Med Surg Proctored Exam (Critical Care Regular Exam) Practice Questions

Select one answer.

• Ensure the client is sitting in an upright position.
• Call the respiratory therapist in anticipation of intubating the client.
• Prepare to place a Foley catheter in anticipation of giving Lasix.
• Apply oxygen.

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• Administering a cough suppressant as needed.
• Assisting the client to a prone position.
• Obtaining arterial blood gas values immediately after the procedure.
• Applying oxygen via nasal cannula.

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• “If my stockings feel tight, I’ll just roll them down for a while.”
• “I’ll put on my elastic stockings at the first sign of swelling.”
• “When I sit down to watch television, I’ll be sure to put my feet up.”
• “It is okay to cross my legs as long as it is less than one hour.”

(Select All that Apply.)

• Decreased cardiac output.
• Increased pulse rate.
• Postural hypotension.
• Bounding pulse.
• Weak thready pulse.
• Hypertension.
• Capillary refill greater than 3 seconds.
• Capillary refill less than 3 seconds.
• Pink frothy sputum.

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• Nausea, vomiting, depression, fatigue, and impotence.
• Sedation, nausea, vomiting, constipation, and respiratory depression.
• Headache, hypotension, dizziness, and flushing.
• Flushing, dizziness, headache, and pedal edema.

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• Initiate seizure precautions.
• Tell the client to report vision changes.
• Elevate the head of the client’s bed.
• Start a peripheral IV.

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• Nonmaleficence.
• Fidelity.
• Beneficence.
• Veracity.

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• Shortness of breath.
• Lightheadedness.
• Dry cough.
• Bitter taste in the mouth.

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• Failure to analyze the level of care needed by the patient.
• Failure to respect the patient’s wishes.
• Wrongful death.
• Failure to take appropriate action.

(Select All that Apply.)

• Hyponatremia.
• Hypocalcemia.
• Hyperkalemia.
• Hypokalemia.
• Metabolic acidosis.
• Metabolic alkalosis.

Select one answer.

• Initiate antibiotics.
• Obtain blood and sputum cultures.
• Implement airborne precautions.
• Insert indwelling urinary catheter.

(Select All that Apply.)

• The client will verbalize the need for adequate fluid and nutrition intake.
• The client will have adequate urinary output.
• The client will be free from respiratory distress.
• The client’s skin will be warm and dry.
• The client will have palpable peripheral pulses.

Select one answer.

• The client with suction pressure set at -20 cmH2O.
• The client with bubbling in the drainage tubing.
• The client whose drainage system is standing on the floor.
• The client with continuous bubbling in the drainage chamber.

(Select All that Apply.)

• Pedal pulse 88 beats/min, bilaterally.
• No swelling noted in lower extremities.
• Spontaneous respirations, 16 breaths/minute.
• Pulse oximeter reading 93%.
• Pain scored 5 out of 10, decreased from high of 10.
• Temperature 98.6°F.

Select one answer.

• Patient with respiratory rate of 10 breaths/min who is breathing deeply.
• Patient with a respiratory rate of 8 breaths/min who is snoring.
• Patient with blood pressure of 150/75 mm Hg and heart rate of 102 beats/min.
• Patient with a temperature of 100.5°F who is asleep but easily roused.

Select one answer.

• “The operating room is prepared; let’s not keep the surgeon waiting.”
• “You have the right to cancel surgery, but it could be weeks before you are rescheduled.”
• “You sound frightened; tell me what you are thinking.”
• “Your preoperative medications will have you feeling more relaxed in a minute, it will be fine.”

Select one answer.

• The nurse discusses the pulse oximetry findings with the client.
• The client has the pulse oximeter and automatic blood pressure cuff on the same arm.
• The pulse oximeter is placed on the ring finger of the client’s right hand.
• The nurse instructs nursing assistive personnel to obtain a pulse oximetry reading.