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WorksheetsAdvanced Medical Surgical Final Exam Review
Total questions: 30
Worksheet time: 23mins
A client underwent a thoracentesis 48 hours ago and is complaining of increased pain and redness at the puncture site. What other symptom would indicate a systemic infection?
Purulent Drainage
Heart rate of 55 bpm
Blood Pressure 128/84
Heat around the puncture site
Which of the following should we include in the discharge teaching for a client being discharged home on coumadin?
Increase salt intake
Use a soft bristled toothbrush
Take medication on an empty stomach
Avoid dairy products
Which of the following findings would a nurse except to find in a patient diagnosed with hypoxic respiratory failure?
Jaundice
Bradycardia
Pulmonary edema
Polyuria
Burns that occur in ______ spaces increase the clients risk for inhalation injury?
Open
Outside
Large
Closed
Which medication is given to support cardiac function in cardiogenic shock?
Inotropes
Antibiotics
Antihistamines
Diuretics
Which type of shock is characterized by a decrease in intravascular volume?
Neurogenic
Hypovolemic
Anaphylactic
Cardiogenic
Which electrolyte is most likely to be elevated in the early phase of burns?
Potassium
Calcium
Magnesium
Chloride
Which of the following is a risk factor following an ICU admission for shock that should be included in patient education?
Risk for Depression
Risk for Weight gain
Risk for Improved vision
Risk for Increased appetite
Which of the following symptoms may indicate an impending cardiac arrest?
Muscular cramps in the legs
Fatigue
Tinnitus
Severe headache
Which laboratory test would indicate early injury to the cardiac muscle following a cardiac arrest?
BNP
CBC
Troponin
CK
Which medication is administered to reduce ammonia in hepatic encephalopathy?
Lactulose
Furosemide
Aspirin
Metformin
Which type of shock occurs following a severe allergic reaction?
Cardiogenic
Anaphylactic
Hypovolemic
Postoperative
A nurse is caring for a client diagnosed with septic shock. Which of the following interventions should the nurse prioritize?
Administer insulin
Continue to monitor
Administer antibiotics
Administer 0.9% Sodium Chloride
What laboratory value would indicate a risk for bleeding?
Low platelets
Increased ammonia
Decreased hemoglobin
Increased bilirubin
Which of the following dietary modifications should we instruct a patient diagnosed with cirrhosis to avoid?
high-protein
low-fiber
Sodium
increasing fluids
A patient has arrived to the Emergency Department following a cardiac arrest. The nurse notes a ventricular fibrillation rhythm. What is the nurses IMMEDIATE action?
Administer IVF
Continue to monitor
Administer Nitro
Defibrillate
Which class of medications would we administer to a client with septic shock who is not responding to fluid resuscitation measures?
Vasopressors
Inotropes
Beta-blockers
Antibiotics
Which nurse's action is the priority before preparing a client with respiratory failure for intubation?
Obtain a chest x-ray
Administer sedatives
Give the client a bed bath
Check CBC
A ventilated client diagnosed with respiratory failure has sudden desaturation and and absent breath sounds on the left side. What is the nurse's priority action?
Administer a nebulizer
Increase FiO2
Check ETT placement
Notify the charge nurse
Which of the following is a priority nursing intervention of an intubated client?
Oral hygiene
Keeping the HOB at 90*
Ensure continuous sedation
Administer nebulizers Q2 hours
Furosemide increases the risk for which electrolyte imbalance?
Hyperkalemia
Hypokalemia
Hypercalcemia
Hypomagnesium
A nurse is assessing the respiratory sounds of a client and notes stridor. Which immediate action should the nurse prepare for?
Administration of nebulizers
Elevate the HOB
Intubation
Administer steroids
In the care of a patient with respiratory failure, which assessment finding would require immediate intervention?
Respiratory rate
16 bpm
HR 100 bpm
Pulse ox 88%
Blood pressure 130/80
A patient who received ATP for stroke is at highest risk for_____?
Bleeding
Edema
Dehydration
Infection
What is the mechanism of action for vasopressors given to shock patients?
Increase BP
Decrease HR
Increase HR
Decrease BP
A patient with hemorrhagic stroke is on anticoagulant therapy. What is the nurse's primary action?
Encourage deep breathing
Assess for signs of ICP
Administer vitamin K
Increase IVF
Which acronym is associated with manifestations of stroke?
RACE
FLIP
FAST
TALK
Which of the following is a priority intervention for a client diagnosed with cardiogenic shock?
Administer ACE inhibitors
Administer calcium channel blockers
Administer beta-blockers
Administer vasopressors
Which type of shock is associated with hemorrhage or dehydration?
Cardiogenic
Hypovolemic
Septic
Anaphylactic
Which of the following is NOT a medication used to treat high sodium levels?
Spironolactone
Lactulose
Ammonia
Propranolol
