledge and skills to make the best decision for patient care.: d. Use
knowledge and skills to make the best decision for patient care.
6. The nurse is planning care and setting goals for a newly admitted patient.
Who should the nurse include when conducting these nursing actions?
a. Patient
b. Nurse manager
c. Patients family members
d. Patients health care provider (HCP): a. Patient
7. While caring for a patient 4 hours after a surgical procedure, the
LPN/LVN notes serosanguineous drainage on the patients dressing. Which
statement should the nurse use to document the finding?
a. Normal drainage noted.
b. Moderate drainage recently noted.
c. Scant serosanguineous drainage seen on dressing.
d. Pale pink drainage, 2 cm by 1 cm, noted on dressing.: d. Pale pink drainage,
2 cm by 1 cm, noted on dressing.
8. The nurse is caring for a patient who is scheduled for surgery. Which
data should the nurse collect to identify safety and security needs? a. Meal
patterns
b. Sleep patterns
c. Anxiety about surgery
d. Effectiveness of pain medication: c. Anxiety about surgery
9. The nurse is reviewing data collected during patient care. Which data
should the nurse document as objective?
a. Patient is pleasant.
b. Urine output is 300 mL.
c. It has been a good day.
d. Patients appetite is poor.: b. Urine output is 300 mL.
10. The nurse is determining diagnoses appropriate for a patient recovering
from surgery. Which nursing diagnoses should the nurse identify as the
highest priority for this patient?
a. Acute pain
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