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REMAR- Medical Surgical Exam I | Questions with 100 % Correct Answers | Verified, Exams of Advanced Education

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

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2024/2025

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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."
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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."

D. " I will alternate injection sites in my abdomen" - CORRECT ANSWER-C A 22 years old male with a history of sickle cell anemia has an exacerbation of the disease. He states, "I'm getting married and I'm worried about my ability to have sex." Which of these responses by the nurse would be most appropriate? A. "Don't worry about it, you'll be fine" B. "You should talk to someone else about this" C. "You should talk with your fiance about this" D."Is there more you can tell me about it?" - CORRECT ANSWER-D The licensed practical nurse is caring for a patient who has already been given discharge instructions. The patient with COPD suddenly complains of tachypnea, increased dyspnea, and a sharp, stabbing pain on inspiration. The nurse should suspect the patient is experiencing A. Heart attack B. A pulmonary embolism. C. stroke D. seizure - CORRECT ANSWER-B A licensed practical nurse is working on the medical surgical unit. She hears a patient's wife scream for help. The nurse responds and finds projectile bleeding from a laryngectomy surgical site. The nurse's action should be based on the understanding that the most likely cause of the bleeding is: A. rupture of the carotid artery B. Tracheostomy tube C. larynx D. Erosion - CORRECT ANSWER-A A 36 years old, is admitted from the postanesthesia department following a total laryngectomy for laryngeal cancer. Since he has a tracheostomy now, which of these complications is most likely to occur? A. Pneumonia B. Bronchitis C. Shock D. Airway obstruction - CORRECT ANSWER-D A licensed practical nurse is caring for a client with suspected increased intracranial pressure (ICP). Which of the following are early signs of ICP? Select all that apply. A. delayed verbal response. B. confusion. C. fever. D. restlessness. - CORRECT ANSWER-A,B,D A registered nurse is working in a half way house. She is caring for a 60 years old man with a history of alcohol abuse. Seven hours after her assessment the patient calls for

Mr. Michaels had been using a metered-dose inhaler to control his asthma. After several acute episodes it was changed to a dry powder inhaler. The nurse would know that Mr. Michaels understands how to use the dry powder inhaler if he makes which of these statements? A. "I'll still use my spacer" B. "I will finish my other inhaler first" C. "I won't be using a spacer with this inhaler." D. "i will slowly inhale" - CORRECT ANSWER-C Which of these factors would put a patient at risk for a deep vein thrombosis (DVT)? A. Dehydration B. Exercise C. Drinking alcohol D. caffeine - CORRECT ANSWER-A A patient who has chronic obstructive pulmonary disease (COPD) is to be referred to pulmonary rehabilitation. The nurse is aware one of the goals of the program is to improve the patient's A. breathing 100% again B. activity tolerance C. blood flow D. lung expansion - CORRECT ANSWER-B A nurse is working on a hospice unit and is caring for a patient who is terminally ill. During the bargaining stage of the grief process, the most supportive response to a family involves A. Referring the family for spiritual counseling B. leaving them alone C. Ignoring them D. Actively listening and being still - CORRECT ANSWER-D