EXAM 1 MEDICAL SURGICAL (CH.
1,2,6,7,8) QUESTIONS WITH CORRECT
ANSWERS
Aanurseaworkingainaanaemergencyadept.aIsacaringaforaaaclientawhoahasabenzodiazepineato
xicityadueatoaanaoverdose.aWhichaactionsaisatheanursesapriority?
A-aadministeraflumazenil
B-aidentifyatheaclientsalevelaofaorientation
C-ainfuseaivafluids
D-aprepareatheaclientaforagastricalavagea-arB-aidentifyatheaclientsalevelaofaorientation
Aanurseaisateachingaaaclientawhoahasaaanewaprescriptionaforaescitalopramaforatreatmentaof
ageneralizedaanxietyadisorder.aWhichaofatheafollowingastatementsabyatheaclientaindicatesau
nderstandingaofatheateaching?
A-aiashouldatakeatheamedicationaonaanaemptyastomach
B-aiawillafollowaaalow-sodiumadietawhileatakingathisamed
C-aianeedatoadiscontinueathisamedaslowly?
D-aiashouldanotacrushathisamedabeforeaswallowinga-arC-
aianeedatoadiscontinueathisamedaslowly?
Aanurseaisaprovidingateachingatoaaaclientawhoahasaaanewaprescriptionaforabuspironeatoatre
ataanxiety.aWhichainfoashouldatheanurseainclude?
A-atakeathisamedaonaanaemptyastomach
B-aexpectaoptimalatherapeuticaeffectsawithina24hr
C-atakeathisamedawhenaneededaforaanxiety
D-athisamedahasaaalowariskaforadependencya-arD-athisamedahasaaalowariskaforadependency
Aanurseaisateachingaaaclientawhoaobsessiveacompulsiveadisorderaandahasaaanewaprescript
ionaforaparoxetineawhichaofatheafollowingainstructionsashouldatheanurseainclude?
A.aItacanatakeaseveralaweeksabeforeayouafeelalikeatheamedicationaisahelpinga
B.aTakeatheamedicationajustabeforeabedtimeatoapromoteasleepa
C.ayouashouldatakeatheamedicationawhenaneededaforaobsessiveaurgesa
D.aMonitoraforaweightagainawhileatakingathisamedicationa-
arA.aItacanatakeaseveralaweeksabeforeayouafeelalikeatheamedicationaisahelping
Aanurseaisacaringaforaaaclientawhoatakesaperoxidationatoatreatapostadramaticastressadisord
eraheareportsathataheagrindsahisateethaduringatheanightatheanurseashouldaidentifyawhichaofat
heafollowingainterventionsatoamanageabruxisma(selectaallathataapply)
A.aConcurrentaadministrationaofabuspironea
B.aadministrationaofaaadifferentaSSRIa
,C.auseaofaaamouthaguard
D.achangingatoaaadifferentaclassaofaanti-depressantamedication
E.aincreasingatheadoseaofaparoxetinea-arA,C,D
Aanurseaisaprovidingainstructionsatoaaaclientahasabeenaexperiencingainsomniaaandahasaaan
ewaprescriptionaforatoaMazaaPamatheanurseashouldainformatheaclientathatawhichaofatheafoll
owingamanifestationsaareaadverseaaffectsa(selectaallaapplya)
A.aIncoordinationa
B.aHypertensiona
C.aPruritis
D.aSleepadrivinga
E.aAmnesiaa-arA,D,E
AanurseaisacaringaforaaaclientawhoaisareceivingamoderateasedationawithadiazepamaIVatheacl
ientaisaoversedatedawhichaofatheafollowingamedicationsashouldatheanurseaanticipateaadmi
nisteringatoathisaclienta
A.aKetaminea
B.aNaltrexone
C.aFlumazenil
D.aFluvoxaminea-arC.aFlumazenil
Aanurseaisateachingaaaclientawhoahasaaanewaprescriptionaforaremelton.aTheanurseashouldai
nstructatheaclientatoaavoidawhichaofatheafollowingafoodsawhileatakingathisamedicationa
A.aBakedapotatoa
B.aFriedachickena
C.aWholeagrainabreada
D.aCitrusafruitsa-arB
Aanurseaisacaringaforaaaclientawhoaisaadmittedatoaundergoaaasurgicalaprocedureawhichaofat
heafollowingapre-
existingaconditionsacanabeaaacontraindicationaforatheauseaofaketamineaasaanaintravenousa
anesthetica
A.aPepticaulceradiseasea
B.aBreastacancera
C.aDiabetesamellitusa
D.aSchizophreniaa-arD
Aanurseaisaprovidingainstructionsatoaaafemaleaclientawhoahasaaanewaprescriptionaforazolpid
em,awhatainstructionsashouldatheanurseaincludea
A.aNotifyatheaprovideraifayouaplanatoabecomeapregnanta
B.aTakeatheamedicationaoneahourabeforeayouaplanatoagoatoasleepa
C.aAllowaataleastasixahoursaforasleepawhenatakingazolpidema
D.aToaincreaseatheaeffectivenessaofazolpidematakeaitawithaaabedtimeasnacka-arA
Aanurseaisaassessingaaaclientawhoahasasalicylismawhichaofatheafollowingafindingsashouldat
heanurseaexpecta(selectaallaapplya)
, A.aDizzinessa
B.adiarrheaa
C.ajaundicea
D.aTinnitusa
E.aheadachea-arA,D,E
Aanurseaisaadmittingaaatoddleratoatheahospitalaafteraandaacetaminophenaoverdoseawhichao
fatheafollowingamedicationsashouldatheanurseaanticipateaadministeringatoathisaclienta
A.aAcetylcysteine
B.aPegfilgrastim
C.aMisoprostol
D.aNaltrexonea-arA
Aanurseaisateachingaaaclientaaboutaaanewaprescriptionaforacelecoxibawhichaofatheafollowing
ainformationashouldasheaincludeainatheateachinga
A.aIncreasesatheariskaforaaamyocardialainafarction
B.aDecreasesatheariskaofastrokea
C.aInhibitsaCOX-1
D.aIncreasesaplateletaaggregationa-arA
Aanursesatakingahistoryaforaaaclientawhoareportsathataheaisatakingaaspirinaaboutafouratimesa
dailyaforaaasprainedawristawhichaofatheafollowingaprescribeamedicationsatakenaforatheaclien
taisacontraaindicatedawithaaspirina
A.aDigoxin
B.ametformim
C.awarfarina
D.anitroglycerina-arC
nursesainaanaemergencyadepartmentaperformingaadmissionaassessmentaforaaaclientawhoa
hasasevereaaspirinatoxicityawhichaofatheafollowingafindingsashouldasheaexpecta
A.aBodyatemperaturea35°Ca95aFahrenheita
B.alungacracklesa
C.acooladryaskina
D.arespiratoryadepressiona-arD
nurseaisapreparingatoaadministeraanaopioidaagonistatoaaaclientawhoahasaacuteapainawhichao
fatheafollowingacomplicationsashouldatheanurseamonitora
A.aUrinaryaretention
B.aTachyaapneaa
C.ahypertensiona
D.airritatingacougha-arA
Aanurseaisacaringaforaaaclientawhoahasaandastageacanceraandaisareceivingamorphineatheacli
entsadaughteraasksawhyatheaprovideraprescribedamyethylnaltrexoneawhichaofatheafollowin
garesponsesatoatheanurseamakea
A.aTheamedicationawillaincreaseayouramothersarespirationsa
1,2,6,7,8) QUESTIONS WITH CORRECT
ANSWERS
Aanurseaworkingainaanaemergencyadept.aIsacaringaforaaaclientawhoahasabenzodiazepineato
xicityadueatoaanaoverdose.aWhichaactionsaisatheanursesapriority?
A-aadministeraflumazenil
B-aidentifyatheaclientsalevelaofaorientation
C-ainfuseaivafluids
D-aprepareatheaclientaforagastricalavagea-arB-aidentifyatheaclientsalevelaofaorientation
Aanurseaisateachingaaaclientawhoahasaaanewaprescriptionaforaescitalopramaforatreatmentaof
ageneralizedaanxietyadisorder.aWhichaofatheafollowingastatementsabyatheaclientaindicatesau
nderstandingaofatheateaching?
A-aiashouldatakeatheamedicationaonaanaemptyastomach
B-aiawillafollowaaalow-sodiumadietawhileatakingathisamed
C-aianeedatoadiscontinueathisamedaslowly?
D-aiashouldanotacrushathisamedabeforeaswallowinga-arC-
aianeedatoadiscontinueathisamedaslowly?
Aanurseaisaprovidingateachingatoaaaclientawhoahasaaanewaprescriptionaforabuspironeatoatre
ataanxiety.aWhichainfoashouldatheanurseainclude?
A-atakeathisamedaonaanaemptyastomach
B-aexpectaoptimalatherapeuticaeffectsawithina24hr
C-atakeathisamedawhenaneededaforaanxiety
D-athisamedahasaaalowariskaforadependencya-arD-athisamedahasaaalowariskaforadependency
Aanurseaisateachingaaaclientawhoaobsessiveacompulsiveadisorderaandahasaaanewaprescript
ionaforaparoxetineawhichaofatheafollowingainstructionsashouldatheanurseainclude?
A.aItacanatakeaseveralaweeksabeforeayouafeelalikeatheamedicationaisahelpinga
B.aTakeatheamedicationajustabeforeabedtimeatoapromoteasleepa
C.ayouashouldatakeatheamedicationawhenaneededaforaobsessiveaurgesa
D.aMonitoraforaweightagainawhileatakingathisamedicationa-
arA.aItacanatakeaseveralaweeksabeforeayouafeelalikeatheamedicationaisahelping
Aanurseaisacaringaforaaaclientawhoatakesaperoxidationatoatreatapostadramaticastressadisord
eraheareportsathataheagrindsahisateethaduringatheanightatheanurseashouldaidentifyawhichaofat
heafollowingainterventionsatoamanageabruxisma(selectaallathataapply)
A.aConcurrentaadministrationaofabuspironea
B.aadministrationaofaaadifferentaSSRIa
,C.auseaofaaamouthaguard
D.achangingatoaaadifferentaclassaofaanti-depressantamedication
E.aincreasingatheadoseaofaparoxetinea-arA,C,D
Aanurseaisaprovidingainstructionsatoaaaclientahasabeenaexperiencingainsomniaaandahasaaan
ewaprescriptionaforatoaMazaaPamatheanurseashouldainformatheaclientathatawhichaofatheafoll
owingamanifestationsaareaadverseaaffectsa(selectaallaapplya)
A.aIncoordinationa
B.aHypertensiona
C.aPruritis
D.aSleepadrivinga
E.aAmnesiaa-arA,D,E
AanurseaisacaringaforaaaclientawhoaisareceivingamoderateasedationawithadiazepamaIVatheacl
ientaisaoversedatedawhichaofatheafollowingamedicationsashouldatheanurseaanticipateaadmi
nisteringatoathisaclienta
A.aKetaminea
B.aNaltrexone
C.aFlumazenil
D.aFluvoxaminea-arC.aFlumazenil
Aanurseaisateachingaaaclientawhoahasaaanewaprescriptionaforaremelton.aTheanurseashouldai
nstructatheaclientatoaavoidawhichaofatheafollowingafoodsawhileatakingathisamedicationa
A.aBakedapotatoa
B.aFriedachickena
C.aWholeagrainabreada
D.aCitrusafruitsa-arB
Aanurseaisacaringaforaaaclientawhoaisaadmittedatoaundergoaaasurgicalaprocedureawhichaofat
heafollowingapre-
existingaconditionsacanabeaaacontraindicationaforatheauseaofaketamineaasaanaintravenousa
anesthetica
A.aPepticaulceradiseasea
B.aBreastacancera
C.aDiabetesamellitusa
D.aSchizophreniaa-arD
Aanurseaisaprovidingainstructionsatoaaafemaleaclientawhoahasaaanewaprescriptionaforazolpid
em,awhatainstructionsashouldatheanurseaincludea
A.aNotifyatheaprovideraifayouaplanatoabecomeapregnanta
B.aTakeatheamedicationaoneahourabeforeayouaplanatoagoatoasleepa
C.aAllowaataleastasixahoursaforasleepawhenatakingazolpidema
D.aToaincreaseatheaeffectivenessaofazolpidematakeaitawithaaabedtimeasnacka-arA
Aanurseaisaassessingaaaclientawhoahasasalicylismawhichaofatheafollowingafindingsashouldat
heanurseaexpecta(selectaallaapplya)
, A.aDizzinessa
B.adiarrheaa
C.ajaundicea
D.aTinnitusa
E.aheadachea-arA,D,E
Aanurseaisaadmittingaaatoddleratoatheahospitalaafteraandaacetaminophenaoverdoseawhichao
fatheafollowingamedicationsashouldatheanurseaanticipateaadministeringatoathisaclienta
A.aAcetylcysteine
B.aPegfilgrastim
C.aMisoprostol
D.aNaltrexonea-arA
Aanurseaisateachingaaaclientaaboutaaanewaprescriptionaforacelecoxibawhichaofatheafollowing
ainformationashouldasheaincludeainatheateachinga
A.aIncreasesatheariskaforaaamyocardialainafarction
B.aDecreasesatheariskaofastrokea
C.aInhibitsaCOX-1
D.aIncreasesaplateletaaggregationa-arA
Aanursesatakingahistoryaforaaaclientawhoareportsathataheaisatakingaaspirinaaboutafouratimesa
dailyaforaaasprainedawristawhichaofatheafollowingaprescribeamedicationsatakenaforatheaclien
taisacontraaindicatedawithaaspirina
A.aDigoxin
B.ametformim
C.awarfarina
D.anitroglycerina-arC
nursesainaanaemergencyadepartmentaperformingaadmissionaassessmentaforaaaclientawhoa
hasasevereaaspirinatoxicityawhichaofatheafollowingafindingsashouldasheaexpecta
A.aBodyatemperaturea35°Ca95aFahrenheita
B.alungacracklesa
C.acooladryaskina
D.arespiratoryadepressiona-arD
nurseaisapreparingatoaadministeraanaopioidaagonistatoaaaclientawhoahasaacuteapainawhichao
fatheafollowingacomplicationsashouldatheanurseamonitora
A.aUrinaryaretention
B.aTachyaapneaa
C.ahypertensiona
D.airritatingacougha-arA
Aanurseaisacaringaforaaaclientawhoahasaandastageacanceraandaisareceivingamorphineatheacli
entsadaughteraasksawhyatheaprovideraprescribedamyethylnaltrexoneawhichaofatheafollowin
garesponsesatoatheanurseamakea
A.aTheamedicationawillaincreaseayouramothersarespirationsa
