Med Surg Exam 3 Actual Exam Newest 2026-2027 Med

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Med Surg Exam 3 Actual Exam Newest 2026-2027 / Med Surg Exam 3 Practice Exam / Med Surg Exam 3 Preparation With 150 Questions And Correct Answers | Already Graded A+

The nurse assesses a patient with chronic obstructive pulmonary disease (COPD) who has been admitted after increasing dyspnea over the past 3 days. Which finding is important for the nurse to report to the health care provider?

• Respirations are 36 breaths/min.

b. Anterior-posterior chest ratio is 1:1.

• Lung expansion is decreased bilaterally.
• Hyper-resonance to percussion is present.

ANS: A

The increase in respiratory rate indicates respiratory distress and a need for rapid interventions such as administration of O2 or medications. the other findings are common chronic changes occurring in patients with COPD.

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Using the illustrated technique, the nurse is assessing for which finding in a patient with chronic obstructive pulmonary disease (COPD)?

• Hyperresonance
• Tripod positioning
• Reduced excursion
• Accessory muscle use

ANS: C

The technique for palpation for chest excursion is shown in theillustrated technique. Reduced chest movement would be noted on palpation of a patient's chest with COPD. Hyper-resonance would be assessed through percussion.Accessory muscle use and tripod positioning would be assessed by inspection.

Which action could the nurse delegate to assistive personnel (AP)?

• Listen to a patient's lung sounds for wheezes or crackles.
• Label specimens obtained during percutaneous lung biopsy.
• Instruct a patient about how to use home spirometry testing.
• Measure induration at the site of a patient's intradermal skin test.

ANS: B

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Labeling of specimens at the bedside during a procedure is within the scope of practice of AP. The other actions require nursing judgment and should be done by licensed nursing personnel.

The nurse is caring for a patient who has just had a thoracentesis. Which assessment information obtained by the nurse is a priority to communicate to the health care provider?

• O2 saturation is 88%.

• Blood pressure is 155/90 mm Hg.

• Respiratory rate is 24 breaths/min when lying flat.

• Pain level is 5 (on 0 to 10 scale) with a deep breath.

ANS: A

O2 saturation should improve after a thoracentesis. A saturation of 88% indicates that a complication such as pneumothorax may be occurring.the other assessment data also indicate a need for ongoing assessment or intervention, but the low O2 saturation is the priority.

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A patient is scheduled for a computed tomography (CT) scan of the chest with contrast media. Which assessment findings would the nurse report to the health care provider before the patient goes for the CT?(Select all that apply.)

• Allergy to shellfish

• Patient reports claustrophobia

• Elevated serum creatinine level

• Recent bronchodilator inhaler use

• Inability to remove a wedding band

ANS: A, C

Because the contrast media is iodine-based and may cause dehydration and decreased renal blood flow, asking about iodine allergies (such as allergy to shellfish) and monitoring renal function before the CT scan are necessary. The other actions are not contraindications for CT of the chest, although they may be for other diagnostic tests, such as magnetic resonance imaging or pulmonary spirometry.

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