Medical surgical (ch. 1,2,6,7,8)
questions with correct answers
a cancer patient who reports ongoing, constant moderate pain with short periods of sever pain during dressing changes
is
a. probably exaggerating his pain
b. best treated by referral for surgical treatment of his pain
c. best treated by receiving a long-acting and a short-acting opioid
d. best treated by regularly scheduled short-acting opioids plus acetaminophen - CORRECT ANSWER-c
A nurse in a health care clinic is evaluating the level of wellness for clients using the health/wellness/illness continuum
tool. Which of the following clients is measured at the center of the continuum?
A. A college student who has influenza
B. An older adult who is newly diagnosed with type 2 diabetes mellitus
C. A new mother who has a urinary tract infection
D. A young male who has a long history of well-controlled rheumatoid arthritis - CORRECT ANSWER-D
A nurse is admitting a toddler to the hospital after and acetaminophen overdose which of the following medications
should the nurse anticipate administering to this client
A. Acetylcysteine
B. Pegfilgrastim
C. Misoprostol
D. Naltrexone - CORRECT ANSWER-A
A nurse is assessing a client who has salicylism which of the following findings should the nurse expect (select all apply
)
A. Dizziness
B. diarrhea
C. jaundice
D. Tinnitus
E. headache - CORRECT ANSWER-A,D,E
A nurse is assessing a client who is reporting pain despite analgesia. The nurse can best assess the intensity of the
client's pain by
A. asking what precipitates the pain.
B. questioning the client about the location of the pain.
C. offering the client a pain scale to measure his pain.
D. using open-ended questions to identify the sensation. - CORRECT ANSWER-C
A nurse is assessing the pain level of a client who has come to the emergency department reporting severe abdominal
pain. The nurse asks the client whether he has nausea and has been vomiting. The nurse is assessing which of the
following?
A. Presence of associated symptoms
B. Location of the pain
C. Pain quality
D. Aggravating and relieving factors - CORRECT ANSWER-A
A nurse is caring for a client who has and stage cancer and is receiving morphine the clients daughter asks why the
provider prescribed myethylnaltrexone which of the following responses to the nurse make
, A. The medication will increase your mothers respirations
B. Medication will prevent dependent on the morphine
C. The medication to relieve your mothers constipation
D. Medication works with the morphine to increased pain relief - CORRECT ANSWER-C
A nurse is caring for a client who is admitted to undergo a surgical procedure which of the following pre-existing
conditions can be a contraindication for the use of ketamine as an intravenous anesthetic
A. Peptic ulcer disease
B. Breast cancer
C. Diabetes mellitus
D. Schizophrenia - CORRECT ANSWER-D
A nurse is caring for a client who is receiving moderate sedation with diazepam IV the client is oversedated which of the
following medications should the nurse anticipate administering to this client
A. Ketamine
B. Naltrexone
C. Flumazenil
D. Fluvoxamine - CORRECT ANSWER-C. Flumazenil
A nurse is caring for a client who is receiving morphine via a patient-controlled analgesia (PCA) infusion device after
abdominal surgery. Which of the following statements indicates that the client knows how to use the device?
A. "I'll wait to use the device until it's absolutely necessary."
B. "I'll be careful about pushing the button so I don't get an overdose."
C. "I should tell the nurse if the pain doesn't stop after I use this device."
D. "I will ask my son to push the dose button when I am sleeping." - CORRECT ANSWER-C
A nurse is caring for a client who receives a local anesthetic of light Okane during the repair of the skin laceration which
of the following adverse reactions should the nurse monitor for the client
A. Seizures
B. TachyCardia
C. hypertension
D. fever - CORRECT ANSWER-A
A nurse is caring for a client who takes peroxidation to treat post dramatic stress disorder he reports that he grinds his
teeth during the night the nurse should identify which of the following interventions to manage bruxism (select all that
apply)
A. Concurrent administration of buspirone
B. administration of a different SSRI
C. use of a mouth guard
D. changing to a different class of anti-depressant medication
E. increasing the dose of paroxetine - CORRECT ANSWER-A,C,D
A nurse is caring for a client who was just told she has breast cancer and the nurse evaluates the client's response.
Which of the following statements by the client reflects a lack of understanding of an illness perspective?
A."I have no family history of breast cancer."
B."I need a second opinion there is no lump."
C."I am glad we live in the city near several large hospitals."
D."I will schedule surgery next week, over the holidays. - CORRECT ANSWER-B
A nurse is caring for an older adult client who has a new diagnosis of type 2 diabetes mellitus and reports difficulty
following the diet and remembering to take the prescribed medication. Which of the following are appropriate actions by
the nurse? (Select all that apply.)
A. Ask the dietitian to assist with meal planning.
B. Contact the client's support system.
C. Assess for age-related cognitive awareness.
D. Encourage the use of a daily medication dispenser.
E. Provide educational materials for home use. - CORRECT ANSWER-a,b,d,e
A nurse is evaluating clients at a health fair for modifiable variables affecting health and wellness. The nurse identifies
which of the following as a modifiable variable? (Select all that apply.)
A. A male who smokes on social occasions
B. A female with a BMI of 28
C. An adult with alopecia
D. An adolescent with Trisomy 21
E. An infant with reflux - CORRECT ANSWER-A,B,E
A nurse is monitoring a client who is receiving opioid analgesia for adverse effects of the medication. Which of the
following effects should the nurse anticipate? (Select all that apply.)
A. Urinary incontinence
B. Diarrhea
C. Bradypnea
questions with correct answers
a cancer patient who reports ongoing, constant moderate pain with short periods of sever pain during dressing changes
is
a. probably exaggerating his pain
b. best treated by referral for surgical treatment of his pain
c. best treated by receiving a long-acting and a short-acting opioid
d. best treated by regularly scheduled short-acting opioids plus acetaminophen - CORRECT ANSWER-c
A nurse in a health care clinic is evaluating the level of wellness for clients using the health/wellness/illness continuum
tool. Which of the following clients is measured at the center of the continuum?
A. A college student who has influenza
B. An older adult who is newly diagnosed with type 2 diabetes mellitus
C. A new mother who has a urinary tract infection
D. A young male who has a long history of well-controlled rheumatoid arthritis - CORRECT ANSWER-D
A nurse is admitting a toddler to the hospital after and acetaminophen overdose which of the following medications
should the nurse anticipate administering to this client
A. Acetylcysteine
B. Pegfilgrastim
C. Misoprostol
D. Naltrexone - CORRECT ANSWER-A
A nurse is assessing a client who has salicylism which of the following findings should the nurse expect (select all apply
)
A. Dizziness
B. diarrhea
C. jaundice
D. Tinnitus
E. headache - CORRECT ANSWER-A,D,E
A nurse is assessing a client who is reporting pain despite analgesia. The nurse can best assess the intensity of the
client's pain by
A. asking what precipitates the pain.
B. questioning the client about the location of the pain.
C. offering the client a pain scale to measure his pain.
D. using open-ended questions to identify the sensation. - CORRECT ANSWER-C
A nurse is assessing the pain level of a client who has come to the emergency department reporting severe abdominal
pain. The nurse asks the client whether he has nausea and has been vomiting. The nurse is assessing which of the
following?
A. Presence of associated symptoms
B. Location of the pain
C. Pain quality
D. Aggravating and relieving factors - CORRECT ANSWER-A
A nurse is caring for a client who has and stage cancer and is receiving morphine the clients daughter asks why the
provider prescribed myethylnaltrexone which of the following responses to the nurse make
, A. The medication will increase your mothers respirations
B. Medication will prevent dependent on the morphine
C. The medication to relieve your mothers constipation
D. Medication works with the morphine to increased pain relief - CORRECT ANSWER-C
A nurse is caring for a client who is admitted to undergo a surgical procedure which of the following pre-existing
conditions can be a contraindication for the use of ketamine as an intravenous anesthetic
A. Peptic ulcer disease
B. Breast cancer
C. Diabetes mellitus
D. Schizophrenia - CORRECT ANSWER-D
A nurse is caring for a client who is receiving moderate sedation with diazepam IV the client is oversedated which of the
following medications should the nurse anticipate administering to this client
A. Ketamine
B. Naltrexone
C. Flumazenil
D. Fluvoxamine - CORRECT ANSWER-C. Flumazenil
A nurse is caring for a client who is receiving morphine via a patient-controlled analgesia (PCA) infusion device after
abdominal surgery. Which of the following statements indicates that the client knows how to use the device?
A. "I'll wait to use the device until it's absolutely necessary."
B. "I'll be careful about pushing the button so I don't get an overdose."
C. "I should tell the nurse if the pain doesn't stop after I use this device."
D. "I will ask my son to push the dose button when I am sleeping." - CORRECT ANSWER-C
A nurse is caring for a client who receives a local anesthetic of light Okane during the repair of the skin laceration which
of the following adverse reactions should the nurse monitor for the client
A. Seizures
B. TachyCardia
C. hypertension
D. fever - CORRECT ANSWER-A
A nurse is caring for a client who takes peroxidation to treat post dramatic stress disorder he reports that he grinds his
teeth during the night the nurse should identify which of the following interventions to manage bruxism (select all that
apply)
A. Concurrent administration of buspirone
B. administration of a different SSRI
C. use of a mouth guard
D. changing to a different class of anti-depressant medication
E. increasing the dose of paroxetine - CORRECT ANSWER-A,C,D
A nurse is caring for a client who was just told she has breast cancer and the nurse evaluates the client's response.
Which of the following statements by the client reflects a lack of understanding of an illness perspective?
A."I have no family history of breast cancer."
B."I need a second opinion there is no lump."
C."I am glad we live in the city near several large hospitals."
D."I will schedule surgery next week, over the holidays. - CORRECT ANSWER-B
A nurse is caring for an older adult client who has a new diagnosis of type 2 diabetes mellitus and reports difficulty
following the diet and remembering to take the prescribed medication. Which of the following are appropriate actions by
the nurse? (Select all that apply.)
A. Ask the dietitian to assist with meal planning.
B. Contact the client's support system.
C. Assess for age-related cognitive awareness.
D. Encourage the use of a daily medication dispenser.
E. Provide educational materials for home use. - CORRECT ANSWER-a,b,d,e
A nurse is evaluating clients at a health fair for modifiable variables affecting health and wellness. The nurse identifies
which of the following as a modifiable variable? (Select all that apply.)
A. A male who smokes on social occasions
B. A female with a BMI of 28
C. An adult with alopecia
D. An adolescent with Trisomy 21
E. An infant with reflux - CORRECT ANSWER-A,B,E
A nurse is monitoring a client who is receiving opioid analgesia for adverse effects of the medication. Which of the
following effects should the nurse anticipate? (Select all that apply.)
A. Urinary incontinence
B. Diarrhea
C. Bradypnea
