MEDICAL-SURGICAL: FINAL PRACTICE
(50 QUESTIONS) WITH ANSWERS
aanurseaisaplanningacareaforaaaclientawhoahasa-aans--
Aanurseaisamonitoringaaaclientafollowingaaathyroidectomy.aWhichaofatheafollowingafindingsa
shouldatheanurseaidentifyaasaanaindicationaofahypoparathyroidism?a-aans--
Involuntaryamuscleaspasmsa
(occursaifatheaparathyroidaglandsaareadamagedaoraremovedaduringaaathyroidectomy.aMus
cleatwitchingaandaparesthesiasacanaresultadueatoadecreasedaparathyroidahormonealevelsa
andacalciumadeficiency.)
Aanurseaisareinforcingadischargeateachingawithaaaclientawhoahasaaanewapermanentapacem
aker.aWhichaofatheafollowingastatementsabyatheaclientaindicatesaanaunderstandingaofatheat
eaching?a-aans--"Iashouldacheckamyaheartarateaeachaday."•
Aanurseaisareinforcingadischargeateachingaaboutaimprovingagasaexchangeawithaaaclientaw
hoahasaemphysema.aWhichaofatheafollowingainformationashouldatheanurseaincludeainatheat
eaching?a-aans--Useapursed-lipabreathingaduringaperiodsaofadyspnea.
Aanurseaisareinforcingateachingawithaaaclientawhoahasaaanewadiagnosisaofamultipleasclerosi
sa(MS).aTheaclientaasksatheanurseaaboutatheausualacourseaofaMS.aWhichaofatheafollowingar
esponsesashouldatheanurseamake?a-aans--
"Acuteaepisodesaareausuallyafollowedabyaremissions,awhichacanalastavaryingalengthsaofati
me."
aanurseainaanaemergencyadepartmentaisacaringaforaaaclientawhoareportsadevelopingasever
earightaeyeapainawithaaagrittyasensationawhileasawingawood.aWhatsapriority?a-aans--
Askatheaclientaaboutafirstaaidaperformedaatatheascene
Aanurseaisapreparingatoaadministeratimololaeyeadropsaforaaaclientawhoahasaglaucoma.aWhe
nainstillingatheamedication,awhichaofatheafollowingaactionsashouldatheanurseatake?a-aans--
Applyapressureatoapunctaaafterainstillationaofatheamedication.
AanurseaisacaringaforaaaclientawhoahasaaastageaIIIapressureaulceraonahisaheel.aWhenaprepa
ringatoairrigateatheawound,awhichaofatheafollowingaactionsashouldatheanurseatakearst?a-
aans--Checkatheaclient'sapainalevel
Aanurseaisacaringaforaaaclientawhoabeginsahavingaaatonic-
clonicaseizureawhileasittingainaaachairaatatheabedside.aWhichaofatheafollowingaactionsashoul
datheanurseatakeafirst?a-aans--Loweratheaclientatoatheafloor.
, Aanurseaisacaringaforaaaclientawhoahasatypea1adiabetesamellitusaandaaacapillaryabloodagluc
oseareadingaofa48amg/dL.aWhichaofatheafollowingafindingsashouldatheanurseaexpect?a-
aans--Diaphoresis
Aaclientawhoahasaaabloodaglucosealevelabelowa70amg/dLatoaexhibitaindicationsaofahypoglyc
emia.aIncludingaweakness,ahunger,adiaphoresis,anausea,ashakiness,aandaconfusion.
Aanurseaisareinforcingateachingawithaaaclientawhoaisascheduledaforaaasigmoidacolonaresecti
onawithacolostomy.aWhichaofatheafollowingastatementsabyatheaclientaindicatesaaaneedaforaf
urtherateaching?a-aans--"Myadietawillahaveatoachangeatoaaasoftadietaafterasurgery."•
(aAfterasurgery,atheaclient'sadietaquicklyareturnsatoaaaregularadietaandathereaareanotaanyafoo
darestrictions.)
Aanurseaisareviewingaaaclient'salaboratoryareport.aTheaclient'saABGalevelsaareapHa7.5,aPaC
Oa32ammaHG,aandaHCOa24amEq/L.aTheanurseashouldadetermineathatatheaclientahasawhic
haofatheafollowingaacid-baseaimbalances?a-aans--Respiratoryaalkalosis
(Theanurseashouldaidentifyathatatheaclient'sapHaisaelevatedaaboveatheaexpectedareferencea
rangeaofa7.35atoa7.45,aindicatingaalkalosis.aTheanurseashouldathenaidentifyathatatheaclient's
aPaCOaisalow,abelowatheaexpectedareferencearangeaofa35atoa45ammaHg,awhichaindicatesaa
arespiratoryaorigin.aTheanurseashouldaconcludeathatatheaclient'saelevatedapHaandadecreas
edaPaCOaindicatearespiratoryaalkalosis.)
Aanurseainaanaurgentacareaclinicaisacollectingadataafromaaaclientawhoasustainedaaafall.aWhic
haofatheafollowingafindingsashouldatheanurseaidentifyaasaanaindicationaofaaaskullafracture?a-
aans--Clearafluidacomingafromatheanares.
(cerebrospinalafluid)
Aanurseaisareinforcingateachingawithaaaclientaaboutapreventingatheatransmissionaofahepatiti
saA.aTheanurseashouldaidentifyathatahepatitisaAaisatransmittedabyawhichaofatheafollowingaro
utes?a-aans--Fecal-oralacontamination
Aanurseaisareinforcingateachingawithaaaclientawhoahasatuberculosisa(TB)aandaaaprescriptio
naforaisoniazid.aWhichaofatheafollowingainstructionsashouldatheanurseainclude?a-aans--
"Youraproviderawillamonitorayouraliverafunctionawhileayouaareatakingathisamedication."
Aanurseaisacollectingadataafromaaaclientawhoadevelopsaaafruityabreathaodor,adryamouth,aan
daextremeathirst.aWhichaofatheafollowingaadditionaladataashouldatheanurseacollect?a-aans--
Bloodaglucoseausingaaaglucometer
Aanurseaisacontributingatoatheaplanaofacareaforaaaclientawhoaisa72ahrapostoperativeafollowin
gaanaabove-the-
kneeaamputation.aWhichaofatheafollowingaactionsashouldatheanursearecommend?a-aans--
Assistatheaclientatoaaaproneapositionaeverya4ahours.a
(fora20atoa30aminaeverya3atoa4ahrafollowingaanaamputationatoareduceatheariskaofaflexionacon
tractures.)
(50 QUESTIONS) WITH ANSWERS
aanurseaisaplanningacareaforaaaclientawhoahasa-aans--
Aanurseaisamonitoringaaaclientafollowingaaathyroidectomy.aWhichaofatheafollowingafindingsa
shouldatheanurseaidentifyaasaanaindicationaofahypoparathyroidism?a-aans--
Involuntaryamuscleaspasmsa
(occursaifatheaparathyroidaglandsaareadamagedaoraremovedaduringaaathyroidectomy.aMus
cleatwitchingaandaparesthesiasacanaresultadueatoadecreasedaparathyroidahormonealevelsa
andacalciumadeficiency.)
Aanurseaisareinforcingadischargeateachingawithaaaclientawhoahasaaanewapermanentapacem
aker.aWhichaofatheafollowingastatementsabyatheaclientaindicatesaanaunderstandingaofatheat
eaching?a-aans--"Iashouldacheckamyaheartarateaeachaday."•
Aanurseaisareinforcingadischargeateachingaaboutaimprovingagasaexchangeawithaaaclientaw
hoahasaemphysema.aWhichaofatheafollowingainformationashouldatheanurseaincludeainatheat
eaching?a-aans--Useapursed-lipabreathingaduringaperiodsaofadyspnea.
Aanurseaisareinforcingateachingawithaaaclientawhoahasaaanewadiagnosisaofamultipleasclerosi
sa(MS).aTheaclientaasksatheanurseaaboutatheausualacourseaofaMS.aWhichaofatheafollowingar
esponsesashouldatheanurseamake?a-aans--
"Acuteaepisodesaareausuallyafollowedabyaremissions,awhichacanalastavaryingalengthsaofati
me."
aanurseainaanaemergencyadepartmentaisacaringaforaaaclientawhoareportsadevelopingasever
earightaeyeapainawithaaagrittyasensationawhileasawingawood.aWhatsapriority?a-aans--
Askatheaclientaaboutafirstaaidaperformedaatatheascene
Aanurseaisapreparingatoaadministeratimololaeyeadropsaforaaaclientawhoahasaglaucoma.aWhe
nainstillingatheamedication,awhichaofatheafollowingaactionsashouldatheanurseatake?a-aans--
Applyapressureatoapunctaaafterainstillationaofatheamedication.
AanurseaisacaringaforaaaclientawhoahasaaastageaIIIapressureaulceraonahisaheel.aWhenaprepa
ringatoairrigateatheawound,awhichaofatheafollowingaactionsashouldatheanurseatakearst?a-
aans--Checkatheaclient'sapainalevel
Aanurseaisacaringaforaaaclientawhoabeginsahavingaaatonic-
clonicaseizureawhileasittingainaaachairaatatheabedside.aWhichaofatheafollowingaactionsashoul
datheanurseatakeafirst?a-aans--Loweratheaclientatoatheafloor.
, Aanurseaisacaringaforaaaclientawhoahasatypea1adiabetesamellitusaandaaacapillaryabloodagluc
oseareadingaofa48amg/dL.aWhichaofatheafollowingafindingsashouldatheanurseaexpect?a-
aans--Diaphoresis
Aaclientawhoahasaaabloodaglucosealevelabelowa70amg/dLatoaexhibitaindicationsaofahypoglyc
emia.aIncludingaweakness,ahunger,adiaphoresis,anausea,ashakiness,aandaconfusion.
Aanurseaisareinforcingateachingawithaaaclientawhoaisascheduledaforaaasigmoidacolonaresecti
onawithacolostomy.aWhichaofatheafollowingastatementsabyatheaclientaindicatesaaaneedaforaf
urtherateaching?a-aans--"Myadietawillahaveatoachangeatoaaasoftadietaafterasurgery."•
(aAfterasurgery,atheaclient'sadietaquicklyareturnsatoaaaregularadietaandathereaareanotaanyafoo
darestrictions.)
Aanurseaisareviewingaaaclient'salaboratoryareport.aTheaclient'saABGalevelsaareapHa7.5,aPaC
Oa32ammaHG,aandaHCOa24amEq/L.aTheanurseashouldadetermineathatatheaclientahasawhic
haofatheafollowingaacid-baseaimbalances?a-aans--Respiratoryaalkalosis
(Theanurseashouldaidentifyathatatheaclient'sapHaisaelevatedaaboveatheaexpectedareferencea
rangeaofa7.35atoa7.45,aindicatingaalkalosis.aTheanurseashouldathenaidentifyathatatheaclient's
aPaCOaisalow,abelowatheaexpectedareferencearangeaofa35atoa45ammaHg,awhichaindicatesaa
arespiratoryaorigin.aTheanurseashouldaconcludeathatatheaclient'saelevatedapHaandadecreas
edaPaCOaindicatearespiratoryaalkalosis.)
Aanurseainaanaurgentacareaclinicaisacollectingadataafromaaaclientawhoasustainedaaafall.aWhic
haofatheafollowingafindingsashouldatheanurseaidentifyaasaanaindicationaofaaaskullafracture?a-
aans--Clearafluidacomingafromatheanares.
(cerebrospinalafluid)
Aanurseaisareinforcingateachingawithaaaclientaaboutapreventingatheatransmissionaofahepatiti
saA.aTheanurseashouldaidentifyathatahepatitisaAaisatransmittedabyawhichaofatheafollowingaro
utes?a-aans--Fecal-oralacontamination
Aanurseaisareinforcingateachingawithaaaclientawhoahasatuberculosisa(TB)aandaaaprescriptio
naforaisoniazid.aWhichaofatheafollowingainstructionsashouldatheanurseainclude?a-aans--
"Youraproviderawillamonitorayouraliverafunctionawhileayouaareatakingathisamedication."
Aanurseaisacollectingadataafromaaaclientawhoadevelopsaaafruityabreathaodor,adryamouth,aan
daextremeathirst.aWhichaofatheafollowingaadditionaladataashouldatheanurseacollect?a-aans--
Bloodaglucoseausingaaaglucometer
Aanurseaisacontributingatoatheaplanaofacareaforaaaclientawhoaisa72ahrapostoperativeafollowin
gaanaabove-the-
kneeaamputation.aWhichaofatheafollowingaactionsashouldatheanursearecommend?a-aans--
Assistatheaclientatoaaaproneapositionaeverya4ahours.a
(fora20atoa30aminaeverya3atoa4ahrafollowingaanaamputationatoareduceatheariskaofaflexionacon
tractures.)
