Med Surge 3 Exam 2024 ACTUAL EXAM QUESTIONS
WITH CORRECT ANSWERS LATEST UPDATE 2023 -
2024. A+ GUARANTEED
Which of these patients in the respiratory
disease clinic should the nurse assess first?
a. A 23-year-old, complaining of a sore throat,
who has a hot potato voice
b. A 34-year-old who has a scratchy throat‖
and a positive rapid strep antigen test
c. A 55-year-old who is receiving radiation for
throat cancer and has severe fatigue
d. A 72-year-old with a history of a total
laryngectomy whose stoma is red and inflamed
- ....ANSWER >>>>ANS: A
Rationale: The patient's clinical manifestation
of a hot potato voice suggests a possible
peritonsillar abscess that could lead to an
airway obstruction requiring rapid assessment
and potential treatment. The other patients do
not have diagnoses or symptoms that indicate
any life-threatening problems
,The nurse obtains the following assessment
data in a 76-year-old patient who has
influenza. Which information will be most
important to communicate to the health care
provider?
a. Fever of 100.4° F (38° C)
b. Diffuse crackles in the lungs
c. Sore throat and frequent cough
d. Myalgia and persistent headache -
....ANSWER >>>>ANS: B
Rationale: The crackles indicate that the patient
may be developing pneumonia, a common
complication of influenza, which would require
aggressive treatment. Myalgia, headache, mild
temperature elevation, and sore throat with
cough are typical symptoms of influenza and
are treated with supportive care measures
such as over-the-counter (OTC) pain relievers
and increased fluid intake
Which of these nursing actions can the RN
working in a long-term care facility delegate to
an experienced LPN or LVN who is caring for a
patient with a permanent tracheostomy?
,a. Assessing the patient's risk for aspiration
b. Suctioning the tracheostomy when needed
c. Educating the patient about self-care of the
tracheostomy
d. Determining the need for replacement of the
tracheostomy tube - ....ANSWER >>>>ANS: B
Rationale: Suctioning of a stable patient can be
delegated to LPN or LVNs. Assessments and
patient teaching should be done by the RN
The nurse is caring for a hospitalized 82-year-
old patient who has nasal packing in place to
treat a nosebleed. Which of the following
assessment findings will require the most
immediate action by the nurse?
a. The oxygen saturation is 89%.
b. The nose appears red and swollen.
c. The patient's temperature is 100.1° F (37.8° C).
d. The patient complains of level 7 (0 to 10
scale) pain. - ....ANSWER >>>>ANS: A
Rationale: Older patients with nasal packing
are at risk of aspiration or airway obstruction.
An O2 saturation of 89% should alert the nurse
to assess further for these complications. The
, other assessment data also indicate a need for
nursing action but not as immediately as the
fall in O2 saturation.
A patient with bacterial pneumonia has rhonchi
and thick sputum. Which action will the
nurseuse to promote airway clearance?
a. Assist the patient to splint the chest when
coughing.
b. Educate the patient about the need for fluid
restrictions
c. Encourage the patient to wear the nasal
oxygen cannula.
d. Instruct the patient on the pursed lip
breathing technique. - ....ANSWER >>>>ANS: A
Rationale: Coughing is less painful and more
likely to be effective when the patient splints
the chest during coughing. Fluids should be
encouraged to help liquefy secretions. Nasal
oxygen will improve gas exchange, but will not
improve airway clearance. Pursed lip breathing
is used to improve gas exchange in patients
with COPD, but will not improve airway
clearance.
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