Quiz: Test Your Med Surg Alternate Item Formats Knowledge!

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Quiz: Test Your Med Surg Alternate Item Formats Knowledge! - Quiz

The "Test Your Med Surg Alternate Item Formats Knowledge!" quiz is specifically designed to challenge and evaluate your understanding of key concepts related to Medical-Surgical Nursing. The quiz covers essential topics such as patient care, medication administration, diagnostic testing, dietary considerations, and various medical conditions.

With a focus on alternate item formats, the quiz offers a robust assessment of your nursing skills and knowledge in a medical-surgical setting. Comprising multiple-choice questions, it provides an opportunity for nurses, students, and healthcare professionals to test their proficiency and readiness in handling complex medical-surgical scenarios.

Whether you're a novice or a practitioner, this Med Surg Read moreAlternate Item Formats Quiz offers valuable insights into your Med Surg expertise.


Questions and Answers
  • 1. 

    A patient with chronic kidney disease is experiencing hyperkalemia. Which of the following medications would be most appropriate to administer?

    • A.

      Calcium gluconate

    • B.

      Kayexalate

    • C.

      Furosemide

    • D.

      Magnesium sulfate

    Correct Answer
    B. Kayexalate
    Explanation
    Kayexalate is used to treat hyperkalemia (elevated potassium levels) as it works by binding to potassium in the intestines so that it can be eliminated from the body.

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  • 2. 

    Which of the following assessments would be a priority for a patient who just underwent a thyroidectomy?

    • A.

      Blood pressure

    • B.

      Bowel sounds

    • C.

      Respiratory rate

    • D.

      Urine output

    Correct Answer
    C. Respiratory rate
    Explanation
    After a thyroidectomy, the nurse should assess the respiratory rate due to potential swelling or bleeding that could compress the trachea, leading to respiratory distress.

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  • 3. 

    A patient diagnosed with congestive heart failure has 2+ edema. Which nursing intervention is most appropriate?

    • A.

      Encourage increased fluid intake.

    • B.

      Elevate the extremities

    • C.

      Administer diuretics as ordered.

    • D.

      Apply heat to the affected areas

    Correct Answer
    B. Elevate the extremities
    Explanation
    Elevating the extremities helps reduce edema by encouraging the return of venous blood to the heart, which can be particularly beneficial for a patient with congestive heart failure.

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  • 4. 

    What would be the priority nursing intervention for a patient experiencing an acute myocardial infarction (MI)?

    • A.

      Administer morphine

    • B.

      Obtain an EKG

    • C.

      Administer aspirin

    • D.

      Apply oxygen

    Correct Answer
    D. Apply oxygen
    Explanation
    Applying oxygen to a patient experiencing an acute myocardial infarction (MI) helps increase the oxygen supply to the heart muscle, which can minimize damage.

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  • 5. 

    In a patient with acute pancreatitis, which laboratory value would the nurse monitor closely?

    • A.

      Hemoglobin

    • B.

      Serum amylase

    • C.

      Platelet count

    • D.

      White blood cell count

    Correct Answer
    B. Serum amylase
    Explanation
    Serum amylase levels often increase with acute pancreatitis, making it a key laboratory value to monitor for this condition.

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  • 6. 

    For a patient with a suspected pulmonary embolism, which diagnostic test is most likely to be ordered?

    • A.

      Bronchoscopy

    • B.

      Chest X-ray

    • C.

      CT angiography

    • D.

      Spirometry

    Correct Answer
    C. CT angiography
    Explanation
    CT angiography is the preferred diagnostic test for a suspected pulmonary embolism, as it can provide detailed images of blood vessels in the lungs.

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  • 7. 

    Which of the following is the most appropriate nursing action for a patient with a newly inserted central venous catheter?

    • A.

      Encourage deep breathing and coughing.

    • B.

      Monitor for signs of infection.

    • C.

      Administer IV fluids at a rapid rate.

    • D.

      Encourage the patient to avoid movement.

    Correct Answer
    B. Monitor for signs of infection.
    Explanation
    Monitoring for signs of infection is vital for a patient with a newly inserted central venous catheter, as infections associated with these catheters can be serious.

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  • 8. 

    A patient with diabetes is being discharged. What teaching is most important for the nurse to include?

    • A.

      Avoid exercise

    • B.

      Follow a regular meal plan.

    • C.

      Take medication only when symptomatic.

    • D.

      Increase carbohydrate intake

    Correct Answer
    B. Follow a regular meal plan.
    Explanation
    Following a regular meal plan is essential for diabetes management to help maintain stable blood glucose levels.

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  • 9. 

    Which of the following is an early sign of hypoxia that the nurse should recognize?

    • A.

      Cyanosis

    • B.

      Restlessness

    • C.

      Clubbing of fingers

    • D.

      Bradycardia

    Correct Answer
    B. Restlessness
    Explanation
    Restlessness is an early sign of hypoxia, as inadequate oxygenation can lead to anxiety and agitation.

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  • 10. 

    A patient is experiencing malignant hyperthermia during surgery. What medication is most commonly administered to treat this condition?

    • A.

      Epinephrine

    • B.

      Nifedipine

    • C.

      Dantrolene

    • D.

      Metoprolol

    Correct Answer
    C. Dantrolene
    Explanation
    Dantrolene is the medication most commonly used to treat malignant hyperthermia, a potentially life-threatening reaction to certain anesthetics.

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  • 11. 

    A nurse is preparing to administer blood to a patient with anemia. Which type of IV solution should be used to prime the tubing?

    • A.

      0.9% NaCl

    • B.

      5% Dextrose in Water

    • C.

      Lactated Ringer's

    • D.

      0.45% NaCl

    Correct Answer
    A. 0.9% NaCl
    Explanation
    0.9% NaCl (normal saline) is the preferred solution for priming tubing for blood transfusion, as it is isotonic and compatible with blood.

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  • 12. 

    A patient with a history of chronic obstructive pulmonary disease (COPD) is prescribed supplemental oxygen therapy. What is the most appropriate delivery method for this patient?

    • A.

      Non-rebreather mask

    • B.

      Nasal cannula

    • C.

      Venturi mask

    • D.

      Face tent

    Correct Answer
    B. Nasal cannula
    Explanation
    A nasal cannula is typically used for patients with COPD to provide supplemental oxygen, as it allows for a more controlled and often lower flow of oxygen.

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  • 13. 

    Which of the following symptoms in a patient who has just had hip replacement surgery may indicate a pulmonary embolism?

    • A.

      Joint stiffness

    • B.

      Sudden dyspnea

    • C.

      Hip pain

    • D.

      Urinary retention

    Correct Answer
    B. Sudden dyspnea
    Explanation
    Sudden shortness of breath or dyspnea may indicate a pulmonary embolism, a potentially serious complication following hip replacement surgery.

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  • 14. 

    A patient is prescribed warfarin therapy. Which food should the nurse instruct the patient to avoid due to its potential to interact with the medication?

    • A.

      Grapefruit

    • B.

      Potatoes

    • C.

      Spinach

    • D.

      Apples

    Correct Answer
    C. Spinach
    Explanation
    Spinach is high in Vitamin K, which can counteract the effects of warfarin, a blood thinner. Patients on warfarin should consume consistent amounts of Vitamin K and avoid sudden changes in intake.

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  • 15. 

    A patient with heart failure is prescribed a low-sodium diet. Which food option should the nurse instruct the patient to choose?

    • A.

      Canned soup

    • B.

      Salted pretzels

    • C.

      Fresh fruits and vegetables

    • D.

      Processed cheese

    Correct Answer
    C. Fresh fruits and vegetables
    Explanation
    Fresh fruits and vegetables are generally low in sodium and would be suitable for a patient with heart failure on a low-sodium diet, unlike processed or salted foods.

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Our quizzes are rigorously reviewed, monitored and continuously updated by our expert board to maintain accuracy, relevance, and timeliness.

  • Current Version
  • Aug 09, 2023
    Quiz Edited by
    ProProfs Editorial Team
  • Aug 09, 2023
    Quiz Created by
    Smriti Singh
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