MED SURG PRACTICE
QUESTIONS WITH ALL ANSWERS
1.What jresponses jdoes jthe jnurse jexpect jas ja jresult jof jinfusing j500 jmL jliter
jof ja j3% jsaline jintravenous jsolution jinto ja jclient jover ja j1-hour jtime jperiod?
a) Plasma jvolume josmolarity jincreases; jblood jpressure jincreases
b) Plasma jvolume josmolarity jdecreases; jblood jpressure jincreases
c) Plasma jvolume josmolarity jincreases; jblood jpressure jdecreases
d) Plasma jvolume josmolarity jdecreases; jblood jpressure jdecreases: ja)
jPlasma jvolume josmolarity jincreases; jblood jpressure jincreases
2.The jnurse jis jreviewing jlaboratory jresults jand jnotes jthat ja jclient's jserum
jsodium jlevel jis j150 jmEq/L. jThe jnurse jreports jthe jserum jsodium jlevel jto jthe
jhealth jcare jprovider j(HCP) jand jthe jHCP jprescribes jdietary jinstructions
jbased jon jthe jsodium jlevel. jWhich jfood jitem jdoes jthe jnurse jinstruct jthe
jclient jto javoid?
a) Peas
b) Nuts
c) Cauliflower
d) Processed joat jcereals: jd) jProcessed joat jcereals
3.The jnurse jcares jfor ja jclient jwith jdehydration. jWhich jsigns jor jsymptoms jis
jthe jnurse jlikely jto jobserve jin jthis jclient? jSelect jall jthat japply
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j38
,a) The jclient's jheart jrate jis j110 jbeats/min
b) The jclient's jrespiratory jrate jis j9 jbreaths/min
c) The jclient's jserum josmolarity jis jlow
d) The jclient's jserum jpotassium jis j5.2 jmEq/L
e) The jclient's jserum jsodium jlevel jis j148 jmEq/L: ja) jThe jclient's jheart jrate jis
j110 jbeats/min
d)The jclient's jserum jpotassium jis j5.2 jmEq/L
e) The jclient's jserum jsodium jlevel jis j148 jmEq/L
4.A jnursing jcaring jfor jan jelderly jadult jclient jassesses jfor jwhich jsymptoms
jof jsevere jdehydration? jSelect jall jthat japply
a) Capillary jrefill jof jtwo jseconds
b) Decreased jthirst jsensation
c) Dryness jto joral jmucosa
d) Resting jheart jrate jof j105 jbeats/min.
e) Tenting jof jskin jon jhands: jc) jDryness jto joral jmucosa
d) jResting jheart jrate jof j105 jbeats/min.
2 j/
j38
,5.The jnurse jis jpreparing jto jcare jfor ja jclient jwith ja jpotassium jdeficit. jThe
jnurse jreviews jthe jclient's jrecord jand jdetermines jthat jthe jclient jwas jat jrisk
jfor jdeveloping jthe jpotassium jdeficit jbecause jof jwhich jsituation?
a) Sustained jtissue jdamage
b) Requires jnasogastric jsuction
c) Has ja jhistory jof jAddison's jdisease
d) Is jtaking ja jpotassium-retaining jdiuretic: jb) jRequires jnasogastric jsuction
6.The jnurse jreviews ja jclient's jlaboratory jreport jand jnotes jthat jthe jclient's
jserum jphosphorus jlevel jis j2 jmg/dL. jWhich jcondition jmost jlikely jcaused
jthis jserum jphosphorus jlevel?
a) Alcoholism
b) Renal jinsufficiency
c) Hypoparathyroidism
d) Tumor jlysis jsyndrome: ja) jAlcoholism
7.The jnurse jis jcaring jfor ja jclient jwith jheart jfailure. jOn jassessment, jthe jnurse
jnotes jthat jthe jclient jis jdyspneic jand jcrackles jare jaudible jon jauscultation.
jWhat jadditional jsigns jwould jthe jnurse jexpect jto jnote jin jthis jclient jif jexcess
jfluid jvolume jis jpresent?
a) Weight jloss
b) Flat jneck jand jhand jveins
c) An jincrease jin jblood jpressure
d) Decreased jcentral jvenous jpressure j(CVP): jc) jAn jincrease jin jblood
jpressure
8.A jperoperative jnurse jis jassessing ja jclient jprior jto jsurgery. jWhich jinforma-
jtion jwould jbe jmost jimportant jto jrelay?
a) use jof jherbs jand jsupplements
b) history jof jlactose jintolerance
c) no jprevious jexperience jwith jsurgery
d) allergy jto jbee jand jwasp jstings: ja) juse jof jherbs jand jsupplements
9.A jperoperative jnurse jis jreviewing jmorning jlabs jon jfour jclients jwaiting jfor
jsurgery. jWhich jwould jhe jreport jimmediately?
a) sodium: j134 jmEq/L
b) hemoglobin: j14.8 jmg/dL
c) potassium: j2.9 jmEq/L
3 j/
j38
, d) creatinine: j1.2 jmg/dL: jc) jpotassium: j2.9 jmEq/L
4 j/
j38
QUESTIONS WITH ALL ANSWERS
1.What jresponses jdoes jthe jnurse jexpect jas ja jresult jof jinfusing j500 jmL jliter
jof ja j3% jsaline jintravenous jsolution jinto ja jclient jover ja j1-hour jtime jperiod?
a) Plasma jvolume josmolarity jincreases; jblood jpressure jincreases
b) Plasma jvolume josmolarity jdecreases; jblood jpressure jincreases
c) Plasma jvolume josmolarity jincreases; jblood jpressure jdecreases
d) Plasma jvolume josmolarity jdecreases; jblood jpressure jdecreases: ja)
jPlasma jvolume josmolarity jincreases; jblood jpressure jincreases
2.The jnurse jis jreviewing jlaboratory jresults jand jnotes jthat ja jclient's jserum
jsodium jlevel jis j150 jmEq/L. jThe jnurse jreports jthe jserum jsodium jlevel jto jthe
jhealth jcare jprovider j(HCP) jand jthe jHCP jprescribes jdietary jinstructions
jbased jon jthe jsodium jlevel. jWhich jfood jitem jdoes jthe jnurse jinstruct jthe
jclient jto javoid?
a) Peas
b) Nuts
c) Cauliflower
d) Processed joat jcereals: jd) jProcessed joat jcereals
3.The jnurse jcares jfor ja jclient jwith jdehydration. jWhich jsigns jor jsymptoms jis
jthe jnurse jlikely jto jobserve jin jthis jclient? jSelect jall jthat japply
1 j/
j38
,a) The jclient's jheart jrate jis j110 jbeats/min
b) The jclient's jrespiratory jrate jis j9 jbreaths/min
c) The jclient's jserum josmolarity jis jlow
d) The jclient's jserum jpotassium jis j5.2 jmEq/L
e) The jclient's jserum jsodium jlevel jis j148 jmEq/L: ja) jThe jclient's jheart jrate jis
j110 jbeats/min
d)The jclient's jserum jpotassium jis j5.2 jmEq/L
e) The jclient's jserum jsodium jlevel jis j148 jmEq/L
4.A jnursing jcaring jfor jan jelderly jadult jclient jassesses jfor jwhich jsymptoms
jof jsevere jdehydration? jSelect jall jthat japply
a) Capillary jrefill jof jtwo jseconds
b) Decreased jthirst jsensation
c) Dryness jto joral jmucosa
d) Resting jheart jrate jof j105 jbeats/min.
e) Tenting jof jskin jon jhands: jc) jDryness jto joral jmucosa
d) jResting jheart jrate jof j105 jbeats/min.
2 j/
j38
,5.The jnurse jis jpreparing jto jcare jfor ja jclient jwith ja jpotassium jdeficit. jThe
jnurse jreviews jthe jclient's jrecord jand jdetermines jthat jthe jclient jwas jat jrisk
jfor jdeveloping jthe jpotassium jdeficit jbecause jof jwhich jsituation?
a) Sustained jtissue jdamage
b) Requires jnasogastric jsuction
c) Has ja jhistory jof jAddison's jdisease
d) Is jtaking ja jpotassium-retaining jdiuretic: jb) jRequires jnasogastric jsuction
6.The jnurse jreviews ja jclient's jlaboratory jreport jand jnotes jthat jthe jclient's
jserum jphosphorus jlevel jis j2 jmg/dL. jWhich jcondition jmost jlikely jcaused
jthis jserum jphosphorus jlevel?
a) Alcoholism
b) Renal jinsufficiency
c) Hypoparathyroidism
d) Tumor jlysis jsyndrome: ja) jAlcoholism
7.The jnurse jis jcaring jfor ja jclient jwith jheart jfailure. jOn jassessment, jthe jnurse
jnotes jthat jthe jclient jis jdyspneic jand jcrackles jare jaudible jon jauscultation.
jWhat jadditional jsigns jwould jthe jnurse jexpect jto jnote jin jthis jclient jif jexcess
jfluid jvolume jis jpresent?
a) Weight jloss
b) Flat jneck jand jhand jveins
c) An jincrease jin jblood jpressure
d) Decreased jcentral jvenous jpressure j(CVP): jc) jAn jincrease jin jblood
jpressure
8.A jperoperative jnurse jis jassessing ja jclient jprior jto jsurgery. jWhich jinforma-
jtion jwould jbe jmost jimportant jto jrelay?
a) use jof jherbs jand jsupplements
b) history jof jlactose jintolerance
c) no jprevious jexperience jwith jsurgery
d) allergy jto jbee jand jwasp jstings: ja) juse jof jherbs jand jsupplements
9.A jperoperative jnurse jis jreviewing jmorning jlabs jon jfour jclients jwaiting jfor
jsurgery. jWhich jwould jhe jreport jimmediately?
a) sodium: j134 jmEq/L
b) hemoglobin: j14.8 jmg/dL
c) potassium: j2.9 jmEq/L
3 j/
j38
, d) creatinine: j1.2 jmg/dL: jc) jpotassium: j2.9 jmEq/L
4 j/
j38
