Medsurg Test One (Ch 1-5) Questions
And Answers With Verified Solutions
Already Passed!!! RATED A+
After receiving morning report, which patient should the licensed practical
nurse/licensed vocational nurse (LPN/LVN) assess first?
A) A patient who needs discharge teaching
B) A patient who needs assistance to ambulate
C) A patient who states, "No one cares about me."
D) A patient who has a temperature of 106°F (41.1°C) - ANSWER✔✔D) A
patient who has a temperature of 106°F (41.1°C)
During a class discussion, two nursing students demonstrated intellectual courage.
What action did the nursing students perform?
A) Considered being in the other person's situation
B) Expected proof that the use of restraints is safe
C) Conducted additional research on the use of restraints in patient care
D) Listened to each other's point of view regarding the use of patient restraints -
ANSWER✔✔D) Listened to each other's point of view regarding the use of patient
restraints
The nursing staff is planning a celebratory dinner and cake for a newly licensed
practical nurse. Which of the new nurse's human needs is supported by these
actions?
A) Self-esteem
B) Physiological
C) Self-actualization
D) Safety and security - ANSWER✔✔A) Self-esteem
A patient with a newly fractured femur reports a pain level of 8/10, and analgesic
medication is not due for another 50 minutes. Which actions should the nurse take?
A) Reposition the patient.
B) Give the medication in 30 minutes.
C) Notify the registered nurse (RN) or physician.
D) Tell the patient it is too early for pain medication. - ANSWER✔✔C) Notify the
registered nurse (RN) or physician.
,The nursing instructor is planning a teaching session on critical thinking for
students. What should the instructor say when explaining critical thinking?
A) "Collect data concerning the patient's problem."
B) "Think of different ways to help relieve a patient's problem."
C) "Determine if an action worked to eliminate a patient problem."
D) "Use knowledge and skills to make the best decision for patient care." -
ANSWER✔✔D) "Use knowledge and skills to make the best decision for patient
care."
While caring for a patient 4 hours after a surgical procedure, the LPN/LVN notes
serosanguineous drainage on the patient's dressing. Which statement should the
nurse use to document the finding?
A) "Normal drainage noted."
B) "Moderate drainage recently noted."
C) "Scant serosanguineous drainage seen on dressing."
D) "Pale pink drainage, 2 cm by 1 cm, noted on dressing." - ANSWER✔✔D) "Pale
pink drainage, 2 cm by 1 cm, noted on dressing."
The nurse is caring for a patient who is scheduled for surgery. Which data should
the nurse collect to identify safety and security needs?
A) Meal patterns
B) Sleep patterns
C) Anxiety about surgery
D) Effectiveness of pain medication - ANSWER✔✔C) Anxiety about surgery
The nurse is reviewing data collected during patient care. Which data should the
nurse document as objective?
A) Patient is pleasant.
B) Urine output is 300 mL.
C) "It has been a good day."
D) Patient's appetite is poor. - ANSWER✔✔B) Urine output is 300 mL.
The nurse is determining diagnoses appropriate for a patient recovering from
surgery. Which nursing diagnoses should the nurse identify as the highest priority
for this patient?
A) Acute pain
B) Impaired mobility
C) Deficient knowledge
D) Impaired skin integrity - ANSWER✔✔A) Acute pain
,The nurse suspects a patient is experiencing adverse effects to a newly prescribed
antihypertensive medication. After being informed that the effects are expected,
the nurse remains concerned and conducts an Internet search on the patient's
manifestations. Which critical thinking behavior did the nurse implement?
A) Sense of justice
B) Intellectual courage
C) Intellectual empathy
D) Intellectual perseverance - ANSWER✔✔D) Intellectual perseverance
The nurse is identifying outcomes for a patient with a Fluid Volume Deficit.
Which outcome should the nurse use to guide the patient's care?
A) Patient's fluid intake will be measured daily.
B) Patient's intake will be 3000 mL daily.
C) Fluids will be at the bedside for the patient.
D) Fluids the patient likes will be at the bedside. - ANSWER✔✔B) Patient's intake
will be 3000 mL daily.
The nurse is caring for a patient with the diagnosis of Fluid Volume Excess. Which
information should the LPN/LVN use to determine if care was effective?
A) Restrict the patient's fluid intake.
B) Measure the patient's daily weight.
C) Teach the patient to monitor fluid balance.
D) Discuss the patient's care plan with the RN. - ANSWER✔✔B) Measure the
patient's daily weight.
A RN delegates a patient care assignment to the LPN/LVN. Which phase of the
nursing process should the LPN/LVN perform independently?
A) Assessment
B) Planning care
C) Implementation
D) Nursing diagnosis - ANSWER✔✔C) Implementation
The nurse is caring for a patient with a painful back injury that occurred 6 months
ago. Which three-part nursing diagnosis should the nurse use to guide this patient's
care?
A) Pain as evidenced by herniated lumbar disk
B) Acute pain related to inability to sit as evidenced by muscle spasms
, C) Chronic pain related to muscle spasms as evidenced by patient pain rating of 8
and difficulty walking
D) Acute pain related to patient pain rating of 6 as evidenced by muscle spasms
and nerve compression - ANSWER✔✔C) Chronic pain related to muscle spasms
as evidenced by patient pain rating of 8 and difficulty walking
The RN implements an intervention to improve a patient's appetite. After
implementing the intervention for two meals, the LPN/LVN notes no improvement
in the patient's eating. What action should the LPN/LVN take?
A) Develop a new plan of care.
B) Revise the patient outcome to one that is achievable.
C) Collaborate on a new nursing diagnosis with the RN.
D) Provide data to the RN to assist in evaluation of the plan. - ANSWER✔✔D)
Provide data to the RN to assist in evaluation of the plan.
During morning report, the LPN/LVN is assigned a group of patients. Which
patient should the LPN/LVN see first?
A) A patient scheduled for magnetic resonance imaging (MRI) due to back pain
B) A patient reporting constipation and stomach cramps
C) A 2-day postsurgical patient reporting pain at a level of 6
D) A patient with pneumonia who is short of breath and anxious -
ANSWER✔✔D) A patient with pneumonia who is short of breath and anxious
The LPN/LVN is reviewing a patient's list of nursing diagnoses. Which diagnoses
should the LPN/LVN identify as a priority for this patient?
A) Anxiety
B) Constipation
C) Deficient fluid volume
D) Ineffective airway clearance - ANSWER✔✔D) Ineffective airway clearance
The nurse is using the nursing process when caring for a patient. In which order
should the nurse implement this process?
A) Nursing diagnosis, intervention, rationale, evaluation, planning
B) Data collection, intervention, nursing diagnosis, rationale, evaluation
C) Assessment, nursing diagnosis, planning, implementation, evaluation
D) Data collection, evaluation, nursing diagnosis, implementation, rationale -
ANSWER✔✔C) Assessment, nursing diagnosis, planning, implementation,
evaluation
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