MED/ SURG PROCTORED LEVEL 3 100 CORRECT QUESTIONS AND ANSWERS

MED/ SURG PROCTORED LEVEL 3

100 CORRECT QUESTIONS AND ANSWERS

1)  A nurse is monitoring a client who is receiving two units packed RBC's. Which of the following manifestation indicates a hemolytic transfusion reaction?

a)  Back pain

b)  Hypertension

c)  Chills

d)  Bradycardia

2)  A nurse is reviewing laboratory results for four clients who are scheduled for surgery. Which of the following laboratory values should the nurse report to the provider?

a)  WBC 8,000

b)  Platelets 95,000

c)  INR 1.6

d)  HCT 42%

3)  A nurse is preparing to administer a unit of packed RBC to a client. Which of the following actions should the nurse plan to take?

a)  Initiate venous access with a 21 gauge needle

b)  Use y-tubing with 0.9% NaCl when administering the transfusion

c)  Administer the unit of RBC over 1 hour

d)  Obtain the clients first set of vital signs 1 hr. after initiating the transfusion

4)  A nurse in the emergency department admitted a client who is having a myocardial infarction. The client has been placed on the heart monitor. Which of the following electrocardiogram strips is indicative of a myocardial infarction?

5)Positive Chvostek's sign. B

6)  A nurse is planning care for a client who is receiving heparin IV to treat a pulmonary embolism. Which of the following medications should the nurse plan to have at the bedside?

a)  Vitamin K

b)  Acetylcysteine

c)  Protamine sulfate

d)  Flumazenil

7)  A nurse is reviewing the medical record of a client who is 1 day postoperative following an appendectomy. Which of the following findings should the nurse report to the provider?

A) Reports pain of 4 on a scale from 0 to 10 when coughing

B)  WBC count 8,400/mm3

C)  Serosanguineous exudate noted on dressing change

D)  Hemoglobin 10 mg/ dL

8)  A nurse is teaching the family of a client who has Alzheimer's disease about caring for the client at home. Which of the following instructions should the nurse include?

A) Cover electrical outlets in the client's home with tape.

B)  Keep the client's bedroom dark at night.

C)  Hang a monthly calendar in the client's bedroom

D)  Place a large-face clock in the client's bedroom