Saudi Prometric Nursing Medical-Surgical Nursing

Question 1

A patient with type 2 diabetes is prescribed metformin. Which condition is a contraindication to metformin therapy?

Accepted Answer

Chronic kidney disease (eGFR <30 mL/min)

Answer

Hypertension

Answer

Obesity

Answer

Hypercholesterolemia

Question 2

A nurse is caring for a patient following a myocardial infarction. The patient develops new ST elevation in leads II, III, and aVF. Which area of the heart is most likely affected?

Accepted Answer

Inferior wall

Answer

Anterior wall

Answer

Lateral wall

Answer

Posterior wall

Question 3

A patient with chronic obstructive pulmonary disease (COPD) is admitted with acute exacerbation. Which oxygen delivery method and target saturation is most appropriate?

Accepted Answer

Controlled oxygen via Venturi mask, target SpO2 88–92%

Answer

High-flow oxygen via non-rebreather mask, target SpO2 95–100%

Answer

Nasal cannula at 6 L/min

Answer

Bilevel positive airway pressure (BiPAP) immediately

Question 4

The nurse is caring for a patient post-thyroidectomy. Which finding should the nurse assess for as the most serious immediate complication?

Accepted Answer

Stridor and respiratory distress

Answer

Mild hoarseness

Answer

Hypokalemia

Answer

Facial flushing

Question 5

A patient is prescribed digoxin. Which assessment finding requires the nurse to withhold the medication and notify the physician?

Accepted Answer

Apical pulse of 52 beats per minute

Answer

Blood pressure of 130/82 mmHg

Answer

Serum potassium of 3.8 mEq/L

Answer

Serum sodium of 138 mEq/L

Question 6

The nurse assesses a patient and finds pitting edema in both ankles rated 3+. What does this finding indicate?

Accepted Answer

The indentation persists for more than 1 minute and is 5–6 mm deep

Answer

The indentation disappears immediately

Answer

The indentation is 1–2 mm deep and rebounds quickly

Answer

The indentation is >8 mm and does not rebound