Med surg quiz 1 practice questions
1. The nurse is caring for clients on an oncology unit. Which neutropenia precautions should be implemented?
1. Hold all venipuncture sites for at least 5 minutes
2. Limit fresh fruits and flowers
3. Place all clients in reverse isolation
4. Have the clients use a soft-bristle toothbrush - ans2. Limit fresh fruits and flowers
1. The nurse requests the client to sign a surgical informed consent form for an emergency appendectomy.
Which statement by the client indicates further teaching is needed?
1. "I will be glad when this is over so I can go home today."
2. "I will not be able to eat or drink anything prior to my surgery."
3. "I can practice relaxing by listening to my favorite music."
4. "I will need to get up and walk as soon as possible." - ans1. "I will be glad when this is over so I can go home
today."
10. The nurse is caring for a client scheduled for total hip replacement. Which behavior indicates the need for
further preoperative teaching?
1. The client uses the diaphragm and abdominal muscles to inhale through the nose and exhale through the
mouth
2. The client demonstrates dorsiflexion of the feet, flexing of the toes, and moves the feet in a circular motion
3. The client uses the incentive spirometer and inhales slowly and deeply so the piston rises to the preset
volume
4. The client gets out of bed by lifting straight upright from the waist and then swings both legs along the side
of the bed - ans4. The client gets out of bed by lifting straight upright from the waist and then swings both legs
along the side of the bed
11. The nurse is completing a care plan for a client diagnosed with leukemia. Which independent problem
should be addressed?
1. Infection
2. Anemia
,3. Nutrition
4. Grieving - ans4. Grieving
11. The nurse is completing preoperative assessment on a male client who states, "I am allergic to codeine."
Which intervention should the nurse implement first?
1. Apply an allergy bracelet on the client's wrist
2. Label the client's allergies on the front of the chair
3. Ask the client what happens when he takes codeine
4. Document the allergy on the medication administration record - ans3. Ask the client what happens when he
takes codeine
12. The nurse is caring for a client diagnosed with acute leukemia. Which assessment data warrant immediate
intervention?
1. T 99, P 102, R 22, and BP 132/68
2. Hyperplasia of the gums
3. Weaknesses and Fatigue
4. Pain in LUQ - ans4. Pain in LUQ
12. Which lab result would require immediate intervention by the nurse for the client scheduled for surgery?
1. Calcium 9.2
2. Bleeding time 2 minutes
3. Hemoglobin 15
4. Potassium 2.4 - ans4. Potassium 2.4
13. Which activities are the circulating nurse's responsibilities in the OR?
1. Monitor the position of the client, prepare the surgical site, and ensure the client's safety
2. Give preop meds in the holding area and monitor the client's response to anesthesia
3. Prepare sutures; set up the sterile fild, and count all needles and sponges and instruments
, 4. Prepare the meds to be administered by the anesthesiologist and change the tubing for the anesthesia
machine - ans1. Monitor the position of the client, prepare the surgical site, and ensure the client's safety
14. The circulating nurse observes the surgical scrub technician remove a sponge from the edge of the sterile
field with a clamp and place the sponge and clamp in a designated area. Which action should the nurse
implement?
1. Place the sponge back where it was
2. Tell the technician to not waste supplies
3. Do nothing because this is the correct procedure
4. Take the sponge out of the room immediately - ans3. Do nothing because this is the correct procedure
14. The client asks the nurse, "they say I have cancer. How can they tell if I have Hodgkin's disease from a
biopsy?" The nurse's answer is based on which scientific rationale?
1. Biopsies are nuclear medication scans that can detect cancer
2. A biopsy is a laboratory test that detects cancer cells
3. It determines which kind of cancer the client has
4. The HCP takes a small piece out of the tumor and looks at the cells - ans3. It determines which kind of cancer
the client has
16. Which client is at the highest risk for developing a lymphoma?
1. The client is diagnosed with chronic lung disease who is taking a steroid
2. The client diagnosed with breast cancer who has extensive lymph involvement
3. The client who received a kidney transplant several years ago
4. The client ho has had ureteral stent placements for a neurogenic bladder - ans3. The client who received a
kidney transplant several years ago
16. Which violation of surgical asepsis would require immediate intervention by the circulating nurse?
1. Surgical supplies were cleaned and sterilized prior to the case
2. The circulating nurse is wearing a long-sleeved sterile gown
1. The nurse is caring for clients on an oncology unit. Which neutropenia precautions should be implemented?
1. Hold all venipuncture sites for at least 5 minutes
2. Limit fresh fruits and flowers
3. Place all clients in reverse isolation
4. Have the clients use a soft-bristle toothbrush - ans2. Limit fresh fruits and flowers
1. The nurse requests the client to sign a surgical informed consent form for an emergency appendectomy.
Which statement by the client indicates further teaching is needed?
1. "I will be glad when this is over so I can go home today."
2. "I will not be able to eat or drink anything prior to my surgery."
3. "I can practice relaxing by listening to my favorite music."
4. "I will need to get up and walk as soon as possible." - ans1. "I will be glad when this is over so I can go home
today."
10. The nurse is caring for a client scheduled for total hip replacement. Which behavior indicates the need for
further preoperative teaching?
1. The client uses the diaphragm and abdominal muscles to inhale through the nose and exhale through the
mouth
2. The client demonstrates dorsiflexion of the feet, flexing of the toes, and moves the feet in a circular motion
3. The client uses the incentive spirometer and inhales slowly and deeply so the piston rises to the preset
volume
4. The client gets out of bed by lifting straight upright from the waist and then swings both legs along the side
of the bed - ans4. The client gets out of bed by lifting straight upright from the waist and then swings both legs
along the side of the bed
11. The nurse is completing a care plan for a client diagnosed with leukemia. Which independent problem
should be addressed?
1. Infection
2. Anemia
,3. Nutrition
4. Grieving - ans4. Grieving
11. The nurse is completing preoperative assessment on a male client who states, "I am allergic to codeine."
Which intervention should the nurse implement first?
1. Apply an allergy bracelet on the client's wrist
2. Label the client's allergies on the front of the chair
3. Ask the client what happens when he takes codeine
4. Document the allergy on the medication administration record - ans3. Ask the client what happens when he
takes codeine
12. The nurse is caring for a client diagnosed with acute leukemia. Which assessment data warrant immediate
intervention?
1. T 99, P 102, R 22, and BP 132/68
2. Hyperplasia of the gums
3. Weaknesses and Fatigue
4. Pain in LUQ - ans4. Pain in LUQ
12. Which lab result would require immediate intervention by the nurse for the client scheduled for surgery?
1. Calcium 9.2
2. Bleeding time 2 minutes
3. Hemoglobin 15
4. Potassium 2.4 - ans4. Potassium 2.4
13. Which activities are the circulating nurse's responsibilities in the OR?
1. Monitor the position of the client, prepare the surgical site, and ensure the client's safety
2. Give preop meds in the holding area and monitor the client's response to anesthesia
3. Prepare sutures; set up the sterile fild, and count all needles and sponges and instruments
, 4. Prepare the meds to be administered by the anesthesiologist and change the tubing for the anesthesia
machine - ans1. Monitor the position of the client, prepare the surgical site, and ensure the client's safety
14. The circulating nurse observes the surgical scrub technician remove a sponge from the edge of the sterile
field with a clamp and place the sponge and clamp in a designated area. Which action should the nurse
implement?
1. Place the sponge back where it was
2. Tell the technician to not waste supplies
3. Do nothing because this is the correct procedure
4. Take the sponge out of the room immediately - ans3. Do nothing because this is the correct procedure
14. The client asks the nurse, "they say I have cancer. How can they tell if I have Hodgkin's disease from a
biopsy?" The nurse's answer is based on which scientific rationale?
1. Biopsies are nuclear medication scans that can detect cancer
2. A biopsy is a laboratory test that detects cancer cells
3. It determines which kind of cancer the client has
4. The HCP takes a small piece out of the tumor and looks at the cells - ans3. It determines which kind of cancer
the client has
16. Which client is at the highest risk for developing a lymphoma?
1. The client is diagnosed with chronic lung disease who is taking a steroid
2. The client diagnosed with breast cancer who has extensive lymph involvement
3. The client who received a kidney transplant several years ago
4. The client ho has had ureteral stent placements for a neurogenic bladder - ans3. The client who received a
kidney transplant several years ago
16. Which violation of surgical asepsis would require immediate intervention by the circulating nurse?
1. Surgical supplies were cleaned and sterilized prior to the case
2. The circulating nurse is wearing a long-sleeved sterile gown
