Med-Surgst1stIn-
Classst FinalstExamst Review
1. Thestnursestisstprovidingstdischargestteachingstforstastclientstwhosthasstpepticstulcer
stdiseasestcausedstbystH.stpyloristinfection.stWhichststatementstbystthestclientstindicat
edstthatstadditionalstteachingstisstneeded?
A. "Istwillstavoidstdrinkingstcoffee,stevenstifstitstisstdecaffeinated."
B. "Istwillsttakestastmultivitaminsteverystmorningstwithstbreakfast."
C. "Istwillstgosttostmysttaistchistclasssttostwindstdownstafterstastbusystday."
D. "Istwillsttakestmystmedicationsteverstdaystuntilstmystheartburnstisstgone.":stD.st"Istwillsttakestm
ystmedicationsteverstdaystuntilstmystheartburnstisstgone."
2. Durings t thes t preoperatives t interview,s t thes t client'ss t statements t thats t woulds t alerts t t
hes t nursesttostanstincreasedstriskstduringstsurgerystisst"I-
A. ams t as t reformeds t smoker;s t Is t haven'ts t hads t as t cigarettes t ins t 10s t years."
B. rarelys t eats t reds t meat;s t its t usuallys t makess t mes t feels t bloated."
C. takestastcouplestofstaspirinsteverystdaystforstmystheadaches."
D. takestastlargestassortmentstofstvitaminsstdaily.":stC.sttakestastcouplestofstaspirinsteverystdaystforstm
ystheadaches."
3. As t clients t hass t as t legs t wounds t thats t iss t ins t Stages t IIs t ofs t thes t inflammatorys t respons
e.s t Forstwhatstsignstorstsymptomstdoesstthestnursestassess?
A. Noticeables t rubor
B. Purulents t drainage
C. Swellingstandstpain
D. Warmthstatstthestsite:stB.stPurulentstdrainage
4. Thestnursestisstassessingstastgroupstofstclientsstforsttheirstriskstofstkidneystdisease.stWhic
hstracial/ethnicstgroupstisstatstthestgreateststriskstassttheystage?
A. LatinostAmericans
B. AfricanstAmericans
C. JewishstAmericans
D. AsianstAmericans:stB.stAfricanstAmericans
, Med-Surgst1stIn-
Classst FinalstExamst Review
5. Ans t olders t clients t expressess t concerns t abouts t developings t news t "ages t spots."s t W
hichstinstructionstmoststimportantstforstthestnursesttostprovidesttostthestclient?
A. "Limitstthesttimestyoustspendstinstthestsun."
B. "Monitorstforstsignsstofstinfection."
C. "Monitorstspotsstforstcolorstchange."
D. "Usestskinstcreamssttostpreventstdrying.":stC.st"Monitorstspotsstforstcolorstchange."
6. Instthestemergentstcarestofstastclientstwithstastpelvicstfracture,stthestnursestmuststbe
stespecially stalertstforstindications stofstthestcomplication stof?
A. deepstveinstthrombosis
B. hyperthermia
C. hypovolemics t shock
D. infection:stA.stdeepstveinstthrombosis
7. Anstobesestclientsthasstrefluxstandstaskssthowstbeingstoverweightstcouldstcausestth
isstcondition.stWhichstbystthestnursestisstbest?
A. "Yous t eats t mores t food,s t mores t often,s t thans t non-obeses t peoples t do."
B. "Thestweightstaddsstextrastpressure,stwhichsthelpsstpushststomachstcontentsstup."
C. "Obesestpeoplesttendst tosteatstmoresthigh-fatstfood,stwhichstpresentsstastrisk."
D. "Obesitystisstnotstrelatedsttostreflux,stbutstlosingstweightstwouldstbesthealthy.":stB.st"Thest
weightstaddsstextrastpressure,stwhichsthelpsstpushststomachstcontentsstup."
8. Astclientstinstthestoncologystclinicstreportsstherstfamilystisstfrustratedstatstherstongoin
gstfatiguest4stmonthsstafterstradiationsttherapystforstbreaststcancer.stWhatstresponsest
bystthestnursestisstmoststappropriate?
A. "Arestyoustgettingstadequatestreststandstsleepsteachstday?"
B. "Itstisstnormalsttostbestfatiguedstevenstforstmonthsstafterward."
C. "ThisstisstnotstnormalstandstI'llstletstthestproviderstknow."
D. "TrystaddingstmorestvitaminsstBstandstCsttostyourstdiet.":stB.st"Itstisstnormalsttostbestfatiguedstevenstfo
rstmonthsstafterward."
, Med-Surgst1stIn-
Classst FinalstExamst Review
9. Astclientstwhosthasstsustainedstastcrushstinjurysttostthestrightstlowerstlegstreport
sstnumbnessstandsttinglingstofstthestaffectedstextremity.stThestskinstofstthestrightstl
egstappearsstpale.stWhichstisstthestnurse'sstfirststintervention?
A. Assessstpedalstpulses
B. Applystoxygenstbystnasalstcannula
C. IncreasestthestIVstflowstrate
D. Documents t thes t finding:s t A.stAssessstpedalstpulses
10. Astclientsthasstastplateletstcountstofst9800/mm3.stWhatstactionstbystthestnursestisstmo
ststappropriate?
A. Assessstthestclientstforstcalfstpain,stwarmth,standstredness
B. Instructstthestclientsttostcallstforsthelpsttostgetstoutstofstbed
C. Obtains t culturess t ass t pers t thes t facility'ss t standings t policy
D. Placestthestclientstonstprotectivestisolationstprecautions:stB.stInstructstthestclientsttostcallstforsthelps
ttostgetstoutstofstbed
11. Astclientsthasstreturnedsttostthestnursingstunitstafterstesophagogastroduo-
stdenoscopys t (EGD).s t Whichs t actions t bys t thes t nurses t takess t priority?
A. Keeps t thes t clients t ons t stricts t bedrests t fors t 8s t hours
B. Delegates t takings t vitals t signss t tos t thes t nursings t assistant
C. IncreasestthestIVstratesttostflushstthestkidneys
D. Assessstthestclient'sstgagstreflex:stD.stAssessstthestclient'sstgagstreflex
12. Thes t nurses t iss t carings t fors t ans t olders t adults t clients t withs t multiples t fractures.s t Hows t
doesstthestnursestmanagestpainstinstthisstclient?
A. Meperidines t (Demerol)s t injectionss t everys t 4s t hourss t rathers t thans t PRN
B. Patient-controlledstanalgesiast(PCA)stpumpstwithstmorphine
C. Ibuprofens t (Motrin)s t 600s t mgs t everys t 4s t hours
D. IVs t morphines t PRN:s t B.stPatient-controlledstanalgesiast(PCA)stpumpstwithstmorphine
13. Afterstteachingstastclientstwithsthypertensionstsecondarysttostrenalstdisease,stthestn
urses t assessess t thes t client'ss t understanding.s t Whichs t statements t mades t bys t thes t cli
ent
, Med-Surgst1stIn-
Classst FinalstExamst Review
indicateds t as t needs t fors t additionals t teaching?
A. "Is t cans t prevents t mores t damages t tos t mys t kidneyss t bys t managings t mys t bloods t
pres-stsure."
B. "IfstIsthavestincreasedsturinationstatstnight,stIstneedsttostdrinkstlessstfluidstduringstthe
stday."
C. "Is t needs t tos t sees t thes t registereds t dietitians t tos t discusss t limitings t mys t proteins t inta
ke."
D. "Its t iss t importants t thats t Is t takes t mys t antihypertensives t medicationss t ass t directed.":
s t B.st"IfstIsthavestincreasedsturinationstatstnight,stIstneedsttostdrinkstlessstfluidstduringstthestday."
14. AstnursestisstcaringstforstastclientstadmittedstforstNon-
Hodgkin'sstlymphomastandstchemotherapy.stThestclientstreportsstnausea,stflankstpain,
standstmusclestcramps.stWhatstactionstbystthestnursestisstmoststimportant?
A. Requeststanstorderstforstserumstelectrolytesstandsturicstacid
B. Increasestthestclient'sstIVstinfusionstrate
C. Instructs t assistives t personnels t tos t strains t alls t urine
D. Administers t ans t IVs t antiemetic:s t A.stRequeststanstorderstforstserumstelectrolytesstandsturicstacid
15. Thes t nurses t iss t carings t fors t ans t olders t clients t withs t Salmonellas t foods t poisoning.s t
Whichstisstthestprioritystactionstofstthestnurse?
A. Monitorstvitalstsigns
B. Maintains t IVs t fluids
C. Providestperinealstcare
D. Initiatestisolationstprecautions:stB.stMaintainstIVstfluids
16. Astclientstisstgettingstoutstofstbedstintostthestchairstforstthestfirststtimestafterstanstunce
-stmentedsthipstreplacement.stWhatstactionstbystthestnursestisstappropriate?
A. Havestadequatesthelpsttosttransferstthestclient.
B. Providestsocksstsostthestclientstcanstslidesteasier.
C. Tells t thes t clients t fulls t weights t bearings t iss t allowed.
D. Uses t as t footstools t tos t elevates t thes t client'ss t leg.:s t A.stHavestadequatesthelpsttosttransferstthestclient.
Classst FinalstExamst Review
1. Thestnursestisstprovidingstdischargestteachingstforstastclientstwhosthasstpepticstulcer
stdiseasestcausedstbystH.stpyloristinfection.stWhichststatementstbystthestclientstindicat
edstthatstadditionalstteachingstisstneeded?
A. "Istwillstavoidstdrinkingstcoffee,stevenstifstitstisstdecaffeinated."
B. "Istwillsttakestastmultivitaminsteverystmorningstwithstbreakfast."
C. "Istwillstgosttostmysttaistchistclasssttostwindstdownstafterstastbusystday."
D. "Istwillsttakestmystmedicationsteverstdaystuntilstmystheartburnstisstgone.":stD.st"Istwillsttakestm
ystmedicationsteverstdaystuntilstmystheartburnstisstgone."
2. Durings t thes t preoperatives t interview,s t thes t client'ss t statements t thats t woulds t alerts t t
hes t nursesttostanstincreasedstriskstduringstsurgerystisst"I-
A. ams t as t reformeds t smoker;s t Is t haven'ts t hads t as t cigarettes t ins t 10s t years."
B. rarelys t eats t reds t meat;s t its t usuallys t makess t mes t feels t bloated."
C. takestastcouplestofstaspirinsteverystdaystforstmystheadaches."
D. takestastlargestassortmentstofstvitaminsstdaily.":stC.sttakestastcouplestofstaspirinsteverystdaystforstm
ystheadaches."
3. As t clients t hass t as t legs t wounds t thats t iss t ins t Stages t IIs t ofs t thes t inflammatorys t respons
e.s t Forstwhatstsignstorstsymptomstdoesstthestnursestassess?
A. Noticeables t rubor
B. Purulents t drainage
C. Swellingstandstpain
D. Warmthstatstthestsite:stB.stPurulentstdrainage
4. Thestnursestisstassessingstastgroupstofstclientsstforsttheirstriskstofstkidneystdisease.stWhic
hstracial/ethnicstgroupstisstatstthestgreateststriskstassttheystage?
A. LatinostAmericans
B. AfricanstAmericans
C. JewishstAmericans
D. AsianstAmericans:stB.stAfricanstAmericans
, Med-Surgst1stIn-
Classst FinalstExamst Review
5. Ans t olders t clients t expressess t concerns t abouts t developings t news t "ages t spots."s t W
hichstinstructionstmoststimportantstforstthestnursesttostprovidesttostthestclient?
A. "Limitstthesttimestyoustspendstinstthestsun."
B. "Monitorstforstsignsstofstinfection."
C. "Monitorstspotsstforstcolorstchange."
D. "Usestskinstcreamssttostpreventstdrying.":stC.st"Monitorstspotsstforstcolorstchange."
6. Instthestemergentstcarestofstastclientstwithstastpelvicstfracture,stthestnursestmuststbe
stespecially stalertstforstindications stofstthestcomplication stof?
A. deepstveinstthrombosis
B. hyperthermia
C. hypovolemics t shock
D. infection:stA.stdeepstveinstthrombosis
7. Anstobesestclientsthasstrefluxstandstaskssthowstbeingstoverweightstcouldstcausestth
isstcondition.stWhichstbystthestnursestisstbest?
A. "Yous t eats t mores t food,s t mores t often,s t thans t non-obeses t peoples t do."
B. "Thestweightstaddsstextrastpressure,stwhichsthelpsstpushststomachstcontentsstup."
C. "Obesestpeoplesttendst tosteatstmoresthigh-fatstfood,stwhichstpresentsstastrisk."
D. "Obesitystisstnotstrelatedsttostreflux,stbutstlosingstweightstwouldstbesthealthy.":stB.st"Thest
weightstaddsstextrastpressure,stwhichsthelpsstpushststomachstcontentsstup."
8. Astclientstinstthestoncologystclinicstreportsstherstfamilystisstfrustratedstatstherstongoin
gstfatiguest4stmonthsstafterstradiationsttherapystforstbreaststcancer.stWhatstresponsest
bystthestnursestisstmoststappropriate?
A. "Arestyoustgettingstadequatestreststandstsleepsteachstday?"
B. "Itstisstnormalsttostbestfatiguedstevenstforstmonthsstafterward."
C. "ThisstisstnotstnormalstandstI'llstletstthestproviderstknow."
D. "TrystaddingstmorestvitaminsstBstandstCsttostyourstdiet.":stB.st"Itstisstnormalsttostbestfatiguedstevenstfo
rstmonthsstafterward."
, Med-Surgst1stIn-
Classst FinalstExamst Review
9. Astclientstwhosthasstsustainedstastcrushstinjurysttostthestrightstlowerstlegstreport
sstnumbnessstandsttinglingstofstthestaffectedstextremity.stThestskinstofstthestrightstl
egstappearsstpale.stWhichstisstthestnurse'sstfirststintervention?
A. Assessstpedalstpulses
B. Applystoxygenstbystnasalstcannula
C. IncreasestthestIVstflowstrate
D. Documents t thes t finding:s t A.stAssessstpedalstpulses
10. Astclientsthasstastplateletstcountstofst9800/mm3.stWhatstactionstbystthestnursestisstmo
ststappropriate?
A. Assessstthestclientstforstcalfstpain,stwarmth,standstredness
B. Instructstthestclientsttostcallstforsthelpsttostgetstoutstofstbed
C. Obtains t culturess t ass t pers t thes t facility'ss t standings t policy
D. Placestthestclientstonstprotectivestisolationstprecautions:stB.stInstructstthestclientsttostcallstforsthelps
ttostgetstoutstofstbed
11. Astclientsthasstreturnedsttostthestnursingstunitstafterstesophagogastroduo-
stdenoscopys t (EGD).s t Whichs t actions t bys t thes t nurses t takess t priority?
A. Keeps t thes t clients t ons t stricts t bedrests t fors t 8s t hours
B. Delegates t takings t vitals t signss t tos t thes t nursings t assistant
C. IncreasestthestIVstratesttostflushstthestkidneys
D. Assessstthestclient'sstgagstreflex:stD.stAssessstthestclient'sstgagstreflex
12. Thes t nurses t iss t carings t fors t ans t olders t adults t clients t withs t multiples t fractures.s t Hows t
doesstthestnursestmanagestpainstinstthisstclient?
A. Meperidines t (Demerol)s t injectionss t everys t 4s t hourss t rathers t thans t PRN
B. Patient-controlledstanalgesiast(PCA)stpumpstwithstmorphine
C. Ibuprofens t (Motrin)s t 600s t mgs t everys t 4s t hours
D. IVs t morphines t PRN:s t B.stPatient-controlledstanalgesiast(PCA)stpumpstwithstmorphine
13. Afterstteachingstastclientstwithsthypertensionstsecondarysttostrenalstdisease,stthestn
urses t assessess t thes t client'ss t understanding.s t Whichs t statements t mades t bys t thes t cli
ent
, Med-Surgst1stIn-
Classst FinalstExamst Review
indicateds t as t needs t fors t additionals t teaching?
A. "Is t cans t prevents t mores t damages t tos t mys t kidneyss t bys t managings t mys t bloods t
pres-stsure."
B. "IfstIsthavestincreasedsturinationstatstnight,stIstneedsttostdrinkstlessstfluidstduringstthe
stday."
C. "Is t needs t tos t sees t thes t registereds t dietitians t tos t discusss t limitings t mys t proteins t inta
ke."
D. "Its t iss t importants t thats t Is t takes t mys t antihypertensives t medicationss t ass t directed.":
s t B.st"IfstIsthavestincreasedsturinationstatstnight,stIstneedsttostdrinkstlessstfluidstduringstthestday."
14. AstnursestisstcaringstforstastclientstadmittedstforstNon-
Hodgkin'sstlymphomastandstchemotherapy.stThestclientstreportsstnausea,stflankstpain,
standstmusclestcramps.stWhatstactionstbystthestnursestisstmoststimportant?
A. Requeststanstorderstforstserumstelectrolytesstandsturicstacid
B. Increasestthestclient'sstIVstinfusionstrate
C. Instructs t assistives t personnels t tos t strains t alls t urine
D. Administers t ans t IVs t antiemetic:s t A.stRequeststanstorderstforstserumstelectrolytesstandsturicstacid
15. Thes t nurses t iss t carings t fors t ans t olders t clients t withs t Salmonellas t foods t poisoning.s t
Whichstisstthestprioritystactionstofstthestnurse?
A. Monitorstvitalstsigns
B. Maintains t IVs t fluids
C. Providestperinealstcare
D. Initiatestisolationstprecautions:stB.stMaintainstIVstfluids
16. Astclientstisstgettingstoutstofstbedstintostthestchairstforstthestfirststtimestafterstanstunce
-stmentedsthipstreplacement.stWhatstactionstbystthestnursestisstappropriate?
A. Havestadequatesthelpsttosttransferstthestclient.
B. Providestsocksstsostthestclientstcanstslidesteasier.
C. Tells t thes t clients t fulls t weights t bearings t iss t allowed.
D. Uses t as t footstools t tos t elevates t thes t client'ss t leg.:s t A.stHavestadequatesthelpsttosttransferstthestclient.
