MEDICAL-SURGICAL NURSING EXAM 1
QUESTIONS WITH COMPLETE
SOLUTIONS
Theanurseaisacaringaforaaaclientawhoahasaasaaasonawithaaastreptococcusathroatainfection.a
Whichanursearecommendationawouldabeabestatoaadviseatheaclientatoadoainaorderatoapreven
taacquiringatheainfection?a-aans--Frequentlyawashaherahandsaandasurfacesaofatheahome.
TheanurseaisacaringaforaaaclientainfectedawithaRockyaMountainaspottedafever.aTheanurseas
houldaaskaifatheaclientahasaexperiencedawhichaofatheafollowing?a-aans--
Wasabittenabyaaatick
Theanurseaisacaringaforaaaclientawithaaaprotozoaainfection.aWhichaisatheamostalikelyamodea
ofatransmission?a-aans--Ingestionaofacontaminatedafoodaorawater
Theanurseaisacaringaforaaaclientawhoaisarecoveringafromaanaallergicareaction.aWhichaleukoc
ytealevelawouldatheanurseaexpectatoabeatheamostaelevated?a-aans--Eosinophils
Theanurseaisacaringaforaaaclientawhoahasaanainfectedawoundaonatheagreatatoeathataisaredawi
thaaapurulentaexudate.aTheanurseaexpectsathatathisaclientahasawhichatypeaofainfection?a-
aans--Localized
Theaclientaexperiencedaaafall.aNursingaassessmentarevealsathatatheaclientaisaexperiencing
atachycardia,ahypotension,aconfusion,atachypnea,aandaflatajugularaveins.aWhatashouldabea
theanurse'safirstaresponse?a-aans--Administeraoxygen.
Theafamilyawantsatoaknowawhyatheanurseaisaputtingaaaurinaryacatheterainaaaclientaexperien
cingashock.aWhataisatheanurse'sabestaresponse?a-aans--
"Itawillahelpamonitorahowamuchaurineatheakidneysaareaableatoaproduce."
Aaclientaexperiencingashockahasahadaaaurinaryaoutputaofa250amLainathealasta10ahours.aWh
ataisatheanurse'samostaappropriatearesponse?a-aans--Notifyatheaphysician.
Whichaclientaisamostalikelyatoabeaexperiencingahypovolemicashock?a-aans--
Aaclientawhoahadasurgerya24ahoursaagoaandawhoaalsoahasaaanasogastricatube
Theaphysicianahasaorderedaarterialabloodagasesaforaaaclientaexperiencingashock.aTheanur
seaknowsathatawhichavalueaindicatesashock?a-aans--pHa7.32
Aa63-year-
oldaArabaAmericanamaleastatesahisaleftalegaisa"hot."aWhataisatheanurse'sabestafirstarespons
e?a-aans--Assessaforapain
,Theaclientaisacomplainingaofaexcruciatingapainainaaafootathatahasabeenaamputated.aTheafa
milyatellsatheanurseathatatheaclientaisajustaaddictedatoapainamedications.aWhataisatheanurse'
sabestaresponse?a-aans--"Heaisaexperiencingaphantomalimbapain."
Aaclientahasahadaabdominalasurgeryaandahasaordersatoabeaambulatedathreeatimesaaaday.a
Oralapainamedicationahasabeenaorderedaforatheaclient.aWhatashouldatheanurseadoatoafacilit
ateaambulation?a-aans--Mediatea1ahouraprioratoaambulatingatheaclient.
Theaclientareportsafrequentauseaofaacetaminophen.aHowashouldatheanurseabestarespond?a
-aans--"Doayouadrinkaalcohol?"
Aaclientawithachronicapainahasabeenaadmittedawithaaafever.aTheanursingaassessmentareve
alsathatatheaclientahasaaadecreasedalevelaofaconsciousness.aWhatashouldatheanurseaaskath
eafamilyaabout?a-aans--Whatamedicationsatheaclientahasataken
Theapracticalanurseaisareviewingatheasocialahistoryafromaaaclientadiagnosedawithasmallacell
acarcinomaaofathealung.aWhichainformationaisasignificantaforathisadisease?a-aans--
Theaclientahasasmokedatwoa(2)apacksaofacigarettesaaadayafora20ayears
Theapracticalanurseaandaanaunlicensedaassistiveapersonnela(UAP)aareacaringaforaaagroupa
ofaclientsaonaaamedicalaunit.aWhichainformationaprovidedabyatheaUAPawarrantsaimmediate
ainterventionabyatheapracticalanurse?a-aans--
TheaclientareceivingaProcrita(epoetinaalfa)ahasaaaTa99.2˚F,aPa68,aRa24,aandaBPaofa198/102
Theaclientadiagnosedawithalungacancerahasabeenatoldatheacancerahasametastasizedatoathe
abrain.aWhichainterventionashouldatheapracticalanurseaexpectatoaimplement?a-aans--
Discussaimplementingaanaadvanceadirective
Theaclientadiagnosedawithalungacanceraisabeingadischarged.aWhichastatementamadeabyath
eaclientaindicatesaaareiterationaofainformationaisarequired?a-aans--
"Itadoesn'tamatteraifaIasmokeanow.aIaalreadyahaveacancer."
Theapracticalanurseaisainterviewingaclientsaatatheaclinic.aWhichainformationaprovidedabyaaa
clientawarrantsafurtherainvestigation?a-aans--
Theaclientahasabeenacoughingaupabloodainatheamornings
Theamaleaclientahadaabdominalasurgeryaandatheapracticalanurseasuspectsatheaclientahasap
eritonitis.aWhichainformationasupportatheadiagnosisaofaperitonitis?a-aans--
Hard,arigidaabdomenaandawhiteabloodacellacounta22,000/mm3
Theaclientawhoahadaabdominalasurgeryatellsatheapracticalanurse,a"Iafeltasomethingagiveawa
yainamyastomach."aWhichainterventionashouldatheapracticalanurseaimplementafirst?a-aans--
Inspectatheaabdominalawoundaincision
Theaclientaisaonea(1)adayapostoperativeamajoraabdominalasurgery.aWhichaclientaproblemai
saaapriority?a-aans--Fluidaandaelectrolyteaimbalance
, Theaclientahasaanaevisceratedaabdominalawound.aWhichainterventionashouldatheapractical
anurseaimplement?a-aans--Applyasterileanormalasalineadressing
Theaclientaisadiagnosedawithaperitonitis.aWhichainformationaindicatesatoatheapracticalanurs
eatheaclient'saconditionaisaimproving?a-aans--
Theaclientahasaaadecreaseainatemperatureaandaaasoftaabdomen
Aapatientaisabeingareleasedafromatheahospitalawithaaaprescriptionaforatetracycline.aWhatash
ouldatheanurseaincludeainapatientateaching?a
Selectaallathataapply.a-aans--Advisealimitingaexposureatoatheasun.
Informapatientaofatheapossibilityaofagastrointestinalaupset.
Suggestaeatingacrackersaandasomeajuiceawhenatakingathisamedicine.
Theanurseawantsatoadetermineaifaaapatientanotafullyaawakeafromaanesthesiaaforaaasurgicala
procedureaisaexperiencingapain.aWhatafindingsashouldatheanurseauseatoamakeathisadeterm
ination?a
Selectaallathataapply.a-aans--Moaning
Restlessness
Pullingaataaabodyaarea
Elevatedabloodapressure
Aapatientaisadiagnosedawithaanainfectionathatahasaspreadatoatheabloodastream.aWhichaterm
ashouldatheanurseauseatoadocumentathisapatient'sahealthaproblem?a-aans--Sepsis
Theanursealearnsathataaapatientaisabeingaadmittedawithaanainfectiousadiseaseathataisatrans
mitedathroughatheaair.aForawhichahealthaproblemsashouldatheanurseaprepareatoaprovideaca
re?a
Selectaallathataapply.a-aans--Measles
Tuberculosis
Chickenpox
AapatientaisadiagnosedawithaRockyaMountainaspottedafever.aWhatashouldatheanurseaexplai
naasatheamethodabyawhichathisadiseaseawasatransmittedatoatheapatient?a-aans--Ticks
Aapatientareturningafromathearecoveryaroomafollowingaabdominalasurgeryatoadrainaanaabsc
essahasaaanonsuction-
typeadrainaplacedainatheawoundabedatoaallowadrainage.aWhichadrainashouldatheanurseaexp
ectatoasee?a-aans--Penroseadrain
QUESTIONS WITH COMPLETE
SOLUTIONS
Theanurseaisacaringaforaaaclientawhoahasaasaaasonawithaaastreptococcusathroatainfection.a
Whichanursearecommendationawouldabeabestatoaadviseatheaclientatoadoainaorderatoapreven
taacquiringatheainfection?a-aans--Frequentlyawashaherahandsaandasurfacesaofatheahome.
TheanurseaisacaringaforaaaclientainfectedawithaRockyaMountainaspottedafever.aTheanurseas
houldaaskaifatheaclientahasaexperiencedawhichaofatheafollowing?a-aans--
Wasabittenabyaaatick
Theanurseaisacaringaforaaaclientawithaaaprotozoaainfection.aWhichaisatheamostalikelyamodea
ofatransmission?a-aans--Ingestionaofacontaminatedafoodaorawater
Theanurseaisacaringaforaaaclientawhoaisarecoveringafromaanaallergicareaction.aWhichaleukoc
ytealevelawouldatheanurseaexpectatoabeatheamostaelevated?a-aans--Eosinophils
Theanurseaisacaringaforaaaclientawhoahasaanainfectedawoundaonatheagreatatoeathataisaredawi
thaaapurulentaexudate.aTheanurseaexpectsathatathisaclientahasawhichatypeaofainfection?a-
aans--Localized
Theaclientaexperiencedaaafall.aNursingaassessmentarevealsathatatheaclientaisaexperiencing
atachycardia,ahypotension,aconfusion,atachypnea,aandaflatajugularaveins.aWhatashouldabea
theanurse'safirstaresponse?a-aans--Administeraoxygen.
Theafamilyawantsatoaknowawhyatheanurseaisaputtingaaaurinaryacatheterainaaaclientaexperien
cingashock.aWhataisatheanurse'sabestaresponse?a-aans--
"Itawillahelpamonitorahowamuchaurineatheakidneysaareaableatoaproduce."
Aaclientaexperiencingashockahasahadaaaurinaryaoutputaofa250amLainathealasta10ahours.aWh
ataisatheanurse'samostaappropriatearesponse?a-aans--Notifyatheaphysician.
Whichaclientaisamostalikelyatoabeaexperiencingahypovolemicashock?a-aans--
Aaclientawhoahadasurgerya24ahoursaagoaandawhoaalsoahasaaanasogastricatube
Theaphysicianahasaorderedaarterialabloodagasesaforaaaclientaexperiencingashock.aTheanur
seaknowsathatawhichavalueaindicatesashock?a-aans--pHa7.32
Aa63-year-
oldaArabaAmericanamaleastatesahisaleftalegaisa"hot."aWhataisatheanurse'sabestafirstarespons
e?a-aans--Assessaforapain
,Theaclientaisacomplainingaofaexcruciatingapainainaaafootathatahasabeenaamputated.aTheafa
milyatellsatheanurseathatatheaclientaisajustaaddictedatoapainamedications.aWhataisatheanurse'
sabestaresponse?a-aans--"Heaisaexperiencingaphantomalimbapain."
Aaclientahasahadaabdominalasurgeryaandahasaordersatoabeaambulatedathreeatimesaaaday.a
Oralapainamedicationahasabeenaorderedaforatheaclient.aWhatashouldatheanurseadoatoafacilit
ateaambulation?a-aans--Mediatea1ahouraprioratoaambulatingatheaclient.
Theaclientareportsafrequentauseaofaacetaminophen.aHowashouldatheanurseabestarespond?a
-aans--"Doayouadrinkaalcohol?"
Aaclientawithachronicapainahasabeenaadmittedawithaaafever.aTheanursingaassessmentareve
alsathatatheaclientahasaaadecreasedalevelaofaconsciousness.aWhatashouldatheanurseaaskath
eafamilyaabout?a-aans--Whatamedicationsatheaclientahasataken
Theapracticalanurseaisareviewingatheasocialahistoryafromaaaclientadiagnosedawithasmallacell
acarcinomaaofathealung.aWhichainformationaisasignificantaforathisadisease?a-aans--
Theaclientahasasmokedatwoa(2)apacksaofacigarettesaaadayafora20ayears
Theapracticalanurseaandaanaunlicensedaassistiveapersonnela(UAP)aareacaringaforaaagroupa
ofaclientsaonaaamedicalaunit.aWhichainformationaprovidedabyatheaUAPawarrantsaimmediate
ainterventionabyatheapracticalanurse?a-aans--
TheaclientareceivingaProcrita(epoetinaalfa)ahasaaaTa99.2˚F,aPa68,aRa24,aandaBPaofa198/102
Theaclientadiagnosedawithalungacancerahasabeenatoldatheacancerahasametastasizedatoathe
abrain.aWhichainterventionashouldatheapracticalanurseaexpectatoaimplement?a-aans--
Discussaimplementingaanaadvanceadirective
Theaclientadiagnosedawithalungacanceraisabeingadischarged.aWhichastatementamadeabyath
eaclientaindicatesaaareiterationaofainformationaisarequired?a-aans--
"Itadoesn'tamatteraifaIasmokeanow.aIaalreadyahaveacancer."
Theapracticalanurseaisainterviewingaclientsaatatheaclinic.aWhichainformationaprovidedabyaaa
clientawarrantsafurtherainvestigation?a-aans--
Theaclientahasabeenacoughingaupabloodainatheamornings
Theamaleaclientahadaabdominalasurgeryaandatheapracticalanurseasuspectsatheaclientahasap
eritonitis.aWhichainformationasupportatheadiagnosisaofaperitonitis?a-aans--
Hard,arigidaabdomenaandawhiteabloodacellacounta22,000/mm3
Theaclientawhoahadaabdominalasurgeryatellsatheapracticalanurse,a"Iafeltasomethingagiveawa
yainamyastomach."aWhichainterventionashouldatheapracticalanurseaimplementafirst?a-aans--
Inspectatheaabdominalawoundaincision
Theaclientaisaonea(1)adayapostoperativeamajoraabdominalasurgery.aWhichaclientaproblemai
saaapriority?a-aans--Fluidaandaelectrolyteaimbalance
, Theaclientahasaanaevisceratedaabdominalawound.aWhichainterventionashouldatheapractical
anurseaimplement?a-aans--Applyasterileanormalasalineadressing
Theaclientaisadiagnosedawithaperitonitis.aWhichainformationaindicatesatoatheapracticalanurs
eatheaclient'saconditionaisaimproving?a-aans--
Theaclientahasaaadecreaseainatemperatureaandaaasoftaabdomen
Aapatientaisabeingareleasedafromatheahospitalawithaaaprescriptionaforatetracycline.aWhatash
ouldatheanurseaincludeainapatientateaching?a
Selectaallathataapply.a-aans--Advisealimitingaexposureatoatheasun.
Informapatientaofatheapossibilityaofagastrointestinalaupset.
Suggestaeatingacrackersaandasomeajuiceawhenatakingathisamedicine.
Theanurseawantsatoadetermineaifaaapatientanotafullyaawakeafromaanesthesiaaforaaasurgicala
procedureaisaexperiencingapain.aWhatafindingsashouldatheanurseauseatoamakeathisadeterm
ination?a
Selectaallathataapply.a-aans--Moaning
Restlessness
Pullingaataaabodyaarea
Elevatedabloodapressure
Aapatientaisadiagnosedawithaanainfectionathatahasaspreadatoatheabloodastream.aWhichaterm
ashouldatheanurseauseatoadocumentathisapatient'sahealthaproblem?a-aans--Sepsis
Theanursealearnsathataaapatientaisabeingaadmittedawithaanainfectiousadiseaseathataisatrans
mitedathroughatheaair.aForawhichahealthaproblemsashouldatheanurseaprepareatoaprovideaca
re?a
Selectaallathataapply.a-aans--Measles
Tuberculosis
Chickenpox
AapatientaisadiagnosedawithaRockyaMountainaspottedafever.aWhatashouldatheanurseaexplai
naasatheamethodabyawhichathisadiseaseawasatransmittedatoatheapatient?a-aans--Ticks
Aapatientareturningafromathearecoveryaroomafollowingaabdominalasurgeryatoadrainaanaabsc
essahasaaanonsuction-
typeadrainaplacedainatheawoundabedatoaallowadrainage.aWhichadrainashouldatheanurseaexp
ectatoasee?a-aans--Penroseadrain
