MEDSURG FINAL EXAM/ STUDY GUIDE CORRECT QUESTIONS AND ANSWERS

MEDSURG FINAL EXAM/ STUDY GUIDE

CORRECT QUESTIONS AND ANSWERS

1.    When assessing a client who spilled hot oil on the right leg and foot, the nurse notes that the skin is white, ,dry, inelastic, pale, hard, severely edematous skin. The client state's that not all of the burn areas are painful. What term would the nurse use to document the burn depth?

a.    A. deep partial-thickness burn

b.    Deep full-thickness burn

c.    Full-thickness burn

d.    Superficial partial-thickness burn

2.    Which action by a new registered nurse (RN) who is orienting to the telemetry unit indicates a good understanding of the treatment of heart dysrhythmias?

a.    Gives the prescribed dose of diltiazem to a client with new-onset type 11 second degree AV block

b.    Turns the synchronizer switch to the “on” position before the defibrillating a client with ventricular fibrillation

c.    Prepares defibrillator settings at 360 joules for a client whose monitor shows asystole

d.    Injects IV adenosine over 2 seconds to a client with supraventricular tachycardia

3.    The nurse is to administer 1200mg of ceftazidime (fortaz) IVPB every 12 hours to an immunocompromised client. The vial contains 2 grams of powdered antibiotic to which 11 mL of sterile diluent is to be added to reconstitute. After reconstitution, the resulting solution yields one gram of drug per 6mL of solution. How many mL of antibiotic solution will the nurse withdraw from the vial to be added to the piggyback of 50mL normal saline?

a. 7.2

4.    The nurse is caring for a client who is manifesting signs of impending shock. The health care provider orders 50% FiO2 using a venturi mask. The nurse finds the mask fits snuggly, and the skin under the mask and straps are intact. The flow rate of the oxygen is at 3L/min as noted on the wall oxygen regulator. What action by the nurses best?

a.    Increase oxygen flow rate

b.    Notify the physician immediately

c.    Document these findings in the chart

d.    Turn the flow rate own to ha2L/min