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

Following cardiac surgery, sudden chest pain and dyspnoea may indicate life-threatening complications such as cardiac tamponade or pulmonary embolism, requiring immediate ABC assessment.

Question 2

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

Accepted Answer

Serum creatinine

Answer

Serum creatinine is the most reliable routine indicator of glomerular filtration rate and overall kidney function in clinical settings.

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

During a seizure, nurses must protect the patient from injury, turn them to the side to prevent aspiration, and time the event to guide medical management.

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

Aspirating gastric contents and checking pH ≤5.5 or confirming with X-ray are evidence-based methods to verify NG tube placement and prevent aspiration.

Question 5

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

Accepted Answer

Deep vein thrombosis (DVT)

Answer

Venous stasis from immobility during prolonged bed rest is the primary risk factor for deep vein thrombosis in post-surgical patients.

DHA Nursing Practice Test

DHA Nursing Practice Test

DHA Nursing Medical-Surgical Nursing