TIA Medical-Surgical Nursing

Question 1

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

Accepted Answer

Peaked T waves

Answer

Prolonged QT interval

Answer

ST segment depression

Answer

Widened P wave

Question 2

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

Accepted Answer

Positive Chvostek's sign

Answer

Mild throat discomfort

Answer

Serum calcium of 9.0 mg/dL

Answer

Soft diet tolerance

Question 3

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

Accepted Answer

Maintain bed rest and elevate the affected limb

Answer

Massage the affected extremity

Answer

Apply a heating pad to the leg

Answer

Encourage ambulation immediately

Question 4

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

Accepted Answer

1–2 L/min via nasal cannula

Answer

6 L/min via simple face mask

Answer

10 L/min via non-rebreather mask

Answer

15 L/min via bag-valve mask

Question 5

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

Accepted Answer

Soft, formed stool from a sigmoid colostomy

Answer

No output for 48 hours

Answer

Liquid green stool from a sigmoid colostomy

Answer

Blood-tinged output on postoperative day 1

Question 6

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

Accepted Answer

Semi-Fowler's with knees flexed toward chest

Answer

Supine with legs flat

Answer

Prone position

Answer

Left lateral with head elevated 30 degrees