NP3- MedSurg Exam Questions With
Complete Answers
A client has undergone laryngectomy. The immediate nursing priority would
be:
A. Keep trachea free of secretions
B. Monitor for signs of infection
C. Provide emotional support
D. Promote means of communication - ANSWER A . Patent airway is the
most priority; therefore removal of secretions is necessary.
A male client with tuberculosis asks Nurse Brian how long the
chemotherapy must be continued. Nurse Brian's accurate reply would be:
A.1 to 3 weeks
B. 6 to 12 months
C. 3 to 5 months
D. 3 years and more - ANSWER B . Tubercle bacillus is a drug resistant
organism and takes a long time to be eradicated. Usually a combination of
three drugs is used for minimum of 6 months and at least six months
beyond culture conversion.
Nurse Anna is aware that early adaptation of client with renal carcinoma is:
A.Nausea and vomiting
B. flank pain
C. weight gain
D. intermittent hematuria - ANSWER D. intermittent hematuria
,An 83-year-old woman has several ecchymotic areas on her right arm. The
bruises are probably caused by:
A. increased capillary fragility and permeability
B .increased blood supply to the skin
C. self inflicted injury
D. elder abuse - ANSWER A . Aging process involves increased capillary
fragility and permeability. Older adults have a decreased amount of
subcutaneous fat and cause an increased incidence of bruise like lesions
caused by collection of extravascular blood inloosely structured dermis.
Nurse Faith should recognize that fluid shift in an client with burn injury
results from increase in the:
A. Total volume of circulating whole blood
B. Total volume of intravascular plasma
C. Permeability of capillary walls
D. Permeability of kidney tubules - ANSWER C . In burn, the capillaries and
small vessels dilate, and cell damage cause the release of a histamine-like
substance. The substance causes the capillary walls to become more
permeable and significant quantities of fluid are lost.
Which of the following complications associated with tracheostomy tube?
A. Increased cardiac output
B. Acute respiratory distress syndrome (ARDS)
C. Increased blood pressure
D. Damage to laryngeal nerves - ANSWER D . Tracheostomy tube has
several potential complications including bleeding, infection and laryngeal
nerve damage.
Nurse Katrina should anticipate that all of the following drugs may be used
in the attempt to control the symptoms of Meniere's disease except:
A. Antiemetics
B. Diuretics
C. Antihistamines
D. Glucocorticoids - ANSWER D . Glucocorticoids play no significant role in
disease treatment.
, Nurse Jon assesses vital signs on a client undergone epidural
anesthesia.Which of the following would the nurse assess next?
A. Headache
B. Bladder distension
C. Dizziness
D. Ability to move legs - ANSWER B . The last area to return sensation is in
the perineal area, and the nurse in charge should monitor the client for
distended bladder.
Among the following clients, which among them is high risk for potential
hazards from the surgical experience?
A. 67-year-old client
B. 49-year-old client
C. 33-year-old client
D. 15-year-old client - ANSWER A . A 67 year old client is greater risk
because the older adult client is more likely to have a less-effective immune
system.
Atropine sulfate (Atropine) is contraindicated in all but one of the following
client?
A. A client with high blood
B. A client with bowel obstruction
C. A client with glaucoma
D. A client with U.T.I - ANSWER C . Atropine sulfate is contraindicated with
glaucoma patients because it increases intraocular pressure.
A 65 year old female is experiencing flare up of pruritus. Which of the
client's action could aggravate the cause of flare ups?
A. Sleeping in cool and humidified environment
B. Daily baths with fragrant soap
C. Using clothes made from 100% cotton
D. Increasing fluid intake - ANSWER B . The use of fragrant soap is very
drying to skin hence causing the pruritus.
Among the following components thorough pain assessment, which is the
most significant?
Complete Answers
A client has undergone laryngectomy. The immediate nursing priority would
be:
A. Keep trachea free of secretions
B. Monitor for signs of infection
C. Provide emotional support
D. Promote means of communication - ANSWER A . Patent airway is the
most priority; therefore removal of secretions is necessary.
A male client with tuberculosis asks Nurse Brian how long the
chemotherapy must be continued. Nurse Brian's accurate reply would be:
A.1 to 3 weeks
B. 6 to 12 months
C. 3 to 5 months
D. 3 years and more - ANSWER B . Tubercle bacillus is a drug resistant
organism and takes a long time to be eradicated. Usually a combination of
three drugs is used for minimum of 6 months and at least six months
beyond culture conversion.
Nurse Anna is aware that early adaptation of client with renal carcinoma is:
A.Nausea and vomiting
B. flank pain
C. weight gain
D. intermittent hematuria - ANSWER D. intermittent hematuria
,An 83-year-old woman has several ecchymotic areas on her right arm. The
bruises are probably caused by:
A. increased capillary fragility and permeability
B .increased blood supply to the skin
C. self inflicted injury
D. elder abuse - ANSWER A . Aging process involves increased capillary
fragility and permeability. Older adults have a decreased amount of
subcutaneous fat and cause an increased incidence of bruise like lesions
caused by collection of extravascular blood inloosely structured dermis.
Nurse Faith should recognize that fluid shift in an client with burn injury
results from increase in the:
A. Total volume of circulating whole blood
B. Total volume of intravascular plasma
C. Permeability of capillary walls
D. Permeability of kidney tubules - ANSWER C . In burn, the capillaries and
small vessels dilate, and cell damage cause the release of a histamine-like
substance. The substance causes the capillary walls to become more
permeable and significant quantities of fluid are lost.
Which of the following complications associated with tracheostomy tube?
A. Increased cardiac output
B. Acute respiratory distress syndrome (ARDS)
C. Increased blood pressure
D. Damage to laryngeal nerves - ANSWER D . Tracheostomy tube has
several potential complications including bleeding, infection and laryngeal
nerve damage.
Nurse Katrina should anticipate that all of the following drugs may be used
in the attempt to control the symptoms of Meniere's disease except:
A. Antiemetics
B. Diuretics
C. Antihistamines
D. Glucocorticoids - ANSWER D . Glucocorticoids play no significant role in
disease treatment.
, Nurse Jon assesses vital signs on a client undergone epidural
anesthesia.Which of the following would the nurse assess next?
A. Headache
B. Bladder distension
C. Dizziness
D. Ability to move legs - ANSWER B . The last area to return sensation is in
the perineal area, and the nurse in charge should monitor the client for
distended bladder.
Among the following clients, which among them is high risk for potential
hazards from the surgical experience?
A. 67-year-old client
B. 49-year-old client
C. 33-year-old client
D. 15-year-old client - ANSWER A . A 67 year old client is greater risk
because the older adult client is more likely to have a less-effective immune
system.
Atropine sulfate (Atropine) is contraindicated in all but one of the following
client?
A. A client with high blood
B. A client with bowel obstruction
C. A client with glaucoma
D. A client with U.T.I - ANSWER C . Atropine sulfate is contraindicated with
glaucoma patients because it increases intraocular pressure.
A 65 year old female is experiencing flare up of pruritus. Which of the
client's action could aggravate the cause of flare ups?
A. Sleeping in cool and humidified environment
B. Daily baths with fragrant soap
C. Using clothes made from 100% cotton
D. Increasing fluid intake - ANSWER B . The use of fragrant soap is very
drying to skin hence causing the pruritus.
Among the following components thorough pain assessment, which is the
most significant?
