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NSG233/ NSG 233 Exam 1: (New 2024/ 2025
Update) Med Surg III | Questions and
Verified Answers| 100% Correct| A Grade โ
Herzing
QUESTION
A client admitted to Ed for alcohol withdrawal syndrome patient received IV Ativan for hallucinations and agitation what is the most important intervention to implement Answer: Keep low lighting
QUESTION
Treatment for Tylenol overdose Answer: Acetylcysteine
QUESTION
The nurse is setting up PCA for a client who has multiple fractures from a car accident, the education includes what the PCA pump SATA Answer: โ Morphine will be delivered when they push the button โ The nurse will be monitoring the vitals
QUESTION
The nurse is caring for a patient with a laceration on the forearm, what should the nurse do first? Answer:
xโ Asses for tetanus
QUESTION
The nurse is caring for patient with fracture forearm with multiple bruises with the partner in the room what interventions should the nurse do next? Answer: Tell the partner to step out
QUESTION
Which situation would have a CISM? Answer: baby died from shaken baby syndrome
QUESTION
Three-year-old came in the Ed who ingested a corrosive substance, what is the priority? Answer: Assess airway for obstruction
QUESTION
The triage nurse is working in ED which client should be seen first Answer: Client who reports rape
QUESTION
The nurse is caring for a client who came into the ER for hypovolemic shock due to hemorrhage what fluids are giving initially?
QUESTION
Nurse is caring for a patient who is getting phenylephrine for shock, what therapeutic effect should the nurse monitor for Answer: Vasoconstriction & elevation of blood pressure
QUESTION
Client came into the ED claiming to be sexual assault, what should the nurse expect to do? Answer: โ Prophylactic antibiotics โ Forensic exam โ Pregnancy test โ HIV medication
QUESTION
The client is being brought to the ER after a gunshot wound, the nurse should expect to see initially during hypovolemic shock. Answer: Increase Blood loss / Traumatic blood loss
QUESTION
Patient had a heart attack and is being monitored what interventions should the nurse do to prevent cardiogenic shock? SATA- Answer: โ Bed rest โ Provide supplemental oxygen โ Normaline saline over an hour โ Administer morphine
QUESTION
Which of the following is the priority intervention of the nurse when caring for a client who brought in for a hypovolemic shock Answer: Fluid resuscitation
QUESTION
A client is being brought into the Ed for an allergic reaction to shellfish, what should the nurse administer first? Answer: Epinephrine
QUESTION
ICU nurse is monitoring a client with sepsis, she monitoring signs of MOD, what are the early signs of MODS?- Answer: โ Dyspnea โ SOB
QUESTION
Nurse is caring for a patient with septicemia, what objective data should alert the nurse to call the HCP? Answer: Urine output of 50 mL for 2 hours
QUESTION
Answer: Last meal 1 hour ago
QUESTION
A two-year-old with muscular dystrophy wheezing and coughing from swallowing a toy, and the piece is removed what is the priority action by a nurse after surgery? Answer: Monitor for side effects of anesthesia
QUESTION
The nurse develops a diagnosis of alteration discomfort of fever and chills for a patient with sepsis what could be included in the plan of care? Answer: Antipyretic every four hours as needed
QUESTION
The client was admitted to ER with elevated VS and possible sepsis which is the highest priority Answer: Blood cultures
QUESTION
Icu nurse monitoring a patient with shock who is receiving rapid IV infusion for fluid resuscitation, they have SOB, decreased pulse pressure, oliguria, and absence of bowel sound, what does the patient have? Answer: Abdominal compartment syndrome
QUESTION
Which of the following is important for the nurse to do when administering crofab? Answer: Administer cimetidine
QUESTION
The nurse prepared an IV infusion of potassium with severe hypokalemia from a heat stroke, what action is appropriate? Answer: Check urine output
QUESTION
A public health nurse is teaching a class about environmental safety at a senior center, to teach about heat exhaustion what should be taught about manifestations? Answer: โ Headache โ Diaphoresis โ Tachycardia โ Syncopy
QUESTION
Teaching for Lyme disease what should be included? Answer: โ Stage 3 can happen after a year of the bite
QUESTION
The nurse is working in the er with a couple who was involved in a domestic dispute the father comes in pointing a gun at the patient saying I told you imma kill you if you touched her again
QUESTION
84 yr old comes into the ER patient has cool paled modeled skin, confusion and lethargy, BP 99/58, temp 97.2, pulse 104, RR: 28, 89% SpO2, the monitor she is in Afib. the symptoms are MOST related to what condition? Answer: Cardiogenic shock
QUESTION
The Ed nurse is assessing a client after a nonfatal drowning event at the beach, which assessment data would need immediate intervention Answer: Pink frothy sputum
QUESTION
A nurse in the ER is receiving a client after a car accident, the client is complaining about severe abdominal pain, is cool and sweating, diaphoresis, tachycardia, anxiety, hypotension has a giant hematoma What does the nurse do first is extreme anxiety? Answer: Start the IV
QUESTION
A client is admitted with blunt chest trauma from a car accident which of the following manifestation that the client has a tension pneumothorax? Answer: Tracheal shift and cyanosis
QUESTION
The ER nurse is precepting a student and providing information on different kinds of pneumothorax, which one would be the greatest risk for a spontaneous pneumothorax? Answer: Someone with severe chronic emphysema
QUESTION
The er nurse is assisting in rewarming a patient with hypothermia whose temp was 88, what complications should the nurse monitor for? Answer: Ventricular fibrillation
QUESTION
If a client is experiencing panic, violent and erratic behavior, or psychosis brought in by the police, what is the immediate goal for the staff? Answer: Gaining control of the situation
QUESTION
The ER nurse is caring for a client with frostbite on the feet, what is a good intervention to implement? Answer: Soak the feet in warm water
QUESTION
A client is admitted to ER with a blood pressure of 94/78 pulse of 110 temp 97.1, RR: 22 skin is cold and clammy, and tachycardic, what nursing intervention takes priority
