NUR 1211 Medical Surgical Final Midterm Exam -
Questions With Clear Insights
A client who had a total knee replacement two weeks ago reports severe pain
at the surgical site. What responses by the nurse are most appropriate for the
client at this time? (Select all that apply.)
a. "Please rate your pain on a 0 to 10 scale with 10 being the worst possible
pain."
b. "Could you describe the pain in your knee?"
c. "By now your pain should be a lot less than it was two weeks ago."
d. "What positions make the pain feel worse and better?"
e. "Having your joint replaced should have decreased your knee pain."
Right Ans - A,B, D
An older client takes ibuprofen 1600 mg daily for osteoarthritis. What health
teaching will the nurse provide for the client related to this medication?
(Select all that apply.)
a. "Be sure to take your medication with food to prevent stomach ulcers."
b. "Take your medication only when you need it for chronic pain."
c. "Avoid any over-the-counter medications that may contain ibuprofen."
d. "Take your blood pressure often because ibuprofen can cause it to go up."
e. "You might want to take acetaminophen because it has less side effects than
ibuprofen." Right Ans - A,C,D,E
A nursing technician reports that a client who is receiving IV PCA morphine is
very drowsy, unable to complete a sentence without falling asleep, and has a
respiratory rate of 10 breaths per minute. What is the nurse's priority action
at this time?
a. Arouse the client and raise the head of the bed to a 90-degree angle.
b. Promptly call the primary health care provider to reduce the opioid dose.
c. Document the assessment findings and take vital signs in an hour.
d. Give naloxone according to agency protocol. Right Ans - a. Arouse the
client and raise the head of the bed to a 90-degree angle.
Questions With Clear Insights
A client who had a total knee replacement two weeks ago reports severe pain
at the surgical site. What responses by the nurse are most appropriate for the
client at this time? (Select all that apply.)
a. "Please rate your pain on a 0 to 10 scale with 10 being the worst possible
pain."
b. "Could you describe the pain in your knee?"
c. "By now your pain should be a lot less than it was two weeks ago."
d. "What positions make the pain feel worse and better?"
e. "Having your joint replaced should have decreased your knee pain."
Right Ans - A,B, D
An older client takes ibuprofen 1600 mg daily for osteoarthritis. What health
teaching will the nurse provide for the client related to this medication?
(Select all that apply.)
a. "Be sure to take your medication with food to prevent stomach ulcers."
b. "Take your medication only when you need it for chronic pain."
c. "Avoid any over-the-counter medications that may contain ibuprofen."
d. "Take your blood pressure often because ibuprofen can cause it to go up."
e. "You might want to take acetaminophen because it has less side effects than
ibuprofen." Right Ans - A,C,D,E
A nursing technician reports that a client who is receiving IV PCA morphine is
very drowsy, unable to complete a sentence without falling asleep, and has a
respiratory rate of 10 breaths per minute. What is the nurse's priority action
at this time?
a. Arouse the client and raise the head of the bed to a 90-degree angle.
b. Promptly call the primary health care provider to reduce the opioid dose.
c. Document the assessment findings and take vital signs in an hour.
d. Give naloxone according to agency protocol. Right Ans - a. Arouse the
client and raise the head of the bed to a 90-degree angle.
