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Medical-Surgical Nursing Flashcards

6 cards from real TIA practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

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  1. A patient with chronic kidney disease has a serum potassium of 6.2 mEq/L. Which ECG change does the nurse anticipate?

    Answer: Peaked T waves

    Hyperkalemia characteristically produces peaked (tall, narrow) T waves on the ECG.

  2. A nurse is caring for a patient post-thyroidectomy. Which finding requires immediate intervention?

    Answer: Positive Chvostek's sign

    A positive Chvostek's sign indicates hypocalcemia, a life-threatening complication after thyroidectomy due to inadvertent parathyroid removal.

  3. Which intervention is most important for a patient with a new diagnosis of deep vein thrombosis (DVT)?

    Answer: Maintain bed rest and elevate the affected limb

    Bed rest with limb elevation reduces venous pressure and minimizes risk of embolization in acute DVT.

  4. A patient with COPD is receiving supplemental oxygen. Which oxygen flow rate is safest to start with?

    Answer: 1–2 L/min via nasal cannula

    Patients with COPD rely on hypoxic drive; high-flow oxygen can suppress respiratory drive, so low-flow 1–2 L/min is safest.

  5. A patient undergoes a colostomy. Which stool output description indicates the ostomy is functioning normally?

    Answer: Soft, formed stool from a sigmoid colostomy

    A sigmoid colostomy produces soft, formed stool similar to normal bowel movements because it is located in the distal colon.

  6. A nurse is caring for a patient in acute pancreatitis. Which position provides the most comfort?

    Answer: Semi-Fowler's with knees flexed toward chest

    The fetal or knee-chest position reduces tension on the inflamed pancreas and relieves abdominal pain.

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