Exam (elaborations)
Med-Surg Certification Practice Questions and answers verified 100%/latest updates fall 2024
Med-Surg Certification Practice Questions and answers verified 100%/latest updates fall 2024Med-Surg Certification Practice Questions and answers verified 100%/latest updates fall 2024
A newly diabetic patient will receive instructions from his nurse. Which of the following actions should the ...
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Med-
Surg Certification Practice Questions and
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answers verified 100%/latest updates fall
b lb lb lb lb lb
2024
Albnewlylbdiabeticlbpatientlbwilllbreceivelbinstructionslbfromlbhislbnurse.lbWhichlboflbthelbfollowinglbactionslbshou
ldlbthelbnurselbtakelbfirst?
A.lbProvidelbthelbpatientlbwithlbbrochureslbforlbmakinglbsmartlbchoiceslbforlbcooking/baking.
B.lbAsklbthelbpatientlbwhatlbtheylbknowlbaboutlbdiabetes.
C.lbInstructlbthelbpatientlbonlbexerciselborlbactivitieslbthatlbwilllbincreaselbtheirlbmetabolism.
D.lbTeachlbthemlbhowlbtolbuselbthelbglucometer.lb-lbcorrectlbanswers-B.lb
Firstlbasklbthelbpatientlbwhatlbtheylbknowlbaboutlbdiabetes.
*ACTIONlbquestionslbasklbforlbintervention,lbNOTlbassessment
Thelbpostlbhysterectomylbpatientlbwithlbcallslbthelbcliniclbstatinglbthatlbshelbhaslbbeenlbhavinglbdifficultylbwithlbin
continence.lbWhichlboflbthelbfollowinglbstatementslbiflbmadelbbylbthelbpatient,lbindicateslbthatlbfurtherlbteaching
lbislbneeded?
A.lbIlbdrinklb8lboz.lboflbfluidlbonlbthelbevenlbhourslbwhilelbawake.
B.lbIlbwilllbattemptlbtolbvoidlb30lbminuteslbafterlbdrinkinglb200lbcc.lboflbfluid
C.lbIlbwilllbonlylbdrinklbfluidlbwhenlbIlbeatlbmylbmeals
D.lbIlbwilllbsetlbthelbtimerlbtolbremindlbmelbwhenlbtolbvoidlb-lbcorrectlbanswers-C.lb
Albpatientlbsayinglbthatlbhelborlbshelbwilllbonlylbdrinklbfluidslbwhenlbeatinglbmealslbindicateslbthatlbtheylbdon'tlbkno
wlbwhatlbtolbdolbinlbcaselboflbincontinence.
,FURTHERlbTEACHINGlbindicateslbthatlbthelbpatientlbneedslbmorelbinformation
AnlbRNlbassesseslbalbpatientlbinlbthelbCancerlbCenterlbwithlbalbdiagnosislboflbterminallbcancer.lbThelbpatientlbstates
lbtolbthelbRNlbthatlbhelbislbshortlboflbbreath,lbhaslbnolbappetitelbandlbhurtslbeverywhere.lbWhichlboflbthelbfollowingl
bstatementslbbylbthelbnurselbislbbest?
A.lbTelllbmelbhowlbyourlbfamilylbislbcoping
B.lbShowlbmelbwherelbitlbdoeslbnotlbhurt
C.lbI'lllbteachlbyoulbrelaxationlbtechniques
D.lbYourlbphysicianlbshouldlbincreaselbyourlbpainlbmedicationlb-lbcorrectlbanswers-C
Albclinicallbnurselbreturnslbtolbthelbdesklbtolbfindlb4lbphonelbmessages.lbWhichlboflbthelbfollowinglbmessageslbsho
uldlbthelbnurselbrespondlbtolbfirst?
A.lbAlbpostlbcervicallblaminectomylbpatientlbcomplaininglboflbsuddenlbdifficultylbtalking.
B.lbAlbpatientlbwithlbmultiplelbsclerosislbcomplaininglboflbchangelbinlbperipherallbvision.
C.lbAlbpatientlbwithlbalbherniatedlbdisclbcomplaininglboflbconsistentlbbacklbpain.
D.lbAlbpatientlbwithlbalbcastlbduelbtolbalbfracturelboflbthelbrightlbtibiallbbonelbcomplaininglboflbtinglinglbtoes.lb-
lbcorrectlbanswers-A
BlbandlbClbarelbexpectedlbsymptomslboflbthelbpatient'slbcondition.lbAlbandlbDlbarelbunexpected.lbDlbislblesslbcriticall
bthanlbA.lbBestlbanswerlbislbA.
Alb75lbyearlboldlbpatientlbcomplainslbtolbthelbclinicallbnurselbthatlbhelbislbhavinglbdifficultylbsleeping.lbWhichlboflbth
elbfollowinglbactionslbbylbthelbnurselbislbmostlbappropriate?
A.lbDeterminelbthelbpatient'slbusuallbsleepinglbandlbwakinglbpatterns.
B.lbSuggestlbthatlbthelbclientlbabstainlbfromlbalcohollbandlbcaffeinelbbeforelbbedlbtime.
C.lbRecommendlbthatlbclientlbestablishlbalbbedtimelbroutine.
D.lbAsklbhowlbmuchlbsleeplbthelbclientlbrequiredlbbeforelbretirement.lb-lbcorrectlbanswers-A
BlbandlbClbarelbrecommendationslbthatlbthelbRNlbcanlbsharelbafterlbhe/shelbdetermineslbthelbpatient'slbsleepinglb
andlbwakinglbpatterns.lbSolbremovelbBlbandlbC.lbDlbislbanlbinquiry,lbbutlbislbconcernedlbaboutlbthelbpastlb(whenlbthel
bpersonlbretired).lbRemovelbD.lbAlbislbthelbbestlbanswer.
,Thelbnurselbcareslbforlbalbpatientlbseverallbhourslbafterlbalbthyroidectomy.lbThelbRNlbobserveslbthatlbthelbpatientlbi
slbdiaphoreticlbandlbconfused.lbThelbvitallbsignslbare:
Templb=lb102°lb(38.9lb°lbC);lbBPlbislb160/90;lbpulselbislb110,lbrespirationlbislb22.lbThelbnurselbexpectslbthelbphysicianl
btolborderlbwhichlboflbthelbfollowing?
A.lbNPO,lbDextranlb10lbml/kg.lbIV,lb02lb4lbL/min.
B.lbPropranolollb(Inderal)lb1lbmg.lbIV,lbD5Wlb125lbcc/hrlbIV,lbpropylthiaouracillb(PTU)lb200lbmglbpolbqld.
C.lbLevothyroxinelbSodiumlb(Synthroid)lb100lbmcglbIV,lbLactatedlbRinger'slb125lbcc/hrlbIV,lbandlbciprofloxacinlb(cip
ro)lb500lbmg.lbpolbbid.
D.lbMorphinelbsulfatelb2.5lbmg.lbIVlbq.lb4lbhrs.lbprn,lb0.9%lbNACl.lb-lbcorrectlbanswers-B
Alb63lbyearlboldlbfemalelbpatientlbcontactslbthelbcliniclbtolbreportlbthatlbshelbislbhaslbbeenlbextremelylbfatigued,lbislb
sleepinglb12lbhourslbalbnight,lbislbalwayslbcoldlbandlbherlbhairlbislbfallinglbout.lbWhichlboflbthelbfollowinglbresponses
lbbylbthelbnurselbislbmostlbappropriate?
A.lbYoulbwilllbhavelbmorelbenergylbiflbyoulbwalklb30lbminlbeverylbday.
B.lbYoulbdon'tlbneedlbtolbworry.lbSleepinglbalblotlbislbgoodlbforlbyou.
C.lbComelbinlbandlbseelbyourlbhealthlbcarelbproviderlbtoday.
D.lbYoulbshouldlbeatlbmorelbgreenlbleafylbvegetables.lb-lbcorrectlbanswers-C
Needlbmorelbinfo
ThelbRNlbperformslbbloodlbpressurelbscreeninglbatlbthelblocallbcommunitylbcenter.lbWhichlboflbthelbfollowinglbind
ividualslbislbmostlblikelylbtolbsufferlbfromlbalbcerebrovascularlbaccident?
A.lbAlb30lbyearlboldlbmanlbwholbislbanlbaccountlbexecutive
B.lbAlb40lbyearlboldlbmanlbwholbjogslbfourlbtimeslbalbweek.
C.lbAlb60lbyearlboldlbmanlbwhoselbfatherlbhadlbalbstroke.
D.lbAlb75lbyearlboldlbmanlbwholbtakeslbmulti-vitamins.lb-lbcorrectlbanswers-C
Forlbthelbpatientlbwithlbalbnewlbtracheostomy,lbthelbnurselbmustlbbelbalertlbtolbwhichlbearlylbcomplication?
a)lbDecannulation
b)lbInfection
, c)lbBleeding
d)lbTracheomalacialb-lbcorrectlbanswers-Clb
Commonlbacutelbriskslboflbtracheostomylbincludelbbleeding,lbairwaylbloss,lbdamagelbtolbadjacentlbstructures,lba
ndlbfailurelboflbthelbchosenlbtechniquelbtolbachievelbsuccessfullbairway
EVERYTHINGlb24lbHRlbPOSTlbSURGERY,lbFIRSTlbCOMPLICATIONlbISlbBLEEDING.lbInfectionlbcomeslb2-
3lbdayslblater.
WhenlbalbpulselboximetrylbmonitorlbindicateslbthatlbalbpatientlbhaslbalbdroplbinlbSpO2lbfromlb96%lbtolb85%lboverlb4l
bhours,lbthelbnurselbwilllbfirst:
1.lbRequestlbanlborderlbforlbstatlbABGs
2.lbStartlbthelbpatientlbonlboxygenlbbylbNClbatlb2L/minute
3.lbNotifylbthelbphysicianlboflbthelbchange
4.lbChecklbthelbpositionlboflbthelbprobelbonlbpatient'slbfingerlborlbearlobelb-lbcorrectlbanswers-4
Pulselboximetrylbislbinaccuratelbiflbthelbprobelbislbloose,lborlbinlbthelbpresencelboflbpoorlbcirculation,lbnaillbpolish,lb
orlbdarklbskinlbpigmentation.
Tolbdecreaselbalbpatient'slbshortnesslboflbbreathlbandlbalbsenselboflbimpendinglbdoomlbduringlbanlbasthmalbattack
,lbthelbnurselbwill:
A.lbPlacelbthelbpatientlbonlbalbcardiaclbmonitorlbandlbobservelbfromlbthelbnurses'lbstation.
B.lbLetlbthelbpatientlbrestlbalonelbinlbalbquiet,lbcalmlbenvironment.
C.lbReassurelbthelbpatientlbthatlbthelbdoctorlbwilllbarrivelbsoon
D.lbStaylbwithlbthelbpatientlbandlbencouragelbpursed-liplbbreathing.lb-lbcorrectlbanswers-Dlb
Thelbpatientlbexperiencinglbanlbacutelbasthmalbexacerbationlbwilllbbelbfearfullbandlbanxious.lbItlbislbimportantlbfo
rlbthelbnurselbtolbstaylbwithlbthelbpatientlbforlbongoinglbassessmentlbandlbtolbprovidelbalbcalmlbenvironment.lbHel
pinglbthelbpatientlbbreathelbwithlbpursedlblipslbwilllbfacilitatelbthelbexpirationlboflbtrappedlbairlbandlbhelplbthelbpat
ientlbregainlbcontrollboflbhislborlbherlbbreathing.