RN VATI Medical Surgery 2019
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1. A nurse is caring for a client who D. Maintain abduction of the affected extremity.
is 24 hr postoperative following a
total hip arthroplasty. Which of the The nurse should ensure that the affected extremity is in
following actions should the nurse a position of abduction to prevent hip dislocation. The
take? nurse should place an abductor pillow or several pillows
A. Place the affected leg in external between the client's legs to keep the affected extremity
rotation. in abduction while the client is in bed
B. Encourage the client to use the
incentive spirometer every shift.
C. Instruct the client to lean for-
ward when rising from a chair.
D. Maintain abduction of the af-
fected extremity.
2. A nurse is assessing a client who A. The client's daily peak expiratory flow (PEF) measures
takes salmeterol to treat moder- 85% above personal best.
ate asthma. Which of the follow- A client who has asthma should use a peak flow meter
ing findings should indicate to twice daily to monitor asthma control. A PEF in the green
the nurse that the medication has zone, or 80% or above personal best, indicates the effec-
been effective? tiveness of medication therapy
A. The client's daily peak expirato-
ry flow (PEF) measures 85% above
personal best.
B. The client's ABGs shows a pH
level of 7.32.
C. The client's forced expiratory
volume is decreased after treat-
ment with medication.
D. The client's wheezing is limited
to expiratory.
3.
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A nurse is caring for a client who C. Thinning of the hair
has atopic dermatitis and a pre-
scription for triamcinolone oint- Thinning of the skin and delayed healing are adverse
ment. The nurse should assess the effects of topical glucocorticoid preparations. The client
client to monitor for which of the should only apply the ointment to dry patches of the skin
following adverse effects? because topical steroids can cause atrophy of the dermis
A. Increased pigmentation and epidermis, which can result in thinning of the skin
B. Localized hair loss
C. Thinning of the hair
D. Increased sensitivity to the sun
4. A nurse is assessing a client who D. Frothy sputum
has left-sided heart failure. Which
of the following findings should The nurse should identify that frothy sputum, dyspnea,
the nurse identify as a manifesta- and wheezing are manifestations of left-sided heart fail-
tion of left-sided heart failure? ure. Treatment includes fluid restriction and diuretics
A. Dependent edema to decrease preload and reduce pulmonary congestion.
B. Jugular distention Pink-tinged frothy sputum can be an early indication of
C. Weight Gain pulmonary edema and can be life-threatening. There-
D/ Frothy sputum fore, the nurse should notify the provider immediately.
5. A nurse is caring for a client who A. Respiratory Alkalosis
is experiencing anxiety as well as This pH is alkaline (increased) and the PCO2 is de-
numbness and tingling of the lips creased, representing alveolar hyperventilation and re-
and fingers. The client's ABGs are: sultant respiratory alkalosis.
pH 7.48, PCO2 30 mm Hg, HCO3 -
24 mEq/L, PaO2 85 mm Hg. Which
of the following acid-base imbal-
ances should the nurse identify
that the client is experiencing?
A.Respiratory alkalosis
B. Respiratory acidosis
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C. Metabolic alkalosis
D. Metabolic acidosis
6. A nurse is assessing a client who B. Osteoporosis
has Cushing's syndrome. Which of Osteoporosis is a common finding with Cushing's syn-
the following findings should the drome. Bones become thinner as a result of mineral
nurse expect? loss and nitrogen depletion, and the risk for fractures
A. Vitiligo increases
B. Osteoporosis
C. Myxedema
D. Heat intolerance
7. A nurse is inspecting the skin of A. A pearly, waxy nodule
a client who has basal cell carci- A client who has basal cell carcinoma has a nodular lesion
noma. The nurse should identify with well-defined borders and a pearly or waxy appear-
which of the following lesion char- ance, resulting from overexposure to the sun, especially
acteristics on the client's skin? on the face, head, and neck
A. A pearly, waxy nodule
B. An irregular border on a varie-
gated-colored lesion
C. A firm, nodular, crusty, or ulcer-
ated lesion
D. A weeping vesicle
8. A nurse is assessing a client who A is correct. The nurse should tap the client's cheek just
has hypocalcemia. In which of the in front of the ear and below the zygomatic arch. The
following areas should the nurse client who has hypocalcemia will display a Chvostek's
tap on the client's face to detect sign, which is a twitching of the facial muscle
the presence of Chvostek's sign?
(You will find hot spots to select in
the artwork below. Select only the
, RN VATI Medical Surgery 2019
Study online at https://quizlet.com/_df4ghl
hot spot that corresponds to your
answer.)
9. A nurse in an emergency depart- B. Low urine specific gravity
ment is assessing a client who is A client who has hyponatremia as a result of diuretic
overusing prescribed diuretics and overuse has a low urine specific gravity. The increased
has a sodium level of 127 mEq/L. excretion of water alters the ratio of particulate matter,
Which of the following laboratory which affects the specific gravity
findings should the nurse expect?
a. High lipase
B. Low urine specific gravity
C. Low Hemoglobin
D. High creatine kinase-MB
(CK-MB)
10. A home health nurse is assisting a D. Review the daily schedule with the client every morn-
client with planning care for a fam- ing
ily member who has Alzheimer's The nurse should instruct the family member to use
disease. Which of the following short, simple sentences when explaining an activity to
instructions should the nurse in- the client. The explanation should be done immediately
clude? before the activity to aid the client's memory and ability
A. Remove clutter from room and to follow directions.
hallways
B. Place a monthly calendar in the
client's room
C. Use confrontation to manage
the client's behavior
D. Review the daily schedule with
the client every morning
Study online at https://quizlet.com/_df4ghl
1. A nurse is caring for a client who D. Maintain abduction of the affected extremity.
is 24 hr postoperative following a
total hip arthroplasty. Which of the The nurse should ensure that the affected extremity is in
following actions should the nurse a position of abduction to prevent hip dislocation. The
take? nurse should place an abductor pillow or several pillows
A. Place the affected leg in external between the client's legs to keep the affected extremity
rotation. in abduction while the client is in bed
B. Encourage the client to use the
incentive spirometer every shift.
C. Instruct the client to lean for-
ward when rising from a chair.
D. Maintain abduction of the af-
fected extremity.
2. A nurse is assessing a client who A. The client's daily peak expiratory flow (PEF) measures
takes salmeterol to treat moder- 85% above personal best.
ate asthma. Which of the follow- A client who has asthma should use a peak flow meter
ing findings should indicate to twice daily to monitor asthma control. A PEF in the green
the nurse that the medication has zone, or 80% or above personal best, indicates the effec-
been effective? tiveness of medication therapy
A. The client's daily peak expirato-
ry flow (PEF) measures 85% above
personal best.
B. The client's ABGs shows a pH
level of 7.32.
C. The client's forced expiratory
volume is decreased after treat-
ment with medication.
D. The client's wheezing is limited
to expiratory.
3.
, RN VATI Medical Surgery 2019
Study online at https://quizlet.com/_df4ghl
A nurse is caring for a client who C. Thinning of the hair
has atopic dermatitis and a pre-
scription for triamcinolone oint- Thinning of the skin and delayed healing are adverse
ment. The nurse should assess the effects of topical glucocorticoid preparations. The client
client to monitor for which of the should only apply the ointment to dry patches of the skin
following adverse effects? because topical steroids can cause atrophy of the dermis
A. Increased pigmentation and epidermis, which can result in thinning of the skin
B. Localized hair loss
C. Thinning of the hair
D. Increased sensitivity to the sun
4. A nurse is assessing a client who D. Frothy sputum
has left-sided heart failure. Which
of the following findings should The nurse should identify that frothy sputum, dyspnea,
the nurse identify as a manifesta- and wheezing are manifestations of left-sided heart fail-
tion of left-sided heart failure? ure. Treatment includes fluid restriction and diuretics
A. Dependent edema to decrease preload and reduce pulmonary congestion.
B. Jugular distention Pink-tinged frothy sputum can be an early indication of
C. Weight Gain pulmonary edema and can be life-threatening. There-
D/ Frothy sputum fore, the nurse should notify the provider immediately.
5. A nurse is caring for a client who A. Respiratory Alkalosis
is experiencing anxiety as well as This pH is alkaline (increased) and the PCO2 is de-
numbness and tingling of the lips creased, representing alveolar hyperventilation and re-
and fingers. The client's ABGs are: sultant respiratory alkalosis.
pH 7.48, PCO2 30 mm Hg, HCO3 -
24 mEq/L, PaO2 85 mm Hg. Which
of the following acid-base imbal-
ances should the nurse identify
that the client is experiencing?
A.Respiratory alkalosis
B. Respiratory acidosis
, RN VATI Medical Surgery 2019
Study online at https://quizlet.com/_df4ghl
C. Metabolic alkalosis
D. Metabolic acidosis
6. A nurse is assessing a client who B. Osteoporosis
has Cushing's syndrome. Which of Osteoporosis is a common finding with Cushing's syn-
the following findings should the drome. Bones become thinner as a result of mineral
nurse expect? loss and nitrogen depletion, and the risk for fractures
A. Vitiligo increases
B. Osteoporosis
C. Myxedema
D. Heat intolerance
7. A nurse is inspecting the skin of A. A pearly, waxy nodule
a client who has basal cell carci- A client who has basal cell carcinoma has a nodular lesion
noma. The nurse should identify with well-defined borders and a pearly or waxy appear-
which of the following lesion char- ance, resulting from overexposure to the sun, especially
acteristics on the client's skin? on the face, head, and neck
A. A pearly, waxy nodule
B. An irregular border on a varie-
gated-colored lesion
C. A firm, nodular, crusty, or ulcer-
ated lesion
D. A weeping vesicle
8. A nurse is assessing a client who A is correct. The nurse should tap the client's cheek just
has hypocalcemia. In which of the in front of the ear and below the zygomatic arch. The
following areas should the nurse client who has hypocalcemia will display a Chvostek's
tap on the client's face to detect sign, which is a twitching of the facial muscle
the presence of Chvostek's sign?
(You will find hot spots to select in
the artwork below. Select only the
, RN VATI Medical Surgery 2019
Study online at https://quizlet.com/_df4ghl
hot spot that corresponds to your
answer.)
9. A nurse in an emergency depart- B. Low urine specific gravity
ment is assessing a client who is A client who has hyponatremia as a result of diuretic
overusing prescribed diuretics and overuse has a low urine specific gravity. The increased
has a sodium level of 127 mEq/L. excretion of water alters the ratio of particulate matter,
Which of the following laboratory which affects the specific gravity
findings should the nurse expect?
a. High lipase
B. Low urine specific gravity
C. Low Hemoglobin
D. High creatine kinase-MB
(CK-MB)
10. A home health nurse is assisting a D. Review the daily schedule with the client every morn-
client with planning care for a fam- ing
ily member who has Alzheimer's The nurse should instruct the family member to use
disease. Which of the following short, simple sentences when explaining an activity to
instructions should the nurse in- the client. The explanation should be done immediately
clude? before the activity to aid the client's memory and ability
A. Remove clutter from room and to follow directions.
hallways
B. Place a monthly calendar in the
client's room
C. Use confrontation to manage
the client's behavior
D. Review the daily schedule with
the client every morning
