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Medical-Surgical Nursing Concepts and Patient Care Quiz

#1

Which organ is primarily responsible for removing bilirubin from the bloodstream?

Liver
Explanation

The liver is the primary organ responsible for removing bilirubin from the bloodstream through a process called conjugation.

#2

Which of the following is not a common symptom of diabetes mellitus?

Bradycardia
Explanation

Bradycardia is not a common symptom of diabetes mellitus; tachycardia is more common due to autonomic neuropathy.

#3

Which of the following is a common complication of immobility in hospitalized patients?

Deep vein thrombosis
Explanation

Deep vein thrombosis is a common complication of immobility in hospitalized patients due to reduced blood flow and stasis.

#4

What is the primary purpose of incentive spirometry?

To promote lung expansion
Explanation

Incentive spirometry is used to encourage deep breathing and lung expansion, helping to prevent atelectasis and pneumonia.

#5

Which of the following is a characteristic of septic shock?

Hypotension with decreased cardiac output
Explanation

Septic shock is characterized by hypotension and decreased cardiac output due to systemic infection and widespread inflammation.

#6

What is the primary nursing intervention for a patient experiencing a hypertensive crisis?

Administering antihypertensive medications
Explanation

The primary nursing intervention for a patient experiencing a hypertensive crisis is to administer antihypertensive medications to lower blood pressure.

#7

What is the primary role of insulin in the body?

To decrease blood glucose levels
Explanation

Insulin primarily functions to facilitate the uptake of glucose by cells, thereby decreasing blood glucose levels.

#8

Which of the following is a potential complication of a patient receiving a blood transfusion?

Hemolytic reaction
Explanation

A hemolytic reaction is a potential complication of a blood transfusion where the immune system attacks the transfused red blood cells.

#9

Which of the following is a characteristic of Type 1 diabetes mellitus?

Autoimmune destruction of pancreatic beta cells
Explanation

Type 1 diabetes mellitus is characterized by the autoimmune destruction of pancreatic beta cells, leading to insulin deficiency.

#10

What is the primary goal of treatment for a patient with heart failure?

To reduce preload and afterload
Explanation

The primary goal of treatment for heart failure is to reduce preload (volume) and afterload (pressure) on the heart to improve cardiac function.

#11

Which of the following is a potential complication of a chest tube insertion?

Pneumothorax
Explanation

Pneumothorax is a potential complication of chest tube insertion where air leaks into the pleural space, causing lung collapse.

#12

What is the primary goal of treatment for a patient with chronic obstructive pulmonary disease (COPD)?

To improve gas exchange and relieve symptoms
Explanation

The primary goal of treatment for COPD is to improve gas exchange, relieve symptoms, and prevent disease progression.

#13

What is the priority nursing intervention for a patient experiencing anaphylaxis?

Administering epinephrine
Explanation

Administering epinephrine is the priority nursing intervention to reverse the severe manifestations of anaphylaxis.

#14

Which medication is commonly used to treat atrial fibrillation by controlling heart rate?

Digoxin
Explanation

Digoxin is commonly used to control heart rate in patients with atrial fibrillation by slowing down electrical conduction in the heart.

#15

Which of the following is a common side effect of opioid analgesics?

Sedation
Explanation

Sedation is a common side effect of opioid analgesics due to their central nervous system depressant effects.

#16

Which of the following is a common side effect of corticosteroid therapy?

Immunosuppression
Explanation

Immunosuppression is a common side effect of corticosteroid therapy due to their ability to inhibit the immune response.

#17

Which medication is commonly used to treat hyperthyroidism by inhibiting thyroid hormone synthesis?

Methimazole
Explanation

Methimazole is commonly used to treat hyperthyroidism by inhibiting the synthesis of thyroid hormones within the thyroid gland.

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