Exam 4 review Med surg.
1. The nurse has attended a staff education conference about clinical manifestations of hypertensive crisis, which
of the following manifestations stated by the nurse indicates a need for further teaching?
A) Carotid bruit
Manifestations are dyspnea, blurred vision, sever HA, N/V, anxiety.
2. The nurse is teaching a middle-aged client about lifestyle modifications for managing hypertension, which of the
following information should the nurse include in the teaching?
A) Plan to exercise 3 to 4 days per week for 40 minutes each day.
3. The nurse is caring for a client who has hypertension and is receiving the prescribed medication spironolactone
PO TID, which of the following findings indicates the client is experiencing a common side effect of this
medication?
A) An increase in Potassium from 4.8 to 5.7
Spironolactone is K sparing.
4. The nurse is teaching a client who has chronic venous insufficiency about the prevention of varicose veins, which
of the following client statements indicates additional teaching is needed?
A) I need to decrease the amount I smoke to help with circulation.
5. The nurse is instructing a client who was recently diagnosed with Reynaud’s disease, which of the following
statements by the client indicates a correct understanding of the teaching?
A) I should drink decaf beverages as much as possible.
6. The nurse is teaching a client who was recently diagnosed with Buerger’s disease, which of the following lifestyle
changes is most important for the client to make?
A) Eliminate tobacco.
7. The nurse is caring for a client who has PAD and suspected intermittent claudication, which of the following
assessment findings is consistent with the suspicion?
A) Pain that can be reproduced with exercise.
8. The nurse is caring for a client who has PAD, which of the following actions is appropriate for the nurse to take
when caring for this client?
A) Instructing the client to avoid crossing their legs.
9. The nurse is performing a cardiovascular assessment and notes a systolic murmur during auscultation of the
client’s aortic area of the chest wall, which of the following landmarks in the picture below best demonstrates
the area where the murmur is heard?
A) Second ICS on the right-side sternal border. Pick from picture.
, 10. The nurse is providing teaching to a client with a below the knee amputation, which of the following should the
nurses include in the teaching?
A) Routinely push the residual limb down toward the bed to prepare for a prosthesis.
11. The nurse is working in a PHCP office is assessing a client who is being seen 6 weeks following an above the knee
amputation, the client reports experiencing phantom pain, which of the following instructions should the nurse
provide to the client?
A) Take their prescribed Gabapentin.
12. The nurse is caring for a client who has a DVT and is receiving a continuous infusion of heparin that started 48
hrs ago, which of the following lab values indicates therapeutic response to the treatment?
A) An apt of 60 sec.
13. The nurse working in the ER is reviewing prescribed lab tests and meds for the following clients, which of the
following prescriptions should the nurse question?
A) Atropine for a client who has A Fib with a pulse of 145 and reporting dizziness.
14. The nurse has provided preop teaching to a client who is scheduled to have cardiac cath, which of the following
client statements indicates correct understanding of the teaching?
A) I will be on bed rest approximately 2 to 6 hours after this procedure.
15. The nurse is providing DC instructions to a client who had a pacemaker inserted, which of the following client
statements indicates a need for further teaching?
A) If the client states, I will not be able to take a bath or shower till my follow up appointment.
16. The nurse is providing DC instructions to a client who has a new diagnosis of heart failure, which of the following
should the nurse include in the teaching?
A) Gradually increase walking to at least 3 times a week.
17. The home health nurse is visiting a client who takes a daily diuretic for heart failure, which of the following
statements by the client should the nurse recognize as a possible sign of hypokalemia?
A) I feel so tried and weak lately.
18. The nurse is assessing a client who has left side heart failure and has developed a cough, crackles, and weak
peripheral pulses, which of the following additional findings should the nurse expect to observe?
A) Confusion.
1. The nurse has attended a staff education conference about clinical manifestations of hypertensive crisis, which
of the following manifestations stated by the nurse indicates a need for further teaching?
A) Carotid bruit
Manifestations are dyspnea, blurred vision, sever HA, N/V, anxiety.
2. The nurse is teaching a middle-aged client about lifestyle modifications for managing hypertension, which of the
following information should the nurse include in the teaching?
A) Plan to exercise 3 to 4 days per week for 40 minutes each day.
3. The nurse is caring for a client who has hypertension and is receiving the prescribed medication spironolactone
PO TID, which of the following findings indicates the client is experiencing a common side effect of this
medication?
A) An increase in Potassium from 4.8 to 5.7
Spironolactone is K sparing.
4. The nurse is teaching a client who has chronic venous insufficiency about the prevention of varicose veins, which
of the following client statements indicates additional teaching is needed?
A) I need to decrease the amount I smoke to help with circulation.
5. The nurse is instructing a client who was recently diagnosed with Reynaud’s disease, which of the following
statements by the client indicates a correct understanding of the teaching?
A) I should drink decaf beverages as much as possible.
6. The nurse is teaching a client who was recently diagnosed with Buerger’s disease, which of the following lifestyle
changes is most important for the client to make?
A) Eliminate tobacco.
7. The nurse is caring for a client who has PAD and suspected intermittent claudication, which of the following
assessment findings is consistent with the suspicion?
A) Pain that can be reproduced with exercise.
8. The nurse is caring for a client who has PAD, which of the following actions is appropriate for the nurse to take
when caring for this client?
A) Instructing the client to avoid crossing their legs.
9. The nurse is performing a cardiovascular assessment and notes a systolic murmur during auscultation of the
client’s aortic area of the chest wall, which of the following landmarks in the picture below best demonstrates
the area where the murmur is heard?
A) Second ICS on the right-side sternal border. Pick from picture.
, 10. The nurse is providing teaching to a client with a below the knee amputation, which of the following should the
nurses include in the teaching?
A) Routinely push the residual limb down toward the bed to prepare for a prosthesis.
11. The nurse is working in a PHCP office is assessing a client who is being seen 6 weeks following an above the knee
amputation, the client reports experiencing phantom pain, which of the following instructions should the nurse
provide to the client?
A) Take their prescribed Gabapentin.
12. The nurse is caring for a client who has a DVT and is receiving a continuous infusion of heparin that started 48
hrs ago, which of the following lab values indicates therapeutic response to the treatment?
A) An apt of 60 sec.
13. The nurse working in the ER is reviewing prescribed lab tests and meds for the following clients, which of the
following prescriptions should the nurse question?
A) Atropine for a client who has A Fib with a pulse of 145 and reporting dizziness.
14. The nurse has provided preop teaching to a client who is scheduled to have cardiac cath, which of the following
client statements indicates correct understanding of the teaching?
A) I will be on bed rest approximately 2 to 6 hours after this procedure.
15. The nurse is providing DC instructions to a client who had a pacemaker inserted, which of the following client
statements indicates a need for further teaching?
A) If the client states, I will not be able to take a bath or shower till my follow up appointment.
16. The nurse is providing DC instructions to a client who has a new diagnosis of heart failure, which of the following
should the nurse include in the teaching?
A) Gradually increase walking to at least 3 times a week.
17. The home health nurse is visiting a client who takes a daily diuretic for heart failure, which of the following
statements by the client should the nurse recognize as a possible sign of hypokalemia?
A) I feel so tried and weak lately.
18. The nurse is assessing a client who has left side heart failure and has developed a cough, crackles, and weak
peripheral pulses, which of the following additional findings should the nurse expect to observe?
A) Confusion.
