Advanced Medsurg Final for Lucky Students + ADVANCE MED SURG FINAL – 100 Qs. Over 500 Questions and Answers. Best for Last Minute Exam Prep

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HERE IS SOME OF THE QUESTIONS: 1. Pt. receiving chemo with acute dehydration (nausea and vomiting), what to do to prevent to Systemic inflammatory response syndrome (SIRS) and Multiple organ dysfunct... ion syndrome (MODS) – 2. When assessing hemodynamic of patient with shock of unknown etiology, don’t give large volumes of crystalloids when – 3. Diabetic patient vomiting and diarrhea for past 3 days, glucose is 748, urine output 120, cyanotic hands and feet– 4. Industrial acids at work spilled on patient, what to do before transporting to hospital – 5. 6 hours after thermal burn to arms and legs, important info to tell doctor 6. During early emergent phase of burns – 7. Nurse caring for pt. admitted with burns, 30% of body surface recognized, emergent to acute phase – 8. Pt. acute phase of burn injury requires frequent hydrotherapy sessions for wound debridement – 9. Acute asthma attack, which info indicates pt. requires further teaching – 10. Asthma pt. admitted for acute respiratory distress, notify HCP immediately if – 11. Intubation with mechanical ventilation for pt. with status asthmaticus when – 12. Asthma pt. has new prescription for Advair and diskus, ask nurse for purpose of 2 drugs – a. one drug decreases inflammation, other is a bronchodilator 13. HCP prescribed MDI q8h Maxair and Symbicort – 14. Activity intolerance for pt. with asthma – 15. Finding for acute asthma attack was responding to bronchodilator therapy – 16. Pt. has mild persistent asthma uses Proventil has new prescription for chromolyn – 17. During assessment of asthma, has wheezing and dyspnea – 18. Pt. with acute asthma attack comes to ER, ABG’s are drawn, pH 7.4, co2 32, paO2 70, teach pt use of peak flow meter – 19. COPD pt. has dyspnea, cough, yellow sputum, upon palpation of thorax expected finding – 20. COPD with barrel chest, why 21. Pulmonary function test for COPD pt – 22. Chronic hypoxemia 89-90 % caused by COPD, compliance – 23. 68 YO with COPD, cor pulmonale manifestation – 24. COPD that smokes, tell them that smoking – 25. Acute COPD exacerbation, ph 7.32 paO2 58, co2 55, pulse ox 86 indicates – 26. Imbalanced nutrition less than body requirement intervention – 27. COPD, info given by patient that confirms chronic bronchitis – 28. Pursed lip breathing purpose – 29. Impaired gas exchange in COPD with acute respiratory distress – pulse ox 86% 30. COPD with cor pulmonale, assess/monitor for 31. COPD receiving oxygen – 32. COPD ask about home health oxygen use – 33. RN observes students suctioning, when to intervene – clean gloves when using a sterile catheter 34. Pt. coughs violently and dislodges trach tube – 35. When inflating cough to appropriate level 36. Info in pt with ARDS being treated with PEEP indicates complication – pt. has subcutaneous emphysema 37. PEEP purpose, explains to family – 38. Evaluate 02 ventilation for acute respiratory – use ABG 39. Findings for acute respiratory failure – 40. Caring for patient developed ARDS as a result of a UTI, how it happened? 41. When prone position Is used for ARDS, positioning is effective if 42. Nurse obtains vital signs of temp 101, bp 90/56, pulse 92, resp 34, whats next ? 43. Monitor for clinical manifestations of hypercapnia when pt. in ER has – 44. Pt. hypercapnia respiratory failure, resp. 8, pulse ox 89, extremely lethargic – 45. Protect pt. from aspiration pneumonia – position pt. 46. Drug overdose in ER, barbiturates, potential complication– 47. Pulmonary embolism, how to explain to patient – 48. Upper Lobectomy patient complains of incisional pain 7/10, decreased left sided breath sounds, 100 ML of bloody drainage with large air leak, intervention – 49. HCP 2 chest tubes with Y-connector in pneumothorax, nurse should be concerned about – 50. Pt has right sided chest tube following thoracotomy has continuous bubbling in a. take no action with collection device 51. Pre-op for left pneumonectomy for cancer of lungs – use incentive spirometer 52. Monitor strip for MI, no P wave, rate 162, R interval irregular, PR not measurable, QRS wide and distorted 53. 50 second episode of v. tach – 54. MI develop symptomatic hypotension, hr 30, atropine is prescribed, effective when – 55. Large MI has frequent PVC - 56. Pt. complains of racing heart, BP 102/68, puts on cardiac monitor – 57. Dizziness and SOB for several days 58. Nurse gets stuck by a needle – 59. Hepatitis from contaminated food, serologic testing result – 60. Evaluation of patient at outpatient clinic, admin of hep B vaccine is effective when – 61. Positive for anti HCV – 62. Homeless patient, severe anorexia, jaundice, diagnosed with hepatitis – 63. Acute hep B asks if treatment is available – 64. Combination therapy in HIV with hepatitis C patient – 65. When taking history, what should make you screen for hep C – 66. Abrupt onset of jaundice, nausea, vomiting, hepatomegaly, abnormal liver function, what is the first question to ask 67. Teaching pt. recovering from hep B, further teaching – 68. 32 yo very alcoholic, cirrhosis, teach them 69. Pt. with cirrhosis has 135 Na, 3.2 K, needs aldactone and Lasix, before notifying HCP – 70. When lactose is ordered for patient with advanced cirrhosis, pt complains diarrhea – 71. Acute pancreatitis, severe ab pain, N/V, expect – 72. Caring for patient with acute pancreatitis – 73. Acute pancreatitis on NG tube, NPO, suction purpose – 74. Collaborative problem for acute pancreatitis electrolyte imbalance – 75. When obtaining history about acute pancreatitis 76. During diuretic phase of ARF, fluid and electrolyte – 77. Before administering sodium polystyrene (kayexelate) – 78. Hypoglycemia awareness, what should nurse ask to identify potential hypoglycemia – 79. Brain tumor receiving brain tumor after craniotomy was prescribe solumedrol – 80. Cerebral edema with sodium of 115 low, decrease LOC, complains of headache – 81. Spinal cord tumor, which requires immediate intervention – 82. Neck is fractured at C5 admitted to ICU, spinal shock assessment – 83. Aspirin order on patient with possible stroke, don’t give it when – 84. BP 120/60, ICP 24, CPP 56 (70-100) – 85. Head injury, BP 92/50 ICP 18 – 86. Initial assessment hospitalized for stroke, BP 180/90, which order to question – 87. Subarachnoid hemorrhage in ICU, call HCP if– 88. C5 injury highest priority – 89. C8 spinal cord injury has weak cough effort, bibasilar crackles, decreased breath sounds – 90. T1 injury, tell family that – 91. IV solumedrol effectiveness for spinal cord injury – 92. Paraplegia T10 has neurogenic reflex bladder teaching – 93. T2 spinal cord, I feel awful, head is throbbing, sick to my stomach – I don’t get this Q 94. Long term goals with c6 spinal cord injury – 95. Sustained t1 becomes abusive to nurses and staff, demands transfer – 96. C8 spinal cord, sex life – 97. 25 yo patient following rehab for c8 injury, parent does all ADL – 98. diabetic ketoacidosis intervention – 99. Hyperglycemic hyperosmolar nonketotic syndrome (HHNC) unresponsive in ER – 100.Bacterial meningitis, report if – 101.65 yo patient in clinic, decrease stroke risk → address? 102.ruptured aneurysm – 103.left sided hemiparesis 104.right sided weakness – 105.occlusion at left posterior cerebral artery – 106.Transient ischemic attack (TIA) has hemiparesis – 107.HCP prescribed plavix, patient teaching – 108.Nitroprusside – Oliguric= increased BUN/CRT, low urine output 109. Anuric- 110. If K is low, give Aldactone 111. low sodium- 112. Stroke: Safety measure at meal time [Show More]

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