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Intro to MedSurg Final Exam Review

Total questions: 41

Worksheet time: 41mins

Name
Class
Date
1.

QSEN prepares future nurses with the knowlege, ______, and attitudes to continuously improve the quality and safety of the health care system.

a)

skills

b)

answers

c)

strategies

d)

guidelines

2.

One of the four components of wellness includes...

a)

Adjusting and adapting to varying situations

b)

feeling free

c)

Not caring about any situation

d)

Daily dose of antianxiety medication

3.

_______ is best practice derived from valid and reliable research.

a)

Best practice guidelines

b)

Evidence based practice

c)

Nursing care

d)

Clinical guidelines

4.

American Nurses Association (ANA) definition of the role of a registered nurse.

a)

to diagnose and treat medical conditions

b)

to prevent illness and maintain health

c)

to diagnose and treat the human responses to health and illness

d)

to prescribe medications in order to treat a variety of medical conditions

5.

Which strategies does the nurse use to respect patient rights? Select all that apply

a)

Act as patient advocate

b)

Avoid lying to the patient

c)

Make referral to ethics committee

d)

Encourage family to make patient's decisions

6.

Which statement does the nurse identify as a medical diagnosis rather than a nursing diagnosis?

a)

Fever of unknown origin

b)

Fluid volume excess

c)

Risk for falls

d)

Sleep pattern disturbances

7.

The nurse identifies a patient's inability to pour a liquid medication into a measuring spoon. Which part of the nursing process is this?

a)

Assessment

b)

Planning

c)

Implementation

d)

Evaluation

8.

The nurse develops a program of inceased ambulation for a patient with an orthopedic disorder. Which component of the nursing process is this?

a)

Assessment

b)

Planning

c)

Implementation

d)

Evaluation

9.

Three basic categories of pain (select all that apply).

a)

Acute

b)

Intermediate

c)

Chronic

d)

Cancer related

10.

Nonsteroidal agents that decrease inflammation

a)

Endorphins

b)

NSAIDs

c)

Histamine

d)

TENS

11.

Chemicals known to inhibit the transmission or perception of pain.

a)

Endorphins

b)

Fentanyl

c)

Nociceptors

d)

Histamines

12.

Term used to describe a pain's rhythm.

a)

Placebo

b)

Waning

c)

Anxiety

d)

TENS

13.

The nurse's major area of assessment for a patient receiving patient-controlled analgesia is assessment of which system?

a)

Cardiovascular

b)

Integumentary

c)

Neurologic

d)

Respiratory

14.

Clinical manifestations associated with hypovolemia include (select all that apply)

a)

Hypertension

b)

Oliguria

c)

Tachycardia

d)

Tachypnea

15.

Which clinical indication of hypophosphatemia does the nurse assess in a patient?

a)

Bone pain

b)

Paresthesia

c)

Seizures

d)

Tetany

16.

pH 7.3, PaCO2 68 mm Hg, HCO3 28 mmol/L, and PaO2 60 mm Hg

a)

Respiratory Acidosis

b)

Respiratory Alkalosis

c)

Metabolic Acidosis

d)

Metabolic Alkalosis

17.

pH 7.0, PaO2 90 mm Hg, PaCO2 23 mm Hg, and HCO3 12 mmol/L

a)

Respiratory Alkalosis

b)

Respiratory Acidosis

c)

Metabolic Alkalosis

d)

Metabolic Acidosis

18.

What foods can the nurse recommend for the patient with hypokalemia?

a)

Bananas & Apricots

b)

Green, leafy veggies

c)

Milk & Yogurt

d)

Nuts & Legumes

19.

Calculate the client's mean arterial pressure (MAP) if the blood pressure is 110/70 mm Hg?

a)

65

b)

73

c)

83

d)

91

20.

Primary treatment goal for cardiogenic shock.

a)

Improve the heart's pumping mechanism

b)

Limit further myocardial damage

c)

Preserve the healthy myocardium

d)

Treat the oxygenation needs of the heart muscle

21.

Aspirin is withheld ____ days prior to surgery.

a)

7-10

b)

2-3

c)

10-14

d)

0

22.

Client with uncontrolled diabetes is scheduled for surgery. The nurse will monitor which life-threatening hazard?

a)

Dehydration

b)

Hypertension

c)

Hypoglycemia

d)

Glucosuria

23.

Client with history of Crohn's disease is taking corticosteroids and is preparing for surgery. The nurse will monitor the client for _____.

a)

Obstruction

b)

Infection

c)

Hypoglycemia

d)

Adrenal insufficiency

24.

General anesthetic is primarily eliminated via what organ(s)?

a)

The kidneys

b)

The lungs

c)

The skin

d)

The liver

25.

Hypothalamic stress responses increase ______ and _______.

a)

Blood viscosity

b)

Thinning of blood

c)

Platelet aggression

d)

Blood volume

26.

Monitoring for cardiovascular stability

a)

Vital signs

b)

PERRLA

c)

Reflexes

d)

Pain scale

27.

A postoperative client is developed a deep vein thrombosis (DVT). The nurse knows to closely monitor for what complication.

a)

Pulmonary embolism

b)

Immobility due to calf pain

c)

Marked tenderness over thigh

d)

Swelling of the entire leg

28.

The thorax of a client with advanced emphysema is often described as having a _________ chest.

a)

funnel

b)

kyphoscoliosis

c)

barrel

d)

pigeon

29.

The nurse is reviewing blood gas results for a client with pneumonia. Which arterial blood gas measurement best reflects the adequacy of alveolar ventilation?

a)

PaO2

b)

PaCO2

c)

pH

d)

SaO2

30.

Medication therapy for allergic and nonallergic rhinitis focuses on _______.

a)

symptom relief

b)

eradicating the cause

c)

killing the virus

d)

prevention

31.

Which symptom most frequently occurs in the presence of a pulmonary embolism?

a)

Increased cardiac output

b)

Dyspnea

c)

lethargy

d)

Increased oxygen saturation

32.

Which priority action does the nurse perform to prevent harm for a client receiving oxygen therapy through a nonrebreather mask?

a)

Ensure valves and flaps are patent, functional, & not stuck

b)

Ensure flow rate does not exceed 6L/min

c)

Switch to partial nonrebreather for more accurate delivery

d)

Prevent reservoir bag from inflating to more than one-half full

33.

In what situations will the nurse consider oxygen therapy as possibly beneficial for a client? Select all that apply.

a)

Anemia

b)

Hypoxia

c)

Hypothermia

d)

Hypertension

e)

Pneumonia

34.

which parameters will the nurse monitor to ensure that a client's gas exchange response to oxygen therapy is adequate? Select all that apply.

a)

Level of consciousness

b)

Respiratory pattern

c)

Oxygen flow rate

d)

Pulse oximetry

e)

Respiratory rate

35.

Use of a face tent rather than nasal cannula to deliver oxygen therapy would be appropriate with which client?

a)

Client with severe sleep apnea

b)

Client with facial trauma

c)

Client who is confused

d)

Unconscious client

36.

Using the GOLD classification system, how will the nurse categorize the severity of respiratory impairment for a client with chronic obstructive pulmonary disease (COPD) whose FEV1 now consistently measures 60% of the predicted value for the client's age?

a)

Mild

b)

Moderate

c)

Severe

d)

Very Severe

37.

Which assessment findings will the nurse expect to find in a 32 year old client who was diagnosed with cystic fibrosis (CF) at age 6 months? Select all that apply.

a)

Arterial blood gases with a higher than normal pH

b)

History of frequent respiratory infections

c)

Cough and sputum production

d)

Decreased exercise tolerance

e)

Barrel - shaped chest

38.

In addition to arterial blood gas levels, which diagnostic test will the nurse prepare a client who is suspected to have a pulmonary embolism (PE)?

a)

Computed tomography pulmonary angiography

b)

Carbon monoxide diffusion capacity

c)

Pneumon-encephalogram

d)

12-lead ECG

39.

which action is most important for the nurse to perform first for a client suspected of having acute respiratory failure?

a)

Initiating an IV

b)

Applying Oxygen

c)

Calling the rapid response team

d)

Asking the client about a history of respiratory disorders

40.

which assessment is most important for the nurse to perform for a client with chest trauma who is at high risk for a pulmonary contusion?

a)

Observing for chest movements

b)

Auscultating for breath sounds

c)

Listening for hyperresonance

d)

Observing for deviation

41.

What is the lowest mean arterial pressure (MAP) necessary to perfuse the major organs of the body?

a)

90 to 100 mm Hg

b)

80 to 90 mm Hg

c)

70 to 80 mm Hg

d)

60 to 70 mm Hg