MedSurg Domain 2: Planning, Implementation, and Evaluation Welcome to your MedSurg Domain 2: Planning, Implementation, and Evaluation 1. MedSurg: Planning, Implementation, and Evaluation A patient with congestive heart failure is being discharged. Which of the following would be the most appropriate discharge instruction to reduce the risk of fluid overload? Limit fluid intake to 1 liter per day Weigh yourself daily at the same time Take diuretics at night only Increase protein intake None 2. MedSurg: Planning, Implementation, and Evaluation When evaluating the effectiveness of pain management in a post-operative patient, which method provides the most reliable information? Assessment of vital signs Patient self-reporting of pain Frequency of pain medication administration Observation of patient activity level None 3. MedSurg: Planning, Implementation, and Evaluation For a patient with severe arthritis, which evaluation criterion is most important after implementing a new pain management protocol? Ability to perform ADLs independently Compliance with medication regimen Absence of side effects from medications Patient satisfaction with care None 4. MedSurg: Planning, Implementation, and Evaluation A nurse evaluates a diabetic patient's understanding of self-administered insulin therapy. Which outcome indicates a need for further teaching? The patient identifies symptoms of hypoglycemia correctly The patient demonstrates insulin injection technique properly The patient expresses anxiety about self-injection The patient schedules insulin doses according to meal times None 5. MedSurg: Planning, Implementation, and Evaluation A nurse is planning care for a patient recovering from a stroke with left-sided weakness. Which goal should be the primary focus during the first week of recovery? Complete independence in mobility Recognition of person, place, and time Improvement in range of motion and strength on the affected side Prevention of deep vein thrombosis None 6. MedSurg: Planning, Implementation, and Evaluation When planning discharge for a patient with chronic obstructive pulmonary disease 'COPD', which of the following is essential to include in the education plan? Instructions on high-intensity exercise routines Techniques for effective coughing and deep breathing Strategies for high-calorie meal preparation Use of sedatives to improve sleep None 7. MedSurg: Planning, Implementation, and Evaluation A patient with severe peripheral neuropathy is scheduled for a series of diagnostic tests. What is the most important factor for the nurse to consider when planning the patient's care during the tests? Providing detailed explanations about each test Ensuring comfort with extra cushions and support Monitoring for allergic reactions to contrast dyes Availability of immediate pain relief options None 8. MedSurg: Planning, Implementation, and Evaluation A nurse is planning care for a patient who is recovering from a myocardial infarction. Which intervention should be prioritized to prevent complications? Teaching stress reduction techniques Monitoring for arrhythmias Scheduling daily exercise sessions Encouraging a high-fiber diet None 9. MedSurg: Planning, Implementation, and Evaluation In planning care for a patient with end-stage renal disease on hemodialysis, what is the most important factor for the nurse to include in the education plan? Timing of dialysis sessions Importance of fluid and dietary restrictions Signs of transplant rejection Techniques for self-administering erythropoietin None 10. MedSurg: Planning, Implementation, and Evaluation A nurse evaluates the effectiveness of a newly initiated pain management plan for a patient with chronic back pain. Which outcome would best indicate a successful intervention? The patient uses less analgesic medication. The patient reports a 50% reduction in pain. The patient participates more actively in physical therapy. The patient's mood improves. None 11. MedSurg: Planning, Implementation, and Evaluation When planning post-operative care for a patient who had abdominal surgery, which evaluation criterion is essential for early detection of potential complications? Pain level reported by the patient Integrity of surgical wound dressing Frequency of bowel sounds Patient's ability to ambulate None 12. MedSurg: Planning, Implementation, and Evaluation For a patient with bipolar disorder experiencing a manic phase, what is the most crucial aspect to evaluate after implementing a new medication regime? Sleep patterns Cognitive function Social interactions Nutritional intake None 13. MedSurg: Planning, Implementation, and Evaluation A nurse plans a teaching session for a patient newly diagnosed with type 2 diabetes. Which topic should be prioritized to prevent acute complications? Benefits of regular exercise Techniques for blood glucose monitoring Importance of foot care Dietary management None 14. MedSurg: Planning, Implementation, and Evaluation A patient with a severe peanut allergy is preparing to travel abroad. Which instruction is most critical for the nurse to emphasize? Carry an epinephrine auto-injector Wear a medical alert bracelet Learn the word for "peanut" in the language of the destination country Avoid street food None 15. MedSurg: Planning, Implementation, and Evaluation A nurse is evaluating a patient's recovery progress following a total knee replacement. Which indicator would most accurately reflect successful physical recovery? Patient reports no pain at the surgery site Patient achieves 90-degree flexion of the knee Patient can walk unaided for 10 meters Patient expresses satisfaction with the surgical outcome None 16. MedSurg: Planning, Implementation, and Evaluation In planning educational content for a patient with heart failure, which topic should the nurse emphasize to prevent readmission? Stress management techniques Symptoms of worsening heart failure Benefits of omega-3 fatty acids Techniques for deep breathing None 17. MedSurg: Planning, Implementation, and Evaluation A nurse is planning a discharge teaching for a patient with newly diagnosed epilepsy. Which instruction is most critical to include to prevent injury during a seizure? Maintain a ketogenic diet Avoid alcohol and stimulants Keep a seizure diary Educate on safe fall techniques None 18. MedSurg: Planning, Implementation, and Evaluation In planning postoperative care for a patient who underwent a lung resection, what is the most critical intervention to prevent complications? Pain management Incentive spirometry Early mobilization Wound care None 19. MedSurg: Planning, Implementation, and Evaluation A nurse is planning care for a patient with advanced Parkinson's disease. Which intervention should be prioritized to assist with communication difficulties? Use of a communication board Regular speech therapy High-calorie diet Cognitive exercises None 20. MedSurg: Planning, Implementation, and Evaluation When planning education for a patient starting chemotherapy, which topic is essential to cover to prevent severe complications? Nutritional counseling Management of nausea Recognition and management of neutropenia Exercise during treatment None 21. MedSurg: Planning, Implementation, and Evaluation A nurse evaluates the effectiveness of lifestyle modifications in a patient with hypertension. Which outcome would best indicate success of the interventions? Patient reports adhering to medication regimen Blood pressure readings are within target range Patient participates in a support group Patient loses 5% of body weight None 22. MedSurg: Planning, Implementation, and Evaluation In planning care for a patient with ulcerative colitis during a flare-up, which nursing intervention is critical to prevent complications? High-fiber diet Fluid and electrolyte monitoring Stress management techniques Regular colonoscopies None 23. MedSurg: Planning, Implementation, and Evaluation What is the most important educational topic for a patient with asthma to prevent acute exacerbations? Use of peak flow meter Benefits of aerobic exercise Asthma action plan adherence Stress reduction techniques None 24. MedSurg: Planning, Implementation, and Evaluation A patient with a leg amputation is preparing for discharge. What is the most critical aspect of discharge planning to ensure safety at home? Arranging for home health services Teaching about wound care Evaluating home accessibility modifications Psychological counseling referrals None 25. MedSurg: Planning, Implementation, and Evaluation A nurse is planning care for a patient with chronic kidney disease. Which intervention is most important to delay the progression of the disease? High-protein diet Blood pressure control Liberal fluid intake Calcium supplementation None 26. MedSurg: Planning, Implementation, and Evaluation When evaluating a diabetic patient's technique for administering insulin, which observation would require immediate correction? Choosing injection sites within the same general area Injecting insulin immediately after removing it from the refrigerator Cleaning the injection site with alcohol Rotating the injection site within one anatomical region None 27. MedSurg: Planning, Implementation, and Evaluation For a patient receiving palliative care, what is the most important evaluation criterion to focus on when assessing the quality of care? Patient's life expectancy Family satisfaction with care Patient comfort levels Frequency of hospital admissions None 28. MedSurg: Planning, Implementation, and Evaluation A nurse plans a post-operative teaching session for a patient who had a cardiac stent placement. What is the most crucial topic to include to prevent complications? Importance of regular exercise Signs of infection at the catheter site Medication adherence, especially antiplatelets Dietary changes None 29. MedSurg: Planning, Implementation, and Evaluation In planning care for a patient with bipolar disorder, which intervention should be prioritized to stabilize mood swings? Psychosocial education Sleep regulation Nutritional counseling Medication management None 30. MedSurg: Planning, Implementation, and Evaluation What is the most important aspect to evaluate in a patient undergoing treatment for alcohol withdrawal? Nutritional status Cognitive function Signs of withdrawal Social support systems None 31. MedSurg: Planning, Implementation, and Evaluation A nurse is planning educational sessions for a patient with heart failure. What should be prioritized to enhance self-care management? Activity restrictions Monitoring and interpreting symptoms Sodium restriction Stress management techniques None 32. MedSurg: Planning, Implementation, and Evaluation In planning care for a patient with osteoporosis, which nursing intervention is critical to prevent fractures? Calcium and vitamin D supplementation Regular weight-bearing exercises Frequent bone density testing Use of high-impact aerobic activities None 33. MedSurg: Planning, Implementation, and Evaluation A nurse is planning discharge instructions for a patient who had a thyroidectomy. What is the most important information to provide regarding potential complications? Signs of hypocalcemia Weight management strategies Importance of lifelong thyroid medication Symptoms of thyroid storm None 34. MedSurg: Planning, Implementation, and Evaluation For a patient undergoing radiation therapy for breast cancer, what is the most critical aspect of care to plan for to prevent skin complications? Use of non-adhesive dressings Application of topical corticosteroids Skin care with gentle, non-irritating products Regular mammograms None 35. MedSurg: Planning, Implementation, and Evaluation In evaluating a patient's recovery from an ankle fracture, what is the most important outcome to assess to ensure complete rehabilitation? Full range of motion of the ankle Pain-free ambulation Absence of swelling Ability to bear weight without discomfort None 36. MedSurg: Planning, Implementation, and Evaluation A nurse is planning care for a patient with chronic obstructive pulmonary disease 'COPD' who frequently experiences exacerbations. Which intervention should be prioritized to minimize these episodes? Annual influenza vaccination Regular use of a bronchodilator High-calorie diet Oxygen therapy at night None 37. MedSurg: Planning, Implementation, and Evaluation In planning educational content for a patient with rheumatoid arthritis, which topic is essential to cover to enhance disease management? Genetic factors of rheumatoid arthritis Benefits of regular joint assessments Techniques for joint protection and energy conservation Historical treatments of rheumatoid arthritis None 38. MedSurg: Planning, Implementation, and Evaluation A nurse is evaluating a patient's understanding of their new anticoagulant medication. Which patient statement indicates a need for further education? "I need to monitor for signs of bleeding." "I will take my medication at the same time each day." "I should avoid activities that could result in injury." "It's okay to skip doses if I don't feel well." None 39. MedSurg: Planning, Implementation, and Evaluation When planning care for a patient with advanced dementia, which intervention is most critical to ensure safety? Cognitive stimulation activities Consistent daily routines Use of memory aids Environmental modifications to prevent falls None 40. MedSurg: Planning, Implementation, and Evaluation A nurse is planning care for a patient with a history of severe anaphylactic reactions to peanuts. What is the most important intervention to include in the plan? Regular allergy testing Education on using an epinephrine auto-injector Dietary counseling to avoid peanuts Prescription of daily antihistamines None 41. MedSurg: Planning, Implementation, and Evaluation In evaluating the effectiveness of a new pain management regimen for a patient with fibromyalgia, which outcome would best indicate improvement? Decreased reliance on opioid medications Enhanced ability to perform daily activities Improved sleep patterns Increased social interactions None 42. MedSurg: Planning, Implementation, and Evaluation A nurse plans discharge education for a patient post-myocardial infarction. What is the most important topic to cover to prevent a second cardiac event? Smoking cessation Stress management techniques Importance of follow-up appointments Symptoms of heart failure None 43. MedSurg: Planning, Implementation, and Evaluation For a patient undergoing chemotherapy, which intervention is essential to plan for managing potential side effects? Scheduled hydration therapy Prophylactic antibiotics Nutritional support Pain management protocols None 44. MedSurg: Planning, Implementation, and Evaluation In planning care for a patient with acute renal failure, which nursing intervention is critical to prevent further kidney damage? Fluid restriction High protein diet Regular dialysis Continuous renal function monitoring None 45. MedSurg: Planning, Implementation, and Evaluation A nurse is planning a health education session for a patient with high cholesterol. Which topic should be emphasized to reduce cardiovascular risk? Genetic factors influencing cholesterol Impact of stress on cholesterol levels Dietary modifications and exercise History of cholesterol-reducing medications None 46. MedSurg: Planning, Implementation, and Evaluation A nurse is planning care for a patient with severe anxiety. Which intervention should be prioritized to effectively manage acute anxiety attacks? Long-term psychotherapy Medication adherence Techniques for deep breathing and relaxation Regular exercise regimen None 47. MedSurg: Planning, Implementation, and Evaluation In planning discharge instructions for a patient who underwent gastric bypass surgery, what is the most important dietary instruction to prevent complications? Eat small, frequent meals Increase fiber intake gradually Avoid sugary and fatty foods Drink fluids between meals, not during None 48. MedSurg: Planning, Implementation, and Evaluation When evaluating a patient's adaptation to a new colostomy, which outcome indicates successful coping? Patient describes the colostomy care routine accurately. Patient participates in a support group for ostomy patients. Patient manages the colostomy independently. Patient expresses acceptance of the colostomy. None 49. MedSurg: Planning, Implementation, and Evaluation A nurse is planning care for a patient with systemic lupus erythematosus (SLE). Which intervention is crucial to include to prevent flares? Regular kidney function tests Education on sun protection Genetic counseling High-dose vitamin supplementation None 50. MedSurg: Planning, Implementation, and Evaluation In planning care for a patient with schizophrenia, which intervention should be prioritized to enhance therapeutic outcomes? Social skills training Regular medication review Cognitive behavioral therapy Family therapy sessions None 51. MedSurg: Planning, Implementation, and Evaluation A nurse plans education for a patient with a new diagnosis of diabetes mellitus type 1. What should be emphasized to prevent diabetic ketoacidosis? The importance of regular A1C testing How to recognize and treat hypoglycemia Techniques for accurate insulin administration Dietary management principles None 52. MedSurg: Planning, Implementation, and Evaluation When planning care for a patient with a recent diagnosis of congestive heart failure, what is the most important self-management skill to teach? How to monitor blood pressure Importance of fluid and sodium restriction Recognition of early signs of fluid overload Stress reduction techniques None 53. MedSurg: Planning, Implementation, and Evaluation In planning care for a patient undergoing radiation therapy for head and neck cancer, which nursing intervention is most critical to prevent malnutrition? Scheduled pain management Nutritional counseling and support Frequent dental assessments Use of topical anesthetics None 54. MedSurg: Planning, Implementation, and Evaluation A nurse is planning a community health program focusing on prevention of type 2 diabetes. Which intervention should be included to effectively reach at-risk populations? Screening for early signs of diabetes Lifestyle modification workshops Advanced diabetic education courses Distribution of diabetic medication samples None 55. MedSurg: Planning, Implementation, and Evaluation A nurse evaluates a diabetic patient's understanding of self-administered insulin therapy. Which outcome indicates a need for further teaching? The patient identifies symptoms of hypoglycemia correctly The patient demonstrates insulin injection technique properly The patient expresses anxiety about self-injection The patient schedules insulin doses according to meal times None 56. MedSurg: Planning, Implementation, and Evaluation When planning post-operative care for a patient who had abdominal surgery, which evaluation criterion is essential for early detection of potential complications? Pain level reported by the patient Integrity of surgical wound dressing Frequency of bowel sounds Patient's ability to ambulate None 57. MedSurg: Planning, Implementation, and Evaluation In planning educational content for a patient with heart failure, which topic should the nurse emphasize to prevent readmission? Stress management techniques Symptoms of worsening heart failure Benefits of omega-3 fatty acids Techniques for deep breathing None 58. MedSurg: Planning, Implementation, and Evaluation When evaluating a diabetic patient's technique for administering insulin, which observation would require immediate correction? Choosing injection sites within the same general area Injecting insulin immediately after removing it from the refrigerator Cleaning the injection site with alcohol Rotating the injection site within one anatomical region None 59. MedSurg: Planning, Implementation, and Evaluation A nurse is planning care for a patient with a history of severe anaphylactic reactions to peanuts. What is the most important intervention to include in the plan? Regular allergy testing Education on using an epinephrine auto-injector Dietary counseling to avoid peanuts Prescription of daily antihistamines None 60. MedSurg: Planning, Implementation, and Evaluation A nurse is planning care for a patient with systemic lupus erythematosus (SLE). Which intervention is crucial to include to prevent flares? Regular kidney function tests Education on sun protection Genetic counseling High-dose vitamin supplementation None 1 out of 60 Time is Up! Time's up
