REMAR- Medical Surgical Exam I
A patient with sickle cell anemia is receiving the antineoplastic drug, hydroxyurea orally.
When administering this medication, which of these actions should the nurse take?
A. Wear personal protective equipment.
B. Wear gloves only
C. Wear mask only
D. Nothing, This drug is not harmfull - CORRECT ANSWER-A
A 18 years old college student, was recently diagnosed with type 1 diabetes mellitus.
He is admitted to the emergency department with diabetic ketoacidosis (DKA). After his
condition is stabilized, the patient is transferred to the medical-surgical unit. Which of
these laboratory values should be monitored?
A. Salt
B. Calcium
C. Potassium
D. Iron - CORRECT ANSWER-C
A nurse is caring for a 34 years old multipara who had a normal vaginal delivery four
hours ago. On the first postpartum day, she has saturated four peri-pads. The nurse
should realize that this finding requires which of the following actions?
A. Give another pad
B. Notify the registered nurse immediately
C. airway obstruction
D. nothing, this is normal - CORRECT ANSWER-B
A nurse is caring for a client with a newly installed ileostomy. The client is admitted to
the medical surgical unit following episodes of syncope. She is diagnosed with
dehydration due to excessive ileostomy output. Which of the following orders should the
nurse implement first?
A. Monitor input
B. Sitting the patient up 30°
C. Normal saline 1 L fluid bolus IV.
D. Give her water - CORRECT ANSWER-C
Mrs. Bundy has developed a deep vein thrombosis in her right calf, which is treated with
enoxaparin. As part of her discharge preparation, Mrs. Bundy is taught self-
administration of enoxaparin. Which of these statements, if made by Mrs. Bundy, would
indicate the need for further instruction?
A. "I will have my husband inject it in my stomach for me"
B. "I won't get the bubbles out of the syringe before injecting myself"
C. "I'll give the injection in my thigh so I won't hurt my incision."
