Medical-Surgical Nursing Exam 1 st st st
The nurse is caring for a client who has as a son with a streptoco
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ccus throat infection. Which nurse recommendation would be be
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st to advise the client to do in order to prevent acquiring the infe
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ction? - correct answer✔ ✔st st st
Frequently wash her hands and surfaces of the home. st st st st st st st st
The nurse is caring for a client infected with Rocky Mountain sp
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otted fever. The nurse should ask if the client has experienced w
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hich of the following? - correct answer✔ ✔
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Was bitten by a tick st st st st
The nurse is caring for a client with a protozoa infection. Which
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is the most likely mode of transmission? - correct answer✔ ✔
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Ingestion of contaminated food or water st st st st st
The nurse is caring for a client who is recovering from an allergi
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c reaction. Which leukocyte level would the nurse expect to be t
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he most elevated? - correct answer✔ ✔ Eosinophils
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,The nurse is caring for a client who has an infected wound on th
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e great toe that is red with a purulent exudate. The nurse expects
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that this client has which type of infection? - correct answer✔
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✔ Localized
The client experienced a fall. Nursing assessment reveals that th
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e client is experiencing tachycardia, hypotension, confusion, tac
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hypnea, and flat jugular veins. What should be the nurse's first r
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esponse? - correct answer✔ ✔ Administer oxygen.
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The family wants to know why the nurse is putting a urinary cat
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heter in a client experiencing shock. What is the nurse's best res
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ponse? - correct answer✔ ✔ st st st
"It will help monitor how much urine the kidneys are able to p
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roduce."
A client experiencing shock has had a urinary output of 250 mL
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in the last 10 hours. What is the nurse's most appropriate respon
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se? - correct answer✔ ✔ Notify the physician.
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Which client is most likely to be experiencing hypovolemic sho
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ck? - correct answer✔ ✔
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, A client who had surgery 24 hours ago and who also has a nas
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ogastric tube st
The physician has ordered arterial blood gases for a client experi
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encing shock. The nurse knows that which value indicates shock
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? - correct answer✔ ✔ pH 7.32
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A 63-year-st
old Arab American male states his left leg is "hot." What is the
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nurse's best first response? - correct answer✔ ✔
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Assess for pain st st
The client is complaining of excruciating pain in a foot that has
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been amputated. The family tells the nurse that the client is just
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addicted to pain medications. What is the nurse's best response?
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- correct answer✔ ✔
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"He is experiencing phantom limb pain."
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A client has had abdominal surgery and has orders to be ambula
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ted three times a day. Oral pain medication has been ordered for
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the client. What should the nurse do to facilitate ambulation? -
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correct answer✔ ✔
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Mediate 1 hour prior to ambulating the client. st st st st st st st
, The client reports frequent use of acetaminophen. How should t
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he nurse best respond? - correct answer✔ ✔
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"Do you drink alcohol?" st st st
A client with chronic pain has been admitted with a fever. The n
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ursing assessment reveals that the client has a decreased level of
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consciousness. What should the nurse ask the family about? -
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correct answer✔ ✔ What medications the client has taken
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The practical nurse is reviewing the social history from a client
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diagnosed with small cell carcinoma of the lung. Which informa
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tion is significant for this disease? - correct answer✔ ✔
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The client has smoked two (2) packs of cigarettes a day for 20
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years
t
The practical nurse and an unlicensed assistive personnel (UAP)
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are caring for a group of clients on a medical unit. Which infor
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mation provided by the UAP warrants immediate intervention b
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y the practical nurse? - correct answer✔ ✔
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The client receiving Procrit (epoetin alfa) has a T 99.2˚F, P 68
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, R 24, and BP of 198/102
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The nurse is caring for a client who has as a son with a streptoco
st st st st st st st st st st st st st st
ccus throat infection. Which nurse recommendation would be be
st st st st st st st st
st to advise the client to do in order to prevent acquiring the infe
st st st st st st st st st st st st st
ction? - correct answer✔ ✔st st st
Frequently wash her hands and surfaces of the home. st st st st st st st st
The nurse is caring for a client infected with Rocky Mountain sp
st st st st st st st st st st st
otted fever. The nurse should ask if the client has experienced w
st st st st st st st st st st st
hich of the following? - correct answer✔ ✔
st st st st st st
Was bitten by a tick st st st st
The nurse is caring for a client with a protozoa infection. Which
st st st st st st st st st st st s
is the most likely mode of transmission? - correct answer✔ ✔
t st st st st st st st st st
Ingestion of contaminated food or water st st st st st
The nurse is caring for a client who is recovering from an allergi
st st st st st st st st st st st st
c reaction. Which leukocyte level would the nurse expect to be t
st st st st st st st st st st st
he most elevated? - correct answer✔ ✔ Eosinophils
st st st st st
,The nurse is caring for a client who has an infected wound on th
st st st st st st st st st st st st st
e great toe that is red with a purulent exudate. The nurse expects
st st st st st st st st st st st st
that this client has which type of infection? - correct answer✔
st st st st st st st st st st st
✔ Localized
The client experienced a fall. Nursing assessment reveals that th
st st st st st st st st st
e client is experiencing tachycardia, hypotension, confusion, tac
st st st st st st st
hypnea, and flat jugular veins. What should be the nurse's first r
st st st st st st st st st st st
esponse? - correct answer✔ ✔ Administer oxygen.
st st st st
The family wants to know why the nurse is putting a urinary cat
st st st st st st st st st st st st
heter in a client experiencing shock. What is the nurse's best res
st st st st st st st st st st st
ponse? - correct answer✔ ✔ st st st
"It will help monitor how much urine the kidneys are able to p
st st st st st st st st st st st st
roduce."
A client experiencing shock has had a urinary output of 250 mL
st st st st st st st st st st st st
in the last 10 hours. What is the nurse's most appropriate respon
st st st st st st st st st st st
se? - correct answer✔ ✔ Notify the physician.
st st st st st
Which client is most likely to be experiencing hypovolemic sho
st st st st st st st st st
ck? - correct answer✔ ✔
st st st
, A client who had surgery 24 hours ago and who also has a nas
st st st st st st st st st st st st st
ogastric tube st
The physician has ordered arterial blood gases for a client experi
st st st st st st st st st st
encing shock. The nurse knows that which value indicates shock
st st st st st st st st st
? - correct answer✔ ✔ pH 7.32
st st st st
A 63-year-st
old Arab American male states his left leg is "hot." What is the
st st st st st st st st st st st st st
nurse's best first response? - correct answer✔ ✔
st st st st st st
Assess for pain st st
The client is complaining of excruciating pain in a foot that has
st st st st st st st st st st st st
been amputated. The family tells the nurse that the client is just
st st st st st st st st st st st st
addicted to pain medications. What is the nurse's best response?
st st st st st st st st st st
- correct answer✔ ✔
st st
"He is experiencing phantom limb pain."
st st st st st
A client has had abdominal surgery and has orders to be ambula
st st st st st st st st st st st
ted three times a day. Oral pain medication has been ordered for
st st st st st st st st st st st s
the client. What should the nurse do to facilitate ambulation? -
t st st st st st st st st st st
correct answer✔ ✔
st st
Mediate 1 hour prior to ambulating the client. st st st st st st st
, The client reports frequent use of acetaminophen. How should t
st st st st st st st st st
he nurse best respond? - correct answer✔ ✔
st st st st st st
"Do you drink alcohol?" st st st
A client with chronic pain has been admitted with a fever. The n
st st st st st st st st st st st st
ursing assessment reveals that the client has a decreased level of
st st st st st st st st st st s
consciousness. What should the nurse ask the family about? -
t st st st st st st st st st
correct answer✔ ✔ What medications the client has taken
st st st st st st st
The practical nurse is reviewing the social history from a client
st st st st st st st st st st st
diagnosed with small cell carcinoma of the lung. Which informa
st st st st st st st st st
tion is significant for this disease? - correct answer✔ ✔
st st st st st st st st
The client has smoked two (2) packs of cigarettes a day for 20
st st st st st st st st st st st st s
years
t
The practical nurse and an unlicensed assistive personnel (UAP)
st st st st st st st st s
are caring for a group of clients on a medical unit. Which infor
t st st st st st st st st st st st st
mation provided by the UAP warrants immediate intervention b
st st st st st st st st
y the practical nurse? - correct answer✔ ✔
st st st st st st
The client receiving Procrit (epoetin alfa) has a T 99.2˚F, P 68
st st st st st st st st st st st
, R 24, and BP of 198/102
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