āĻŦāĻŋāĻˇāĻ¯āĻŧāĻ đ WBHRB āĻ¸ā§āĻāĻžāĻĢ āĻ¨āĻžāĻ°ā§āĻ¸ CBT āĻā§āĻ¸ā§āĻ â 16 ( Medical-Surgical Nursing )
𧎠āĻā§āĻāĻ: đ WBHRB āĻ¸ā§āĻāĻžāĻĢ āĻ¨āĻžāĻ°ā§āĻ¸ CBT āĻā§āĻ¸ā§āĻ â 16 ( Medical-Surgical Nursing )
𧎠āĻŽā§āĻ āĻĒā§āĻ°āĻļā§āĻ¨: 50 āĻāĻŋ
âą āĻ¸āĻŽāĻ¯āĻŧāĻ¸ā§āĻŽāĻž: 60 Minute
â āĻ¨ā§āĻā§āĻāĻŋāĻ : -0.5 āĻĒā§āĻ°āĻ¤āĻŋ āĻĒā§āĻ°āĻļā§āĻ¨ā§
â ī¸ āĻā§āĻāĻ āĻļā§āĻˇ āĻšāĻ˛ā§ āĻ¸ā§āĻŦāĻ¯āĻŧāĻāĻā§āĻ°āĻŋāĻ¯āĻŧāĻāĻžāĻŦā§ āĻ°ā§āĻāĻžāĻ˛ā§āĻ āĻĻā§āĻāĻ¤ā§ āĻĒāĻžāĻŦā§āĻ¨āĨ¤
Time over
đ WBHRB āĻ¸ā§āĻāĻžāĻĢ āĻ¨āĻžāĻ°ā§āĻ¸ CBT āĻā§āĻ¸ā§āĻ â 16 ( Medical-Surgical Nursing )
1 / 50
1. A post-op patient with hypovolemic shock has tachycardia and cold extremities. Nursing action?
Rapid fluid resuscitation and hemodynamic monitoring.
2 / 50
2. Which lab confirms hyperacute graft rejection?
Rapid rise in creatinine and graft dysfunction immediately post-transplant.
3 / 50
3. Which symptom indicates early sepsis in immunosuppressed post-transplant patient?
Fever, tachycardia, and hypotension are early warning signs.
4 / 50
4. A post-op patient develops sudden confusion, fever, and hypotension. Likely complication?
Sepsis; early recognition and aggressive treatment are critical.
5 / 50
5. Which electrolyte imbalance occurs in rhabdomyolysis?
Hyperkalemia due to massive muscle breakdown.
6 / 50
6. A patient post-kidney transplant develops oliguria and elevated creatinine. Likely complication?
Acute graft rejection or acute tubular necrosis; monitor labs and fluids.
7 / 50
7. A patient post-major surgery has sudden tachypnea, hypoxia, and petechial rash. Likely complication?
Fat embolism syndrome; urgent supportive care required.
8 / 50
8. A patient with severe burns develops hypotension and tachycardia. Nursing priority?
Hypovolemic shock from fluid loss; initiate aggressive fluid resuscitation.
9 / 50
9. Which electrolyte imbalance is common after massive transfusion in post-op patients?
Hypocalcemia and hyperkalemia due to citrate and cell lysis.
10 / 50
10. Which lab indicates acute pancreatitis in post-op patient?
Elevated serum amylase and lipase confirm pancreatic inflammation.
11 / 50
11. Which symptom indicates early sepsis in an immunocompromised patient?
Fever, tachycardia, and mild hypotension are early signs.
12 / 50
12. A patient post-heart transplant develops hypotension and pulmonary edema. Nursing implication?
Cardiac rejection or dysfunction; monitor hemodynamics and notify physician.
13 / 50
13. Which symptom indicates early graft-versus-host disease?
Rash, diarrhea, and liver enzyme abnormalities.
14 / 50
14. A patient with myasthenia gravis develops respiratory distress. Nursing implication?
Myasthenic crisis; prepare for mechanical ventilation.
15 / 50
15. A patient with multi-organ failure has lactic acidosis and hypotension. Nursing priority?
Aggressive fluid resuscitation, vasopressors, and monitor organ perfusion.
16 / 50
16. Which lab indicates acute renal failure in post-op patient?
Rising BUN and creatinine reflect renal dysfunction.
17 / 50
17. A patient with thrombocytopenia develops petechiae and bleeding gums. Nursing priority?
Prevent trauma, monitor bleeding, and maintain platelet count.
18 / 50
18. Which lab indicates acute kidney injury?
Rising BUN and creatinine indicate renal dysfunction.
19 / 50
19. A patient with acute kidney injury develops pulmonary edema. Nursing intervention?
Diuretics and fluid management to reduce fluid overload.
20 / 50
20. A patient with multi-organ failure develops hypotension and anuria. Nursing priority?
Aggressive fluid resuscitation, vasopressors, and renal replacement therapy.
21 / 50
21. Which lab indicates sepsis-induced coagulopathy?
Elevated PT/PTT, D-dimer, and low platelets.
22 / 50
22. A patient post-hip replacement develops unilateral leg swelling. Likely complication?
Deep vein thrombosis; monitor and initiate anticoagulation.
23 / 50
23. A patient post-major surgery has sudden drop in hemoglobin and hypotension. Likely cause?
Internal bleeding; immediate fluid resuscitation and monitoring needed.
24 / 50
24. A patient post-liver transplant develops confusion and asterixis. Nursing priority?
Hepatic encephalopathy; administer lactulose and monitor ammonia.
25 / 50
25. A patient with septic shock has lactate 5 mmol/L and hypotension. Nursing priority?
Aggressive fluid resuscitation and vasopressors as needed.
26 / 50
26. Which symptom indicates early compartment syndrome?
Severe pain and paresthesia precede pulselessness and paralysis.
27 / 50
27. Which complication occurs after massive transfusion?
Hypocalcemia, hyperkalemia, and coagulopathy.
28 / 50
28. Which lab confirms thyroid storm?
Elevated T3/T4 with suppressed TSH and clinical hypermetabolic state.
29 / 50
29. A post-liver transplant patient develops fever, jaundice, and elevated liver enzymes. Nursing priority?
Suspect graft rejection or infection; monitor labs and notify physician.
30 / 50
30. A post-op patient has sudden hypotension, tachycardia, and abdominal distension. Likely cause?
Internal bleeding or hemorrhagic shock; immediate fluid resuscitation needed.
31 / 50
31. Which lab confirms hemolytic uremic syndrome?
Hemolytic anemia, thrombocytopenia, and elevated creatinine.
32 / 50
32. A patient with Parkinsonâs disease develops difficulty swallowing. Nursing implication?
Prevent aspiration and provide dietary modifications.
33 / 50
33. Which lab confirms thyroid storm in post-op endocrine patient?
Elevated T3/T4, suppressed TSH with clinical hypermetabolic state.
34 / 50
34. Which lab indicates risk of multiple organ dysfunction in sepsis?
Elevated lactate and creatinine indicate organ hypoperfusion.
35 / 50
35. Which lab test monitors anticoagulation for warfarin therapy?
INR is used to monitor warfarin therapy effectiveness.
36 / 50
36. A patient with multiple fractures develops tachypnea, hypoxia, and petechiae. Likely complication?
37 / 50
37. A patient with multi-organ failure has lactic acidosis. Nursing implication?
Indicates tissue hypoperfusion; monitor perfusion and organ support.
38 / 50
38. Which lab indicates adrenal insufficiency?
Low cortisol and high ACTH indicate primary adrenal insufficiency.
39 / 50
39. A patient with myxedema coma presents with hypothermia and bradycardia. Nursing priority?
IV thyroid hormone replacement and supportive care.
40 / 50
40. A patient post-op develops sudden hypotension and shortness of breath. Likely complication?
Pulmonary embolism; immediate oxygen and anticoagulation required.
41 / 50
41. Which electrolyte imbalance is common in massive blood transfusion post-op?
Hypocalcemia, hyperkalemia, and metabolic alkalosis.
42 / 50
42. A patient with Guillain-Barre syndrome shows ascending paralysis. Nursing priority?
Monitor respiratory function and provide ventilatory support if needed.
43 / 50
43. Which lab indicates disseminated intravascular coagulation?
Elevated D-dimer, prolonged PT/PTT, and low platelets.
44 / 50
44. Which symptom indicates acute adrenal crisis post-op?
Hypotension, hyponatremia, hyperkalemia, and shock.
45 / 50
45. Which electrolyte imbalance occurs in tumor lysis syndrome post-chemotherapy?
Hyperkalemia, hyperphosphatemia, and hypocalcemia.
46 / 50
46. Which lab indicates rhabdomyolysis after crush injury?
Elevated creatine kinase and myoglobin indicate muscle breakdown.
47 / 50
47. Which electrolyte imbalance is common in tumor lysis syndrome?
Hyperkalemia, hyperphosphatemia, and hypocalcemia due to rapid cell lysis.
48 / 50
48. A patient with MS develops sudden weakness and visual disturbances. Nursing implication?
Monitor neurological status and prevent complications during relapse.
49 / 50
49. A patient with stroke shows sudden confusion, headache, and vomiting. Likely complication?
Increased intracranial pressure; urgent intervention required.
50 / 50
50. A patient with SLE develops fever, joint pain, and rash. Nursing priority?
Monitor for flare-ups and prevent infections.
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āĻāĻĒāĻ¨āĻŋ āĻāĻ āĻĒā§āĻˇā§āĻ āĻžāĻ° āĻŦāĻŋāĻˇāĻ¯āĻŧāĻŦāĻ¸ā§āĻ¤ā§ āĻāĻĒāĻŋ āĻāĻ°āĻ¤ā§ āĻĒāĻžāĻ°āĻŦā§āĻ¨ āĻ¨āĻž
