Medical-Surgical: Final Practice (50 questions)
1. A nurse is monitoring a client following a thyroidectomy. Which of the
following findings should the nurse identify as an indication of
hypoparathyroidism?: Involuntary muscle spasms
(occurs if the parathyroid glands are damaged or removed during a thyroidectomy.
Muscle twitching and paresthesias can result due to decreased parathyroid
hormone levels and calcium deficiency.)
2. A nurse is reinforcing discharge teaching with a client who has a new
permanent pacemaker. Which of the following statements by the client
indicates an understanding of the teaching?: "I should check my heart rate
each day."•
3. 4. A nurse is reinforcing discharge teaching about improving gas
exchange with a client who has emphysema. Which of the following
information should the nurse include in the teaching?: Use pursed-lip
breathing during periods of dyspnea.
5. A nurse is reinforcing teaching with a client who has a new diagnosis
of multiple sclerosis (MS). The client asks the nurse about the usual course
of MS. Which of the following responses should the nurse make?: "Acute
episodes are usually followed by remissions, which can last varying lengths of
time."
6. a nurse in an emergency department is caring for a client who reports
developing severe right eye pain with a gritty sensation while sawing wood.
Whats priority?: Ask the client about first aid performed at the scene
7. A nurse is preparing to administer timolol eye drops for a client who
has glaucoma. When instilling the medication, which of the following
actions should the nurse take?: Apply pressure to puncta after instillation of the
medication.
8. A nurse is caring for a client who has a stage III pressure ulcer on his
heel. When preparing to irrigate the wound, which of the following actions
should the nurse take rst?: Check the client's pain level
9. A nurse is caring for a client who begins having a tonic-clonic seizure
while sitting in a chair at the bedside. Which of the following actions should
the nurse take first?: Lower the client to the floor.
10. A nurse is caring for a client who has type 1 diabetes mellitus and a
capillary blood glucose reading of 48 mg/dL. Which of the following findings
should the nurse expect?: Diaphoresis
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, Medical-Surgical: Final Practice (50 questions)
A client who has a blood glucose level below 70 mg/dL to exhibit indications of
hypoglycemia. Including weakness, hunger, diaphoresis, nausea, shakiness, and
confusion.
11. A nurse is reinforcing teaching with a client who is scheduled for a
sigmoid colon resection with colostomy. Which of the following statements
by the client indicates a need for further teaching?: "My diet will have to change
to a soft diet after surgery."•
( After surgery, the client's diet quickly returns to a regular diet and there are not
any food restrictions.)
12. A nurse is reviewing a client's laboratory report. The client's ABG levels
are pH 7.5, PaCO 32 mm HG, and HCO 24 mEq/L. The nurse should determine
that the client has which of the following acid-base imbalances?: Respiratory
alkalosis
(The nurse should identify that the client's pH is elevated above the expected
reference range of 7.35 to 7.45, indicating alkalosis. The nurse should then
identify that the client's PaCO is low, below the expected reference range of 35 to
45 mm Hg, which indicates a respiratory origin. The nurse should conclude that
the client's elevated pH and decreased PaCO indicate respiratory alkalosis.)
13. A nurse in an urgent care clinic is collecting data from a client who
sustained a fall. Which of the following findings should the nurse identify as
an indication of a skull fracture?: Clear fluid coming from the nares.
(cerebrospinal fluid)
14. A nurse is reinforcing teaching with a client about preventing the
transmission of hepatitis A. The nurse should identify that hepatitis A is
transmitted by which of the following routes?: Fecal-oral contamination
15. A nurse is reinforcing teaching with a client who has tuberculosis (TB)
and a prescription for isoniazid. Which of the following instructions should
the nurse include?: "Your provider will monitor your liver function while you are
taking this medication."
16. A nurse is collecting data from a client who develops a fruity breath odor,
dry mouth, and extreme thirst. Which of the following additional data should
the nurse collect?: Blood glucose using a glucometer
17. A nurse is contributing to the plan of care for a client who is 72 hr
postoperative following an above-the-knee amputation. Which of the
following actions should the nurse recommend?: Assist the client to a prone
position every 4 hours.
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1. A nurse is monitoring a client following a thyroidectomy. Which of the
following findings should the nurse identify as an indication of
hypoparathyroidism?: Involuntary muscle spasms
(occurs if the parathyroid glands are damaged or removed during a thyroidectomy.
Muscle twitching and paresthesias can result due to decreased parathyroid
hormone levels and calcium deficiency.)
2. A nurse is reinforcing discharge teaching with a client who has a new
permanent pacemaker. Which of the following statements by the client
indicates an understanding of the teaching?: "I should check my heart rate
each day."•
3. 4. A nurse is reinforcing discharge teaching about improving gas
exchange with a client who has emphysema. Which of the following
information should the nurse include in the teaching?: Use pursed-lip
breathing during periods of dyspnea.
5. A nurse is reinforcing teaching with a client who has a new diagnosis
of multiple sclerosis (MS). The client asks the nurse about the usual course
of MS. Which of the following responses should the nurse make?: "Acute
episodes are usually followed by remissions, which can last varying lengths of
time."
6. a nurse in an emergency department is caring for a client who reports
developing severe right eye pain with a gritty sensation while sawing wood.
Whats priority?: Ask the client about first aid performed at the scene
7. A nurse is preparing to administer timolol eye drops for a client who
has glaucoma. When instilling the medication, which of the following
actions should the nurse take?: Apply pressure to puncta after instillation of the
medication.
8. A nurse is caring for a client who has a stage III pressure ulcer on his
heel. When preparing to irrigate the wound, which of the following actions
should the nurse take rst?: Check the client's pain level
9. A nurse is caring for a client who begins having a tonic-clonic seizure
while sitting in a chair at the bedside. Which of the following actions should
the nurse take first?: Lower the client to the floor.
10. A nurse is caring for a client who has type 1 diabetes mellitus and a
capillary blood glucose reading of 48 mg/dL. Which of the following findings
should the nurse expect?: Diaphoresis
1/7
, Medical-Surgical: Final Practice (50 questions)
A client who has a blood glucose level below 70 mg/dL to exhibit indications of
hypoglycemia. Including weakness, hunger, diaphoresis, nausea, shakiness, and
confusion.
11. A nurse is reinforcing teaching with a client who is scheduled for a
sigmoid colon resection with colostomy. Which of the following statements
by the client indicates a need for further teaching?: "My diet will have to change
to a soft diet after surgery."•
( After surgery, the client's diet quickly returns to a regular diet and there are not
any food restrictions.)
12. A nurse is reviewing a client's laboratory report. The client's ABG levels
are pH 7.5, PaCO 32 mm HG, and HCO 24 mEq/L. The nurse should determine
that the client has which of the following acid-base imbalances?: Respiratory
alkalosis
(The nurse should identify that the client's pH is elevated above the expected
reference range of 7.35 to 7.45, indicating alkalosis. The nurse should then
identify that the client's PaCO is low, below the expected reference range of 35 to
45 mm Hg, which indicates a respiratory origin. The nurse should conclude that
the client's elevated pH and decreased PaCO indicate respiratory alkalosis.)
13. A nurse in an urgent care clinic is collecting data from a client who
sustained a fall. Which of the following findings should the nurse identify as
an indication of a skull fracture?: Clear fluid coming from the nares.
(cerebrospinal fluid)
14. A nurse is reinforcing teaching with a client about preventing the
transmission of hepatitis A. The nurse should identify that hepatitis A is
transmitted by which of the following routes?: Fecal-oral contamination
15. A nurse is reinforcing teaching with a client who has tuberculosis (TB)
and a prescription for isoniazid. Which of the following instructions should
the nurse include?: "Your provider will monitor your liver function while you are
taking this medication."
16. A nurse is collecting data from a client who develops a fruity breath odor,
dry mouth, and extreme thirst. Which of the following additional data should
the nurse collect?: Blood glucose using a glucometer
17. A nurse is contributing to the plan of care for a client who is 72 hr
postoperative following an above-the-knee amputation. Which of the
following actions should the nurse recommend?: Assist the client to a prone
position every 4 hours.
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