10/7/21, 2:44 PM Medical - Surgical Nursing 3 RAD Block Examination

Medical - Surgical Nursing 3 RAD Block

Examination
Total points 71/100

The respondent's email ([email protected]) was recorded on submission of

this form.

0 of 0 points

Name (Last Name, First Name, Middle Initial) *

NABUA, KATHERINE KATE T

Section *

BSN 4 - A1

BSN 4 - A2

Questions 1 to 25 17 of 25 points

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10/7/21, 2:44 PM Medical - Surgical Nursing 3 RAD Block Examination

A 16-year-old high school athlete recently suffered heat exhaustion. The 1/1
school nurse is instructing the student on how to prevent a recurrence of
this situation. Which student statement demonstrates that the teaching
is effective?

"I will limit my fluids to drinking 'sports' drinks after I exercise."

"Taking frequent rests is important when working in a hot environment."

"Wearing dark-colored clothing to deflect the sun away from me will help me stay
cooler."

"I should try to exercise between noon and 3 PM."

The nurse administers a blood transfusion to a patient diagnosed with 1/1

gastrointestinal bleeding. The nurse knows that if a transfusion reaction
occurs, it will happen:

Within 2-3 minutes after the transfusion begins.

One to two hours post-transfusion after an immune response is mounted.

Toward the end of transfusion after all tissues have been exposed.

During the first 15-30 minutes of the transfusion.

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10/7/21, 2:44 PM Medical - Surgical Nursing 3 RAD Block Examination

The nurse cares for a patient in the telemetry unit who takes digoxin 0/1
0.125 mg/day PO for heart failure. Which parameters will best reflect the
drugs effectiveness?

Decreased urine output and increased respiratory rate.

Increased blood pressure and decreased heart rate.

Increased urine output and decreased respiratory rate.

Decreased blood pressure and increased heart rate.

Correct answer

Increased urine output and decreased respiratory rate.

The nurse prepares to administer insulin to the patient. Which patient 1/1
assessment would alert the nurse to hold the medication?

The patient’s breath smells fruity.

The patient is complaining of excessive thirst.

The patient’s urine output has much larger than normal.

The patient has cold, clammy and sweaty skin.

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10/7/21, 2:44 PM Medical - Surgical Nursing 3 RAD Block Examination

A 12-year-old client comes to the emergency department (ED) after 0/1

being bitten by a scorpion at a local petting zoo. Which action does the
nurse perform first?

Assesses the client's vital signs

Administers a tetanus shot

Applies an ice pack to the sting site

Calls the poison control center

Option 2

Correct answer

Assesses the client's vital signs

The nurse cares for a diabetic patient who has just arrived to the 1/1
emergency department. The patient breathes deeply

Biot’s respirations.

Cheyne-Stokes respirations.

Steven-Johnson respirations.

Kussmaul respirations.

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10/7/21, 2:44 PM Medical - Surgical Nursing 3 RAD Block Examination

The nurse examines the laboratory data of a patient admitted to the 0/1
emergency department with ketoacidosis. Which electrolyte is of most
concern in a patient with this condition?

Chloride.

Potassium.

Calcium.

Phosphorus.

Correct answer

Potassium.

When a patient has long-term atrial fibrillation, the nurse would expect to 1/1
include which drug in the plan of care to minimize the greatest risk that is
commonly associated with atrial fibrillation? *

A. Beta blockers

B. Digitalis

C. Anticoagulants

D. Antiarrhythmics

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10/7/21, 2:44 PM Medical - Surgical Nursing 3 RAD Block Examination

The nurse counsels a patient with chronic kidney disease about their 1/1
diet. The nurse knows that further teaching is needed when the patient
states:

“I should limit my intake of protein.”

“I should limit my intake of potassium.”

“I should limit my intake of fluid.”

“I should limit my intake of calcium.”

A patient with a spinal cord injury (SCI) is admitted to the unit and placed 0/1
in traction. Which of the following actions is the nurse responsible for
when caring for this patient?Select all that apply. *

A. modifying the traction weights as needed

B. assessing the patient's skin integrity

C. applying the traction upon admission

D. administering pain medication

E. providing passive range of motion

Correct answer

B. assessing the patient's skin integrity

D. administering pain medication

E. providing passive range of motion

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10/7/21, 2:44 PM Medical - Surgical Nursing 3 RAD Block Examination

The nurse cares for a chronic alcoholic and notices torsades de pointes 0/1
on the telemetry monitor. In addition to the ACLS protocol, what is the
drug of choice?

Epinephrine.

Potassium.

Lidocaine.

Magnesium.

Correct answer

Magnesium.

The following are Classic clinical signs of envenomation. SATA 0/1

ecchymosis, and hemorrhagic bullae,

leading to necrosis at the site of envenomation.

Painful

edema,

Correct answer

edema,

ecchymosis, and hemorrhagic bullae,

leading to necrosis at the site of envenomation.

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10/7/21, 2:44 PM Medical - Surgical Nursing 3 RAD Block Examination

Painful

Which intervention should the nurse implement when defibrillating a 1/1

client who is in ventricular fibrillation? *

A. Defibrillate the client at 50, 100, and 200 joules.

B. Do not remove the oxygen source during defibrillation.

C. Place petroleum jelly on the defibrillator pads.

D. Shout "all clear" prior to defibrillating the client.

You are caring for a patient who was brought into the emergency 1/1
department unresponsive, hypotensive and tachypneic. Upon further
assessment, you realize that the patient’s temperature is 106 degrees
Fahrenheit. You suspect heat stroke. What would your priority nursing
intervention be?

Take oral temperature to monitor effectiveness of treatment.

Call the family for consent to treat.

Obtain a history from the patient.

Take off the patient’s clothing, wrap him or her in wet towels and place a fan on
the patient.

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10/7/21, 2:44 PM Medical - Surgical Nursing 3 RAD Block Examination

The nurse cares for a patient in the intensive care unit suffering from 1/1
cardiogenic shock. When selecting between dopamine and dobutamine,
the nurse notes the difference as:

Dobutamine has no beta-receptor stimulation.

Dobutamine has a greater alpha than beta stimulation.

Dopamine has alpha-receptor vasoconstrictive properties.

Dopamine has no effect on renal perfusion.

The nurse cares for a patient in the medical ICU suffering from end-stage1/1
liver failure. The nurse knows that all of the following laboratory values
are characteristic of hepatocellular dysfunction except:

Increased blood urea levels.

Decreased serum albumin.

Elevated blood bilirubin levels.

Increased serum ammonia.

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10/7/21, 2:44 PM Medical - Surgical Nursing 3 RAD Block Examination

The nurse assists in preparing a liver failure patient to undergo an upper- 0/1
esophageal endoscopy. The patient asks why this procedure is being
performed. What is the nurse’s best response?

“We need to make sure that your ability so swallow is intact.”

“We are looking for enlarged blood vessels.”

“Liver failure leads to chronic infections of the stomach.”

“Liver failure creates excessive stomach acid and we need to check the lining of
your stomach.”

Correct answer

“We are looking for enlarged blood vessels.”

The following are the reasons for initiation of emergency treatment in 1/1
case of poisoning. SATA

To administer a unspecific antidote to neutralize a specific poison

To remove or inactivate the poison before it is absorbed

To provide supportive care in maintaining vital organ function

To implement treatment that hastens the elimination of the absorbed poison

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10/7/21, 2:44 PM Medical - Surgical Nursing 3 RAD Block Examination

The nurse administers a blood transfusion on a patient who begins to 0/1

complain of dizziness and chills. The nurse’s first response should be:

Call the blood bank.

Stop the transfusion.

Double check blood label.

Notify the physician.

Correct answer

Stop the transfusion.

How can you reduce the risk that a child will be accidentally poisoned by 1/1
medicine?SATA

D. All of the above

It is okay to say that medicine is “candy”

C. Make sure you put medicines away after using them

Keep medicines in their original containers and in locked cabinets

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10/7/21, 2:44 PM Medical - Surgical Nursing 3 RAD Block Examination

The nurse cares for a patient in the burn intensive care unit who survived 1/1
a house fire. The patient has 2nd degree burns over 50% of the body. The
nurse anticipates which electrolyte finding?

Hypokalemia.

Hypernatremia.

Option 5

Hyperkalemia.

Hypercalcemia.

The nurse cares for a patient in cardiogenic shock secondary to 1/1

pericardial tamponade. The nurse would anticipate seeing all of the
following physiologic responses except:

Decreased stroke volume.

Increase preload.

Decreased cardiac output.

Increased heart rate.

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10/7/21, 2:44 PM Medical - Surgical Nursing 3 RAD Block Examination

A hospitalized patient with a C7 cord injury begins to yell "I can't feel my 1/1
legs anymore." Which is the most appropriate action by the nurse? *

A. Remind the patient of her injury and try to comfort her.

B. Call the healthcare provider and get an order for radiologic evaluation.

C. Prepare the patient for surgery, as her condition is worsening.

D. Explain to the patient that this could be a common, temporary problem.

In patients with allergies, histamine acts to do all of the following except: 1/1

Bronchial smooth muscle contraction.

Decreased capillary permeability.

Hyper-secretion from glandular tissues.

Vascular engorgement.

The emergency department nurse helps to secure the airway of a patient 1/1
who suffered head and neck trauma during a motorcycle crash. Which is
the best maneuver to ensure an open airway in the presence of
spontaneous respirations?

Head-tilt, chin-lift.

Sniffing position
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10/7/21, 2:44 PM Medical - Surgical Nursing 3 RAD Block Examination
Sniffing position.

Turn head to side.

Jaw-thrust.

Questions 26 to 50 18 of 25 points

Your patient is complaining of muscle cramps while undergoing 1/1

hemodialysis. Which intervention is effective in relieving muscle cramps?
*

A. Increase the rate of dialysis

B. Infuse normal saline solution

C. Administer a 5% dextrose solution

D. Encourage active ROM exercises

The patient with Chronic Kidney Disease is receiving dialysis, and the 1/1
nurse observes excoriations on the patient's skin. What pathophysiologic
changes in CKD most likely occur that can contribute to this finding?
Select all that apply *

A. dry skin

B. sensory neuropathy

C. vascular calcifications

D. calcium-phosphate skin deposits

F. uremic crystallization from high BUN

G. hives and urticaria

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10/7/21, 2:44 PM Medical - Surgical Nursing 3 RAD Block Examination

Nurse Alvin is assigned to a telephone triage. A client called who was 1/1
stung by a honeybee and is asking for help. The client reports of pain and
localized swelling but has no respiratory distress or other symptoms of
anaphylactic shock. What is the appropriate initial action that the nurse
should direct the client to perform? *

A. Removing the stinger by scraping it.

B. Applying a cold compress.

C. Taking an oral antihistamine.

D. Calling the 911.

Which of the following methods of insulin administration would be used 0/1

in the initial treatment of hyperglycemia in a client with diabetic
ketoacidosis? *

A. Subcutaneous

B. Intramuscular

C. IV bolus only

D. IV bolus, followed by continuous infusion.

Correct answer

D. IV bolus, followed by continuous infusion.

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10/7/21, 2:44 PM Medical - Surgical Nursing 3 RAD Block Examination

Physiologic responses to all types of shock include the following except: 1/1
*

A. Activation of the inflammatory system.

B. Activation of the coagulation system.

C. Hypoperfusion of tissues.

D. Vasoconstriction.

Which of the following statements is incorrect about hyperglycemic 0/1

hyperosmolar nonketotic syndrome? *

A. HHNS occurs mainly in type 2 diabetics.

B. This condition presents without ketones in the urine.

C. Metabolic alkalosis presents in severe HHNS.

D. Intravenous Regular insulin is used to treat hyperglycemia.

Correct answer

C. Metabolic alkalosis presents in severe HHNS.

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10/7/21, 2:44 PM Medical - Surgical Nursing 3 RAD Block Examination

Polystyrene sulfonate (Kayexalate) is used in renal failure to: * 0/1

A. Correct acidosis

B. Reduce serum phosphate levels

C. Exchange potassium for sodium

D. Prevent constipation from sorbitol use

Correct answer

C. Exchange potassium for sodium

Which of the following if stated by the nurse is correct about 1/1

Hyperglycemic Hyperosmolar Nonketotic Syndrome (HHNS)? *

A. This syndrome occurs mainly in people with Type I Diabetes

B. It has a higher mortality rate than Diabetic Ketoacidosis

C. The client with HHNS is in a state of over hydration

D. This condition develops very rapidly

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10/7/21, 2:44 PM Medical - Surgical Nursing 3 RAD Block Examination

Which client factors should alert the nurse to potential increased 0/1
complications with a burn injury? *

A. The client is a 26-year-old male.

B. The client has had a burn injury in the past.

C. The burned areas include the hands and perineum.

D. The burn took place in an open field and ignited the client’s clothing.

Correct answer

C. The burned areas include the hands and perineum.

Which adaptations should the nurse caring for a client with diabetic 1/1
ketoacidosis expect the client to exhibit? Select all that apply: *

A. Sweating

B. Low PCO2

C. Retinopathy

D. Acetone breath

E. Elevated serum bicarbonate

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10/7/21, 2:44 PM Medical - Surgical Nursing 3 RAD Block Examination

You are teaching the patient with chronic kidney disease about what 1/1
symptoms to report to the doctor when outside of the hospital. Which
statement, if made by the patient, indicates correct understanding? *

A. "I should call my doctor if my stomach starts feeling sick or my breath smells
funny like pea"

B. "Muscle weakness and abdominal cramps are a sign of worsening condition and I
should report this to my doctor"

C. "My doctor wants me to call him if I feel a vibrating or buzzing sensation over
my hemodialysis graft.

D. "I should call immediately if I see swelling at my dialysis port"

A client with glomerulonephritis is at risk of developing acute renal 1/1

failure. The nurse monitors the client for which sign of this complication *

A. bradycardia

B. hypertension

C. decreased cardiac output

D. decreased central venous pressure

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10/7/21, 2:44 PM Medical - Surgical Nursing 3 RAD Block Examination

When a client is first admitted with hyperglycemic hyperosmolar 1/1

nonketotic syndrome (HHNS), the nurse’s priority is to provide: *

A. Oxygen

B. Carbohydrates

C. Fluid replacement

D. Dietary instruction

You are administering erythropoietin to the patient with Chronic Renal 0/1
Failure. Which of the following would be a sign of adverse reaction?
Select all that apply. *

A. Seizure

B. Hypertension

C. Decreased urinary output

D. Improved exercise tolerance

E. Head ache

F. Flushed skin

G. Increased urinary output

H. Hematuria

Correct answer

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10/7/21, 2:44 PM Medical - Surgical Nursing 3 RAD Block Examination
A. Seizure

B. Hypertension

E. Head ache

Which cause of hypertension is the most common in acute renal failure? 0/1
*

A. Pulmonary edema

B. Hypervolemia

C. Hypovolemia

D. Anemia

Correct answer

B. Hypervolemia

Nurse Angelo is preparing to teach the patient with CRF about dietary 1/1
modifications. Which of the following aspects of the patient is most
important for the nurse evaluate before teaching begins? *

A. Family Hx

B. Attention span

C. Uric Acid level

D. Support system

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10/7/21, 2:44 PM Medical - Surgical Nursing 3 RAD Block Examination

You are teaching the patient with chronic renal failure about what 1/1
symptoms to report to the doctor when outside of the hospital. Which
statement, if made by the patient, indicates correct understanding? *

A. "I should call my doctor if my stomach starts feeling sick or my breath smells
funny like pea"

B. "Muscle weakness and abdominal cramps are a sign of worsening condition and I
should report this to my doctor"

C. "My doctor wants me to call him if I feel a vibrating or buzzing sensation over
my hemodialysis graft.

D. "I should call immediately if I see swelling at my dialysis port"

The patient in the oliguric phase of Acute Renal Failure excreted 300 mL 0/1
of urine in addition to 100 mL of other losses during the past 24 hours.
With appropriate calculations, you determine that for the next 24 hours
the patient's fluid allocation is *

A. 600 mL.

B. 800 mL.

C. 1000 mL.

D. 1200 mL.

Correct answer

C. 1000 mL.

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10/7/21, 2:44 PM Medical - Surgical Nursing 3 RAD Block Examination

Your patient with chronic renal failure reports pruritus. Which instruction 1/1
should you include in this patient’s teaching plan? *

A. Rub the skin vigorously with a towel

B. Take frequent baths

C. Apply alcohol-based emollients to the skin

D. Keep fingernails short and clean

How do you determine that a patient's oliguria is associated with acute 1/1
renal failure (ARF)? *

A. Hypokalemia is present

B. Blood Urea Nitrogen is normal or slightly below normal

C. Serum Creatinins is normal or slightly elevated

D. Urine Specific Gravity is 1.010 at 3 different testings

What is the most important nursing diagnosis for a patient in end-stage 1/1
renal disease? *

A. Risk for injury

B. Fluid volume excess

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10/7/21, 2:44 PM Medical - Surgical Nursing 3 RAD Block Examination

C. Altered nutrition: less than body requirements

D. Activity intolerance

Acute renal failure is potentially reversible in the: * 1/1

A. convalescent phase.

B. initiation phase.

C. maintenance phase.

D. recovery phase.

Following emergency endotracheal intubation, you must verify tube 1/1

placement and secure the tube. List in order the steps that are required
to perform this function?I. Obtain an order for a chest x-ray to document
tube placement.II. Secure the tube in place.III. Auscultate the chest
during assisted ventilation.IV. Confirm that the breath sounds are equal
and bilateral. *

A. IV, I, III, II

B. III, IV, II, I

C. III, II, IV, I

D. IV, III, I, II

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10/7/21, 2:44 PM Medical - Surgical Nursing 3 RAD Block Examination

A patient with diabetes has had many renal calculi over the past 20 years 1/1
and now has chronic renal failure. Which substance must be reduced in
this patient’s diet? *

A. Carbohydrates

B. Fats

C. Protein

D. Vitamin C

The burned client’s family ask at what point the client will no longer be at 1/1
increased risk for infection. What is the nurse’s best response? *

A. “When fluid remobilization has started.”

B. “When the burn wounds are closed.”

C. “When IV fluids are discontinued.”

D. “When body weight is normal.”

Questions 51 to 75 13 of 25 points

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10/7/21, 2:44 PM Medical - Surgical Nursing 3 RAD Block Examination

The nurse assesses a patient in the emergency department who is 1/1

suspected of a heroine overdose. The patient breaths 4 times per minute
and is non-responsive. What drug would the nurse anticipate giving first?

Naloxone.

Epinephrine.

Methadone.

Flumazenil.

A nurse on the neurology unit has the following patients. Which would be 0/1
the most concerning and require the nurse to contact the physician?

A patient who states, “My vision becomes blurry when I get up in the morning”.

A patient who becomes dizzy and almost falls when standing from a seated
position.

A patient who states, “I have a headache and my balance has been off all day”.

A patient recovering from a motor vehicle collision with intracranial monitoring

and an ICP that has risen from 6 mmHg to 11 mmHg.

Correct answer

A patient who states, “I have a headache and my balance has been off all day”.

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10/7/21, 2:44 PM Medical - Surgical Nursing 3 RAD Block Examination

. The nurse cares for a patient recovering from septic shock in the 1/1
intensive care unit. The patient receives norepinephrine 1.5 mcg/kg/min.
The nurse assesses the patient’s IV site and notes extravasation. What
medication should the nurse be prepared to administer next?

Phentolamine.

Epinephrine.

Diphenhydramine.

Atropine.

The nurse in the emergency room is rapidly infusing crystalloids for a 0/1
patient that is hemorrhaging secondary to multiple gun shot wounds.
What additional step should be taken by the nurse to ensure safe
administration of the intravenous fluids?

Warm the fluids while hanging.

Use a 22 gauge IV catheter if possible.

Double-check the fluids with another nurse.

Avoid using the internal jugular or subclavian veins.

Correct answer

Warm the fluids while hanging.

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After reviewing voicemails left from home care patients, which phone 1/1
call will the home health care nurse return first?

A patient with osteoarthritis reporting warmth and tenderness in her left knee.

A patient complaining of sudden swelling, warmth, and 7/10 pain in both lower legs.

A patient with coronary artery disease who is complaining of pain along his
shoulders and bicep.

A patient reporting rebound abdominal pain and a fever.

An obese patient is found down in the room next to the bed. No pulses or1/1
respirations are detected. The emergency system is activated and help
arrives. How should the nurse proceed?

Move the patient to a stretcher or bed to begin CPR.

Place a backboard underneath the patient for more effective compressions.

Begin CPR immediately.

Give a brief report to the physician before attempting resuscitation.

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The nurse cares for a patient suffering from orthostatic hypotension. 0/1
How could the nurse best document the findings?

Patient complains of dizziness after standing up.

Patient’s seems dizzy when standing from a seated position.

Patient’s BP 140/88 mmHg lying down. Patient BP 112/69 mmHg after standing.

Afternoon blood pressure 140/88 mmHg.

Correct answer

Patient’s BP 140/88 mmHg lying down. Patient BP 112/69 mmHg after standing.

What is the priority action when a patient presents to the emergency 0/1
room suffering from nausea, vomiting, and flank pain as a result of renal
calculi?

Schedule a surgical consult.

Reposition the client onto the side that is not experiencing flank pain.

Educate the patient on the importance of fluid intake.

Administer morphine sulfate 2 mg IV.

Correct answer

Administer morphine sulfate 2 mg IV.

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A patient is admitted to the cardiac floor for telemetry monitoring after 0/1
experiencing vertigo and shortness of breath during his morning walk.
Which assessment must be performed first by the nurse?

Morse scale.

DSM IV scale.

Wong-Baker scale.

Braden scale.

Correct answer

Morse scale.

The nurse reviews patients on the medical-surgical unit. Which patient 1/1
should the nurse see first?

A 40-year-old asthmatic with bilateral wheezes breathing at a rate of 20 breathes per

minute with an SpO2 of 92%.

A 30-year-old patient complaining of 7/10 pain in the abdomen that radiates

periodically to their shoulder and is nauseas with poor skin turgor.

A 70-year-old patient 3 days post-op after an open femur fracture with a temperature
of 100 degrees F (38 C) and copious green sputum production.

A 50-year-old patient with muffled heart sounds, hypotension, and jugular vein
distention.

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10/7/21, 2:44 PM Medical - Surgical Nursing 3 RAD Block Examination

The patient reports to the nurse that the last time he had an intravenous 1/1
pyelogram performed he had an anaphylactic response from the
contrast dye. The nurse knows that an anaphylactic response includes all
of the following except:

Hives.

Angioedema.

Sedation.

Shortness of breath.

The nurse cares for a patient experiencing fluid overload as a result of 1/1
congestive heart failure. What is the quickest method of regaining fluid
balance?

Administer furosemide 10 mg IV push.

Insert Foley catheter.

Institute low sodium diet.

Limit fluid intake to 250 mL per 8-hour shift.

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The nurse assesses the patient who arrived to the emergency 1/1
department complaining of right sided weakness and numbness. The
nurse suspects a stroke. What is the most important question to ask
before administering IV tissue plasminogen activator?

“When did you first notice the symptoms?”

“Do you get short of breath when walking?”

“Do you have history of kidney disease?”

“Are you on any NSAIDs?”

The nurse driving home from work comes upon a multiple motor vehicle 1/1
accident. As the first responder on site, which person should the nurse
see first?

A child crying and clutching a visibly disfigured and bloody arm, appears pale.

A middle-aged man with blistered burns on upper and lower back with rapid pulse.

A woman with abrasions to the head who is reporting severe pain and appears
disoriented.

An older man standing at the side of the road yelling in a hoarse tone of voice
that he is “fine”, singed nose hairs noted.

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A patient is in anaphylactic shock. The patient has a severe allergy to 0/1

peanuts and mistakenly consumed an eggroll containing peanut
ingredients during his lunch break. The patient is given Epinephrine
intramuscularly. As the nurse, you know this medication will have what
effect on the body? *

D. It will help block the effects of histamine in the body.

B. It will cause vasoconstriction and decrease the blood pressure.

C. It will help dilate the airways.

A. It will prevent a recurrent attack.

Correct answer

C. It will help dilate the airways.

The nurse cares for a patient who experienced bradycardia and 1/1
shortness of breath and was treated with atropine. When the patient’s
family arrives later that afternoon, which statement by the nurse would
be best?

“The doctor will be here shortly to explain to you what happened.”

“Your family member will be fine. We are doing everything we can.”

“Your family member may need a pacemaker in the future. I can provide information
about that subject for you, if you like?”

“Your family member had a low heart rate today so we treated it with a
medication to increase his heart rate and treat his symptoms.”

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Several patients are waiting to be seen in the emergency department. 0/1

Which patient should be seen first?

A patient reporting severe migraine headaches.

A patient with gastroenteritis.

A patient reporting tongue swelling.

A patient with a fractured humerus.

Correct answer

A patient reporting tongue swelling.

The nurse is caring for a patient admitted through the emergency 0/1
department with a drug overdose. The brother of the patient works on a
different unit in the same hospital. He asks you if he can see the results
of the drug screen. What is the best action by the nurse?

Explain that this is private information and he is not allowed access.

Ask the charge nurse if it is ok for him to view the information.

Allow him to view the drug screen because he has a password and can find the
information already.

Ask the patient if it’s ok for his brother to look at the laboratory results.

Correct answer

Explain that this is private information and he is not allowed access.

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You're providing care to a patient in anaphylactic shock. What is NOT a 0/1

typical medical treatment for this condition, and if ordered the nurse
should ask for an order clarification? *

C. Isotonic intravenous fluids

B. Corticosteroids

D. IV Furosemide

A. IV Diphenhydramine

Correct answer

D. IV Furosemide

Following the initial care of a client with asthma and impending 1/1
anaphylaxis from hypersensitivity to a drug, the nurse should take which
of the following steps next?

Administer bronchodilators.

Administer beta-adrenergic blockers.

Obtain serum electrolyte levels.

Have the client lie flat in the bed.

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10/7/21, 2:44 PM Medical - Surgical Nursing 3 RAD Block Examination

The nurse cares for a newly admitted patient with untreated 0/1
hyperthyroidism. The patient is sweating and appears restless with the
following vital signs: Temp. 102 F, HR 119, BP 155/94, RR 24. What is the
first intervention for this patient?

Dilaudid 0.5 mg IV.

Acetaminophen 1000 mg PO.

Propylthiouracil 200 mg PO.

Normal Saline IV at a rate of 100ml/hr.

Correct answer

Propylthiouracil 200 mg PO.

The home care nurse reviews the patient list in order to prioritize home 0/1
visitations. Which patient should the nurse see first?

A 50-year-old complaining of tenderness at the incision site 2 days post inguinal

hernia repair.

A 65-year-old patient with chronic obstructive pulmonary disease on

supplemental oxygen.

A 40-year-old patient diagnosed with type 2 diabetes reporting poor sensation in his
feet.

A 45-year-old reporting a cough 3 days post hysterectomy.

Correct answer

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A 45-year-old reporting a cough 3 days post hysterectomy.

The nurse caries for a client in the telemetry unit who complains of chest 1/1
pain. There is a prn order for sublingual nitroglycerin 0.3 mg for chest
pain. The nurse knows that the mechanism of action of this drug is:

Relaxes vascular smooth muscles via dilation of arteries and veins.

Relieves myocardial oxygen demand by slowing heart rate.

Increases preload allowing fuller contraction of the ventricles.

Decreases transmembrane influx of calcium to decrease oxygen demand.

The client is prescribed digoxin (Lanoxin) for treatment of HR. Which of 0/1
the following statements by the client indicates the need for further
teaching by the nurse? *

A. "I should not get short of breath anymore."

B. "This drug will help my heart muscle pump less."

C. "I may notice my heart rate decrease."

D. "I may feel tired during early treatment."

Correct answer

B. "This drug will help my heart muscle pump less."

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The nurse cares for a patient who has an IV with fever, chills, malaise, 1/1
tachycardia, tachypnea, hypotension, and altered mental status. The
nurse should suspect:

Sepsis.

Inflammatory response syndrome.

Disseminated intravascular coagulation (DIC).

Infection.

Questions 76 to 100 23 of 25 points

Nurse Kelly, a triage nurse encountered a client who complaints of mid- 1/1
sternal chest pain, dizziness, and diaphoresis. Which of the following
nursing action should take priority? *

A. Complete history taking.

B. Put the client on ECG monitoring.

C. Notify the physician.

D. Administer oxygen therapy via nasal cannula.

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A patient with a recent diagnosis of heart failure has been prescribed 0/1
furosemide (Lasix) in an effort to physiologically do what for the patient?
*

A. Reduce preload.

B. Decrease afterload.

C. Increase contractility.

D. Promote vasodilation.

Correct answer

A. Reduce preload.

Your 60 y.o. patient with pyelonephritis and possible septicemia has had 1/1
five UTIs over the past two years. She is fatigued from lack of sleep, has
lost weight, and urinates frequently even in the night. Her labs show:
sodium, 154 mEq/L; osmolarity 340 mOsm/L; glucose, 127 mg/dl; and
potassium, 3.9 mEq/L. Which nursing diagnosis is priority? *

A. Fluid volume deficit related to osmotic diuresis induced by hyponatremia

B. Fluid volume deficit related to inability to conserve water

C. Altered nutrition: Less than body requirements related to hypermetabolic state

D. Altered nutrition: Less than body requirements related to catabolic effects of

insulin deficiency

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10/7/21, 2:44 PM Medical - Surgical Nursing 3 RAD Block Examination

You are pulled from the ED to the neurologic floor. Which action should 1/1
you delegate to the nursing assistant when providing nursing care for a
patient with SCI? *

A. Assess patient’s respiratory status every 4 hours.

B. Take patient’s vital signs and record every 4 hours.

C. Monitor nutritional status including calorie counts.

D. Have patient turn, cough, and deep breathe every 3 hours.

A 5-year-old client was admitted to the emergency unit due to the 1/1
ingestion of an unknown amount of chewable vitamins for children at an
unknown time. Upon assessment, the child is alert and with no
symptoms. Which of the following information should be reported to the
physician immediately? *

A. The child was nauseated and vomited once at home

B. The child has been treated several times for toxic substance ingestion

C. The vitamin that was ingested contains iron

D. The child has been treated multiple times for injuries caused by accidents

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A client with myocardial infarction is developing cardiogenic shock. 1/1

Because of the risk of myocardial ischemia, what condition should the
nurse carefully assess the client for? *

A. Bradycardia

B. Ventricular dysrhythmias

C. Rising diastolic blood pressure

D. Falling central venous pressure

A client has been admitted with chest trauma after a motor vehicle crash 0/1
and has undergone subsequent intubation. The nurse checks the client
when the high-pressure alarm on the ventilator sounds, and notes that
the client has absence of breath sounds in the right upper lobe of the
lung. The nurse immediately assesses for other signs of which condition?
*

A. Right pneumothorax

B. Pulmonary embolism

C. Displaced endotracheal tube

D. Acute respiratory distress syndrome

Correct answer

D. Acute respiratory distress syndrome

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A patient with a diagnosis of heart failure has been started on a 2/2

nitroglycerin patch by his primary care provider. What should this patient
be taught to avoid? *

A. High-potassium foods

B. Drugs to treat erectile dysfunction

C. Nonsteroidal antiinflammatory drugs

D. Over-the-counter H2-receptor blockers

Nurse Khrisia is teaching the parents of a young child how to handle 1/1
poisoning. If the child ingests poison, what should the parents do first? *

A. Call an ambulance immediately.

B. Attempt to have the child vomit out the poison

C. Punish the child for being bad.

D. Administer ipecac syrup.

A 20-year-old client who fell approximately 30 feet is unresponsive and 1/1

breathless. A cervical spine injury is suspected.How should the first-
responder open the client’s airway for rescue breathing? *

A. By performing a jaw-thrust maneuver

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B. By inserting a nasopharyngeal airway

C. By inserting a oropharyngeal airway

D. By performing the head-tilt, chin-lift maneuver

Emergency treatment for a client with impending anaphylaxis secondary 1/1

to hypersensitivity to a drug should include which of the following
actions first? *

A. Administering oxygen

B. Inserting an I.V. catheter

C. Obtaining a complete blood count (CBC)

D. Taking vital signs

The nurse assesses the client who has chronic renal failure and notes the 1/1
following: crackles in the lung bases,elevated blood pressure, and weight
gain of 2 pounds in one day. Based on these data, which of the following
nursing diagnoses is appropriate? *

A. Excess fluid volume related to the kidney’s inability to maintain fluid balance.

B. Ineffective tissue perfusion related to interrupted arterial blood flow.

C. Ineffective therapeutic Regimen Management related to lack of knowledge about

therapy.

D. Increased cardiac output related to fluid overload.

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10/7/21, 2:44 PM Medical - Surgical Nursing 3 RAD Block Examination

Following the initial care of a client with asthma and impending 1/1
anaphylaxis from hypersensitivity to a drug, the nurse should take which
of the following steps next? *

A. Administer beta-adrenergic blockers.

B. Administer bronchodilators.

C. Obtain serum electrolyte levels.

D. Have the client lie flat in the bed.

The nurse is assessing a client with multiple trauma who is at risk for 1/1
developing acute respiratory distress syndrome.The nurse should assess
for which earliest sign of acute respiratory distress syndrome? *

A. Bilateral wheezing

B. Inspiratory crackles

C. Intercostal retractions

D. Increased respiratory rate

The nurse is planning care for the client in spinal shock. Which of the 1/1
following actions would be least helpful in minimizing the effects of *

A. Using vasopressor medications as prescribed

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B. Applying Teds or compression stockings.

C. Moving the client quickly as one unit

D. Monitoring vital signs before and during position changes

A client calls the office of his primary care health care provider and tells 1/1
the nurse that he was just stung by a bumblebee while gardening. The
client is afraid of a severe reaction, because the client's neighbor
experienced such a reaction just 1 week ago. The appropriate nursing
action is to: *

A. Advise the client to soak the site in hydrogen peroxide.

B. Ask the client if he ever sustained a bee sting in the past.

C. Tell the client to call an ambulance for transport to the emergency room.

D. Tell the client not to worry about the sting unless difficulty with breathing occurs

A client comes into the ER after hitting his head in an MVA. He’s alert and 1/1
oriented. Which of the following nursing interventions should be done
first? *

A. Assess full ROM to determine extent of injuries

B. Immobilize the client’s head and neck

C. Call for an immediate chest x-ray

D. Open the airway with the head-tilt chin-lift maneuver

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After falling 20’, a 36-year-old man sustains a C6 fracture with spinal 1/1
cord transaction. Which other findings should the nurse expect? *

A. Quadriplegia and loss of respiratory function

B. Loss of bowel and bladder control

C. Paraplegia with intercostal muscle loss

D. Quadriplegia with gross arm movement and diaphragmic breathing

The nurse is caring for a client admitted with spinal cord injury. The nurse 1/1
minimizes the risk of compounding the injury most effectively by: *

A. Logrolling the client on a soft mattress

B. Keeping the client on a stretcher

C. Logrolling the client on a firm mattress

D. Placing the client on a Stryker frame

An intoxicated client comes into the emergency unit with uncooperative 1/1
behavior, mild confusion, and slurred speech. The client is unable to
provide a good history but he verbalizes that he has been drinking
alcohol a lot. Which of the following is a priority action of the nurse? *

A. Administer IV fluid incorporated with Vitamin B1 as ordered

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B. Administer Naloxone (Narcan) 4mg as ordered

C. Contact the family immediately to get information about the client

D. Obtain an order for determination of blood alcohol level

The camp nurse prepares to instruct a group of children about Lyme 1/1
disease. Which of the following information would the nurse include in
the instructions? *

A. Lyme disease is caused by a tick carried by deer.

B. Lyme disease is caused by contamination from cat feces.

C. Lyme disease can be contagious by skin contact with an infected individual.

D. Lyme disease can be caused by the inhalation of spores from bird droppings.

The nurse employed in an emergency department is assigned to triage 1/1

clients coming to the emergency department for treatment on the
evening shift. The nurse should assign priority to which client? *

A. A client complaining of muscle aches, a headache, and history of seizures

B. A client who twisted her ankle when rollerblading and is requesting medication for
pain

C. A client with a minor laceration on the index finger sustained while cutting an
eggplant

D. A client with chest pain who states that he just ate pizza that was made with a
very spicy sauce

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A patient with a spinal cord injury (SCI) has complete paralysis of the 1/1
upper extremities and complete paralysis of the lower part of the body.
The nurse should use which medical term to adequately describe this in
documentation? *

A. Hemiparesis

B. Hemiplegia

C. Paraplegia

D. Quadriplegia

You are assigned to telephone triage. A patient who was stung by a 1/1
common honey bee calls for advice, reports pain and localized swelling,
but denies any respiratory distress or other systemic signs of
anaphylaxis. What is the action that you should direct the caller to
perform? *

A. Remove the stinger by scraping.

B. Take an oral antihistamine

C. Call 911.

D. Apply a cool compress.

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