DHA Nursing Medical-Surgical Nursing

Question 1

A patient post-coronary artery bypass graft (CABG) reports sudden onset chest pain and shortness of breath on day 2. What should the nurse assess first?

Accepted Answer

Airway, breathing, and circulation (ABCs)

Answer

Pain scale rating

Answer

Last bowel movement

Answer

Urine output only

Question 2

Which laboratory value is the primary indicator of kidney function monitored in medical-surgical patients?

Accepted Answer

Serum creatinine

Answer

Haemoglobin

Answer

Serum albumin

Answer

White blood cell count

Question 3

What is the correct nursing intervention for a patient experiencing a generalised tonic-clonic seizure?

Accepted Answer

Protect the patient from injury, position on side, and time the seizure

Answer

Restrain the patient's limbs firmly

Answer

Insert a tongue depressor to prevent biting

Answer

Give oral medication immediately

Question 4

In a patient with a nasogastric (NG) tube, how should the nurse verify correct tube placement before feeding?

Accepted Answer

Aspirate gastric contents and check pH (≤5.5) or confirm with X-ray

Answer

Listen for air insufflation sounds only

Answer

Test with litmus paper placed in the mouth

Answer

Rely on patient comfort as indicator

Question 5

Which complication is most commonly associated with prolonged bed rest in post-surgical patients?

Accepted Answer

Deep vein thrombosis (DVT)

Answer

Hyperglycaemia

Answer

Hypertension

Answer

Hyperkalaemia

Question 6

A patient with type 2 diabetes is NPO for surgery. Which nursing action is most important regarding their antidiabetic medications?

Accepted Answer

Clarify with the physician which medications to hold or adjust

Answer

Administer all medications as prescribed regardless

Answer

Double the morning insulin dose

Answer

Discontinue all medications permanently