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2024 MED-SURG TEST BANK REAL EXAM 450 QUESTIONS AND CORRECT DETAILED ANSWERS (100% CORRECT AND VERIFIED ANSWERS) |ALREADY GRADED A+
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2024 MED-SURG TEST BANK REAL EXAM 450 QUESTIONS AND CORRECT DETAILED ANSWERS (100% CORRECT AND VERIFIED ANSWERS) |ALREADY GRADED A+ The nurse assesses a patient with shortness of breath for evidence of long-standing hypoxemia by inspecting: A. Chest excursion B. Spinal curvatures C. The res...

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  • September 18, 2024
  • 77
  • 2024/2025
  • Exam (elaborations)
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  • 2024 med surg test bank real exam 450 questions an

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TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISHED: SEPTEMBER 2024

2024 MED-SURG TEST BANK REAL EXAM 450
QUESTIONS AND CORRECT DETAILED ANSWERS
(100% CORRECT AND VERIFIED ANSWERS)
|ALREADY GRADED A+

The nurse assesses a patient with shortness of breath for evidence of long-standing

hypoxemia by inspecting:

A. Chest excursion

B. Spinal curvatures

C. The respiratory pattern

D. The fingernail and its base - Answer✔️✔️-D. The fingernail and its base Clubbing, a

sign of long-standing hypoxemia, is evidenced by an increase in the angle between the

base of the nail and the fingernail to 180 degrees or more, usually accompanied by an

increase in the depth, bulk, and sponginess of the end of the finger.

2. The nurse is caring for a patient with COPD and pneumonia who has an order for

arterial blood gases to be drawn. Which of the following is the minimum length of time

the nurse should plan to hold pressure on the puncture site?

A. 2 minutes

B. 5 minutes

C. 10 minutes

D. 15 minutes - Answer✔️✔️-B. 5 minutes Following obtaining an arterial blood gas, the

nurse should hold pressure on the puncture site for 5 minutes by the clock to be sure

that bleeding has stopped. An artery is an elastic vessel under higher pressure than

,TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISHED: SEPTEMBER 2024
veins, and significant blood loss or hematoma formation could occur if the time is

insufficient.

3. The nurse notices clear nasal drainage in a patient newly admitted with facial trauma,

including a nasal fracture. The nurse should:

A. test the drainage for the presence of glucose.

B. suction the nose to maintain airway clearance.

C. document the findings and continue monitoring.

D. apply a drip pad and reassure the patient this is normal. - Answer✔️✔️-A. test the

drainage for the presence of glucose. Clear nasal drainage suggests leakage of

cerebrospinal fluid (CSF). The drainage should be tested for the presence of glucose,

which would indicate the presence of CSF.

4. When caring for a patient who is 3 hours postoperative laryngectomy, the nurse's

highest priority assessment would be:

A. Airway patency

B. Patient comfort

C. Incisional drainage

D. Blood pressure and heart rate - Answer✔️✔️-A. Airway patency Remember ABCs with

prioritization. Airway patency is always the highest priority and is essential for a patient

undergoing surgery surrounding the upper respiratory system.

5. When initially teaching a patient the supraglottic swallow following a radical neck

dissection, with which of the following foods should the nurse begin?

A. Cola

,TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISHED: SEPTEMBER 2024
B. Applesauce

C. French fries

D. White grape juice - Answer✔️✔️-A. ColaWhen learning the supraglottic swallow, it may

be helpful to start with carbonated beverages because the effervescence provides clues

about the liquid's position. Thin, watery fluids should be avoided because they are

difficult to swallow and increase the risk of aspiration. Nonpourable pureed foods, such

as applesauce, would decrease the risk of aspiration, but carbonated beverages are the

better choice to start with.

6. The nurse is caring for a patient admitted to the hospital with pneumonia. Upon

assessment, the nurse notes a temperature of 101.4° F, a productive cough with yellow

sputum and a respiratory rate of 20. Which of the following nursing diagnosis is most

appropriate based upon this assessment? A. Hyperthermia related to infectious illness

B. Ineffective thermoregulation related to chilling

C. Ineffective breathing pattern related to pneumonia

D. Ineffective airway clearance related to thick secretions - Answer✔️✔️-A. Hyperthermia

related to infectious illness Because the patient has spiked a temperature and has a

diagnosis of pneumonia, the logical nursing diagnosis is hyperthermia related to

infectious illness. There is no evidence of a chill, and her breathing pattern is within

normal limits at 20 breaths per minute. There is no evidence of ineffective airway

clearance from the information given because the patient is expectorating sputum.

, TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISHED: SEPTEMBER 2024
7. Which of the following physical assessment findings in a patient with pneumonia best

supports the nursing diagnosis of ineffective airway clearance? A. Oxygen saturation of

85%

B. Respiratory rate of 28

C. Presence of greenish sputum

D. Basilar crackles - Answer✔️✔️-D. Basilar crackles The presence of adventitious breath

sounds indicates that there is accumulation of secretions in the lower airways. This

would be consistent with a nursing diagnosis of ineffective airway clearance because

the patient is retaining secretions.

8. Which of the following clinical manifestations would the nurse expect to find during

assessment of a patient admitted with pneumococcal pneumonia? A. Hyperresonance

on percussion

B. Fine crackles in all lobes on auscultation

C. Increased vocal fremitus on palpation D. Vesicular breath sounds in all lobes -

Answer✔️✔️-C. Increased vocal fremitus on palpation. A typical physical examination

finding for a patient with pneumonia is increased vocal fremitus on palpation. Other

signs of pulmonary consolidation include dullness to percussion, bronchial breath

sounds, and crackles in the affected area.

9. Which of the following nursing interventions is of the highest priority in helping a

patient expectorate thick secretions related to pneumonia?

A. Humidify the oxygen as able

B. Increase fluid intake to 3L/day if tolerated.

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