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NUR 390 Med Surg Proctored Exam Practice Questions

Practice NUR 390 Med Surg Proctored Exam Practice Questions. Review each answer with explanations when available.

Nursing Test BankNUR 390 Med Surg Proctored Exam Practice Questions79 questions16 question preview
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Question 1 of 16Single-Select Multiple Choice

Anyone can become dehydrated and go into hypovolemic shock, but some people are more at risk than others. Which of the following patients is the least likely to develop hypovolemic shock?

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Question 2 of 16Single-Select Multiple Choice

A patient has just received his first dose of cephalexin, an antibiotic.

Shortly after, he develops dyspnea with wheezing on auscultation, swollen pink lips, and difficulty swallowing.

The nurse is aware this is a hypersensitivity reaction with angioedema that could lead to anaphylactic shock.

Which medication would the nurse be prepared to administer promptly?

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Question 3 of 16Single-Select Multiple Choice

A nurse is caring for a patient with sepsis. According to best practice and the Surviving Sepsis guidelines, which step should always be done before administering a broad-spectrum antibiotic?

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Question 4 of 16Single-Select Multiple Choice

A newly admitted patient has a confirmed DVT in his right leg.

He turns his call light on and complains of pain in his upper chest when he inhales.

He is notably diaphoretic with dyspnea.

The nurse suspects which complication is occurring?

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Question 5 of 16Single-Select Multiple Choice

A nurse assesses a patient with diabetes mellitus three hours after a surgical procedure and notes that the patient's breath has a "fruity" odor.
What action would the nurse take?

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Question 6 of 16Single-Select Multiple Choice

A patient is in the hospital after experiencing a myocardial infarction and has bathroom privileges.

The nurse assists the patient to the bathroom and notes the patient's O₂ saturation is 95%, their pulse is 88 beats/min, and their respiratory rate is 16 breaths/min after returning to bed.

What action by the nurse is best?

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Question 7 of 16Single-Select Multiple Choice

A patient in the cardiac stepdown unit reports severe, crushing chest pain accompanied by nausea and vomiting.
What action by the nurse takes priority?

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Question 8 of 16Single-Select Multiple Choice

A nurse is caring for four patients. Which patient would the nurse assess first?

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Question 9 of 16Single-Select Multiple Choice

A patient had an inferior wall myocardial infarction (MI). The nurse notes the patient's cardiac rhythm. Which action by the nurse is most important?

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Question 10 of 16Multiple-Select / Select All That Apply (SATA)

A nurse is reviewing discharge education with a patient who is healing after a pulmonary embolism and taking warfarin.
Which of the following statements by the patient indicate a correct understanding of the teaching?

(Select All that Apply.)

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Question 11 of 16Single-Select Multiple Choice

A nurse prepares to defibrillate a patient who is in ventricular fibrillation. Which priority intervention would the nurse perform prior to defibrillating this patient?

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Question 12 of 16Single-Select Multiple Choice

After teaching a patient who has an implantable cardioverter-defibrillator (ICD), a nurse assesses the patient's understanding.
Which statement by the patient indicates a correct understanding of the teaching?

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Question 13 of 16Single-Select Multiple Choice

A nurse is caring for a patient who is on a cardiac monitor. The monitor displays the rhythm shown.

What action would the nurse take first?

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Question 14 of 16Single-Select Multiple Choice

A patient in the ER notes that his gums keep bleeding and the scratch he got yesterday has been bleeding on and off.
When the nurse completes the medication reconciliation, she notes that which drug may be the cause of increased bleeding?

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Question 15 of 16Single-Select Multiple Choice

A patient in the ER notes that his gums keep bleeding and the scratch he got yesterday has been bleeding on and off.
When the nurse completes the medication reconciliation, she notes that which drug may be the cause of increased bleeding?

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Question 16 of 16Single-Select Multiple Choice

A patient arrives in the emergency department after being in a car crash with fatalities. The patient has a nearly amputated leg that is bleeding profusely.

What action by the nurse takes priority?

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