Medical-Surgical LPN-RN Assessment 1ShiftKey 25 Questions with Answers Latest Update, Exams of Nursing

Download Medical-Surgical LPN-RN Assessment 1ShiftKey 25 Questions with Answers Latest Update and more Exams Nursing in PDF only on Docsity! 1 Medical-Surgical LPN/RN Assessment 1ShiftKey 25 Questions with Answers Latest Update 2 Introduction: Passing grade of 75 required. 19/25 = 76 25/25= 100 Assessment questions are comprised of acute nursing areas such as (infection Control-Covid, Pressure Injury, Urinary systems, CPR, Mobility, and Clinical skills. Questions are deigned to test your knowledge in a variety of nursing care settings (Medical-Surgical and/or Acute Care). Questions are based on principles and techniques and nursing situations which candidates have had previous experience caring for these types of patients. All questions have a clinical reference point to review, verify, and reinforce knowledge. References: Harding, M., Kwong, J., Roberts, D., Hagler, D., & Reinisch, C. (2020). Lewis’s Medical-surgical nursing : Assessment and management of clinical problems (11th ed.). Elsevier, Inc. 1. The most common nosocomial infection in patients admitted to the hospital? Rationale: Harding, M., Kwong, J., Roberts, D., Hagler, D., & Reinisch, C. (2020). Lewis’s Medicalsurgical nursing : Assessment and management of clinical problems (11th ed.,). Elsevier, Inc. Infectious diarrhea (C. difficile) Pneumonia (gram negative) Urinary tract infection Bloodstream infections 5 Hypertension Constipation Peristalsis 8. A patient on your unit has diabetes. Patient has a regular dose of insulin order daily. The nurse gives an additional dose of NPH insulin and patient suddenly is pale, rapid heart beat, and cold sweats. The patient is suffering from: Rationale: Harding, M., Kwong, J., Roberts, D., Hagler, D., & Reinisch, C. (2020). Lewis’s Medicalsurgical nursing : Assessment and management of clinical problems (11th ed.,). Elsevier, Inc. Hypoglycemia Hyperglycemia Is having a epileptic seizure Hemolytic anemia 9. A 45 yr old male patient is suspected to have meningitis. The patient is scheduled for a lumbar puncture in the AM. Which action should te nurse take to prevent complications after test: Rationale: Harding, M., Kwong, J., Roberts, D., Hagler, D., & Reinisch, C. (2020). Lewis’s Medicalsurgical nursing : Assessment and management of clinical problems (11th ed.,). Elsevier, Inc. Applying pressure to puncture site Raise head of bed 30-degree angle for comfort Encourage fluid intake Keep the patient flat for 6 to 8 hours 10. A patient had a stroke 14-days ago. Due to, the stroke patient is now at risk for dysphagia. Patient is at risk for: 6 Rationale: Harding, M., Kwong, J., Roberts, D., Hagler, D., & Reinisch, C. (2020). Lewis’s Medicalsurgical nursing : Assessment and management of clinical problems (11th ed.,). Elsevier, Inc. Maintaining balance when ambulating Choking when eating or drinking Holding objects Frequent episodes of vertigo 11. Patient is prescribed 0.8 micrograms of levothyroxine per kilogram q 12 hours. Patient weight is 92 kilograms. How much medication should the patient be given: Rationale: Harding, M., Kwong, J., Roberts, D., Hagler, D., & Reinisch, C. (2020). Lewis’s Medicalsurgical nursing : Assessment and management of clinical problems (11th ed.,). Elsevier, Inc. 153.3 mcg 147,8 mcg 147.2 mcg 145.2 mcg 12. Mr. Jackson was admitted after suffering a stroke. He has right side hemiparesis and needs help rolling over in bed. He is also incontinent of urine. He is a most risk for developing: Rationale: Harding, M., Kwong, J., Roberts, D., Hagler, D., & Reinisch, C. (2020). Lewis’s Medicalsurgical nursing : Assessment and management of clinical problems (11th ed.,). Elsevier, Inc. Hypothermia Malnutrution A skin prerssure injury UTI 7 13. A 20 year old male patient is having a grand mal seizure. What is the first action thenurse should take: Rationale: Harding, M., Kwong, J., Roberts, D., Hagler, D., & Reinisch, C. (2020). Lewis’s Medicalsurgical nursing : Assessment and management of clinical problems (11th ed.,). Elsevier, Inc. Lift the head of bed at a 30 degree angle Do not touch patient just monitor Lower bed rails in order for patient not to hit his head Lower bedrails and roll him onto his side 14. Mr. Taylor has been admitted for possible sepsis, dehydration, and mild acidosis. Which nursing action would be most appropriate to take Rationale: Harding, M., Kwong, J., Roberts, D., Hagler, D., & Reinisch, C. (2020). Lewis’s Medicalsurgical nursing : Assessment and management of clinical problems (11th ed.,). Elsevier, Inc. Give patient an injection of demerol for pain Give patient a 250 mg of Teqin (antibotic) IV every 12 hours Hang IV lactated ringers as ordered by doctor Hang Normal saline every 4 hours 15. The doctor prescribes Procrit 5000 units SQ. Where should injection be given: Rationale: Harding, M., Kwong, J., Roberts, D., Hagler, D., & Reinisch, C. (2020). Lewis’s Medicalsurgical nursing : Assessment and management of clinical problems (11th ed.,). Elsevier, Inc. Ventrogluteal muscle Vastus lateralis muscle Upper quadrant of the buttocks 10 Incontinence (urine and fecal) Poor diet All of the above 22. When assisting a patient with selecting an appropriate food choice for lunch/dinner should include all except. Select all that apply: Papa, K. (2021). Essential In-services for Long-term Care (2021st ed.). HCPro, a divison of Simplify Compliance LLC. (Original work published 2021) Lean meat Fruit Foods high in sugar Processed foods Vegetables 23. Which of the following conditions should be reported to the charge nurse immediately: Papa, K. (2021). Essential In-services for Long-term Care (2021st ed.). HCPro, a divison of Simplify Compliance LLC. (Original work published 2021) The patient with a cough. runny nose, and sneezing x 4 days The family brings a diabetic patient cookies and candy whn they visit The patient requessting to stay in bed all day and watch TV. The patient appears short of breath, swelling in lower extremities with pain. 24. A patient with emphysema is admitted to your unit. The patient is short of breath and purse lip breathing. The nurse identifies the cause as: 11 Papa, K. (2021). Essential In-services for Long-term Care (2021st ed.). HCPro, a divison of Simplify Compliance LLC. (Original work published 2021) Bronchi spasms An increase in lung vital capacity Rapid expulsion of air Air trapping and difficulty expelling air All of the above 25. A patient is admitted to your unit with a 15-year history of COPD. The nurses assessment should include monitoring for: Papa, K. (2021). Essential In-services for Long-term Care (2021st ed.). HCPro, a divison of Simplify Compliance LLC. (Original work published 2021) Accessory muscle use with breathing Chest pain Respiratory alkalosis Prolonged inspiration with ambulation