KAPLAN MEDICAL SURGICAL INTEGRATED TEST BANK
LATEST REAL EXAM QUESTIONS AND CORRECT
ANSWERS|AGRADE||BRAND NEW VERSION!
The nurse provides care for a client with
an abdominal wound. The nurse notes
there is purulent drainage from the
wound. Which action does the nurse take
first?
1. Contacts the health care provider
2. Places the client on contact
precautions
3. Irrigates the wound
4. Asks the client to identify the level of
pain on a numeric scale
Places the client on contact
precautions
The nurse identifies which change in the
genitourinary system is usually
associated with client aging?
1. Increased sphincter tone
2. Decreased incontinence
3. Increased frequency
4. Increased filtration
Increased frequency
On the morning before surgery, a client
signs an operative consent form. Soon
afterward, the client calls the nurse and
states,
"I do not want the surgery."
Which action does the nurse take first?
,1. Notifies the health care provider of
the client's decision
2. Informs the client the decision has
delayed the operating room schedule
3. Encourages the client to discuss
reasons for canceling the surgery
4. Asks the client's family to encourage
the client to have the surgery
Encourages the client to discuss
reasons for canceling the surgery
The nurse provides care for a client with
a body mass index of 37.0 kg/m2. Which
is the best description of the client's
body weight?
1. Obese
2. Normal weight
3. Overweight
4. Underweight
Obese
The nurse teaches correct body
mechanics to the unlicensed assistive
personnel (UAP). Which suggestion by
the nurse is most appropriate?
1. "Bend at the waist when lifting
objects."
2."Lift objects with your arms
extended."
3."Bend knees when lifting objects."
4. "Lean forward when lifting objects."
"Bend knees when lifting objects."
The nurse prepares a client for
discharge. The client tells another staff
member "The nurse really doesn't care about me and I don't want to talk
anymore." Which interpretation of the
client's statement by the nurse is best?
1. The client has expressed readiness to
think and act independently
2. The nurse has done something to
,offend the client and needs to apologize
3. The client is not ready to go home and
discharge should be delayed
4. The client has a common response to
the end of the nurse-client relationship
The client has a common response to
the end of the nurse-client relationship
While a client is being treated for a
wound infection, it is most important for
the nurse to routinely perform which
action?
1. Check and record the client's
temperature
2. Send samples of wound drainage for
culture
3. Assess for redness of the wound
4. Evaluate the results of the blood
culture
Check and record the client's
temperature
At discharge, the nurse advises a client
about a calorie-restricted diet for weight
reduction. Which information des the
nurse include?
1. Losing 1-2 pounds per week is safe
and effective
2. A highly restrictive diet will be most
effective for the client
3. Increase the amount of processed
foods in the diet
4. Decrease whole grain intake
Losing 1-2 pounds per week is safe
and effective
A liver scan is prescribed for a client
prior to surgery. Which description best
describes this procedure?
1. The client will ingest a small amount
of radioactive material and venipuncture
, will be performed to monitor blood
levels.
2. The client will stand in front of a large
machine that takes x-ray pictures of the
liver.
3. The client will be asked to lie still
while a scanning probe is passed back
and forth over the body.
4. The client's skin will be lubricated
with oil and ultrasound pictures will be
taken.
The client will be asked to lie still
while a scanning probe is passed back
and forth over the body.
Following a total hip arthroplasty, the
older adult client is prescribed to start
ambulation using a walker. Which
statement by the nurse regarding
ambulation is best?
1. "Sit in a low chair for ease in getting
up to use the walker."
2. "Advance the walker first, then
carefully walk forward."
3. "You will begin weight bearing on the
affected hip soon."
4. "Practice tying your own shoes before
you begin ambulating."
"Advance the walker first, then
carefully walk forward."
The clinic nurse interviews a middle-age
adult client who comes to the clinic
reporting difficulty sleeping and ongoing
fatigue. The nurse learns the client
works as a security guard and frequently
works the night shift. Which is the best
initial statement for the nurse to make
while discussing the client's problem?
1."Tell me about your usual sleeping
habits."
LATEST REAL EXAM QUESTIONS AND CORRECT
ANSWERS|AGRADE||BRAND NEW VERSION!
The nurse provides care for a client with
an abdominal wound. The nurse notes
there is purulent drainage from the
wound. Which action does the nurse take
first?
1. Contacts the health care provider
2. Places the client on contact
precautions
3. Irrigates the wound
4. Asks the client to identify the level of
pain on a numeric scale
Places the client on contact
precautions
The nurse identifies which change in the
genitourinary system is usually
associated with client aging?
1. Increased sphincter tone
2. Decreased incontinence
3. Increased frequency
4. Increased filtration
Increased frequency
On the morning before surgery, a client
signs an operative consent form. Soon
afterward, the client calls the nurse and
states,
"I do not want the surgery."
Which action does the nurse take first?
,1. Notifies the health care provider of
the client's decision
2. Informs the client the decision has
delayed the operating room schedule
3. Encourages the client to discuss
reasons for canceling the surgery
4. Asks the client's family to encourage
the client to have the surgery
Encourages the client to discuss
reasons for canceling the surgery
The nurse provides care for a client with
a body mass index of 37.0 kg/m2. Which
is the best description of the client's
body weight?
1. Obese
2. Normal weight
3. Overweight
4. Underweight
Obese
The nurse teaches correct body
mechanics to the unlicensed assistive
personnel (UAP). Which suggestion by
the nurse is most appropriate?
1. "Bend at the waist when lifting
objects."
2."Lift objects with your arms
extended."
3."Bend knees when lifting objects."
4. "Lean forward when lifting objects."
"Bend knees when lifting objects."
The nurse prepares a client for
discharge. The client tells another staff
member "The nurse really doesn't care about me and I don't want to talk
anymore." Which interpretation of the
client's statement by the nurse is best?
1. The client has expressed readiness to
think and act independently
2. The nurse has done something to
,offend the client and needs to apologize
3. The client is not ready to go home and
discharge should be delayed
4. The client has a common response to
the end of the nurse-client relationship
The client has a common response to
the end of the nurse-client relationship
While a client is being treated for a
wound infection, it is most important for
the nurse to routinely perform which
action?
1. Check and record the client's
temperature
2. Send samples of wound drainage for
culture
3. Assess for redness of the wound
4. Evaluate the results of the blood
culture
Check and record the client's
temperature
At discharge, the nurse advises a client
about a calorie-restricted diet for weight
reduction. Which information des the
nurse include?
1. Losing 1-2 pounds per week is safe
and effective
2. A highly restrictive diet will be most
effective for the client
3. Increase the amount of processed
foods in the diet
4. Decrease whole grain intake
Losing 1-2 pounds per week is safe
and effective
A liver scan is prescribed for a client
prior to surgery. Which description best
describes this procedure?
1. The client will ingest a small amount
of radioactive material and venipuncture
, will be performed to monitor blood
levels.
2. The client will stand in front of a large
machine that takes x-ray pictures of the
liver.
3. The client will be asked to lie still
while a scanning probe is passed back
and forth over the body.
4. The client's skin will be lubricated
with oil and ultrasound pictures will be
taken.
The client will be asked to lie still
while a scanning probe is passed back
and forth over the body.
Following a total hip arthroplasty, the
older adult client is prescribed to start
ambulation using a walker. Which
statement by the nurse regarding
ambulation is best?
1. "Sit in a low chair for ease in getting
up to use the walker."
2. "Advance the walker first, then
carefully walk forward."
3. "You will begin weight bearing on the
affected hip soon."
4. "Practice tying your own shoes before
you begin ambulating."
"Advance the walker first, then
carefully walk forward."
The clinic nurse interviews a middle-age
adult client who comes to the clinic
reporting difficulty sleeping and ongoing
fatigue. The nurse learns the client
works as a security guard and frequently
works the night shift. Which is the best
initial statement for the nurse to make
while discussing the client's problem?
1."Tell me about your usual sleeping
habits."
