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Medical-Surgical LPN/RN
Assessment 1ShiftKey
Introduction: Passing grade of 75 required. 19/25 = 76 25/25= 100 Assessment questions are comprised of acute nursing areas such as (infection Control-Covid, Pressure Injury, Urinary systems, CPR, Mobility, and Clinical skills. Questions are deigned to test your knowledge in a variety of nursing care settings (Medical-Surgical and/or Acute Care). Questions are based on principles and techniques and nursing situations which candidates have had previous experience caring for these types of patients. All questions have a clinical reference point to review, verify, and reinforce knowledge. References: Harding, M., Kwong, J., Roberts, D., Hagler, D., & Reinisch, C. (2020). Lewis’s Medical- surgical nursing : Assessment and management of clinical problems (11th ed.). Elsevier, Inc.
1. The most common nosocomial infection in patients admitted to the
hospital?
Rationale: Harding, M., Kwong, J., Roberts, D., Hagler, D., & Reinisch, C. (2020). Lewis’s Medical- surgical nursing : Assessment and management of clinical problems (11th ed.,). Elsevier, Inc. Infectious diarrhea (C. difficile) Pneumonia (gram negative)
Urinary tract infection Bloodstream infections
2. If a nurse accidently sticks herself while giving a patient an IM injection
what is the first action?
Rationale: Harding, M., Kwong, J., Roberts, D., Hagler, D., & Reinisch, C. (2020). Lewis’s Medical- surgical nursing : Assessment and management of clinical problems. Elsevier, Inc. Report incident to supervisor/charge nurse. Cleanse area with Betadine. Irrigate area with sterile water. Scrub area vigorously for 5 minutes with soap and water.
3, A geriatric patient is unsteady after ambulating from a chair. Which
measure should the nurse take all except:
Rationale: Harding, M., Kwong, J., Roberts, D., Hagler, D., & Reinisch, C. (2020). Lewis’s Medical- surgical nursing : Assessment and management of clinical problems (11th ed.,). Elsevier, Inc. Staff must wear a mask, gloves, and gowns. Applying restraints Give the patient the call light Educate the patient on how to use the walker
4. Patient presents on your unit with severe dehdration. The doctor
orders 1 (L) of normal saline. How many ml should the patient recieve:
Rationale: Harding, M., Kwong, J., Roberts, D., Hagler, D., & Reinisch, C. (2020). Lewis’s Medical- surgical nursing : Assessment and management of clinical problems (11th ed.,). Elsevier, Inc.
Rationale: Harding, M., Kwong, J., Roberts, D., Hagler, D., & Reinisch, C. (2020). Lewis’s Medical- surgical nursing : Assessment and management of clinical problems (11th ed.,). Elsevier, Inc. Hypotensio n Hypertensio n Constipatio n Peristalsis
8. A patient on your unit has diabetes. Patient has a regular dose of insulin
order daily. The nurse gives an additional dose of NPH insulin and patient
suddenly is pale, rapid heart beat, and cold sweats. The patient is suffering
from:
Rationale: Harding, M., Kwong, J., Roberts, D., Hagler, D., & Reinisch, C. (2020). Lewis’s Medical- surgical nursing : Assessment and management of clinical problems (11th ed.,). Elsevier, Inc. Hypoglycemia Hyperglycemia Is having a epileptic seizure Hemolytic anemia
9. A 45 yr old male patient is suspected to have meningitis. The patient is
scheduled for a lumbar puncture in the AM. Which action should te nurse
take to prevent complications after test:
Rationale: Harding, M., Kwong, J., Roberts, D., Hagler, D., & Reinisch, C. (2020). Lewis’s Medical- surgical nursing : Assessment and management of clinical
problems (11th ed.,). Elsevier, Inc. Applying pressure to puncture site Raise head of bed 30-degree angle for comfort
surgical nursing : Assessment and management of clinical problems (11th ed.,). Elsevier, Inc. Hypothermi a Malnutrutio n A skin prerssure injury UTI
13. A 20 year old male patient is having a grand mal seizure. What is the
first action the nurse should take:
Rationale: Harding, M., Kwong, J., Roberts, D., Hagler, D., & Reinisch, C. (2020). Lewis’s Medical- surgical nursing : Assessment and management of clinical problems (11th ed.,). Elsevier, Inc. Lift the head of bed at a 30 degree angle Do not touch patient just monitor Lower bed rails in order for patient not to hit his head Lower bedrails and roll him onto his side
14. Mr. Taylor has been admitted for possible sepsis, dehydration, and
mild acidosis. Which nursing action would be most appropriate to take
Rationale: Harding, M., Kwong, J., Roberts, D., Hagler, D., & Reinisch, C. (2020). Lewis’s Medical- surgical nursing : Assessment and management of clinical problems (11th ed.,). Elsevier, Inc. Give patient an injection of demerol for pain Give patient a 250 mg of Teqin (antibotic) IV every 12
hours Hang IV lactated ringers as ordered by doctor Hang Normal saline every 4 hours
Reduced fertility
18. The nurse is completeing the inital assessment on a newly admitted
patient. Which lifeastyle choice discussed can cause severe damaged to the
liver:
Rationale: Harding, M., Kwong, J., Roberts, D., Hagler, D., & Reinisch, C. (2020). Lewis’s Medical- surgical nursing : Assessment and management of clinical problems (11th ed.,). Elsevier, Inc. Chewing tobacco Use of ilicit drugs Excessive alcohol consumption Taking steriods
19. How many liters of oxygen can a patient be placed on without a doctors
order:
Rationale: Harding, M., Kwong, J., Roberts, D., Hagler, D., & Reinisch, C. (2020). Lewis’s Medical- surgical nursing : Assessment and management of clinical problems (11th ed.,). Elsevier, Inc. 4 liters 3 liters 5 liters 2 liters
20. What factor is often associated with obesity:
Rationale: Papa, K. (2021). Essential In-services for Long-term Care (2021st ed.). HCPro, a divison of Simplify Compliance LLC. (Original work published 2021). Vegetarian diet
Drinking excessive amounts of alcohol
Papa, K. (2021). Essential In-services for Long-term Care (2021st ed.). HCPro, a divison of Simplify Compliance LLC. (Original work published 2021) The patient with a cough. runny nose, and sneezing x 4 days The family brings a diabetic patient cookies and candy whn they visit The patient requessting to stay in bed all day and watch TV. The patient appears short of breath, swelling in lower extremities with pain.
24. A patient with emphysema is admitted to your unit. The patient is
short of breath and purse lip breathing. The nurse identifies the cause as:
Papa, K. (2021). Essential In-services for Long-term Care (2021st ed.). HCPro, a divison of Simplify Compliance LLC. (Original work published 2021) Bronchi spasms An increase in lung vital capacity Rapid expulsion of air Air trapping and difficulty expelling air All of the above
25. A patient is admitted to your unit with a 15-year history of COPD.
The nurses assessment should include monitoring for:
Papa, K. (2021). Essential In-services for Long-term Care (2021st ed.). HCPro, a divison of Simplify Compliance LLC. (Original work published 2021) Accessory muscle use with breathing Chest pain Respiratory alkalosis
Prolonged inspiration with ambulation
