Final Med-Surg Review

Final Review

Multiple Choice

Which IVF would be contraindicated for a client who has sustained a head trauma?

• 3% NS

• 1/4 NS

• NS

Multiple Choice

A client presents to the ED with complaints of SOB. Which finding would indicate the client is in fluid overload?

• HR 115

• BP 187/87

• ascites

• 1+ extremity pulse

Multiple Choice

A client presents with SOB, which finding would indicate the client is having respiratory distress?

• use of accessory muscles

• Diminished lung sounds

• Increased heart rate
• Barrel chest

Multiple Choice

You find a client with this rhythm, what is your initial action?

• Administer epinephrine

• Defibrillation

• Check a pulse

• Amiodarone

Multiple Choice

Which finding would be consistent with a client who has hypothyroidism?

• Increased heart rate
• Excessive sweating
• High TSH

• Hypertension

Multiple Choice

Which electrolyte would you need to monitor for a client who has pancreatitis?

• Potassium
• Magnesium
• Sodium
• Calcium

Multiple Choice

Your client has been diagnosed with stage 4 lung cancer. What is a priority interdisciplinary collaboration? (How would this part of the team help?)

• Interdisciplinary collaboration involving dermatologists, cardiologists, and neurologists.
• Interdisciplinary collaboration involving veterinarians, zoologists, and botanists.
• Interdisciplinary collaboration involving chefs, musicians, and athletes.
• Interdisciplinary collaboration involving oncologists, pulmonologists, radiologists, nurses, social workers, and palliative care specialists.

Multiple Choice

A client presents with s/s of a stroke while eating dinner with family it is reported to have been within the hour. What is priority?

• Check glucose

• Obtain MRI

• Obtain EKG

• Obtain noncontrast CT

Multiple Choice

A client has a finding of a hemorrhagic stroke. Which finding would be the MOST concerning?

• left sided facial dropping

• HR 111

• BP 186/98

• double vision

Multiple Choice

Which laboratory finding would be the MOST concerning with a client who has cirrhosis?

• Decreased bilirubin levels
• Decreased platelet count

• Low INR
• Low ammonia levels

Multiple Choice

Which finding is consistent with a client who is suspected of having meningitis?

• Negative Babinski's sign
• Headache

• Positive Brudzinski's sign

• Fever

Multiple Choice

What is the difference between DKA and HHS?

• DKA is more common in type 2 diabetes, characterized by severe hyperglycemia and dehydration.
• HHS is primarily seen in type 2 diabetes, characterized by ketosis and acidosis.

• DKA is primarily seen in type 1 diabetes, characterized by ketosis and acidosis.

• DKA and HHS have similar symptoms and treatment.

Multiple Choice

The nurse is caring for a client post-appendectomy. Which finding is the most concerning?

• Decreased appetite
• Slight redness at the incision site

• HR 102

• Firm, distended abdomen

Multiple Choice

Which intervention is priority after insertion of a NG/OG tube for feeding?

• Confirming with an X-ray

• Verifying placement with auscultation

• Initiating the feeding

• Performing a head-to-toe assessment