TEST BANK: Med Surg Exam
Elaboration *Q&A* |Verified Study Set|
2024/2025 (NCLEX Accredited)
A patient with heart failure is prescribed furosemide. What is the nurse's priority assessment?
A. Respiratory rate
B. Serum potassium levels
C. Blood glucose levels
D. Liver function tests
...
TEST BANK: Med Surg Exam
Elaboration *Q&A* |Verified Study Set|
2024/2025 (NCLEX Accredited)
A patient with heart failure is prescribed furosemide. What is the nurse's priority assessment?
A. Respiratory rate
B. Serum potassium levels
C. Blood glucose levels
D. Liver function tests
B. Serum potassium levels
Which finding in a patient with pneumonia should prompt the nurse to notify the healthcare
provider immediately?
A. Crackles upon auscultation
B. Increased white blood cell count
C. Confusion or altered mental status
D. Low-grade fever
C. Confusion or altered mental status
In caring for a patient with chronic obstructive pulmonary disease (COPD), what is the best
position for the patient to promote effective breathing?
A. Lying flat
B. Sitting upright
1
,C. Prone position
D. Lying on the left side
B. Sitting upright
What is the expected priority outcome for a patient with a diagnosis of deep vein thrombosis
(DVT)?
A. Reduced swelling in the affected limb
B. Improved mobility
C. Increased appetite
D. Stable vital signs
A. Reduced swelling in the affected limb
A patient post-surgery develops a fever of 101°F. What is the nurse's first action?
A. Administer antipyretics
B. Notify the healthcare provider
C. Assess the surgical site
D. Increase the patient's fluid intake
C. Assess the surgical site
A patient with diabetes is experiencing signs of hyperglycemia. Which symptom should the
nurse assess for?
A. Shakiness
B. Confusion
2
,C. Increased thirst
D. Dizziness
C. Increased thirst
In preparing a patient for a colonoscopy, what is an important teaching point?
A. Maintain a high-fiber diet prior to the procedure
B. Clear liquids are allowed the day before the procedure
C. Take no medications before the procedure
D. Avoid drinking fluids for 24 hours
B. Clear liquids are allowed the day before the procedure
Which of the following is a common complication following abdominal surgery?
A. Hypertension
B. Hemorrhage
C. Hyperglycemia
D. Tachycardia
B. Hemorrhage
A patient with a tracheostomy requires suctioning. What is the priority nursing action?
A. Pre-oxygenate the patient
B. Assess the need for suctioning
C. Use sterile technique for suctioning
D. Provide comfort measures
3
, A. Pre-oxygenate the patient
What is the primary purpose of administering anticoagulants to patients with atrial fibrillation?
A. Prevent myocardial infarction
B. Decrease blood pressure
C. Prevent clot formation
D. Increase heart rate
C. Prevent clot formation
A nurse is assessing a patient with a history of heart failure. What finding would indicate
worsening heart failure?
A. Decreased weight
B. Increased appetite
C. Edema in the lower extremities
D. Improved energy levels
C. Edema in the lower extremities
What assessment finding is most concerning in a patient with chronic kidney disease?
A. Elevated serum creatinine
B. Increased appetite
C. Decreased urine output
D. Stable blood pressure
A. Elevated serum creatinine
4
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