WorksheetsIntro to MedSurg Final Exam Review
Total questions: 41
Worksheet time: 41mins
QSEN prepares future nurses with the knowlege, ______, and attitudes to continuously improve the quality and safety of the health care system.
skills
answers
strategies
guidelines
One of the four components of wellness includes...
Adjusting and adapting to varying situations
feeling free
Not caring about any situation
Daily dose of antianxiety medication
_______ is best practice derived from valid and reliable research.
Best practice guidelines
Evidence based practice
Nursing care
Clinical guidelines
American Nurses Association (ANA) definition of the role of a registered nurse.
to diagnose and treat medical conditions
to prevent illness and maintain health
to diagnose and treat the human responses to health and illness
to prescribe medications in order to treat a variety of medical conditions
Which strategies does the nurse use to respect patient rights? Select all that apply
Act as patient advocate
Avoid lying to the patient
Make referral to ethics committee
Encourage family to make patient's decisions
Which statement does the nurse identify as a medical diagnosis rather than a nursing diagnosis?
Fever of unknown origin
Fluid volume excess
Risk for falls
Sleep pattern disturbances
The nurse identifies a patient's inability to pour a liquid medication into a measuring spoon. Which part of the nursing process is this?
Assessment
Planning
Implementation
Evaluation
The nurse develops a program of inceased ambulation for a patient with an orthopedic disorder. Which component of the nursing process is this?
Assessment
Planning
Implementation
Evaluation
Three basic categories of pain (select all that apply).
Acute
Intermediate
Chronic
Cancer related
Nonsteroidal agents that decrease inflammation
Endorphins
NSAIDs
Histamine
TENS
Chemicals known to inhibit the transmission or perception of pain.
Endorphins
Fentanyl
Nociceptors
Histamines
Term used to describe a pain's rhythm.
Placebo
Waning
Anxiety
TENS
The nurse's major area of assessment for a patient receiving patient-controlled analgesia is assessment of which system?
Cardiovascular
Integumentary
Neurologic
Respiratory
Clinical manifestations associated with hypovolemia include (select all that apply)
Hypertension
Oliguria
Tachycardia
Tachypnea
Which clinical indication of hypophosphatemia does the nurse assess in a patient?
Bone pain
Paresthesia
Seizures
Tetany
pH 7.3, PaCO2 68 mm Hg, HCO3 28 mmol/L, and PaO2 60 mm Hg
Respiratory Acidosis
Respiratory Alkalosis
Metabolic Acidosis
Metabolic Alkalosis
pH 7.0, PaO2 90 mm Hg, PaCO2 23 mm Hg, and HCO3 12 mmol/L
Respiratory Alkalosis
Respiratory Acidosis
Metabolic Alkalosis
Metabolic Acidosis
What foods can the nurse recommend for the patient with hypokalemia?
Bananas & Apricots
Green, leafy veggies
Milk & Yogurt
Nuts & Legumes
Calculate the client's mean arterial pressure (MAP) if the blood pressure is 110/70 mm Hg?
65
73
83
91
Primary treatment goal for cardiogenic shock.
Improve the heart's pumping mechanism
Limit further myocardial damage
Preserve the healthy myocardium
Treat the oxygenation needs of the heart muscle
Aspirin is withheld ____ days prior to surgery.
7-10
2-3
10-14
0
Client with uncontrolled diabetes is scheduled for surgery. The nurse will monitor which life-threatening hazard?
Dehydration
Hypertension
Hypoglycemia
Glucosuria
Client with history of Crohn's disease is taking corticosteroids and is preparing for surgery. The nurse will monitor the client for _____.
Obstruction
Infection
Hypoglycemia
Adrenal insufficiency
General anesthetic is primarily eliminated via what organ(s)?
The kidneys
The lungs
The skin
The liver
Hypothalamic stress responses increase ______ and _______.
Blood viscosity
Thinning of blood
Platelet aggression
Blood volume
Monitoring for cardiovascular stability
Vital signs
PERRLA
Reflexes
Pain scale
A postoperative client is developed a deep vein thrombosis (DVT). The nurse knows to closely monitor for what complication.
Pulmonary embolism
Immobility due to calf pain
Marked tenderness over thigh
Swelling of the entire leg
The thorax of a client with advanced emphysema is often described as having a _________ chest.
funnel
kyphoscoliosis
barrel
pigeon
The nurse is reviewing blood gas results for a client with pneumonia. Which arterial blood gas measurement best reflects the adequacy of alveolar ventilation?
PaO2
PaCO2
pH
SaO2
Medication therapy for allergic and nonallergic rhinitis focuses on _______.
symptom relief
eradicating the cause
killing the virus
prevention
Which symptom most frequently occurs in the presence of a pulmonary embolism?
Increased cardiac output
Dyspnea
lethargy
Increased oxygen saturation
Which priority action does the nurse perform to prevent harm for a client receiving oxygen therapy through a nonrebreather mask?
Ensure valves and flaps are patent, functional, & not stuck
Ensure flow rate does not exceed 6L/min
Switch to partial nonrebreather for more accurate delivery
Prevent reservoir bag from inflating to more than one-half full
In what situations will the nurse consider oxygen therapy as possibly beneficial for a client? Select all that apply.
Anemia
Hypoxia
Hypothermia
Hypertension
Pneumonia
which parameters will the nurse monitor to ensure that a client's gas exchange response to oxygen therapy is adequate? Select all that apply.
Level of consciousness
Respiratory pattern
Oxygen flow rate
Pulse oximetry
Respiratory rate
Use of a face tent rather than nasal cannula to deliver oxygen therapy would be appropriate with which client?
Client with severe sleep apnea
Client with facial trauma
Client who is confused
Unconscious client
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?
Mild
Moderate
Severe
Very Severe
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.
Arterial blood gases with a higher than normal pH
History of frequent respiratory infections
Cough and sputum production
Decreased exercise tolerance
Barrel - shaped chest
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)?
Computed tomography pulmonary angiography
Carbon monoxide diffusion capacity
Pneumon-encephalogram
12-lead ECG
which action is most important for the nurse to perform first for a client suspected of having acute respiratory failure?
Initiating an IV
Applying Oxygen
Calling the rapid response team
Asking the client about a history of respiratory disorders
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?
Observing for chest movements
Auscultating for breath sounds
Listening for hyperresonance
Observing for deviation
What is the lowest mean arterial pressure (MAP) necessary to perfuse the major organs of the body?
90 to 100 mm Hg
80 to 90 mm Hg
70 to 80 mm Hg
60 to 70 mm Hg
