Medical-Surgical Nursing Exam 1 Questions and Answers Graded A+
The nurse is caring for a client who has as a son with a
streptococcus throat infection. Which nurse recommen-
Frequently wash her hands and surfaces of the home.
dation would be best to advise the client to do in order to
prevent acquiring the infection?
The nurse is caring for a client infected with Rocky Moun-
tain spotted fever. The nurse should ask if the client has Was bitten by a tick
experienced which of the following?
The nurse is caring for a client with a protozoa infection.
Ingestion of contaminated food or water
Which is the most likely mode of transmission?
The nurse is caring for a client who is recovering from an
allergic reaction. Which leukocyte level would the nurse Eosinophils
expect to be the most elevated?
The nurse is caring for a client who has an infected wound
on the great toe that is red with a purulent exudate. The Localized
nurse expects that this client has which type of infection?
The client experienced a fall. Nursing assessment reveals
that the client is experiencing tachycardia, hypotension,
Administer oxygen.
confusion, tachypnea, and flat jugular veins. What should
be the nurse's first response?
The family wants to know why the nurse is putting a
"It will help monitor how much urine the kidneys are able
urinary catheter in a client experiencing shock. What is the
to produce."
nurse's best response?
A client experiencing shock has had a urinary output of
250 mL in the last 10 hours. What is the nurse's most Notify the physician.
appropriate response?
Which client is most likely to be experiencing hypovolemic A client who had surgery 24 hours ago and who also has
shock? a nasogastric tube
pH 7.32
,Medical-Surgical Nursing Exam 1 Questions and Answers Graded A+
The physician has ordered arterial blood gases for a client
experiencing shock. The nurse knows that which value
indicates shock?
A 63-year-old Arab American male states his left leg is
Assess for pain
"hot." What is the nurse's best first response?
The client is complaining of excruciating pain in a foot
that has been amputated. The family tells the nurse that
"He is experiencing phantom limb pain."
the client is just addicted to pain medications. What is the
nurse's best response?
A client has had abdominal surgery and has orders to be
ambulated three times a day. Oral pain medication has
Mediate 1 hour prior to ambulating the client.
been ordered for the client. What should the nurse do to
facilitate ambulation?
The client reports frequent use of acetaminophen. How
"Do you drink alcohol?"
should the nurse best respond?
A client with chronic pain has been admitted with a fever.
The nursing assessment reveals that the client has a de-
What medications the client has taken
creased level of consciousness. What should the nurse ask
the family about?
The practical nurse is reviewing the social history from a
The client has smoked two (2) packs of cigarettes a day for
client diagnosed with small cell carcinoma of the lung.
20 years
Which information is significant for this disease?
The practical nurse and an unlicensed assistive personnel
(UAP) are caring for a group of clients on a medical unit. The client receiving Procrit (epoetin alfa) has a T 99.2˚F, P
Which information provided by the UAP warrants imme- 68, R 24, and BP of 198/102
diate intervention by the practical nurse?
The client diagnosed with lung cancer has been told the
cancer has metastasized to the brain. Which intervention Discuss implementing an advance directive
should the practical nurse expect to implement?
, Medical-Surgical Nursing Exam 1 Questions and Answers Graded A+
The client diagnosed with lung cancer is being dis-
charged. Which statement made by the client indicates a "It doesn't matter if I smoke now. I already have cancer."
reiteration of information is required?
The practical nurse is interviewing clients at the clinic.
Which information provided by a client warrants further The client has been coughing up blood in the mornings
investigation?
The male client had abdominal surgery and the practical
Hard, rigid abdomen and white blood cell count
nurse suspects the client has peritonitis. Which informa-
22,000/mm3
tion support the diagnosis of peritonitis?
The client who had abdominal surgery tells the practical
nurse, "I felt something give way in my stomach." Which Inspect the abdominal wound incision
intervention should the practical nurse implement first?
The client is one (1) day postoperative major abdominal
Fluid and electrolyte imbalance
surgery. Which client problem is a priority?
The client has an eviscerated abdominal wound. Which
Apply sterile normal saline dressing
intervention should the practical nurse implement?
The client is diagnosed with peritonitis. Which information
The client has a decrease in temperature and a soft ab-
indicates to the practical nurse the client's condition is
domen
improving?
Advise limiting exposure to the sun.
A patient is being released from the hospital with a pre-
scription for tetracycline. What should the nurse include
Inform patient of the possibility of gastrointestinal upset.
in patient teaching?
Suggest eating crackers and some juice when taking this
Select all that apply.
medicine.
The nurse wants to determine if a patient not fully awake
from anesthesia for a surgical procedure is experiencing Moaning
pain. What findings should the nurse use to make this Restlessness
determination?
The nurse is caring for a client who has as a son with a
streptococcus throat infection. Which nurse recommen-
Frequently wash her hands and surfaces of the home.
dation would be best to advise the client to do in order to
prevent acquiring the infection?
The nurse is caring for a client infected with Rocky Moun-
tain spotted fever. The nurse should ask if the client has Was bitten by a tick
experienced which of the following?
The nurse is caring for a client with a protozoa infection.
Ingestion of contaminated food or water
Which is the most likely mode of transmission?
The nurse is caring for a client who is recovering from an
allergic reaction. Which leukocyte level would the nurse Eosinophils
expect to be the most elevated?
The nurse is caring for a client who has an infected wound
on the great toe that is red with a purulent exudate. The Localized
nurse expects that this client has which type of infection?
The client experienced a fall. Nursing assessment reveals
that the client is experiencing tachycardia, hypotension,
Administer oxygen.
confusion, tachypnea, and flat jugular veins. What should
be the nurse's first response?
The family wants to know why the nurse is putting a
"It will help monitor how much urine the kidneys are able
urinary catheter in a client experiencing shock. What is the
to produce."
nurse's best response?
A client experiencing shock has had a urinary output of
250 mL in the last 10 hours. What is the nurse's most Notify the physician.
appropriate response?
Which client is most likely to be experiencing hypovolemic A client who had surgery 24 hours ago and who also has
shock? a nasogastric tube
pH 7.32
,Medical-Surgical Nursing Exam 1 Questions and Answers Graded A+
The physician has ordered arterial blood gases for a client
experiencing shock. The nurse knows that which value
indicates shock?
A 63-year-old Arab American male states his left leg is
Assess for pain
"hot." What is the nurse's best first response?
The client is complaining of excruciating pain in a foot
that has been amputated. The family tells the nurse that
"He is experiencing phantom limb pain."
the client is just addicted to pain medications. What is the
nurse's best response?
A client has had abdominal surgery and has orders to be
ambulated three times a day. Oral pain medication has
Mediate 1 hour prior to ambulating the client.
been ordered for the client. What should the nurse do to
facilitate ambulation?
The client reports frequent use of acetaminophen. How
"Do you drink alcohol?"
should the nurse best respond?
A client with chronic pain has been admitted with a fever.
The nursing assessment reveals that the client has a de-
What medications the client has taken
creased level of consciousness. What should the nurse ask
the family about?
The practical nurse is reviewing the social history from a
The client has smoked two (2) packs of cigarettes a day for
client diagnosed with small cell carcinoma of the lung.
20 years
Which information is significant for this disease?
The practical nurse and an unlicensed assistive personnel
(UAP) are caring for a group of clients on a medical unit. The client receiving Procrit (epoetin alfa) has a T 99.2˚F, P
Which information provided by the UAP warrants imme- 68, R 24, and BP of 198/102
diate intervention by the practical nurse?
The client diagnosed with lung cancer has been told the
cancer has metastasized to the brain. Which intervention Discuss implementing an advance directive
should the practical nurse expect to implement?
, Medical-Surgical Nursing Exam 1 Questions and Answers Graded A+
The client diagnosed with lung cancer is being dis-
charged. Which statement made by the client indicates a "It doesn't matter if I smoke now. I already have cancer."
reiteration of information is required?
The practical nurse is interviewing clients at the clinic.
Which information provided by a client warrants further The client has been coughing up blood in the mornings
investigation?
The male client had abdominal surgery and the practical
Hard, rigid abdomen and white blood cell count
nurse suspects the client has peritonitis. Which informa-
22,000/mm3
tion support the diagnosis of peritonitis?
The client who had abdominal surgery tells the practical
nurse, "I felt something give way in my stomach." Which Inspect the abdominal wound incision
intervention should the practical nurse implement first?
The client is one (1) day postoperative major abdominal
Fluid and electrolyte imbalance
surgery. Which client problem is a priority?
The client has an eviscerated abdominal wound. Which
Apply sterile normal saline dressing
intervention should the practical nurse implement?
The client is diagnosed with peritonitis. Which information
The client has a decrease in temperature and a soft ab-
indicates to the practical nurse the client's condition is
domen
improving?
Advise limiting exposure to the sun.
A patient is being released from the hospital with a pre-
scription for tetracycline. What should the nurse include
Inform patient of the possibility of gastrointestinal upset.
in patient teaching?
Suggest eating crackers and some juice when taking this
Select all that apply.
medicine.
The nurse wants to determine if a patient not fully awake
from anesthesia for a surgical procedure is experiencing Moaning
pain. What findings should the nurse use to make this Restlessness
determination?
