Download Med-Surg Final Practice Questions / Complete Study Guide / Actual Exam Questions & Correct and more Exams Nursing in PDF only on Docsity!
/ Complete Study Guide / Actual
Answers (Verified Detailed
_____________Quiz____________? Which of the following are expected side effects of corticosteroid therapy? A) Hyperglycemia B) Osteoporosis C) Weight loss D) Increased risk of infection -
Answer โโ
C) Weight loss Weight gain is usually associated with corticosteroid therapy. _____________Quiz____________? Your patient is being treated for hyperthyroidism. Which of the following are NOT indicated during your assessment? A) Auscultation of the thyroid B) Palpation of the thyroid
C) Heart Rate D) Asking about any recent GI issues (vomiting, diarrhea) -
Answer โโ
B) Palpation of the thyroid It is contraindicated to palpate an enlarged thyroid, due to risk of causing thyroid storm. _____________Quiz____________? When the body senses an overproduction of a certain hormone, it signals to to stop further production. What is this process called? A) Positive feedback B) Negative feedback C) Homeostasis D) Biostimulation -
Answer โโ
B) Negative feedback _____________Quiz____________? In type 1 diabetes mellitus, which cells are destroyed by body's own T cells? A) Beta cells B) Delta Cells C) Pancreatic epithelial cells D) Alpha cells -
Answer โโ
A) Beta cells _____________Quiz____________?
D) 6.4%
_____________Quiz____________? A fasting plasma glucose level of 115 mg/dL is indicative of what? A) Type 1 DM B) Type 2 DM C) Pre-diabetic D) Normal -
Answer โโ
C) Prediabetic (101-125mg/dL= prediabetes) _____________Quiz____________? Your patient received their last insulin injection in their right upper quadrant of their abdomen. Where should you inject their current insulin dose? A) Left Arm B) Right Arm C) Right upper quadrant D) Left upper quadrant -
Answer โโ
D) Left upper quadrant *Rotate within same general site (abdomen) for at least one week) _____________Quiz____________?
You just gave your patient an injection of Lispro. When should you expect the peak of action to occur? A) 15 minutes B) 2 hours C) 4 hours D) 8 hours -
Answer โโ
B) 2 hours Lispro is rapid acting _____________Quiz____________? At 0600, your patient's capillary glucose level is 210mg/dL. They are currently on the long- acting Lantus insulin. What is the most likely cause of the hyperglycemia? A) Dawn Phenomenon B) Patient ate soon before bed C) Somogyi Effect D) Diabetic Ketoacidosis -
Answer โโ
C) Somogyi effect _____________Quiz____________? What is the proper treatment for an individual experiencing hyperglycemia related to the Somogyi effect? (Select all that apply). A) Less insulin B) More insulin C) Bedtime snack
Which of the following would you expect to see in a patient experiencing DKA? A) Kussmaul respirations B) Cheyne-Stokes respirations C) Biot's respirations D) Hypoventilation -
Answer โโ
A) Kussmaul respirations Deep and fast, blowing off excess CO2 to compensate for metabolic acidosis _____________Quiz____________? Which of the following should you do first for a patient experiencing DKA? A) Administer potassium B) Start an insulin drip C) Bolus IV fluids D) Administer sodium bicarbonate -
Answer โโ
C) Bolus IV fluids They are experiencing severe dehydration, which can lead to hypovolemic shock. They need fluid resuscitation to raise BP and urine output. _____________Quiz____________? Which of the following is NOT a counterregulatory mechanism for hypoglycemia? A) Production of epinephrine B) Production of glucagon
C) Suppression of insulin secretion D) Secretion of amylin -
Answer โโ
D) Secretion of amylin It is cosecreted with insulin _____________Quiz____________? Which of the following snacks are most appropriate for your conscious patient, who has a blood sugar of 56 mg/dL? A) Oatmeal raisin cookie B) Glass of whole milk C) Candy bar D) Apple juice -
Answer โโ
D) Apple juice _____________Quiz____________? Which of the following is contraindicated in a diabetic foot care regimen? A) Wearing leather shoes B) Patting feet dry gently C) Applying lotion between toes D) Wearing clean, absorbent socks -
Answer โโ
C) Applying lotion between toes _____________Quiz____________?
Your patient with acromegaly is status post pituitary removal, post-op day 2. Which of the following is contraindicated? A) Brushing teeth B) Checking clear drainage for glucose C) Elevate HOB 30 degrees D) Subcutaneous growth hormone injection -
Answer โโ
A) Brushing teeth *Cannot brush teeth for 10 days after surgery _____________Quiz____________? A patient comes into the ED who is currently experiencing thyroid storm. Which med should you give first? A) Propylthiouracil (PTU) B) Propanolol C) Lugol's solution D) Methimazole -
Answer โโ
B) Propanolol Treat BP first, other drugs take longer to act _____________Quiz____________? A common finding in Graves' disease is: A) Exophthalmos
B) Intolerance to cold C) Infertility D) Paresthesia -
Answer โโ
A) Exophthalmos _____________Quiz____________? Which of the following findings are used to diagnose hyperthyroidism? A) Elevated TSH level B) Elevated free T4 level C) Total T3 level D) Increased TRH level -
Answer โโ
B) Elevated free T4 level _____________Quiz____________? Which of the following is not a complication of a thyroidectomy? A) Hypoparathyroidism B) Hypercalcemia C) Recurrent Laryngeal nerve damage D) Hemorrhage -
Answer โโ
B) Hypercalcemia Can cause HYPOcalcemia _____________Quiz____________?
B) High incidence of posttreatment hypothyroidism _____________Quiz____________? Which of the following is not appropriate following a thyroidectomy? A) Monitoring for signs of hypocalcemia B) Assessing for tracheal compression C) Flexion of neck D) Pain management with narcotics -
Answer โโ
C) Flexion of neck _____________Quiz____________? During a TRH stimulation test, increased TSH is indicative of what? A) Anterior pituitary dysfunction B) Hyperthyroidism C) Hypothalamic dysfunction -
Answer โโ
C) Hypothalamic dysfunction _____________Quiz____________? Which of the following are foods that must be removed from a patient's diet with hypoparathyroidism? A) Dark green veggies B) Tofu C) Soybeans D) Spinach -
Answer โโ
D) Spinach High in oxalic acid which inhibits absorption of calcium _____________Quiz____________? Which of the following is seen in Cushing syndrome? A) Hyponatremia B) Hyperkalemia C) Hypotension D) Alkalosis -
Answer โโ
D) Alkalosis Secondary to hypokalemia; rest are seen in Addison's disease _____________Quiz____________? Which of the corticosteroids are reduced in Addison's disease? A) Glucocorticoids B) Mineralocorticoids C) Androgens D) All of the above -
Answer โโ
D) All of the above _____________Quiz____________? Which of the following are manifestations of addisonian crisis?
A patient who dislocated their shoulder has come into the ED. Which assessment finding should you report to the provider first? A) Pulselessness distal to injury B) Pain at injury site C) 3+ edema at site of injury D) Capillary refill of 2 seconds -
Answer โโ
A) Pulselessness distal to injury _____________Quiz____________? In which stage of fracture healing can a cast be removed? A) Granulation B) Remodeling C) Ossification D) Callus formation -
Answer โโ
C) Ossification _____________Quiz____________? A patient fractured their humerus last night. Which assessment finding should you report LAST to the provider? A) BP= 142/ B) Numbness and tingling is hand distal to injury C) Pain of 7/10 after pain administration D) Dark reddish brown urine -
Answer โโ
A) BP=142/
_____________Quiz____________? What is the first thing you should do for a patient with fat embolism syndrome? A) Admin O B) Blood transfusion C) Correct acidosis D) Fluid resuscitation -
Answer โโ
A) Admin O _____________Quiz____________? Your patient had a below the knee amputation four days ago. He reports 7/10 pain in his amputated limb. What is the correct response? A) Disregard his comment B) Administer him ordered pain medication C) Remind him of his recent operation D) lol idk making questions is hard -
Answer โโ
B) Administer him ordered pain medication
