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HERZING UNIVERSITY M EDICAL-
SURGICAL NURSING EXA M 1
WITH 100% CORRECT AN SWERS
Question : The nurse is monitoring a client who has
been receiving heparin subcutaneous injections to treat a venous thrombosis. The client develops a nose bleed that does not stop after applying pressure to the nose. Which new prescription is most appropriate for this client?
Administer vitamin K
Prepare for blood transfusion
Maintain pressure until bleeding stops
Administer protamine sulfate
Correct answer: Administer protamine sulfate
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Question : The nurse is on the hospital quality
improvement team. Which is a National Patient Safety Goal that the team should work on to improve client safety?
Preventing over use of supplies
Decreasing length of hospital stays
Preventing errors during surgery
Decreasing use of overtime
Correct answer: Preventing errors during surgery
Question : The nurse is monitoring a client with a
newly placed chest tube to water seal. Which
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observation would require notifying the health care provider?
Intermittent bubbling in the water seal chamber
Pink drainage in collection chamber
Small amount of drainage on site dressing
No fluctuation with respiration
Correct answer: No fluctuation with respiration
Question : The nurse is monitoring a client
postoperatively. Which observations indicate the client has recovered from anesthesia? SELECT ALL
THAT APPLY.
Client is drowsy, but awaken if shaken
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Preoperative blood pressure 120/70 and current BP of 110/60
Oxygen saturation of 90%
Able to move all extremities
Able to breathe without difficulty
Correct answer: Able to move all extremities
Able to breathe without difficulty
Question : The nurse is reviewing arterial blood gas
(ABG) results. Which result would be of immediate concern and indicate possible respiratory failure?
pH 7.45, PaCO2 45mmHg, HCO3 28mEqL