Med- Surg. Exam Questions with Verified
Answers
anemia (pernicious) ✔️✔️a deficiency of the intrinsic factor would alert the nurse to ask the
patient if he has a hx. of:
A. obtain consent for the procedure
C. begin fast the morning of the procedure
D. adm. an enema before the procedure
E. provide a clear-liquid diet 48hrs. before the procedure ✔️✔️A pt with a recent hx of blood
in his stools is scheduled for a proctosigmoidoscopy. The nurse should implement which
protocols to prepare the pt for this procedure?
A. vagal stimulation
C. decreased duodenal inhibition
D. hypersecretion of hydrochloric acid
E. an increased number of parietal cells. ✔️✔️The nurse is assessing a pt admitted from the ER
with gastrointestinal bleeding r/t peptic ulcer disease (PUD). Which physiological factors can
produce ulceration?
B. keeping the head of the bed elevated 30 degrees
C. changing the enteral-feeding bag every 24hrs.
D. checking the placement of the tube by means of gastric aspiration
,E. flushing the tube with 50ml of normal saline solution after each feeding ✔️✔️When caring
for a pt with a (PEG) tube, what protocols should the nurse implement for intermittent feedings?
watch for s/s of bleeding and hypovolemia ✔️✔️A pt with a chronic infection of Hepatitis C
virus (HCV) is scheduled for a liver biopsy. What should the nurse perform after the procedure?
reduction in inflammation by inhibiting prostaglandin synthesis ✔️✔️A pt with rheumatoid
arthritis is prescribed piroxicam (Feldene), a nonsteroidal anti-inflammatory drug (NSAID).
Which effect is normal of (NSAIDs) used for treating rheumatoid arthritis?
perform exercises (wt. resistance) ✔️✔️A nurse is preparing a teaching plan for a pt who is
post-menopausal. Which measure is most important for the nurse to include in the teaching to
prevent osteoporosis?
maintain correct spinal alignment to protect surgical site. ✔️✔️The nurse is providing
instructions about log rolling to staff and to a pt who returns to the post-op unit after a lumbar
(laminectomy). Which explanation should the nurse give to the pt about this necessity of log
rolling?
install via vaginal applicator - the first dose of nystatin (Mycostatin) ✔️✔️A college student
who is dx with a vaginal infection and vulva irritation describes the discharge as having a
"cottage-cheese" appearance. Which Rx. should the nurse implement first?
, cream on skin for 1-2hrs. prior to procedure ✔️✔️A nurse is preparing to insert an IV after
applying a mixture of lidocaine and prilocaine (EMLA), a topical anesthetic cream. What action
should the nurse take to maximize its therapeutic effect?
mucous membranes (cherry red color) ✔️✔️Which finding should the nurse identify as an
indication of carbon monoxide poisoning in a pt who has a burn injury during a house fire?
A. nail polish
B. hearing aid
E. contact lenses
F. partial dentures ✔️✔️The nurse is preparing a pt for orthopedic surgery on the left leg and
completing a safety checklist. Which items should the nurse remove from the client?
Bluish abdominal skin discoloration ✔️✔️A pt is admitted after blunt abd injury. Which
assessment finding requires immediate action?
HR from 85-160bpm lasting more than 10 minutes ✔️✔️The nurse is caring for a pt who is 2
days post-op. Which observation should alert the nurse to call the Rapid Response Team?
muscle pain (severe) ✔️✔️The nurse is teaching a pt about adverse s/e for a new prescription
for lovastatin (Mevacor). Which symptom should the nurse instruct the client to report to the
healthcare provider immediately?
Answers
anemia (pernicious) ✔️✔️a deficiency of the intrinsic factor would alert the nurse to ask the
patient if he has a hx. of:
A. obtain consent for the procedure
C. begin fast the morning of the procedure
D. adm. an enema before the procedure
E. provide a clear-liquid diet 48hrs. before the procedure ✔️✔️A pt with a recent hx of blood
in his stools is scheduled for a proctosigmoidoscopy. The nurse should implement which
protocols to prepare the pt for this procedure?
A. vagal stimulation
C. decreased duodenal inhibition
D. hypersecretion of hydrochloric acid
E. an increased number of parietal cells. ✔️✔️The nurse is assessing a pt admitted from the ER
with gastrointestinal bleeding r/t peptic ulcer disease (PUD). Which physiological factors can
produce ulceration?
B. keeping the head of the bed elevated 30 degrees
C. changing the enteral-feeding bag every 24hrs.
D. checking the placement of the tube by means of gastric aspiration
,E. flushing the tube with 50ml of normal saline solution after each feeding ✔️✔️When caring
for a pt with a (PEG) tube, what protocols should the nurse implement for intermittent feedings?
watch for s/s of bleeding and hypovolemia ✔️✔️A pt with a chronic infection of Hepatitis C
virus (HCV) is scheduled for a liver biopsy. What should the nurse perform after the procedure?
reduction in inflammation by inhibiting prostaglandin synthesis ✔️✔️A pt with rheumatoid
arthritis is prescribed piroxicam (Feldene), a nonsteroidal anti-inflammatory drug (NSAID).
Which effect is normal of (NSAIDs) used for treating rheumatoid arthritis?
perform exercises (wt. resistance) ✔️✔️A nurse is preparing a teaching plan for a pt who is
post-menopausal. Which measure is most important for the nurse to include in the teaching to
prevent osteoporosis?
maintain correct spinal alignment to protect surgical site. ✔️✔️The nurse is providing
instructions about log rolling to staff and to a pt who returns to the post-op unit after a lumbar
(laminectomy). Which explanation should the nurse give to the pt about this necessity of log
rolling?
install via vaginal applicator - the first dose of nystatin (Mycostatin) ✔️✔️A college student
who is dx with a vaginal infection and vulva irritation describes the discharge as having a
"cottage-cheese" appearance. Which Rx. should the nurse implement first?
, cream on skin for 1-2hrs. prior to procedure ✔️✔️A nurse is preparing to insert an IV after
applying a mixture of lidocaine and prilocaine (EMLA), a topical anesthetic cream. What action
should the nurse take to maximize its therapeutic effect?
mucous membranes (cherry red color) ✔️✔️Which finding should the nurse identify as an
indication of carbon monoxide poisoning in a pt who has a burn injury during a house fire?
A. nail polish
B. hearing aid
E. contact lenses
F. partial dentures ✔️✔️The nurse is preparing a pt for orthopedic surgery on the left leg and
completing a safety checklist. Which items should the nurse remove from the client?
Bluish abdominal skin discoloration ✔️✔️A pt is admitted after blunt abd injury. Which
assessment finding requires immediate action?
HR from 85-160bpm lasting more than 10 minutes ✔️✔️The nurse is caring for a pt who is 2
days post-op. Which observation should alert the nurse to call the Rapid Response Team?
muscle pain (severe) ✔️✔️The nurse is teaching a pt about adverse s/e for a new prescription
for lovastatin (Mevacor). Which symptom should the nurse instruct the client to report to the
healthcare provider immediately?
