Medical-Surgical Nursing Exam 1
1. The nurse is caring for a client who has as a son with a streptococcus throat infec on.
Which nurse recommenda on would be best to advise the client to do in order to
prevent acquiring the infec on? - CORRECT ANSWER Frequently wash her hands
and surfaces of the home.
2. The nurse is caring for a client infected with Rocky Mountain spo ed fever. The nurse
should ask if the client has experienced which of the following? - CORRECT
ANSWER Was bi en by a ck
3. The nurse is caring for a client with a protozoa infec on. Which is the most likely mode
of transmission? - CORRECT ANSWER Inges on of contaminated food or water
4. The nurse is caring for a client who is recovering from an allergic reac on. Which
leukocyte level would the nurse expect to be the most elevated? - CORRECT
ANSWER Eosinophils
5. The nurse is caring for a client who has an infected wound on the great toe that is red
with a purulent exudate. The nurse expects that this client has which type of infec on? -
CORRECT ANSWER Localized
6. The client experienced a fall. Nursing assessment reveals that the client is experiencing
tachycardia, hypotension, confusion, tachypnea, and flat jugular veins. What should be
the nurse's first response? - CORRECT ANSWER Administer oxygen.
7. The family wants to know why the nurse is pu ng a urinary catheter in a client
experiencing shock. What is the nurse's best response? - CORRECT ANSWER "It
will help monitor how much urine the kidneys are able to produce."
, 8. A client experiencing shock has had a urinary output of 250 mL in the last 10 hours.
What is the nurse's most appropriate response? - CORRECT ANSWER No fy the
physician.
9. Which client is most likely to be experiencing hypovolemic shock? - CORRECT
ANSWER A client who had surgery 24 hours ago and who also has a nasogastric tube
The physician has ordered arterial blood gases for a client experiencing shock. The nurse knows
that which value indicates shock? - CORRECT ANSWER pH 7.32
A 63-year-old Arab American male states his le leg is "hot." What is the nurse's best first
response? - CORRECT ANSWER Assess for pain
The client is complaining of excrucia ng pain in a foot that has been amputated. The family tells
the nurse that the client is just addicted to pain medica ons. What is the nurse's best response?
- CORRECT ANSWER "He is experiencing phantom limb pain."
A client has had abdominal surgery and has orders to be ambulated three mes a day. Oral pain
medica on has been ordered for the client. What should the nurse do to facilitate ambula on? -
CORRECT ANSWER Mediate 1 hour prior to ambula ng the client.
The client reports frequent use of acetaminophen. How should the nurse best respond? -
CORRECT ANSWER "Do you drink alcohol?"
A client with chronic pain has been admi ed with a fever. The nursing assessment reveals that
the client has a decreased level of consciousness. What should the nurse ask the family about? -
CORRECT ANSWER What medica ons the client has taken
, The prac cal nurse is reviewing the social history from a client diagnosed with small cell
carcinoma of the lung. Which informa on is significant for this disease? - CORRECT
ANSWER The client has smoked two (2) packs of cigare es a day for 20 years
The prac cal nurse and an unlicensed assis ve personnel (UAP) are caring for a group of clients
on a medical unit. Which informa on provided by the UAP warrants immediate interven on by
the prac cal nurse? - CORRECT ANSWER The client receiving Procrit (epoe n alfa) has a
T 99.2F̊, P 68, R 24, and BP of 198/102
The client diagnosed with lung cancer has been told the cancer has metastasized to the brain.
Which interven on should the prac cal nurse expect to implement? - CORRECT
ANSWER Discuss implemen ng an advance direc ve
The client diagnosed with lung cancer is being discharged. Which statement made by the client
indicates a reitera on of informa on is required? - CORRECT ANSWER "It doesn't ma er
if I smoke now. I already have cancer."
The prac cal nurse is interviewing clients at the clinic. Which informa on provided by a client
warrants further inves ga on? - CORRECT ANSWER The client has been coughing up
blood in the mornings
The male client had abdominal surgery and the prac cal nurse suspects the client has
peritoni s. Which informa on support the diagnosis of peritoni s? - CORRECT
ANSWER Hard, rigid abdomen and white blood cell count 22,000/mm3
The client who had abdominal surgery tells the prac cal nurse, "I felt something give way in my
stomach." Which interven on should the prac cal nurse implement first? - CORRECT
ANSWER Inspect the abdominal wound incision
1. The nurse is caring for a client who has as a son with a streptococcus throat infec on.
Which nurse recommenda on would be best to advise the client to do in order to
prevent acquiring the infec on? - CORRECT ANSWER Frequently wash her hands
and surfaces of the home.
2. The nurse is caring for a client infected with Rocky Mountain spo ed fever. The nurse
should ask if the client has experienced which of the following? - CORRECT
ANSWER Was bi en by a ck
3. The nurse is caring for a client with a protozoa infec on. Which is the most likely mode
of transmission? - CORRECT ANSWER Inges on of contaminated food or water
4. The nurse is caring for a client who is recovering from an allergic reac on. Which
leukocyte level would the nurse expect to be the most elevated? - CORRECT
ANSWER Eosinophils
5. The nurse is caring for a client who has an infected wound on the great toe that is red
with a purulent exudate. The nurse expects that this client has which type of infec on? -
CORRECT ANSWER Localized
6. The client experienced a fall. Nursing assessment reveals that the client is experiencing
tachycardia, hypotension, confusion, tachypnea, and flat jugular veins. What should be
the nurse's first response? - CORRECT ANSWER Administer oxygen.
7. The family wants to know why the nurse is pu ng a urinary catheter in a client
experiencing shock. What is the nurse's best response? - CORRECT ANSWER "It
will help monitor how much urine the kidneys are able to produce."
, 8. A client experiencing shock has had a urinary output of 250 mL in the last 10 hours.
What is the nurse's most appropriate response? - CORRECT ANSWER No fy the
physician.
9. Which client is most likely to be experiencing hypovolemic shock? - CORRECT
ANSWER A client who had surgery 24 hours ago and who also has a nasogastric tube
The physician has ordered arterial blood gases for a client experiencing shock. The nurse knows
that which value indicates shock? - CORRECT ANSWER pH 7.32
A 63-year-old Arab American male states his le leg is "hot." What is the nurse's best first
response? - CORRECT ANSWER Assess for pain
The client is complaining of excrucia ng pain in a foot that has been amputated. The family tells
the nurse that the client is just addicted to pain medica ons. What is the nurse's best response?
- CORRECT ANSWER "He is experiencing phantom limb pain."
A client has had abdominal surgery and has orders to be ambulated three mes a day. Oral pain
medica on has been ordered for the client. What should the nurse do to facilitate ambula on? -
CORRECT ANSWER Mediate 1 hour prior to ambula ng the client.
The client reports frequent use of acetaminophen. How should the nurse best respond? -
CORRECT ANSWER "Do you drink alcohol?"
A client with chronic pain has been admi ed with a fever. The nursing assessment reveals that
the client has a decreased level of consciousness. What should the nurse ask the family about? -
CORRECT ANSWER What medica ons the client has taken
, The prac cal nurse is reviewing the social history from a client diagnosed with small cell
carcinoma of the lung. Which informa on is significant for this disease? - CORRECT
ANSWER The client has smoked two (2) packs of cigare es a day for 20 years
The prac cal nurse and an unlicensed assis ve personnel (UAP) are caring for a group of clients
on a medical unit. Which informa on provided by the UAP warrants immediate interven on by
the prac cal nurse? - CORRECT ANSWER The client receiving Procrit (epoe n alfa) has a
T 99.2F̊, P 68, R 24, and BP of 198/102
The client diagnosed with lung cancer has been told the cancer has metastasized to the brain.
Which interven on should the prac cal nurse expect to implement? - CORRECT
ANSWER Discuss implemen ng an advance direc ve
The client diagnosed with lung cancer is being discharged. Which statement made by the client
indicates a reitera on of informa on is required? - CORRECT ANSWER "It doesn't ma er
if I smoke now. I already have cancer."
The prac cal nurse is interviewing clients at the clinic. Which informa on provided by a client
warrants further inves ga on? - CORRECT ANSWER The client has been coughing up
blood in the mornings
The male client had abdominal surgery and the prac cal nurse suspects the client has
peritoni s. Which informa on support the diagnosis of peritoni s? - CORRECT
ANSWER Hard, rigid abdomen and white blood cell count 22,000/mm3
The client who had abdominal surgery tells the prac cal nurse, "I felt something give way in my
stomach." Which interven on should the prac cal nurse implement first? - CORRECT
ANSWER Inspect the abdominal wound incision
