NSG233 / NSG 233 Final Exam (Latest Update): Medical-
Surgical Nursing III | Questions and Verified Answers | 100% Correct
ourarerbyrthersiderofrar77-year-
oldrmalerpatientrwithrarcomplaintrofrshortnessrofrbreath.Auscultationrofrhisrlungsrindicatesrcracklesrinrtherb
ases.rInraddition,rbothrofrhisrfeetrarerswollen.HisrSpO2onrroomrairrisr82%.rTherremainderrofrhisrvitalrsignsrar
erpulse,r144;rrespirations,r26breaths/min;randrbloodrpressurer168/90,rmmHg.rTherpatientrreportsrlowerrba
ckrpainrwithrarhistoryrofrar"pinchedrnerve"rinrthatrarea.rHerstatesrthatrheralwaysrhasrthisrpain.rHerhasrdifficul
tyrfinishingrhisrsentencesrwithoutrgaspingrforrair.rWhatrisrthermostrappropriatercarerforrthisrpatientrafterrinit
iatingroxygen?
A)rApplyrtherAEDrinrcaserherarrestsrenrroutertortherhospital
B)rInitiaterarbronchodilatorrthroughrarsmall-volumernebulizer
C)rTransportrhimrinrarsittingrposition
D)rProviderspinalrmotionrprecautionsrandrsecurerhimrtorarlongrspinerboardrforrbackrpainr-rrcorrectranswer--
C)rTransportrhimrinrarsittingrposition
Yourarertreatingrar67-year-
oldrmalerpatientrwithrchestrpainrandrarhistoryrofrpriorrheartrattacksrasrwellrasrdiabetesrandrhypertension.rT
herpatientrhasrtakenrthreernitroglycerinrtablets,rwhichrhaverdecreasedrhisrpainrfromr7/10rtor4/10;rhowever,
rtherpainrpersists.rInitially,rhisrSpO2wasr91%ronrroomrair.rOxygenrwasrappliedrbyrnasalrcannularandrnow,ronr
3rlpmrO2,rhisrSpO2is97%.rHowrwouldryouraddressrtheroxygenradministration,rgivenrthatrtherpatientrstillrhasr
chestrpain?
A)rIncreasertheroxygenrflowrtor4rlpm
B)rDecreasertheroxygenrflowrtor2rlpm
C)rLeavertheroxygenrflowrunchanged
D)rDiscontinueroxygenrtherapyr-rrcorrectranswer--B)rDecreasertheroxygenrflowrtor2rlpm
Yourhaverbeenrcalledrforrarpatientrwithrangina.rOnrscene,rther67-year-
oldrmanrreportsrthatrherhasrarhistoryrofranginarandrtherpainrstartedrwhenrherwasrmovingrfirewoodrfromrthe
rgaragerintorhisrhouse.rUnfortunately,rtherpainrhasryetrtorgoraway,rdespiterthreernitroglycerinrtabletsrandr20r
minutesrofrrest.rYourrnextractionrshouldrberto:
A)rCheckrtherpatient'srvitalrsigns
B)rAdministerrarnitroglycerinrtabletrandraspirin
,C)rAttachrtherAEDrbutrdornotrturnritron
D)rProvidersupplementalroxygenrviarnonrebreatherr-rrcorrectranswer--A)rCheckrtherpatient'srvitalrsigns
TherMENDrexamrforrarstrokerdoesrnotrincluderwhichrassessmentrparameter?rA)rMentalrstatusr
B)rBGLrassessmentr
C)rCranialrnerverfunctionr
D)rMotorrandrsensoryrfunctionrofrtherlimbsr-rrcorrectranswer--B)rBGLrassessment
Arpatientrisralertrandroriented,rwithrarbloodrpressurerofr228/110rmmHg,rarheartrraterofr82beats/min,rrespir
ationsrofr20rbreaths/minrandradequate,randrarpulseroximeterrreadingrofr96%ronrroomrair.rTherpatientrcomp
lainsrofrarbadrheadacherthatrstartedrsuddenly.rTherpatientrhasrequalrgripsrandrgoodrlowerrlegrfunction.rTher
bloodrglucoserisr68rmg/dL,randrpupilsrarerreactive,ralthoughrtherpatientrhasrtroublermaintainingrarhorizont
alrgazerwhenraskedrtordorso.rHerhasrarhistoryrofrseizures,rhypertension,randratrialrfibrillation.rGivenrtheseras
sessmentrfindings,rwhichronermeetsrarcriterionrforrtherMENDrstrokerscreeningrtoolrthatrsuggestsrtherpatien
trmayrberexperiencingrarstroke?
A)rSuddenronsetrofrarbadrheadache
B)rHypertensiverbloodrpressure
C)rHistoryrofrseizuresrandratrialrfibrillation
D)rHorizontalrgazerabnormalityr-rrcorrectranswer--D)rHorizontalrgazerabnormality
Whenrobtainingrarmedicalrhistoryrfromrtherfamilyrofrarpatientrexperiencingrseizure,rwhichrofrtheserquestio
nsrisrmostrimportantrforrtherEMTrtoraskrfirst?
A)r"Howrlongrhasrherhadrhisrseizurercondition?"
B)r"Hasrhereverrbeenrhospitalizedrforrseizures?"
C)r"Doesrhertakerhisrseizurermedicationsrasrprescribed?"
D)r"Wasrhergruntingrandrbreathingrhardrduringrtherseizure?r-rrcorrectranswer--
C)r"Doesrhertakerhisrseizurermedicationsrasrprescribed?
Withinrtherhumanrbody,rwhatreffectrdoesrinsulinrhave?
A)rDecreasesrtherlevelrofrglucoserinrtherbloodstream
B)rCarriesrglucoserfromrtherdigestivertractrintortherbloodstream
C)rFreesrstoredrglucoserfromrtherliverrsorasrtorelevatertherbloodrglucoserlevel
,D)rTurnsrcarbohydratesrintorglucose,rwhichrcanrpassrintorthercellsr-rrcorrectranswer--
A)rDecreasesrtherlevelrofrglucoserinrtherbloodstream
Whatrisrtherprimaryrdifferencerbetweenranranaphylacticrreactionrandranranaphylactoidrreaction?
A)rAnranaphylactoidrreactionrmayroccurrwithoutrpriorrsensitizationrtortherantigen;ranaphylaxisrrequiresrpri
orrsensitization
B)rAnaphylactoidrreactionsrarerlessrsevererthanranaphylacticrreactions
C)rEpinephrinerisrcontraindicatedrinranaphylactoidrreactions,rbutrnotrinranaphylacticrreactions
D)rAnaphylactoidrreactionsrarercommonlyrcausedrbyrenvironmentalrsubstances;ranaphylacticrreactionsrarer
mostrcommonlyrcausedrbyrfoodsr-rrcorrectranswer--
A)rAnranaphylactoidrreactionrmayroccurrwithoutrpriorrsensitizationrtortherantigen;ranaphylaxisrrequiresrpri
orrsensitization
TherEMTrwouldrrecognizertherprofessionrofrurologyrasrapplyingrto:
A)rAllrorgansrinrtherpelvicrcavity
B)rTherkidneys,rureters,rbladder,randrurethra
C)rArfemale'srurinaryrandrreproductiverorgans
D)rTherurinaryrorgansrasrwellrasrtherpenisrandrvaginar-rrcorrectranswer--
B)rTherkidneys,rureters,rbladder,randrurethra
Arpatientrwithrhypothermiarisralertrandrconfused,rbutrcomplainsrofrleftrarmrpain.rHisrfriendsrfoundrhimrouts
ide,rwherertherpatientrspentrthernightrafterrhergotrdrunkrandrpassedroutrinrthercold.rItrappearsrasrthoughrhe
rhasrarlocalizedrfreezingrcoldrinjuryrtortherarmrinrquestion.rInrcaringrforrthisrpatient,rwhichrofrthesertreatmen
tsrwouldrberacceptable?
A)rDrinkingrwarmrwaterrtorraiserhisrinternalrbodyrtemperature
B)rAmbulationrtorgetrwarmrbloodrflowingrtorallrareasrofrhisrbody
C)rPlacementrinrarhotrshowerrtorexpeditertherrewarmingrprocess
D)rBoardrsplintrtherarmrtorkeepritrfromrmovingr-rrcorrectranswer--
D)rBoardrsplintrtherarmrtorkeepritrfromrmoving
Whichrrescuerrwouldrberthermostrappropriaterchoicertorrescueranrinjuredrmanrclingingrtoranroverrturnedrb
oatrinrarshallowrlake?
, A)rArseasonedrEMTrwhorisrargoodrswimmer,risrwearingrarpersonalrflotationrdevice,randrhasrarroperaroundrhi
srwaist
B)rArfirefighterrwhorisrwearingrarpersonalrflotationrdevice,rdoesrnotrhaveranyrmedicalrtraining,randrisrargoodr
swimmerrwhorisrtrainedrinrwaterrrescue
C)rAnrEMTrwhorisrargoodrswimmerrandrhasrarpersonalrflotationrdevicerinrplace
D)rArfirefighterrwhorisralsoranrEMTrandrworkedrasrarlifeguardrbeforerbecomingrarfirefighterr-
rrcorrectranswer--
B)rArfirefighterrwhorisrwearingrarpersonalrflotationrdevice,rdoesrnotrhaveranyrmedicalrtraining,randrisrargoodr
swimmerrwhorisrtrainedrinrwaterrrescue
TherEMTrwouldrrecognizerarpatientrasrhavingrarphobiarwhenrtherpatientrmakesrwhich
statement?
A)r"IramrunemployedrandrthinkrthatrIrwillrlosermyrhome."
B)r"Irfoundrarsnakerinrmyrhouserandramrhavingrdreamsrofrfindingrothers."
C)r"Irwasrjustrdiagnosedrwithrcancerrandrthinkrthatritrisrterminal."
D)r"Ircannotreatrmeatrbecausertheyrputrdangerousrbacteriarinritrthatrcanrhurtrme.r-rrcorrectranswer--
D)r"Ircannotreatrmeatrbecausertheyrputrdangerousrbacteriarinritrthatrcanrhurtrme.
Ar"whiplash"-rtyperneckrinjuryrisrmostroftenrobservedrwithrwhichrtyperofrcollision?
A)rFrontalrimpact
B)rEjection
C)rRear-endrimpact
D)rRolloverr-rrcorrectranswer--C)rRear-endrimpact
Whichrpiecerofrinformationrwouldryourprovidertorargrouprofryoungrteenagerdriversrto
decreasertheirrchancerofrsufferingrar"whiplash"-typerinjuryrifrinvolvedrinrarmotorrvehicle
collision?
A)rEnsurerthatrtherheadrestrisrproperlyrpositioned
B)rPositionrthercar'srseatsrinrarfullruprightrposition
C)rMakersurerthercarrhasrside-doorrairrbags
