Medical-Surgical Nursing Exam WITH f f f
CORRECT ANSWERS
f f
The fnurse fis fcaring ffor fa fclient fwho fhas fas fa fson fwith fa fstreptococcus fthroat finfection. fWhich
fnurse frecommendation fwould fbe fbest fto fadvise fthe fclient fto fdo fin forder fto fprevent facquiring fthe
finfection? f- fFrequently fwash fher fhands fand fsurfaces fof fthe fhome.
The fnurse fis fcaring ffor fa fclient finfected fwith fRocky fMountain fspotted ffever. fThe fnurse fshould fask
fif fthe fclient fhas fexperienced fwhich fof fthe ffollowing? f- fWas fbitten fby fa ftick
The fnurse fis fcaring ffor fa fclient fwith fa fprotozoa finfection. fWhich fis fthe fmost flikely fmode fof
ftransmission? f- fIngestion fof fcontaminated ffood for fwater
The fnurse fis fcaring ffor fa fclient fwho fis frecovering ffrom fan fallergic freaction. fWhich fleukocyte flevel
fwould fthe fnurse fexpect fto fbe fthe fmost felevated? f- fEosinophils
The fnurse fis fcaring ffor fa fclient fwho fhas fan finfected fwound fon fthe fgreat ftoe fthat fis fred fwith fa
fpurulent fexudate. fThe fnurse fexpects fthat fthis fclient fhas fwhich ftype fof finfection? f- fLocalized
The fclient fexperienced fa ffall. fNursing fassessment freveals fthat fthe fclient fis fexperiencing ftachycardia,
fhypotension, fconfusion, ftachypnea, fand fflat fjugular fveins. fWhat fshould fbe fthe fnurse's ffirst
fresponse? f- fAdminister foxygen.
The ffamily fwants fto fknow fwhy fthe fnurse fis fputting fa furinary fcatheter fin fa fclient fexperiencing
fshock. fWhat fis fthe fnurse's fbest fresponse? f- f"It fwill fhelp fmonitor fhow fmuch furine fthe fkidneys fare
fable fto fproduce."
A fclient fexperiencing fshock fhas fhad fa furinary foutput fof f250 fmL fin fthe flast f10 fhours. fWhat fis fthe
fnurse's fmost fappropriate fresponse? f- fNotify fthe fphysician.
,Which fclient fis fmost flikely fto fbe fexperiencing fhypovolemic fshock? f- fA fclient fwho fhad fsurgery f24
fhours fago fand fwho falso fhas fa fnasogastric ftube
The fphysician fhas fordered farterial fblood fgases ffor fa fclient fexperiencing fshock. fThe fnurse fknows
fthat fwhich fvalue findicates fshock? f- fpH f7.32
A f63-year-old fArab fAmerican fmale fstates fhis fleft fleg fis f"hot." fWhat fis fthe fnurse's fbest ffirst
fresponse? f- fAssess ffor fpain
The fclient fis fcomplaining fof fexcruciating fpain fin fa ffoot fthat fhas fbeen famputated. fThe ffamily ftells
fthe fnurse fthat fthe fclient fis fjust faddicted fto fpain fmedications. fWhat fis fthe fnurse's fbest fresponse? f-
f"He fis fexperiencing fphantom flimb fpain."
A fclient fhas fhad fabdominal fsurgery fand fhas forders fto fbe fambulated fthree ftimes fa fday. fOral fpain
fmedication fhas fbeen fordered ffor fthe fclient. fWhat fshould fthe fnurse fdo fto ffacilitate fambulation? f-
fMediate f1 fhour fprior fto fambulating fthe fclient.
The fclient freports ffrequent fuse fof facetaminophen. fHow fshould fthe fnurse fbest frespond? f- f"Do fyou
fdrink falcohol?"
A fclient fwith fchronic fpain fhas fbeen fadmitted fwith fa ffever. fThe fnursing fassessment freveals fthat fthe
fclient fhas fa fdecreased flevel fof fconsciousness. fWhat fshould fthe fnurse fask fthe ffamily fabout? f-
fWhat fmedications fthe fclient fhas ftaken
The fpractical fnurse fis freviewing fthe fsocial fhistory ffrom fa fclient fdiagnosed fwith fsmall fcell fcarcinoma
fof fthe flung. fWhich finformation fis fsignificant ffor fthis fdisease? f- fThe fclient fhas fsmoked ftwo f(2)
fpacks fof fcigarettes fa fday ffor f20 fyears
The fpractical fnurse fand fan funlicensed fassistive fpersonnel f(UAP) fare fcaring ffor fa fgroup fof fclients fon
fa fmedical funit. fWhich finformation fprovided fby fthe fUAP fwarrants fimmediate fintervention fby fthe
, fpractical fnurse? f- fThe fclient freceiving fProcrit f(epoetin falfa) fhas fa fT f99.2˚F, fP f68, fR f24, fand fBP fof
f198/102
The fclient fdiagnosed fwith flung fcancer fhas fbeen ftold fthe fcancer fhas fmetastasized fto fthe fbrain.
fWhich fintervention fshould fthe fpractical fnurse fexpect fto fimplement? f- fDiscuss fimplementing fan
fadvance fdirective
The fclient fdiagnosed fwith flung fcancer fis fbeing fdischarged. fWhich fstatement fmade fby fthe fclient
findicates fa freiteration fof finformation fis frequired? f- f"It fdoesn't fmatter fif fI fsmoke fnow. fI falready
fhave fcancer."
The fpractical fnurse fis finterviewing fclients fat fthe fclinic. fWhich finformation fprovided fby fa fclient
fwarrants ffurther finvestigation? f- fThe fclient fhas fbeen fcoughing fup fblood fin fthe fmornings
The fmale fclient fhad fabdominal fsurgery fand fthe fpractical fnurse fsuspects fthe fclient fhas fperitonitis.
fWhich finformation fsupport fthe fdiagnosis fof fperitonitis? f- fHard, frigid fabdomen fand fwhite fblood
fcell fcount f22,000/mm3
The fclient fwho fhad fabdominal fsurgery ftells fthe fpractical fnurse, f"I ffelt fsomething fgive fway fin fmy
fstomach." fWhich fintervention fshould fthe fpractical fnurse fimplement ffirst? f- fInspect fthe fabdominal
fwound fincision
The fclient fis fone f(1) fday fpostoperative fmajor fabdominal fsurgery. fWhich fclient fproblem fis fa
fpriority? f- fFluid fand felectrolyte fimbalance
The fclient fhas fan feviscerated fabdominal fwound. fWhich fintervention fshould fthe fpractical fnurse
fimplement? f- fApply fsterile fnormal fsaline fdressing
The fclient fis fdiagnosed fwith fperitonitis. fWhich finformation findicates fto fthe fpractical fnurse fthe
fclient's fcondition fis fimproving? f- fThe fclient fhas fa fdecrease fin ftemperature fand fa fsoft fabdomen
CORRECT ANSWERS
f f
The fnurse fis fcaring ffor fa fclient fwho fhas fas fa fson fwith fa fstreptococcus fthroat finfection. fWhich
fnurse frecommendation fwould fbe fbest fto fadvise fthe fclient fto fdo fin forder fto fprevent facquiring fthe
finfection? f- fFrequently fwash fher fhands fand fsurfaces fof fthe fhome.
The fnurse fis fcaring ffor fa fclient finfected fwith fRocky fMountain fspotted ffever. fThe fnurse fshould fask
fif fthe fclient fhas fexperienced fwhich fof fthe ffollowing? f- fWas fbitten fby fa ftick
The fnurse fis fcaring ffor fa fclient fwith fa fprotozoa finfection. fWhich fis fthe fmost flikely fmode fof
ftransmission? f- fIngestion fof fcontaminated ffood for fwater
The fnurse fis fcaring ffor fa fclient fwho fis frecovering ffrom fan fallergic freaction. fWhich fleukocyte flevel
fwould fthe fnurse fexpect fto fbe fthe fmost felevated? f- fEosinophils
The fnurse fis fcaring ffor fa fclient fwho fhas fan finfected fwound fon fthe fgreat ftoe fthat fis fred fwith fa
fpurulent fexudate. fThe fnurse fexpects fthat fthis fclient fhas fwhich ftype fof finfection? f- fLocalized
The fclient fexperienced fa ffall. fNursing fassessment freveals fthat fthe fclient fis fexperiencing ftachycardia,
fhypotension, fconfusion, ftachypnea, fand fflat fjugular fveins. fWhat fshould fbe fthe fnurse's ffirst
fresponse? f- fAdminister foxygen.
The ffamily fwants fto fknow fwhy fthe fnurse fis fputting fa furinary fcatheter fin fa fclient fexperiencing
fshock. fWhat fis fthe fnurse's fbest fresponse? f- f"It fwill fhelp fmonitor fhow fmuch furine fthe fkidneys fare
fable fto fproduce."
A fclient fexperiencing fshock fhas fhad fa furinary foutput fof f250 fmL fin fthe flast f10 fhours. fWhat fis fthe
fnurse's fmost fappropriate fresponse? f- fNotify fthe fphysician.
,Which fclient fis fmost flikely fto fbe fexperiencing fhypovolemic fshock? f- fA fclient fwho fhad fsurgery f24
fhours fago fand fwho falso fhas fa fnasogastric ftube
The fphysician fhas fordered farterial fblood fgases ffor fa fclient fexperiencing fshock. fThe fnurse fknows
fthat fwhich fvalue findicates fshock? f- fpH f7.32
A f63-year-old fArab fAmerican fmale fstates fhis fleft fleg fis f"hot." fWhat fis fthe fnurse's fbest ffirst
fresponse? f- fAssess ffor fpain
The fclient fis fcomplaining fof fexcruciating fpain fin fa ffoot fthat fhas fbeen famputated. fThe ffamily ftells
fthe fnurse fthat fthe fclient fis fjust faddicted fto fpain fmedications. fWhat fis fthe fnurse's fbest fresponse? f-
f"He fis fexperiencing fphantom flimb fpain."
A fclient fhas fhad fabdominal fsurgery fand fhas forders fto fbe fambulated fthree ftimes fa fday. fOral fpain
fmedication fhas fbeen fordered ffor fthe fclient. fWhat fshould fthe fnurse fdo fto ffacilitate fambulation? f-
fMediate f1 fhour fprior fto fambulating fthe fclient.
The fclient freports ffrequent fuse fof facetaminophen. fHow fshould fthe fnurse fbest frespond? f- f"Do fyou
fdrink falcohol?"
A fclient fwith fchronic fpain fhas fbeen fadmitted fwith fa ffever. fThe fnursing fassessment freveals fthat fthe
fclient fhas fa fdecreased flevel fof fconsciousness. fWhat fshould fthe fnurse fask fthe ffamily fabout? f-
fWhat fmedications fthe fclient fhas ftaken
The fpractical fnurse fis freviewing fthe fsocial fhistory ffrom fa fclient fdiagnosed fwith fsmall fcell fcarcinoma
fof fthe flung. fWhich finformation fis fsignificant ffor fthis fdisease? f- fThe fclient fhas fsmoked ftwo f(2)
fpacks fof fcigarettes fa fday ffor f20 fyears
The fpractical fnurse fand fan funlicensed fassistive fpersonnel f(UAP) fare fcaring ffor fa fgroup fof fclients fon
fa fmedical funit. fWhich finformation fprovided fby fthe fUAP fwarrants fimmediate fintervention fby fthe
, fpractical fnurse? f- fThe fclient freceiving fProcrit f(epoetin falfa) fhas fa fT f99.2˚F, fP f68, fR f24, fand fBP fof
f198/102
The fclient fdiagnosed fwith flung fcancer fhas fbeen ftold fthe fcancer fhas fmetastasized fto fthe fbrain.
fWhich fintervention fshould fthe fpractical fnurse fexpect fto fimplement? f- fDiscuss fimplementing fan
fadvance fdirective
The fclient fdiagnosed fwith flung fcancer fis fbeing fdischarged. fWhich fstatement fmade fby fthe fclient
findicates fa freiteration fof finformation fis frequired? f- f"It fdoesn't fmatter fif fI fsmoke fnow. fI falready
fhave fcancer."
The fpractical fnurse fis finterviewing fclients fat fthe fclinic. fWhich finformation fprovided fby fa fclient
fwarrants ffurther finvestigation? f- fThe fclient fhas fbeen fcoughing fup fblood fin fthe fmornings
The fmale fclient fhad fabdominal fsurgery fand fthe fpractical fnurse fsuspects fthe fclient fhas fperitonitis.
fWhich finformation fsupport fthe fdiagnosis fof fperitonitis? f- fHard, frigid fabdomen fand fwhite fblood
fcell fcount f22,000/mm3
The fclient fwho fhad fabdominal fsurgery ftells fthe fpractical fnurse, f"I ffelt fsomething fgive fway fin fmy
fstomach." fWhich fintervention fshould fthe fpractical fnurse fimplement ffirst? f- fInspect fthe fabdominal
fwound fincision
The fclient fis fone f(1) fday fpostoperative fmajor fabdominal fsurgery. fWhich fclient fproblem fis fa
fpriority? f- fFluid fand felectrolyte fimbalance
The fclient fhas fan feviscerated fabdominal fwound. fWhich fintervention fshould fthe fpractical fnurse
fimplement? f- fApply fsterile fnormal fsaline fdressing
The fclient fis fdiagnosed fwith fperitonitis. fWhich finformation findicates fto fthe fpractical fnurse fthe
fclient's fcondition fis fimproving? f- fThe fclient fhas fa fdecrease fin ftemperature fand fa fsoft fabdomen
