LPN|RN MEDICAL SURGICAL EXAM
2024|200+BRAND NEW EXAM
QUESTIONS AND CORRECT
ANSWERS,ALL GRADED
A+|GUARANTEED SUCCESS|LATEST
UPDATE 2024
what are wet dressings used for? - ANSWER-✔used to apply solution to skin lesions,
left in place until debridement used
what tempuature should a therapeutic bath be ? - ANSWER-✔tepid
what is the purpose of using a therapeutic bath? - ANSWER-✔relives inflammation,
itching, also aids in removal of crusts and scales
what is surgical excision? - ANSWER-✔excision of tissue by, laser therapy,
cryosurgery, electrodesication
acne vulgaris - ANSWER-✔ifammation due to affected hair follicles and sebaccous
glands
what is a furuncle? - ANSWER-✔boil
carbuncle - ANSWER-✔furuncle with purulent drainage
signs and symtoms of psoriasis? - ANSWER-✔patches of erythema covered with
silvery scales
,treatment for psoriasis? - ANSWER-✔corticosteroids, coal tar extracts and in
extreme cases Photochemotherapy
it is important to pt teaching for photochemothereapy____________ - ANSWER-
✔to avoid sunlight for 8hr after receiving treatment
scabies - ANSWER-✔common and infectious
Signs and symptoms of scabies? - ANSWER-✔sever itching, especially at night.
Mostly affects webs of fingers, elbows, armpits......etc.
treatment for scabies? - ANSWER-✔topical scabicide. Apply in think layer, leave on
for 8-12 hrs and then wash off. wash all clothing/linens in HOT water
Shingles (herpes Zoster) - ANSWER-✔virus lays dormant in nerve root, migrates to
cranial or spinal nerve root)
signs and symptoms of shingles - ANSWER-✔vesticles follow along nerve pathway
what is pediculosis - ANSWER-✔Lice
treatment of pediculosis? - ANSWER-✔nix shampoo
what are the major complications of a burn? - ANSWER-✔Edema, fluid loss, low
blood pressure, SHOCK, electrolyte deficits
characteristics of a 1st degree burn? - ANSWER-✔superficial, epidermis injured,
painful
characteristics of a 2nd degree burn? - ANSWER-✔+3 wks to heal, may need
debridement, may require skin graphs
characteristics of a 3rd degree burn? - ANSWER-✔destroys all layers of the skin,
needs debridement and grafting, may involve muscle and bone
the main thing to look for in a burn pt? - ANSWER-✔inhalation injury, hypovolemic
shock
initial Tx of a burn? - ANSWER-✔Lay pt flat, assess respiratory status
what do you NOT do for burns? - ANSWER-✔do not apply anything to the burn, do
not remove clothing, nothing by mouth, so not immerse burn in cold water
Acute care for burns would include the following: - ANSWER-✔ventilation, fluid
resuscitation, analgesics for pain, inserting catheter, monitor input and output,
prevention of shock
, wound management for burns would include: - ANSWER-✔remove foreign material,
shave hair around burn, open or closed method of Tx
nsg care for burns: - ANSWER-✔Assess for respiratory distress, maintain airway,
monitor breathing: maintain fluid balance
When assessing for pain for a burn injury the Pt may need ____________ -
ANSWER-✔freq. sedation, esp for a dressing change
when assesing a burn Pt for infection you should : - ANSWER-✔be aware of sepsis,
reverse isolation, monitor temp, keep Pt warm
in preventing dangers of immobilization be aware of: - ANSWER-✔proper
alignment,keep the skin surfaces from touching, use turning frames and cradles
inhance tissue repair in burn Pt's by : - ANSWER-✔increase calorie intake to
6000cal/day, diet high in protein
Common diagnostic tests include: - ANSWER-✔arthroscopy, arthrocentesis, bone
densitometry, and bone scan
Arthroscopy is: - ANSWER-✔a surgical procedure to view inside a joint
arthrocentesis - ANSWER-✔surgical puncture of the joint space to remove synovial
fluid
bone densitometry - ANSWER-✔x-ray to measure bone density & compare to
known standards for age & gender
bone scan - ANSWER-✔uptake of a radioactive substance is measured in bone
traumatic injuries include: - ANSWER-✔strain, contusion, sprain
sprain: - ANSWER-✔a painful injury to a joint caused by a sudden wrenching of its
ligaments
strain - ANSWER-✔muscle stretched beyond capacity
contusion - ANSWER-✔soft tissue injury from blow or blunt trauma
dislocation - ANSWER-✔a displacement of a part (especially a bone) from its normal
position (as in the shoulder or the vertebral column)*may disrupt blood supply, hear
a Popping sound!
Nsg for dislocation - ANSWER-✔elevate and immobilize, perform neurovascular
checks every 30min
