wayground logo

Free Printable Worksheets

NEW

Font size

S
M
L
XL
Worksheets

Advanced Medical Surgical Final Exam Review

Total questions: 30

Worksheet time: 23mins

Name
Class
Date
1.

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?

a)

Purulent Drainage

b)

Heart rate of 55 bpm

c)

Blood Pressure 128/84

d)

Heat around the puncture site

2.

Which of the following should we include in the discharge teaching for a client being discharged home on coumadin?

a)

Increase salt intake

b)

Use a soft bristled toothbrush

c)

Take medication on an empty stomach

d)

Avoid dairy products

3.

Which of the following findings would a nurse except to find in a patient diagnosed with hypoxic respiratory failure?

a)

Jaundice

b)

Bradycardia

c)

Pulmonary edema

d)

Polyuria

4.

Burns that occur in ______ spaces increase the clients risk for inhalation injury?

a)

Open

b)

Outside

c)

Large

d)

Closed

5.

Which medication is given to support cardiac function in cardiogenic shock?

a)

Inotropes

b)

Antibiotics

c)

Antihistamines

d)

Diuretics

6.

Which type of shock is characterized by a decrease in intravascular volume?

a)

Neurogenic

b)

Hypovolemic

c)

Anaphylactic

d)

Cardiogenic

7.

Which electrolyte is most likely to be elevated in the early phase of burns?

a)

Potassium

b)

Calcium

c)

Magnesium

d)

Chloride

8.

Which of the following is a risk factor following an ICU admission for shock that should be included in patient education?

a)

Risk for Depression

b)

Risk for Weight gain

c)

Risk for Improved vision

d)

Risk for Increased appetite

9.

Which of the following symptoms may indicate an impending cardiac arrest?

a)

Muscular cramps in the legs

b)

Fatigue

c)

Tinnitus

d)

Severe headache

10.

Which laboratory test would indicate early injury to the cardiac muscle following a cardiac arrest?

a)

BNP

b)

CBC

c)

Troponin

d)

CK

11.

Which medication is administered to reduce ammonia in hepatic encephalopathy?

a)

Lactulose

b)

Furosemide

c)

Aspirin

d)

Metformin

12.

Which type of shock occurs following a severe allergic reaction?

a)

Cardiogenic

b)

Anaphylactic

c)

Hypovolemic

d)

Postoperative

13.

A nurse is caring for a client diagnosed with septic shock. Which of the following interventions should the nurse prioritize?

a)

Administer insulin

b)

Continue to monitor

c)

Administer antibiotics

d)

Administer 0.9% Sodium Chloride

14.

What laboratory value would indicate a risk for bleeding?

a)

Low platelets

b)

Increased ammonia

c)

Decreased hemoglobin

d)

Increased bilirubin

15.

Which of the following dietary modifications should we instruct a patient diagnosed with cirrhosis to avoid?

a)

high-protein

b)

low-fiber

c)

Sodium

d)

increasing fluids

16.

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?

a)

Administer IVF

b)

Continue to monitor

c)

Administer Nitro

d)

Defibrillate

17.

Which class of medications would we administer to a client with septic shock who is not responding to fluid resuscitation measures?

a)

Vasopressors

b)

Inotropes

c)

Beta-blockers

d)

Antibiotics

18.

Which nurse's action is the priority before preparing a client with respiratory failure for intubation?

a)

Obtain a chest x-ray

b)

Administer sedatives

c)

Give the client a bed bath

d)

Check CBC

19.

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?

a)

Administer a nebulizer

b)

Increase FiO2

c)

Check ETT placement

d)

Notify the charge nurse

20.

Which of the following is a priority nursing intervention of an intubated client?

a)

Oral hygiene

b)

Keeping the HOB at 90*

c)

Ensure continuous sedation

d)

Administer nebulizers Q2 hours

21.

Furosemide increases the risk for which electrolyte imbalance?

a)

Hyperkalemia

b)

Hypokalemia

c)

Hypercalcemia

d)

Hypomagnesium

22.

A nurse is assessing the respiratory sounds of a client and notes stridor. Which immediate action should the nurse prepare for?

a)

Administration of nebulizers

b)

Elevate the HOB

c)

Intubation

d)

Administer steroids

23.

In the care of a patient with respiratory failure, which assessment finding would require immediate intervention?

a)

Respiratory rate

16 bpm

b)

HR 100 bpm

c)

Pulse ox 88%

d)

Blood pressure 130/80

24.

A patient who received ATP for stroke is at highest risk for_____?

a)

Bleeding

b)

Edema

c)

Dehydration

d)

Infection

25.

What is the mechanism of action for vasopressors given to shock patients?

a)

Increase BP

b)

Decrease HR

c)

Increase HR

d)

Decrease BP

26.

A patient with hemorrhagic stroke is on anticoagulant therapy. What is the nurse's primary action?

a)

Encourage deep breathing

b)

Assess for signs of ICP

c)

Administer vitamin K

d)

Increase IVF

27.

Which acronym is associated with manifestations of stroke?

a)

RACE

b)

FLIP

c)

FAST

d)

TALK

28.

Which of the following is a priority intervention for a client diagnosed with cardiogenic shock?

a)

Administer ACE inhibitors

b)

Administer calcium channel blockers

c)

Administer beta-blockers

d)

Administer vasopressors

29.

Which type of shock is associated with hemorrhage or dehydration?

a)

Cardiogenic

b)

Hypovolemic

c)

Septic

d)

Anaphylactic

30.

Which of the following is NOT a medication used to treat high sodium levels?

a)

Spironolactone

b)

Lactulose

c)

Ammonia

d)

Propranolol