MED SURG 201 MEDICAL
SURGICAL FINAL EXAMQUESTIONS & ANSWERS.
FINAL EXAM PASADO.
FINAL EXAM PASADO
4. A patient who was admitted to the hospital with
... [Show More] hyperglycemia and newly diagnosed diabetes
mellitus is scheduled for discharge the second day after admission. When implementing patient
teaching, what is the priority action forthe nurse?
a. Instruct about the increased risk for cardiovascular disease.
b. Provide detailed information about dietary control of glucose.
c. Teach glucose self-monitoring and medication administration.
d. Give information about the effects of exercise on glucose control.
ANS: C
When time is limited, the nurse should focus on the priorities of teaching. In this situation, the
patient should know how to test blood glucose and administer medications to control glucose
levels. The patient will need further teaching about the role of diet, exercise, various
medications, and the many potential complications of diabetes, but these topics can be addressed
through planning for appropriate referrals.
14. A 75-year-old patient is admitted for pancreatitis. Which tool would be the most appropriate
for the nurse to use during the admission assessment?
a. Drug Abuse Screening Test (DAST-10)
b. Clinical Institute Withdrawal Assessment of Alcohol Scale, Revised (CIWA-Ar)
c. Screening Test-Geriatric Version (SMAST-G)
d. Mini-Mental State Examination
ANS: C
Because the abuse of alcohol is a common factor associated with the development of
pancreatitis, the first assessment step is to screen for alcohol use using a validated screening
questionnaire. The SMAST-G is a short-form alcoholism screening instrument tailored
specifically to the needs of the older adult. If the patient scores positively on the SMAST-G, then
the CIWA-Ar would be a useful tool for determining treatment. The DAST-10 provides more
general information regarding substance use. The Mini-Mental State Examination is used to
screen for cognitive impairment.
1. The sister of a patient diagnosed with BRCA gene–related breast cancer asks the nurse, “Do
you think I should be tested for the gene?” Which response by the nurse is most appropriate?
a. “In most cases, breast cancer is not caused by the BRCA gene.”
b. “It depends on how you will feel if the test is positive for the BRCA gene.”
c. “There are many things to consider before deciding to have genetic testing.”
d. “You should decide first whether you are willing to have a bilateral mastectomy.”
ANS: C
Although presymptomatic testing [Show Less]