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Test bank for Medical-Surgical Nursing I Test 2 questions with verified answers
Test bank for Medical-Surgical Nursing I Test 2 questions with verified answers
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Test bank for Medical-Surgical Nursing ITest 2 questions with verified answers
1. A 30-year-old African American had surgery 6 months ago and the incision site is now
raised, indurated, and shiny. This is most likely which type of tissue growth? -
ANS-Keloid
2. A 75-year-old patient questions the nurse about vaccination to prevent shingles. Which
is most appropriate? - ANS-"Because of the incidence of shingles in your age group, you
should consider taking the vaccination.
3. A patient admitted in a state of extreme anxiety has vital signs of: T 96.6 F, P 81, BP
130/86, R 32. What will result if this hyperventilation continues? - ANS-Respiratory
alkalosis
4. A patient began vomiting and continued to do so for several hours. What is the result of
this loss of stomach contents? - ANS-metabolic alkalosis
5. A patient develops an irregular heart rate, abdominal cramping, and diarrhea after a
thyroidectomy. Which emergency medication should the nurse anticipate being
prescribed for this patient? - ANS-calcium gluconate
6. A patient has been admitted to the hospital with burns to the upper chest. The nurse
notes singed nasal hairs. The nurse needs to assess this patient frequently for which
condition? - ANS-respiratory complications
7. A patient has the following risk factors for melanoma. Which risk factor should the nurse
assign as the priority focus of patient teaching? - ANS-The patient uses tanning booth
weekly.
8. A patient is admitted to the emergency department with severe fatigue and confusion.
Laboratory studies are done. Which laboratory value will require the most immediate
action by the nurse? - ANS-Serum calcium is 18 mg/dL.
9. A patient is having a surgical procedure done to promote peripheral tissue perfusion in
an extremity with full-thickness circumferential burns. What term should the nurse use to
document this procedure? - ANS-Escharotomy
10. A patient is in the intensive care unit with acute renal failure secondary to septic shock
and is receiving IV fluids of 0.9% NaCI at 125 mL/hr. The patient develops crackles in
the lungs, distended neck veins, 1+ pitting edema in the feet, and a 4-pound weight gain
from the previous day. What nursing diagnosis is most appropriate for this situation? -
ANS-Excess fluid volume
11. A patient who is lethargic and exhibits deep, rapid respirations has the following arterial
blood gas (ABG) results: pH 7.32, PaO2 88 mm Hg, PaCO2 37 mm Hg, and HCO3 16
mEq/L. How should the nurse interpret these results? - ANS-Metabolic acidosis
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