NSG233/ NSG 233 Exam 1: (New 2024/ 2025 Update) Med Surg III | Questions and Verified Answ, Exams of Medical Sciences

Download NSG233/ NSG 233 Exam 1: (New 2024/ 2025 Update) Med Surg III | Questions and Verified Answ and more Exams Medical Sciences in PDF only on Docsity! NSG233/ NSG 233 Exam 1: (New 2024/ 2025 Update) Med Surg III | Questions and Verified Answers| 100% Correct| A Grade – Herzing QUESTION A client admitted to Ed for alcohol withdrawal syndrome patient received IV Ativan for hallucinations and agitation what is the most important intervention to implement Answer: Keep low lighting QUESTION Treatment for Tylenol overdose Answer: Acetylcysteine QUESTION The nurse is setting up PCA for a client who has multiple fractures from a car accident, the education includes what the PCA pump SATA Answer: ● Morphine will be delivered when they push the button ● The nurse will be monitoring the vitals QUESTION The nurse is caring for a patient with a laceration on the forearm, what should the nurse do first? Answer: x● Asses for tetanus QUESTION The nurse is caring for patient with fracture forearm with multiple bruises with the partner in the room what interventions should the nurse do next? Answer: Tell the partner to step out QUESTION Which situation would have a CISM? Answer: baby died from shaken baby syndrome QUESTION Three-year-old came in the Ed who ingested a corrosive substance, what is the priority? Answer: Assess airway for obstruction QUESTION The triage nurse is working in ED which client should be seen first Answer: Client who reports rape QUESTION The nurse is caring for a client who came into the ER for hypovolemic shock due to hemorrhage what fluids are giving initially? QUESTION Which of the following is the priority intervention of the nurse when caring for a client who brought in for a hypovolemic shock Answer: Fluid resuscitation QUESTION A client is being brought into the Ed for an allergic reaction to shellfish, what should the nurse administer first? Answer: Epinephrine QUESTION ICU nurse is monitoring a client with sepsis, she monitoring signs of MOD, what are the early signs of MODS?- Answer: ● Dyspnea ● SOB QUESTION Nurse is caring for a patient with septicemia, what objective data should alert the nurse to call the HCP? Answer: Urine output of 50 mL for 2 hours QUESTION You the triage nurse which patient is a priority? Answer: 56- year old diaphoretic and chest pain QUESTION A client is brought to ER for carbon monoxide poisoning, the client is confused, the client has cherry red lips, and the client admits it was a suicide attempt and still wants to die, what is the priority? Answer: Asses carboxyhemoglobin levels QUESTION The nurse is caring for a patient who has suffered a crush injury from a building collapse, what will alert the nurse that it is a rhabdomyolysis condition as a complication? Answer: Dark urine, and myalgia and muscle weakness QUESTION In the ER have a family of a deceased client they asked if they can see the patient, and the therapeutic response would be what? Answer: Let me make arrangements and see what I can do to spend time with your loved one QUESTION A client is brought to ER after a car accident the client has multiple abdomen contusions and known internal bleeding that needs emergency surgery, what would prompt the nurse said by the client to alert OR right away? Answer: Last meal 1 hour ago QUESTION A two-year-old with muscular dystrophy wheezing and coughing from swallowing a toy, and the piece is removed what is the priority action by a nurse after surgery? Answer: Monitor for side effects of anesthesia QUESTION The nurse develops a diagnosis of alteration discomfort of fever and chills for a patient with sepsis what could be included in the plan of care? Answer: Antipyretic every four hours as needed QUESTION The client was admitted to ER with elevated VS and possible sepsis which is the highest priority Answer: Blood cultures QUESTION Icu nurse monitoring a patient with shock who is receiving rapid IV infusion for fluid resuscitation, they have SOB, decreased pulse pressure, oliguria, and absence of bowel sound, what does the patient have? Answer: Abdominal compartment syndrome QUESTION 84 yr old comes into the ER patient has cool paled modeled skin, confusion and lethargy, BP 99/58, temp 97.2, pulse 104, RR: 28, 89% SpO2, the monitor she is in Afib. the symptoms are MOST related to what condition? Answer: Cardiogenic shock QUESTION The Ed nurse is assessing a client after a nonfatal drowning event at the beach, which assessment data would need immediate intervention Answer: Pink frothy sputum QUESTION A nurse in the ER is receiving a client after a car accident, the client is complaining about severe abdominal pain, is cool and sweating, diaphoresis, tachycardia, anxiety, hypotension has a giant hematoma What does the nurse do first is extreme anxiety? Answer: Start the IV QUESTION A client is admitted with blunt chest trauma from a car accident which of the following manifestation that the client has a tension pneumothorax? Answer: Tracheal shift and cyanosis QUESTION The ER nurse is precepting a student and providing information on different kinds of pneumothorax, which one would be the greatest risk for a spontaneous pneumothorax? Answer: Someone with severe chronic emphysema QUESTION The er nurse is assisting in rewarming a patient with hypothermia whose temp was 88, what complications should the nurse monitor for? Answer: Ventricular fibrillation QUESTION If a client is experiencing panic, violent and erratic behavior, or psychosis brought in by the police, what is the immediate goal for the staff? Answer: Gaining control of the situation QUESTION The ER nurse is caring for a client with frostbite on the feet, what is a good intervention to implement? Answer: Soak the feet in warm water QUESTION A client is admitted to ER with a blood pressure of 94/78 pulse of 110 temp 97.1, RR: 22 skin is cold and clammy, and tachycardic, what nursing intervention takes priority Answer: Establish an IV line QUESTION The ICU manager is conducting a review class on shock for a group of new hires, what statement should be included in the review?- Answer: In the compensatory phase may become uncooperative