RN Adult Medical Surgical Exam 1 QUESTIONS
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Chapter
Chapter 1: Overview of Professional Nursing Concepts for Medical-Surgical Nursing
Chapter 2: Clinical Judgement and Systems Thinking
Chapter 3: Overview of Health Concepts for Medical-Surgical Nursing
Chapter 4: Common Health Problems of Older Adults
Chapter 5: Assessment and Concepts of Care for Patients with Pain
Chapter 6: Concepts of Genetics and Genomics
Chapter 8: Concepts of Care for Patients of End of Life
Chapter 16: Concepts of Inflammation and Immunity
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, RN Adult Medical Surgical Exam
Chapter 21: Concepts of Care for Patients with Infection
Chapter 3: Concepts of Fluid and Electrolyte Balance
Chapter 14: Concepts of Acid-Base Balance
Chapter 15: Concepts of Infusion Therapy
Chapter 60: Assessment of the Renal/Urinary System
Chapter 61: Concepts of Care for Patients with Urinary Problems
Chapter 30: Assessment of the Cardiovascular System
Chapter 31: Concepts of Care for Patients with Dysrhythmias
Chapter 24: Assessment of the Respiratory System
Chapter 25: Concepts of Care for Patients Requiring Oxygen Therapy or Tracheostomy
Chapter 26: Concepts of Care for Patients with Noninfectious Upper Respiratory Problems
Chapter 27: Concepts of Care for Patients wit hNoninfectious Lower Respiratory Problems
Chapter 48: Assessment of Gastrointestinal System
Chapter 49: Concepts of Care for Patients with Oral Cavity and Esophageal Problems
Chapter 50: Concepts of Care for Patients with Stomach Disorders
Chapter 55: Concepts of Care for Patients with Malnutrition: Undernutrition and Obesity
Chapter 56: Assessment of the Endocrine System
Chapter 59: Concepts of Care for Patients with Diabetes Mellitus
Chapter 22: Assessment of the Skin, Hair, and Nails
Chapter 23: Concepts of Care for Patients with Skin Problems
Chapter 44: Assessment of the Musculoskeletal System
Chapter 45: Concepts of Care for Patients with Musculoskeletal Problems
Chapter 46: Concepts of Care for Patients with Arthritis and Total Joint Arthroplasty
Chapter 38: Assessment of the Nervous System
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, RN Adult Medical Surgical Exam
An elderly male client comes to the geriatric screening clinic complaining of pain in his left calf.
The nurse notices a reddened area on the calf of his right leg which is warm to the touch and
suspects it might be thrombophlebitis. Which type of pain should further confirm this
suspicion?
A) Pain in the calf awakening him from a sound sleep.
B) Calf pain on exertion which stops when standing in one place.
C) Pain in the calf upon exertion which is relieved by rest and elevating the extremity.
D) Pain upon arising in the morning which is relieved after some stretching and exercise. –
Correct Answer :C) Pain in the calf upon exertion which is relieved by rest and elevating the
extremity.
Thrombophlebitis pain is relieved by rest and elevation of the extremity (C). It typically occurs
with exercise at the site of the thrombus, and is aggravated by placing the extremity in a
dependent position, such as standing in one place (B). (A and D) describe pain that is not
common with thrombophlebitis.
A client with early breast cancer receives the results of a breast biopsy and asks the nurse to
explain the meaning of staging and the type of receptors found on the cancer cells. Which
explanation should the nurse provide?
A) Lymph node involvement is not significant.
B) Small tumors are aggressive and indicate poor prognosis.
C) The tumor's estrogen receptor guides treatment options.
D) Stage I indicates metastasis. –
Correct Answer :C) The tumor's estrogen receptor guides treatment options.
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Treatment decisions (C) and prediction of prognosis are related to the tumor's receptor
status, such as estrogen and progesterone receptor status which commonly are well-
differentiated, have a lower chance of recurrence, and are receptive to hormonal therapy.
Tumor staging designates tumor size and spread of breast cancer cells into axillary lymph
nodes, which is one of the most important prognostic factors in early-stage breast cancer, not
(A). Larger tumors are more likely to indicate poor prognosis, not (B). Stage I indicates the
cancer is localized and has not spread systemically (D).
Which healthcare practice is most important for the nurse to teach a postmenopausal client?
A) Wear layers of clothes if experiencing hot flashes.
B) Use a water-soluble lubricant for vaginal dryness.
C) Consume adequate foods rich in calcium.
D) Participate in stimulating mental exercises. –
Correct Answer :C) Consume adequate foods rich in calcium.
Bone density loss associated with osteoporosis increases at a more rapid rate when estrogen
levels begin to fall, so the most important healthcare practice during menopause is ensuring
an adequate calcium (C) intake to help maintain bone density and prevent osteoporosis.
Although practices such as (A and B) may reduce some of the discomforts for a
postmenopausal female, calcium intake is more important than comfort measures. Although
social and mental exercises stimulate thought, there is no scientific evidence that mental
exercises (D) prevent dementia or common forgetfulness associated with reduced hormonal
levels.
The nurse is preparing a teaching plan for a client who is newly diagnosed with Type 1
diabetes mellitus. Which signs and symptoms should the nurse describe when teaching the
client about hypoglycemia?
A) Sweating, trembling, tachycardia.
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