Complex Medical Surgical Nursing - Part One (NRSG 200)Versión en línea
Test your knowledge of advanced topics within Med-Surg nursing with this comprehensive review! Check out "Complex Medical Surgical Nursing Part Two - Oncology" as well!
1
Which vital sign is most closely monitored during surgery?
a
Temperature
b
Respiratory rate
c
Blood sugar
d
Blood pressure
2
Which device is commonly used to monitor heart activity?
a
Electrocardiogram (ECG)
b
Thermometer
c
Blood pressure cuff
d
Pulse oximeter
3
What is a common complication after surgery?
a
High blood pressure
b
Infection
c
Dehydration
d
Allergic reaction
4
Which position is often used for abdominal surgery?
a
Prone position
b
Supine position
c
Lateral position
d
Fowler's position
5
What is the purpose of surgical asepsis?
a
Reduce pain
b
Eliminate all microorganisms
c
Prevent bleeding
d
Speed healing
6
What should be checked before administering anesthesia?
a
Patient’s height
b
Patient’s allergies
c
Patient’s occupation
d
Patient’s diet
7
What is the main goal of postoperative care?
a
Reduce hospital stay
b
Discharge the patient quickly
c
Minimize medication use
d
Prevent complications and promote healing
8
A patient was recently diagnosed with increased ICP likely caused by repeated substance abuse. Which of the following is an adverse effect of mannitol via continuous IV infusion?
a
Hives (urticaria)
b
Crackles heard on auscultation
c
Drooling, Increased salivation
d
Blurred vision
9
A nurse is teaching a patient who is 2 weeks post-op following a gastrectomy. Which of the following key points should the nurse include in the teaching? (Select All That Apply)
Choose one or more answers
a
Increase fluid intake with meals
b
Avoid drinking fluids with meals
c
Eat larger meals, less frequently
d
Eat smaller meals, more frequently
e
Consume high-protein, low-carb snacks
f
Avoid highly seasoned foods
10
The nurse is caring for a patient following placement of a chest tube due to a hemothorax. What should the nurse monitor?
a
Oral intake (Document strict I's & O's)
b
Level of Consciousness every 6 hours (Report any changes in LOC to provider)
c
Drainage from the chest tube Q2h
d
Water seal chamber for continuous bubbling (indicates a leak in the system)
11
Ensuring that all connections between a chest tube and drainage system are secure and intact reduces the risk of:
a
Excessive drainage
b
Discomfort and/or dizziness
c
Hypoxia in the patient
d
Tension pneumothorax
12
How often should the nurse monitor drainage from a chest tube in order to identify excessive drainage?
a
Q2h for the first 12 hours
b
Q15mins for the first 2 hours
c
Q30mins for the first 4 hours
d
Q4h for the first 24 hours
13
The nurse should NOT strip a chest tube because this may cause:
a
Decreased fluid storage in the body
b
Decreased circulation in the upper extremities
c
Increased intrathoracic pressure
d
Increased cardiac output and tachycardia
14
The RN should place the patient in a _____________
position to promote drainage following a hemothorax:
a
Prone
b
High Fowler's
c
Semi-Fowler's
d
Trendelenburg
15
A nurse is caring for a patient with a chest tube. The nurse should place ____________ in the patient's room to use in case of an emergency, such as chest tube dislodgement.
a
Suction tray
b
AED
c
Two pairs of forceps
d
Two rubber-tipped hemostats
16
Which of the following levels is considered toxic for Lithium?
a
Less than 2
b
Greater than 2
c
0.6 to 1.2
d
0.8 to 1.5
17
Which term describes the condition that involves bilirubin in the brain?
a
Opisthotonos
b
Myxedema
c
Jaundice
d
Kernicterus
18
Which term describes the position that is associated with bilirubin in the brain?
a
Hypoextension
b
Opisthotonos
c
High Fowler's
d
Prone
19
Which of the following levels is considered toxic for Bilirubin?
a
Less than 18
b
Greater than 20
c
10 to 20
d
13 to 15
20
Which of the following levels is considered toxic for Dilantin (Phenytoin), a medication used to treat seizures?
a
Less than 20
b
10 to 20
c
12 to 16
d
Greater than 20
21
In what position should the nurse place an opisthotonic patient?
a
Supine
b
Semi-Fowler's
c
Lateral
d
Trendelenburg
22
The nurse is preparing a patient who was recently diagnosed with hypothyroidism for surgery. What should be the nurse's priority prior to this patient having surgery?
a
Hold the patient's prescribed Synthroid prior to surgery
b
Question any pre-op orders that include sedation (Ambien, Propofol, etc)
c
Ensure that the patient remains NPO (skip AM thyroid dose)
d
Check the patient's VS prior to surgery so the surgeon can administer adequate dose of anesthetic
23
A nurse is caring for a newly admitted patient. This patient is considered:
24
A nurse is caring for a patient who has unchanged assessment findings. This patient is considered:
25
A nurse is caring for a patient who just returned from surgery and is slowly waking up after being under general anesthesia. This patient is considered:
26
A nurse is caring for a patient who is 12+hours post op following foot surgery. This patient is considered:
27
A nurse is caring for a patient who is suffering from many of the expected s/s of the disease in which they were diagnosed with. This patient is considered:
28
The nurse is caring for a patient who has a temperature of 105.3. Which of the following is this patient at risk for?
a
Hemorrhage
b
Seizures
c
Hypoglycemia
d
Pulselessness & Breathlessness
29
What are the three things that result in a 'black tag' from an unwitnessed accident?
a
Shortness of breath, Moderate bleeding, & Nausea
b
Thready pulse, Mild headache, & 2 inch Abrasion to neck
c
PERRLA, Vomiting, & Broken femur
d
Pulselessness, Breathlessness, Fixed & Dilated pupils (brain death)
30
Which list represents the correct order of organ vitality from highest priority to lowest priority.
a
Heart, Brain, Liver, Lungs, Pancreas, Kidney
b
Brain, Lungs, Heart, Liver, Kidney, Pancreas
c
Kidney, Liver, Pancreas, Heart, Lungs, Brain
d
Brain, Heart, Lungs, Kidney, Liver, Pancreas
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