NURS 320 Med Surge Tophat Questions

NURS 320 Med Surge Tophat Questions and Verified Answers, 100% Guarantee Pass (Latest 2025) Which meal option should the nurse select for a patient on a low-sodium diet?

• Bologna sandwich on whole wheat bread, potato chips,

sliced cucumbers and iced tea

• Spaghetti with sausage, green salad, hard-crust bread, and

diet cola

• Baked chicken, corn on the cob, dinner roll, and milk
• Steak, broccoli with cheese sauce, crackers and hot tea -

Correct Answers ✅C A nurse receives a phone call that patient is extremely upset, angry and learns from the patient that he has a gun on the table. Which action is most appropriate by the nurse?

• Use therapeutic communication and allow the patient to

vent his feelings

• Elicit from the patient any plan for self harm
• Remind the patient that killing himself is not the way to

handle problems

• Keep the patient talking while another nurse contacts the

police - Correct Answers ✅D After tripping over a rug in the house, the patient arrives in the ER with a sprained ankle along with minor swelling and foot abrasions. What rationale explains why the nurse should apply cold therapy to the area immediately after the injury? 1 / 4

NURS 320 Med Surge Tophat Questions and Verified Answers, 100% Guarantee Pass (Latest 2025)

• Reduce the body's temperature
• Increase circulation to the area
• Aid in resorbing the edema
• Relieve pain and control bleeding - Correct Answers ✅D

The patient reports having frequent episodes of palpitations but denies having chest pain. Which follow-up question would be best for the nurse to ask in order to assess the patient's condition?

• Have you noticed shortness of breath when lying flat?
• Do your shoes feel unusually tight?
• Do you feel dizzy or lightheaded?
• Does anyone in your family have a history of palpitations

or heart disease? - Correct Answers ✅C

rationale: Focus on palpitations which does circulation of the

body When caring for an immobile client, which diagnosis is priority? Risk for...

• Fluid Volume Deficit
• Impaired Gas Exchange
• Impaired Skin Integrity
• Altered Tissue Perfusion - Correct Answers ✅B 2 / 4

NURS 320 Med Surge Tophat Questions and Verified Answers, 100% Guarantee Pass (Latest 2025)

rationale: Priority! Worst for Fluid Volume Deficit is

dehydration, Impaired Gas Exchange is no being able to breathe, Impaired Skin Integrity is pressure ulcer/skin breakdown, and Altered Tissue Perfusion is circulation which is not as important as not being able to breathe What should the nurse do next when a patient demonstrated labored shallow respirations and a respiratory rate of 32/min with a pulse oximetry of 85%?

• Assess the lung sounds
• Place in high fowler's position
• Notify the physician and request a breathing treatment
• Encourage cough and deep breathing - Correct Answers

✅B Which action should the nurse perform first when caring for a client who begins to experience a sudden onset of chest pain, shortness of breath, wheezing, cough and watery eyes and the nurse suspects an allergic reaction?

• Transfer the patient to the intensive care unit
• Remove all allergens from the room
• Notify the doctor
• Administer Epinephrine
• Assess the pulse ox - Correct Answers ✅D 3 / 4

NURS 320 Med Surge Tophat Questions and Verified Answers, 100% Guarantee Pass (Latest 2025)

rationale: If you see to administer something, you pick that

answer. From now on, you can assume you have everything.You can transfer patient to ICU if the epinephrine doesn't work. You can remove all allergens but not first. You can notify the doctor if there's nothing else you can do as a nurse, which is to provide the best care for the patient. You don't need the pulse ox to know that the patient is having an anaphylaxis reaction.A triage nurse, working in the Emergency Room received four admissions. Which patient should the nurse see first?

• A 40 year old client who is diaphoretic and complains of

chest pain

• A 18 year old client who thinks he might have a broken

tooth from playin football

• A 35 year old client who cut her finger with a knife while

preparing food

• A 60 year old client who is dyspneic and has swollen lips

after being stung by a bee - Correct Answers ✅D

rationale: Dyspneic- not breathing or able to breath except

with difficulty; ABCs = 1st priority Which patient should the emergency room nurse list as urgent?

• Patient A admitted to ER with chest discomfort and

shortness of breath

• / 4