Med-Surg Quiz
RNs and LPNs must complete this quiz to be able to work on any Med-Surg unit. 80% is the lowest passing grade.
MEDSURG NURSE - Name
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1. The goal of treatment for kidney injuries is to:
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a. Encourage activity
b. Encourage high potassium diet
c. Maintain fluid balance
d. Utilize catheters for voiding
2. Gout is disease of the joints by accumulation of what waste product in a person’s joint:
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a. Urine
b. Nitric Acid
c. Uric Acid
d. None of the above
3. A patient who received spinal anesthesia 4 hours ago during surgery is transferred to the surgical unit and after 1.5 hour, now reports severe incisional pain. The BP is 170/90 mmHg, HR 108, T 99F, R 30 bpm. Skin is pale and surgical dressing is dry/intact. What is most appropriate nursing response?
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a. Medicate patient for pain
b. Place paint in high fowler and administer 02
c. Place patient in reverse Trendelenburg and open IV line
d. Report the findings to provider
4. To prevent common, adverse effect of prolonged use of Dilantin, patients are instructed to:
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a. Avoid crowds and obtain flu shot
b. Drink at least 2L of fluids daily, 8-10 glasses of water
c. Eat potassium rich diet
d. Practice good dental hygiene and report gum swelling/bleeding
5. Most common and preventable complication of abdominal surgery, due to shallow breathing/pain:
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a. Atelectasis / Pneumonia
b. Loose bowels
c. Blood Clots
d. Urinary retention
6. 78 yr old patient scheduled for transition to home after treatment for heart disease, patients spouse has COPD and plans to care for patient at home. The spouse says that their adult children will help also. The best approach to discharge planning is:
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a. Arrange for nursing home placement
b. Consult spouses healthcare provider about the ability to care for patient
c. Contact children to ascertain commitment to help
d. Discuss community resources with spouse and offer to make referrals
7. During an assessment of a patient who sustained head injury 24 hours ago, the nurse notes development of slurred speech and disorientation. The nurses should:
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a. Continue hourly neuro checks
b. Contact a physician STAT
c. No intervention needed
d. Recheck neuro status in 1 hour
8. To prepare a patient for bronchoscopy procedure, the Surgical RN/CRNA administers IV sedative then instructs the LPN to:
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a. Educate/Consent patient on procedure
b. Give small sips of water
c. Assess Vitals
d. Ambulate patient to bathroom
9. Which response is associated with surgery related stress:
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a. Bronchial constriction
b. Decreased cortisol level
c. Peripheral vasodilation
d. Sodium and water retention
10. Which statement by the patient with diabetes indicates an understanding of insulin Lantus?
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a. Causes weight loss
b. Only used at meals
c. Lasts only 6 hours
d. Can lasts up to 24 hours
11. Which is primarily a developmental task of middle age:
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a. Learning new skills and information
b. Rediscovering or developing satisfaction in ones relationships
c. Relying strongly upon spiritual beliefs
d. Risk taking and its perceived consequences
12. A nurse is caring for a patient with new diagnosis of cancer, observes patient become angry with provider and nurse. The best approach to diffuse situation:
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a. Allow patient and family time alone
b. Arrange time for patient to speak with another patient with cancer
c. Direct discussion and validate emotions
d. Request consult from social worker
13. The Nurse administers an Mantoux Test. The nurse knows that the Mantoux Test is also known as:
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a. PPD test
b. PPP test
c. PVD test
d. DVT test
14. The nursing diagnosis for myocardial infarction is activity imbalance. The plan of care includes:
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a. Agreeing to d/c smoking
b. Ambulating 50 feet without dyspnea
c. No dyspnea on exertion
d. Tolerate activity well
15. Which of the following is the most important assessment during the acute stage of an unconscious patient
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a. Level of Awareness
b. Pulse check
c. Airway / Respiratory Status
d. Hearing Loss
16. Which statement demonstrates understanding about herbal supplements:
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a. Herbs may interact with prescribed meds but not with other herbs
b. Most herbs have been tested and found to be safe
c. The food and drug administration regulates all herbs
d. There is no standardization among herb manufacturing in the USA
17. For a patient with Crohn’s disease, the nurse recommends this diet:
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a. High in fiber, low protein / carbs
b. High potassium
c. Low fiber / high protein and calories
d. Low potassium
18. When examining patient who is paralyzed below T6 level, the nurse expects:
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a. No use of arms or legs
b. Contractures and Spastic movements
c. Inability to breath on their own
d. Full use of Arms and strong cough
19. After completing a thorough neuro and physical assessment for suspected stroke, the nurse anticipates the next immediate step is:
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a. Administer tissue plasminogen activator
b. Obtain CT exam of head without contrast
c. Administer oxygen
d. Prepare for carotid Doppler ultrasound
20. The client with a history of cardiac disease is due for a morning dose of furosemide (Lasix). The nurse reviews the clients record and reports to the Primary physician which of the following serum potassium levels before administering the dose of furosemide?
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a. 3.8 mEq/L
b. 3.0 mEq/L
c. 4.0 mEq/L
d. 4.2 mEq/L
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