NSG 245 Actual Mid-Term MED SURG 1 EXAM with ANSWERS
NSG 245 Actual Mid-Term MED SURG 1 EXAM
NSG 245
NSG245
□ A patient is prescribed omeprazole 20
... [Show More] mg PO BID, clarithromycin 500 mg PO BID,
and amoxicillin 1 gram daily for the treatment of peptic ulcer disease (PUD). What is the most
important
instruction for the nurse to give the patient about these medications?
Selected Answer:
B.
Complete the full course of al medications as prescribed.
Answers: A.
Take the drugs with a full glass of water
B.
Complete the full course of al medications as prescribed.
C.
Consume 8 ounces of yogurt or buttermilk daily while taking these drugs.
D.
Take the drugs on an empty stomach, 1 hour before breakfast and at least 2 hours after
dinner.
□ Question 2
0.5 out of 0.5 points The nurse explaining pantoprazole (Protonix) to a patient with recurring heartburn explains that the medication
Selected Answer:
C.
Treats gastroesophageal reflux disease by decreasing stomach acid production
Answers: A.
Reduces gastroesophageal reflux by increasing the rate of gastric emptying.
B.
Coats and protects the lining of the stomach and esophagus from gastric acid
C.
Treats gastroesophageal reflux disease by decreasing stomach acid production
D.
□ Question 3
Neutralizes stomach acid and provides relief of symptoms in a few minutes
0.5 out of 0.5 points
The nurse requests the client to sign a surgical informed consent form for an emergency appendectomy. Which statement by the client indicates further teaching is needed?
Selected Answer:
B.
"I will be glad when this is over so I can go home today."
Answers: A.
"I will not be able to eat or drink anything prior to my surgery."
B.
"I will be glad when this is over so I can go home today."
C.
"I can practice relaxing by listening to my favorite music."
□ Question 4
D.
"I will need to get up and walk as soon as possible."
0.5 out of 0.5 points
The nurse is assessing a client in the day surgery unit who states, "I am really afraid of having this surgery. I'm afraid of what they will find." Which statement would be the best therapeutic response by the nurse?
Selected Answer:
C.
"Tell me about your fears of having this surgery."
Answers: A.
"Don't worry about your surgery. It is safe."
□ Question 5
B.
"Tell me why you're worried about your surgery."
C.
"Tell me about your fears of having this surgery."
D.
"I understand how you feel. Surgery is frightening."
0.5 out of 0.5 points
It is highly recommended that patients with asthma, chronic bronchitis and
emphysema have pneumonia and flu vaccinations for which reason?
Selected Answer:
D.
Respiratory infection can cause severe hypoxia and possibly death in these patients
Answers: A.
These vaccines produce bronchodilation and improve oxygenation
B.
All patients are recommended to have these vaccines
C.
These vaccines help reduce the tachypnea they experience if they contract the
disease
□ Question 6
D.
Respiratory infection can cause severe hypoxia and possibly death in these patients
0.5 out of 0.5 points
Client asks what coronary arteries have to do with angina. When determining the answer, the nurse should take into consideration that the coronary arteries
Selected Answer:
B.
carry blood from the aorta to the myocardium
Answers: A.
supply blood to the endocardium
□ Question 7
B.
carry blood from the aorta to the myocardium
C.
carry reduced-oxygen content blood to the lungs
D.
carry high-oxygen-content blood from the lungs toward the heart
0 out of 0.5 points
Which of the following should a patient be taught after a hoidectomy?
Selected B.
Answer: Use prescribed pain medication before a bowel movement.
Answers: A.
Take mineral oil prior to bedtime to soften the stool.
B.
Use prescribed pain medication before a bowel movement.
□ Question 8
C.
Eat a low-fiber diet to rest the colon.
D.
Administer oil-retention enema to empty the colon.
0.5 out of 0.5 points
Upon assessment, the nurse suspects that a patient with COPD may have bronchospasm. What manifestations validate the nurse’s concern? (Select all that apply)
Selected Answers:
B.
Compromised gas exchange
D.
Wheezes
E.
Decreased airflow
Answers: A.
Ascites
B.
Compromised gas exchange
C.
JVD
D.
Wheezes
E.
Decreased airflow
□ Question 9
0.5 out of 0.5 points
The nurse is instructing a patient who is experiencing diarrhea associated with a microorganism not to use an antidiarrheal medication. The patient asks, “Why can’t I take something to stop the diarrhea?” How should the nurse respond to this
patient?
Selected Answer:
D.
“Antidiarrheal medications slow down the elimination of the microorganism causing the diarrhea."
Answers: A.
“Your physician does not like to use antidiarrheal medications.”
B.
“The potassium you are taking will help to slow down the diarrhea.”
C.
“Antibiotics are always used to treat the microorganism, but antibiotics may worsen the diarrhea.”
□ Question 10
D.
“Antidiarrheal medications slow down the elimination of the microorganism causing the diarrhea."
0.5 out of 0.5 points The nurse identifies the nursing diagnosis Risk for Injury as appropriate for a patient with type 2 DM who states, “I can’t feel my feet anymore.” Which condition does the nurse suspect the
patient is experiencing?
Selected Answer:
C.
Peripheral neuropathy
Answers: A.
Type 1 DM
□ Question 11
B.
CAD
C.
Peripheral neuropathy
D.
Gout
0 out of 0.5 points
The nurse is caring for a patient who has experienced a laparoscopic appendectomy. The nurse recalls that this type of wound heals by
Selected Answer:
D.
Secondary intention
Answers: A.
Tertiary intention
B.
Partial-thickness repair
C.
Primary intention
D.
Secondary intention
□ Question 12
0 out of 0.5 points
Aspirin is ordered for a patient who is admitted with a possible stroke. Which information obtained during the admission assessment indicates that the nurse should consult with the health care provider before giving the aspirin?
Selected Answer:
A.
The patient has dysphasia.
Answers: A.
The patient has dysphasia.
□ Question 13
B.
The patient has atrial fibrillation.
C.
The patient states, “My symptoms started with a terrible headache.”
D.
The patient has a history of brief episodes of right-sided hemiplegia.
0.5 out of 0.5 points
Mr. Webb develops shortness of breath and lower extremity-dependent edema. The nurse suspects Jack is experiencing heart failure. Which laboratory test is used to confirm the diagnosis of heart failure?
Selected Answer:
D.
Brain natriuretic peptide (BNP)
Answers: A.
Creatinine clearance
B.
Partial prothrombin time (PTT)
□ Question 14
C.
Blood urea nitrogen (BUN)
D.
Brain natriuretic peptide (BNP)
0.5 out of 0.5 points
When starting an IV, the usual standard of care is to perform a maximum of how many unsuccessful punctures before calling for assistance?
Selected Answer:
C.
Two
Answers: A.
One
B.
Four
C.
Two
□ Question 15
D.
Three
0.5 out of 0.5 points
A patient with end-stage COPD and heart failure asks the nurse about lung reduction surgery. What is the best response by the nurse?
Selected Answer:
C.
“You and your physician should discuss the options that are available for treatment.”
Answers: A.
“You are not a candidate because you have heart failure.”
B.
□ Question 16
“You wound have a difficult time recovering from the procedure.”
C.
“You and your physician should discuss the options that are available for treatment.”
D.
“At this point, do you really want to go through something like that?”
0.5 out of 0.5 points
Which of the following classes of antihypertensive drugs should a patient be weaned off slowing to avoid the risk of severe rebound hypertension
Selected Answer:
A.
Beta-blockers
Answers: A.
Beta-blockers
□ Question 17
B.
ACEI
C.
CCB
D.
Diuretics
0.5 out of 0.5 points
A patient is admitted to the PACU following a total abdominal hysterectomy. During the initial assessment, the patient tells the nurse she thinks she’s going to “throw up.” A priority nursing intervention would be to
Selected Answer:
D.
position patient in lateral recovery position.
Answers: A.
administer antiemetic medication as ordered.
B.
obtain vital signs, including oxygen saturation.
C.
apply sequential compression device (SCD) to bilateral extremities
□ Question 18
D.
position patient in lateral recovery position.
0.5 out of 0.5 points
The laboratory tests the nurse would expect the physician to order to confirm a diagnosis of MI include
Selected Answer:
A.
LDH, CK-MB, troponin
Answers: A.
LDH, CK-MB, troponin
□ Question 19
B.
Serum potassium, EKG
C.
Sedimentation rate, ALT
D.
Serum calcium, aPTT
0.5 out of 0.5 points
A college professor complains of a dry cough for the past 6 weeks. It worsens when he is supine. He has episodes of heartburn, which he self-treats with an over the counter antacid. He chews mints for his “bad breath.” Which of the following is a possible cause for this patient’s cough?
Selected Answer:
A.
Gastrointestinal reflux
Answers: A.
Gastrointestinal reflux
□ Question 20
B.
Pneumonia
C.
Chronic postnasal drip
D.
Asthma
0.5 out of 0.5 points A patient who is scheduled for surgery in a week tells the nurse doing the preoperative assessment about an allergy to bananas, kiwifruit, and latex products. Which action is most important for the nurse to take?
Selected Answer:
B.
Alert the surgery center about the latex allergy.
Answers: A.
Notify the dietician about the food allergies.
□ Question 21
B.
Alert the surgery center about the latex allergy.
C.
Reassure the patient that all allergies are noted on the medical record.
D.
Ask whether the patient uses antihistamines to reduce allergic reactions.
0.5 out of 0.5 points
The nurse is teaching a patient who is prescribed prophylactic daily isoniazid (INH) for conversion of a tuberculin test. What should the nurse include in this patient’s teaching?
Selected Answer:
B.
Report numbness and tingling of extremities to the physician
Answers: A.
This drug turns the urine red-orange, which is harmless
B.
Report numbness and tingling of extremities to the physician [Show Less]