(Updated)Dewitt’s Medical Surgical Nursing Concepts and Practice 4th Edition Stromberg Test Bank
SCENARIO 1ITEMS 1-2
The charge nurse for a medical surgical ward was supervising three final year nursing students. While
doing so she heard a loud crash on the ward, on investigation she found a client diagnosed with
diabetic mellitus lying on his back
In assisting the client, the BEST action for the charge nurse to take is _____________.
I. Scold the client for falling out of bed
II. Assess the clients condition and seek medical attention
III. Direct two of the student nurses to assist the client back to bed
IV. Ask two of the student nurses to assist her to put back the client into bed
A. I and II
B. II and III
C. II and IV***
D. III and IV - (Answer)C. II and IV***
SCENARIO 1ITEMS 1-2
The charge nurse for a medical surgical ward was supervising three final year nursing students. While
doing so she heard a loud crash on the ward, on investigation she found a client diagnosed with
diabetic mellitus lying on his back.
While the charge nurse was supervising the client's bed bathe, the following day a very angry relative
demanded to see him immediately. The BEST response by the nurse would be _______________.
A. "it is not yet visiting time!"
B. "is there a message I can give him for you?"***
,(Updated)Dewitt’s Medical Surgical Nursing Concepts and Practice 4th Edition Stromberg Test Bank
C. "the client is having his bathe please wait a while"
D. "we are very busy right now, would you like to come back later?" - (Answer)B. "is there a message I
can give him for you?"***
SCENARIO 2 ITEMS 3-5
A client, aged nine (9) months was brought to the Accident and Emergency Department by his mother,
who stated that he was crying throughout the night and his abdomen appears to be swollen. He was
examined by the doctor and a diagnosis of Intussusception was made. He was admitted and prepared
for surgery.
Essential pre-operative interventions for the client would include__________________.
I. Maintenance of hydration
II. Institution of gastric suction
III. Administration of antibiotics
IV. Administration of enema saponis
A. I, II, III***
B. I, II, IV
C. I, III, IV
D. II, III, IV - (Answer)A- I, II, III***
SCENARIO 2 ITEMS 3-5
A client, aged nine (9) months was brought to the Accident and Emergency Department by his mother,
who stated that he was crying throughout the night and his abdomen appears to be swollen. He was
examined by the doctor and a diagnosis of Intussusception was made. He was admitted and prepared
for surgery.
Important post-operative nursing interventions to be used for the client are_______
,(Updated)Dewitt’s Medical Surgical Nursing Concepts and Practice 4th Edition Stromberg Test Bank
I. monitoring of vital signs
II. assessment of bowel sounds and pattern
III. provision of psychological support
IV. aspiration of naso-gastric tube as prescribed
A. I, II, III
B. I, II, IV***
C. 1, III, IV
D. II, III, IV - (Answer)B. I, II, IV***
SCENARIO 2 ITEMS 3-5
A client, aged nine (9) months was brought to the Accident and Emergency Department by his mother,
who stated that he was crying throughout the night and his abdomen appears to be swollen. He was
examined by the doctor and a diagnosis of Intussusception was made. He was admitted and prepared
for surgery.
The nursing observations which would indicate successful surgical intervention of intussusception
are_____
I. decreases passage of barium
II. abdominal distention
III. return of peristalsis
IV. passage of a normal stool
A. I, II, III
, (Updated)Dewitt’s Medical Surgical Nursing Concepts and Practice 4th Edition Stromberg Test Bank
B. I, II, IV
C. I, III, IV***
D. II, III, IV - (Answer)C. I, III, IV***
A female client develops an infection at the catheter insertion site. The nurse in charge uses the term
"iatrogenic" when describing the infection because it resulted from _____
A. Client's developmental level
B. Inadequate dietary patterns
C. Therapeutic procedure
D. Poor hygiene*** - (Answer)D. Poor hygiene***
A female client has an Acute Pancreatitis. Which of the following signs and symptoms the nurse would
expect to see?
A. Hypertension
B. Constipation
C. Jaundice
D. Ascites*** - (Answer)D. Ascites***
A client is suspected of developing Tetany after a Subtotal Thyroidectomy. Which of the following
symptoms might indicate Tetany?
A. Tingling in the fingers
B. Pain in hands and feet***
C. Tension on the suture lines
SCENARIO 1ITEMS 1-2
The charge nurse for a medical surgical ward was supervising three final year nursing students. While
doing so she heard a loud crash on the ward, on investigation she found a client diagnosed with
diabetic mellitus lying on his back
In assisting the client, the BEST action for the charge nurse to take is _____________.
I. Scold the client for falling out of bed
II. Assess the clients condition and seek medical attention
III. Direct two of the student nurses to assist the client back to bed
IV. Ask two of the student nurses to assist her to put back the client into bed
A. I and II
B. II and III
C. II and IV***
D. III and IV - (Answer)C. II and IV***
SCENARIO 1ITEMS 1-2
The charge nurse for a medical surgical ward was supervising three final year nursing students. While
doing so she heard a loud crash on the ward, on investigation she found a client diagnosed with
diabetic mellitus lying on his back.
While the charge nurse was supervising the client's bed bathe, the following day a very angry relative
demanded to see him immediately. The BEST response by the nurse would be _______________.
A. "it is not yet visiting time!"
B. "is there a message I can give him for you?"***
,(Updated)Dewitt’s Medical Surgical Nursing Concepts and Practice 4th Edition Stromberg Test Bank
C. "the client is having his bathe please wait a while"
D. "we are very busy right now, would you like to come back later?" - (Answer)B. "is there a message I
can give him for you?"***
SCENARIO 2 ITEMS 3-5
A client, aged nine (9) months was brought to the Accident and Emergency Department by his mother,
who stated that he was crying throughout the night and his abdomen appears to be swollen. He was
examined by the doctor and a diagnosis of Intussusception was made. He was admitted and prepared
for surgery.
Essential pre-operative interventions for the client would include__________________.
I. Maintenance of hydration
II. Institution of gastric suction
III. Administration of antibiotics
IV. Administration of enema saponis
A. I, II, III***
B. I, II, IV
C. I, III, IV
D. II, III, IV - (Answer)A- I, II, III***
SCENARIO 2 ITEMS 3-5
A client, aged nine (9) months was brought to the Accident and Emergency Department by his mother,
who stated that he was crying throughout the night and his abdomen appears to be swollen. He was
examined by the doctor and a diagnosis of Intussusception was made. He was admitted and prepared
for surgery.
Important post-operative nursing interventions to be used for the client are_______
,(Updated)Dewitt’s Medical Surgical Nursing Concepts and Practice 4th Edition Stromberg Test Bank
I. monitoring of vital signs
II. assessment of bowel sounds and pattern
III. provision of psychological support
IV. aspiration of naso-gastric tube as prescribed
A. I, II, III
B. I, II, IV***
C. 1, III, IV
D. II, III, IV - (Answer)B. I, II, IV***
SCENARIO 2 ITEMS 3-5
A client, aged nine (9) months was brought to the Accident and Emergency Department by his mother,
who stated that he was crying throughout the night and his abdomen appears to be swollen. He was
examined by the doctor and a diagnosis of Intussusception was made. He was admitted and prepared
for surgery.
The nursing observations which would indicate successful surgical intervention of intussusception
are_____
I. decreases passage of barium
II. abdominal distention
III. return of peristalsis
IV. passage of a normal stool
A. I, II, III
, (Updated)Dewitt’s Medical Surgical Nursing Concepts and Practice 4th Edition Stromberg Test Bank
B. I, II, IV
C. I, III, IV***
D. II, III, IV - (Answer)C. I, III, IV***
A female client develops an infection at the catheter insertion site. The nurse in charge uses the term
"iatrogenic" when describing the infection because it resulted from _____
A. Client's developmental level
B. Inadequate dietary patterns
C. Therapeutic procedure
D. Poor hygiene*** - (Answer)D. Poor hygiene***
A female client has an Acute Pancreatitis. Which of the following signs and symptoms the nurse would
expect to see?
A. Hypertension
B. Constipation
C. Jaundice
D. Ascites*** - (Answer)D. Ascites***
A client is suspected of developing Tetany after a Subtotal Thyroidectomy. Which of the following
symptoms might indicate Tetany?
A. Tingling in the fingers
B. Pain in hands and feet***
C. Tension on the suture lines
