Exam 1 Medical surgical (chapter
1,2,6,7,8) Updated 2024/2025
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
1,2,6,7,8) Updated 2024/2025
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
