Med Surg Exam

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| By Csschu14

Csschu14

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1/5 Questions

Which of the following patient's personal items is allowed in the OR?
- Wedding ring
- Contact lenses
- Fingernail polish
- Cosmetics

About This Quiz

The Med Surg Exam evaluates essential knowledge required for effective nursing practice in medical-surgical settings. This exam focuses on key areas including surgical procedures, patient care ethics, and management of post-operative complications. It tests understanding of critical concepts such as procedural terminology, informed consent processes, and operating room protocols.

Additionally, the exam covers recognition and response to symptoms of hypoxemia and the diagnosis and treatment of serious conditions like pulmonary embolism. Designed to prepare nursing students and professionals, this assessment ensures readiness to provide safe, ethical, and competent care throughout the surgical journey. By mastering these topics, candidates can enhance their clinical skills and confidence in managing complex patient needs in medical-surgical environments.

2.

Select all of the following that is true regarding informed consent:
- Explanation of the purpose of treatment, successful outcome probability, risks vs. benefits, alternative treatments available
- Pt must demonstrate clear understanding and comprehension of information before receiving medications
- Educate pt that after signing form, he or she is unable to withdraw consent after medication administration
- Must give consent voluntarily, without persuasion
Correct Answer(s)

A. Explanation of the purpose of treatment, successful outcome probability, risks vs. benefits, alternative treatments available
A. Pt must demonstrate clear understanding and comprehension of information before receiving medications
A. Must give consent voluntarily, without persuasion

Explanation

Informed consent is a process in which a patient is provided with all the necessary information about their treatment, including the purpose of the treatment, the probability of a successful outcome, the risks and benefits involved, and any alternative treatments available. The patient must also demonstrate a clear understanding and comprehension of this information before receiving medications. In addition, the patient must give their consent voluntarily, without any form of persuasion. This ensures that the patient is fully informed and able to make their own decisions regarding their treatment.

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3.

The following post-op patients enters the PACU c/o chest pain and dyspnea. The nurse notices the patient appears agitated. Vital signs reveal tachypnea, tachycardia, and hypotension. What is most likely the cause of the signs and symptoms?
- Hypokalemia
- MI
- Pulmonary embolism
- Heart failure
Correct Answer

A. Pulmonary embolism

Explanation

The patient in this scenario presents with chest pain, dyspnea, agitation, tachypnea, tachycardia, and hypotension. These symptoms are highly suggestive of a pulmonary embolism. A pulmonary embolism occurs when a blood clot travels to the lungs and blocks blood flow. This can lead to decreased oxygenation, causing chest pain and dyspnea. The increased heart rate and respiratory rate are the body's compensatory mechanisms to try to improve oxygenation. Hypotension can occur due to decreased cardiac output. While MI, heart failure, and hypokalemia can cause similar symptoms, the combination of signs and symptoms in this case is most consistent with a pulmonary embolism.

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1
4.

Which of the following symptoms may indicate hypoxemia?
- Rapid breathing, thready pulse, apprehension
- Abdominal breathing, bounding pulse, diaphoresis
- Weak pulse, peripheral edema, hyperactive DTRs (deep tendon reflexes)
- Pallor, shallow respirations, anxiety
Correct Answer

A. Rapid breathing, thready pulse, apprehension

Explanation

The symptoms of rapid breathing, thready pulse, and apprehension may indicate hypoxemia. Rapid breathing is the body's attempt to increase oxygen intake, while a thready pulse indicates reduced blood flow and oxygen delivery. Apprehension can be a response to the body's oxygen deprivation. These symptoms suggest that the body is not receiving enough oxygen, which is a characteristic of hypoxemia.

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Current Version
Jun 20, 2025

Quiz Edited by
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Dec 18, 2012

Quiz Created by
Csschu14

Med Surg Exam

Which of the following patient's personal items is allowed in the OR?

Quiz Preview

Select all of the following that is true regarding informed consent:

The following post-op patients enters the PACU c/o chest pain and dyspnea. The nurse notices the patient appears agitated. Vital signs reveal tachypnea, tachycardia, and hypotension. What is most likely the cause of the signs and symptoms?

Which of the following symptoms may indicate hypoxemia?