Rn Med Surg Flash Cards Questions
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While the nurse is taking the health history, a patient states, "My mother and sister
both had double mastectomies and were unable to be very active for weeks."
Which functional health pattern is represented by this patient's statement?
a. Cognitive-perceptual
b. Activity-exercise
c. Coping-stress tolerance
d. Health perception-health management - ANSWER✔✔
The nurse cares for an older adult patient who lives in a rural area. Which
intervention should the nurse plan to implement to meet this patient's needs?
Select one:
a. Ensure transportation to appointments with the health care provider.
b. Assess the patient for chronic diseases that are unique to rural areas.
c. Obtain extra medications for the patient to last for 4 to 6 months.
d. Suggest that the patient move closer to health care providers. - ANSWER✔✔a.
Ensure transportation to appointments with the health care provider.
When assessing a patient's abdomen during the admission assessment, which
action should the nurse take first?
Select one:
a. Listen for bowel sounds.
b. Percuss the liver borders.
c. Feel for any masses.
d. Palpate the abdomen. - ANSWER✔✔a. Listen for bowel sounds.
The nurse cares for an agitated patient who was admitted to the emergency
department after taking a hallucinogenic drug and attempting to jump from a third-
story window. Which nursing diagnosis should the nurse assign as the highest
priority?
Select one:
a. Ineffective coping related to situational issues
b. Ineffective health maintenance related to drug use
c. Powerlessness related to loss of behavioral control
,d. Risk for injury related to altered perception - ANSWER✔✔d. Risk for injury
related to altered perception
During the health history interview, a patient tells the nurse about periodic fainting
spells. Which question by the nurse will best elicit any associated clinical
manifestations?
Select one:
a. "Do you have any other symptoms along with the spells?"
b. "How frequently do you have the fainting spells?"
c. "Do the spells tend to occur at any special time of day?"
d. "Where are you when you have the fainting spells?" - ANSWER✔✔
A patient in hospice is manifesting a decrease in all body system functions except
for a heart rate of 124 beats/min and a respiratory rate of 28 breaths/min. Which
statement, if made by the nurse to the patient's family member, is most
appropriate?
Select one:
a. "These vital signs may indicate an improvement in the patient's condition."
b. "These vital signs are a helpful response to the slowing of other body systems."
c. "These vital signs are an expected response now but will slow down later."
d. "These vital signs will continue to increase until death finally occurs." -
ANSWER✔✔c. "These vital signs are an expected response now but will slow
down later."
A patient admitted with shortness of breath and chest pain who is a pack-a-day
smoker tells the nurse, "I am just not ready to quit smoking yet." Which response
by the nurse is appropriate for the patient's stage of change?
Select one:
a. "Your smoking is the cause of your chest pain."
b. "Are you familiar with nicotine replacement products?"
c. "What health problems do you think smoking has caused?"
d. "This would be a really good time to quit." - ANSWER✔✔
A patient with chronic insomnia asks the nurse about ways to improve sleep
quality. Which response by the nurse is accurate?
Select one:
a. Keep the bedroom temperature warm.
b. Go to bed at the same time every evening.
c. Avoid exercise during the day.
,d. Read in bed for a few minutes each night. - ANSWER✔✔
A 25-yr-old patient comes to the emergency department with severe chest pain and
agitation. Which action should the nurse take first?
Select one:
a. Assess orientation to person, place, and time.
b. Check blood pressure, pulse, and respirations.
c. Ask about use of stimulant drugs.
d. Start an IV for sedative administration. - ANSWER✔✔
When caring for patients with sleep disorders, which activity can the nurse
appropriately delegate to unlicensed assistive personnel (UAP)?
Select one:
a. Help a patient choose a new continuous positive airway pressure (CPAP) mask.
b. Discuss the benefits of oral appliances in decreasing obstructive sleep apnea.
c. Interview a patient about risk factors for obstructive sleep disorders.
d. Assist a patient to place the CPAP device on correctly at bedtime. -
ANSWER✔✔d. Assist a patient to place the CPAP device on correctly at bedtime.
A patient with alcohol dependence is admitted to the hospital with back pain
following a fall. Twenty-four hours after admission, the patient becomes tremulous
and anxious. Which action by the nurse is appropriate?
Select one:
a. Insert an IV line and infuse fluids.
b. Administer opioids to provide sedation.
c. Encourage increased oral intake.
d. Provide a quiet, well-lit environment. - ANSWER✔✔
After the nurse receives report, which patient should the nurse assess first?
Select one:
a. Patient with a history of daily alcohol use who is complaining of insomnia and
diaphoresis
b. Patient who is experiencing hallucinations and extreme anxiety after the use of
marijuana
c. Patient admitted with cocaine use who has an irregular heart rate of 142
beats/minute and BP 186/92 mm Hg
d. Patient who has a respiratory rate of 14 after overdosing on oxycodone
(OxyContin) - ANSWER✔✔c. Patient admitted with cocaine use who has an
irregular heart rate of 142 beats/minute and BP 186/92 mm Hg
, Which strategy should be a priority when the nurse is planning care for a diabetic
patient who is uninsured?
Select one:
a. Obtain less expensive medications.
b. Teach about the impact of exercise on diabetes.
c. Follow evidence-based practice guidelines.
d. Assist with dietary changes as the first action. - ANSWER✔✔c. Follow
evidence-based practice guidelines.
The registered nurse (RN) cares for a patient who was admitted a few hours
previously with back pain after falling. Which action can the RN delegate to
unlicensed assistive personnel (UAP)?
Select one:
a. Take the patient's temperature, pulse, and blood pressure.
b. Determine the patient's priority nursing diagnoses.
c. Obtain the health history from the patient's caregiver.
d. Finish documenting the admission assessment. - ANSWER✔✔a. Take the
patient's temperature, pulse, and blood pressure.
The nurse admits a terminally ill patient to the hospital. What is the first action that
the nurse should complete when planning this patient's care?
Select one:
a. Encourage the patient to talk about any fears or unresolved issues.
b. Determine the patient's wishes regarding end-of-life care.
c. Discuss the normal grief process with the patient and family.
d. Emphasize the importance of addressing any family issues. - ANSWER✔✔b.
Determine the patient's wishes regarding end-of-life care.
The nurse is obtaining a health history from a new patient. Which data will be the
focus of patient teaching?
Select one:
a. Family history of diabetes
b. Hispanic/Latino ethnicity
c. Age and gender
d. Saturated fat intake - ANSWER✔✔d. Saturated fat intake
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