MSNCB Medical-Surgical Nursing Exam Prep - Question List

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76. You have drawn an arterial blood gas on your patient. In reviewing the results you note the following: pH 7.45, PCO2 of 30 mm Hg, and bicarbonate of 22mEq/L. What do you interpret these results to mean?
  1. Metabolic acidosis, compensated
  2. Metabolic alkalosis, compensated
  3. Respiratory acidosis, compensated
  4. Respiratory alkalosis, compensated
77. You are caring for a patient with a chest tube. When you turn the patient to the side the tube comes disconnected. What action should you take next?
  1. Notify the physician
  2. Place the tube in a bottle of sterile water
  3. Replace the chest tube
  4. Put a sterile dressing over the disconnected site
78. You are preparing to give a patient a transfusion. The patient states that in previous transfusions he has always developed a rash. What medication do you suspect the physician will order prior to the transfusion?
  1. Diphenhydramine (Benadryl)
  2. Acetylsalicylic acid (ASA, aspirin)
  3. Acetaminophen (Tylenol)
  4. Ibuprofen (Motrin)
79. Your patient is in cardiogenic shock and has had an intraaortic balloon pump placed through the left femoral artery. On assessment you note that the left foot is cool and mottled and the pedal pulse weak. What is the priority for this patient?
  1. Document the data because it is expected.
  2. Reevaluate in an hour.
  3. Increase the rate on the nitroglycerin drip.
  4. Notify the physician.
80. You are caring for a patient with a severe burn. The patient is scheduled to go to surgery for an autograft of the lower extremity. What should you include in the postoperative plan of care for this patient?
  1. Keep the surgical extremity flat.
  2. Keep a blanket over the extremity.
  3. Place the patient in prone position.
  4. Immobilize and elevate the extremity.

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