Med-Surg 1 In-Class Final Exam Review Questions and Answers
Graded A
The nurse is providing discharge teaching for a client who
has peptic ulcer disease caused by H. pylori infection.
Which statement by the client indicated that additional
teaching is needed?
A. "I will avoid drinking cottee, even if it is decatteinated." D. "I will take my medication ever day until my heartburn
B. "I will take a multivitamin every morning with break- is gone."
fast."
C. "I will go to my tai chi class to wind down after a busy
day."
D. "I will take my medication ever day until my heartburn
is gone."
During the preoperative interview, the client's statement
that would alert the nurse to an increased risk during
surgery is "I-
A. am a reformed smoker; I haven't had a cigarette in 10 C. take a couple of aspirin every day for my headaches."
years."
B. rarely eat red meat; it usually makes me feel bloated."
C. take a couple of aspirin every day for my headaches."
D. take a large assortment of vitamins daily."
A client has a leg wound that is in Stage II of the inflamma-
tory response. For what sign or symptom does the nurse
assess?
A. Noticeable rubor B. Purulent drainage
B. Purulent drainage
C. Swelling and pain
D. Warmth at the site
The nurse is assessing a group of clients for their risk
of kidney disease. Which racial/ethnic group is at the
,Med-Surg 1 In-Class Final Exam Review Questions and Answers
Graded A
greatest risk as they age?
A. Latino Americans
B. African Americans
B. African Americans
C. Jewish Americans
D. Asian Americans
An older client expresses concern about developing new
"age spots." Which instruction most important for the
nurse to provide to the client?
C. "Monitor spots for color change."
A. "Limit the time you spend in the sun."
B. "Monitor for signs of infection."
C. "Monitor spots for color change."
D. "Use skin creams to prevent drying."
In the emergent care of a client with a pelvic fracture,
the nurse must be especially alert for indications of the
complication of?
A. deep vein thrombosis
A. deep vein thrombosis
B. hyperthermia
C. hypovolemic shock
D. infection
An obese client has reflux and asks how being overweight
could cause this condition. Which by the nurse is best?
A. "You eat more food, more often, than non-obese people
B. "The weight adds extra pressure, which helps push
do."
stomach contents up."
B. "The weight adds extra pressure, which helps push
stomach contents up."
C. "Obese people tend to eat more high-fat food, which
presents a risk."
, Med-Surg 1 In-Class Final Exam Review Questions and Answers
Graded A
D. "Obesity is not related to reflux, but losing weight would
be healthy."
A client in the oncology clinic reports her family is frustrat-
ed at her ongoing fatigue 4 months after radiation therapy
for breast cancer. What response by the nurse is most
appropriate?
B. "It is normal to be fatigued even for months afterward."
A. "Are you getting adequate rest and sleep each day?"
B. "It is normal to be fatigued even for months after-
ward."
C. "This is not normal and I'll let the provider know."
D. "Try adding more vitamins B and C to your diet."
A client who has sustained a crush injury to the right
lower leg reports numbness and tingling of the attected
extremity. The skin of the right leg appears pale. Which is
the nurse's first intervention?
A. Assess pedal pulses
A. Assess pedal pulses
B. Apply oxygen by nasal cannula
C. Increase the IV flow rate
D. Document the finding
A client has a platelet count of 9800/mm3. What action by
the nurse is most appropriate?
A. Assess the client for calf pain, warmth, and redness B. Instruct the client to call for help to get out of bed
B. Instruct the client to call for help to get out of bed
C. Obtain cultures as per the facility's standing policy
D. Place the client on protective isolation precautions
A client has returned to the nursing unit after esopha-
gogastroduodenoscopy (EGD). Which action by the nurse
takes priority?
Graded A
The nurse is providing discharge teaching for a client who
has peptic ulcer disease caused by H. pylori infection.
Which statement by the client indicated that additional
teaching is needed?
A. "I will avoid drinking cottee, even if it is decatteinated." D. "I will take my medication ever day until my heartburn
B. "I will take a multivitamin every morning with break- is gone."
fast."
C. "I will go to my tai chi class to wind down after a busy
day."
D. "I will take my medication ever day until my heartburn
is gone."
During the preoperative interview, the client's statement
that would alert the nurse to an increased risk during
surgery is "I-
A. am a reformed smoker; I haven't had a cigarette in 10 C. take a couple of aspirin every day for my headaches."
years."
B. rarely eat red meat; it usually makes me feel bloated."
C. take a couple of aspirin every day for my headaches."
D. take a large assortment of vitamins daily."
A client has a leg wound that is in Stage II of the inflamma-
tory response. For what sign or symptom does the nurse
assess?
A. Noticeable rubor B. Purulent drainage
B. Purulent drainage
C. Swelling and pain
D. Warmth at the site
The nurse is assessing a group of clients for their risk
of kidney disease. Which racial/ethnic group is at the
,Med-Surg 1 In-Class Final Exam Review Questions and Answers
Graded A
greatest risk as they age?
A. Latino Americans
B. African Americans
B. African Americans
C. Jewish Americans
D. Asian Americans
An older client expresses concern about developing new
"age spots." Which instruction most important for the
nurse to provide to the client?
C. "Monitor spots for color change."
A. "Limit the time you spend in the sun."
B. "Monitor for signs of infection."
C. "Monitor spots for color change."
D. "Use skin creams to prevent drying."
In the emergent care of a client with a pelvic fracture,
the nurse must be especially alert for indications of the
complication of?
A. deep vein thrombosis
A. deep vein thrombosis
B. hyperthermia
C. hypovolemic shock
D. infection
An obese client has reflux and asks how being overweight
could cause this condition. Which by the nurse is best?
A. "You eat more food, more often, than non-obese people
B. "The weight adds extra pressure, which helps push
do."
stomach contents up."
B. "The weight adds extra pressure, which helps push
stomach contents up."
C. "Obese people tend to eat more high-fat food, which
presents a risk."
, Med-Surg 1 In-Class Final Exam Review Questions and Answers
Graded A
D. "Obesity is not related to reflux, but losing weight would
be healthy."
A client in the oncology clinic reports her family is frustrat-
ed at her ongoing fatigue 4 months after radiation therapy
for breast cancer. What response by the nurse is most
appropriate?
B. "It is normal to be fatigued even for months afterward."
A. "Are you getting adequate rest and sleep each day?"
B. "It is normal to be fatigued even for months after-
ward."
C. "This is not normal and I'll let the provider know."
D. "Try adding more vitamins B and C to your diet."
A client who has sustained a crush injury to the right
lower leg reports numbness and tingling of the attected
extremity. The skin of the right leg appears pale. Which is
the nurse's first intervention?
A. Assess pedal pulses
A. Assess pedal pulses
B. Apply oxygen by nasal cannula
C. Increase the IV flow rate
D. Document the finding
A client has a platelet count of 9800/mm3. What action by
the nurse is most appropriate?
A. Assess the client for calf pain, warmth, and redness B. Instruct the client to call for help to get out of bed
B. Instruct the client to call for help to get out of bed
C. Obtain cultures as per the facility's standing policy
D. Place the client on protective isolation precautions
A client has returned to the nursing unit after esopha-
gogastroduodenoscopy (EGD). Which action by the nurse
takes priority?
