Skip to ContentGo to accessibility pageKeyboard shortcuts menu
OpenStax Logo
Medical-Surgical Nursing

Review Questions

Medical-Surgical NursingReview Questions

Review Questions

1 .
The nurse is caring for a patient admitted to the ICU for hypovolemic shock. After assessing the patient, the nurse calculates the SOFA score to be 5. What statement accurately describes the significance of the calculated score?
  1. All assessment findings were within normal range.
  2. It is likely that the patient has a mild risk of organ failure.
  3. The patient is experiencing severe symptoms that result in high risk of organ failure.
  4. Based on the score alone, it is not possible to determine the patient’s risk of organ failure.
2 .
The nurse is caring for a newly admitted patient in the ICU. Upon assessment, the nurse notes that the patient is breathing at a rate of seven breaths per minute and oxygen saturation is 84%. What action is most appropriate for the nurse to take at this time?
  1. Administer an opioid analgesic via IV push.
  2. Request an order for a vasopressor medication.
  3. Initiate a referral with the palliative care team.
  4. Prepare the patient for intubation at the bedside.
3 .
The nurse preceptor is explaining the function of an IABP to a new graduate nurse. What statement by the new graduate nurse would indicate understanding?
  1. “The balloon is inflated during systole.”
  2. “IABPs work by increasing afterload.”
  3. “The balloon helps perfuse the coronary arteries.”
  4. “The IABP functions as an artificial heart for the patient.”
4 .
What medication would the critical care nurse anticipate being ordered for a patient exhibiting severe hypotension?
  1. carvedilol (Coreg)
  2. furosemide (Lasix)
  3. nitroglycerin (Tridil)
  4. norepinephrine (Levophed)
5 .
What clinical condition would predispose the patient to cardiogenic shock?
  1. congestive heart failure
  2. acute respiratory distress syndrome
  3. myocardial infarction
  4. pleural effusion
6 .
What patient is most at risk for developing ARDS?
  1. a patient with mild influenza
  2. a smoker with a history of lung cancer
  3. a survivor of a near-drowning experience
  4. a person with a history of chronic obstructive pulmonary disorder
7 .
The nurse preceptor is educating a student nurse about prevention strategies for VAP. What statement by the nurse indicates an understanding of the teaching?
  1. “I will keep the patient’s head of bed at 20°.”
  2. “It is important to clean the patient’s mouth with water only.”
  3. “Once per day, we need to turn off all sedative medications.”
  4. “The endotracheal cuff should be deflated daily to see how the patient tolerates it.”
8 .
What laboratory value would be indicative of hypercapnic respiratory failure?
  1. PaCO2 52 mm Hg
  2. HCO3− 23 mEq/L
  3. PaO2 85 mm Hg
  4. pH 7.40
9 .
The critical care nurse is taking care of a patient with traumatic brain injury who is receiving a continuous IV mannitol infusion. What is an example of a finding that would alert the nurse that the patient may be experiencing a side effect of the medication?
  1. blood pressure of 125/86 mm Hg
  2. decreased LOC
  3. heart rate of 55 beats/min
  4. bounding peripheral pulses
10 .
A patient is at risk of increased ICP. What might the nurse anticipate in the patient’s medical history that contributes to this risk?
  1. microcephaly
  2. core body temperature of 37 degrees Celsius
  3. meningitis
  4. diabetes mellitus
11 .
The nurse is reviewing the patient’s chart and observes the BUN level has elevated to 40 mg/dL and the creatinine level is 2.6 mg/dL, which is doubled from the day before. What order would most concern the nurse for this patient?
  1. Diltiazem XR 320 mg daily.
  2. Vancomycin 1,000 mg intravenously twice a day.
  3. Warfarin 2 mg daily.
  4. Normal saline 0.9% 100 mL/h intravenously.
12 .
What would likely be a prerenal cause for AKI?
  1. hemorrhage
  2. benign prostatic hypertrophy
  3. contrast media
  4. renal cell carcinoma
13 .
A preceptor is reviewing the graduate nurse’s understanding of the critically ill patient’s risk of muscular atrophy. What statement made by the graduate nurse would prompt the preceptor to provide more education?
  1. “Assessing the patient’s range of motion can help determine their risk for muscle atrophy.”
  2. “A muscle strength rating of 5 indicates the patient has no atrophy of that muscle.”
  3. “It is important to keep the patient on strict bed rest because they are connected to a ventilator.”
  4. “I will perform range of motion exercises often to prevent the patient from getting a contracture.”
PreviousNext
Citation/Attribution

This book may not be used in the training of large language models or otherwise be ingested into large language models or generative AI offerings without OpenStax's permission.

Want to cite, share, or modify this book? This book uses the Creative Commons Attribution License and you must attribute OpenStax.

Attribution information
  • If you are redistributing all or part of this book in a print format, then you must include on every physical page the following attribution:
    Access for free at https://openstax.org/books/medical-surgical-nursing/pages/1-introduction
  • If you are redistributing all or part of this book in a digital format, then you must include on every digital page view the following attribution:
    Access for free at https://openstax.org/books/medical-surgical-nursing/pages/1-introduction
Citation information

© Sep 20, 2024 OpenStax. Textbook content produced by OpenStax is licensed under a Creative Commons Attribution License . The OpenStax name, OpenStax logo, OpenStax book covers, OpenStax CNX name, and OpenStax CNX logo are not subject to the Creative Commons license and may not be reproduced without the prior and express written consent of Rice University.