MGCCC level 2 unit 1 Med surg exam 1
Questions With Complete Solutions
A 40-year-old woman is scheduled for external
radiation therapy for breast cancer. What patient
teaching instruction would be appropriate for this
patient? Select all that apply
A. keep away from other family members until your
radiation therapy is completed
B. be sure to go to all schedule radiation therapy
appointments
C. protect your skin by applying lotion to the
radiated area daily
D. keep out of the sun
E. always wear snug fitting clothing Correct
Answers BD
A client at risk for developing hyperkalemia states
"I love fruit and usually eat it every day, but now I
can't because of my high potassium level" How
should the nurse respond?
A. "potatoes and avocados can be substituted for
fruit"
B. "if you cook the fruit, the amount of potassium
will be lower"
C. "berrries, cherries, apples and peaches are low
in potassium"
D. "you are correct, fruit is very high in potassium"
Correct Answers C
,A client rings the call bell and complains of pain at
the site of an IV infusion. The nurse assesses the
site and determines that phlebitis has developed.
The nurse should take which actions in the care of
this client?
A. notify the provider
B. remove IV catheter at that site
C. applies warm moist packs to the site
D. start a new IV proximal to the portion of the
same vein
E. document the occurrence, actions taken, client
response Correct Answers ABCE
A client who is found unresponsive has ABG's
drawn and the results indicate the following: pH is
7.12, PaCO2 is 90mmHg, and HCO3 is 22mEq/L.
The nurse interprets the results as indicating which
condition?
A. metabolic acidosis
B. respiratory alkalosis
C. metabolic alkalosis
D. respiratory acidosis Correct Answers D
A client with a three day history of nausea and
vomiting presents to the emergency department.
The client is hypoventilating and has a respiratory
rate of 10 breaths per minute. The EKG monitor
displays tachycardia, with a heart rate of 120 bpm.
The ABG is drawn and the nurse reviews the
results, expecting to note which finding?
,A. a decreased pH and increased PaCO2
B. an increased pH and decreased PaCO2
C. a decreased pH and decreased HCO3
D. an increased pH and an increased HCO3
Correct Answers D
A new patient on the floor has been diagnosed with
gastroenteritis. What would be the most critical
level to assess?
A. Blood glucose
B. potassium
C. calcium
D. sodium Correct Answers B
A nurse is caring for a client who has a serum
calcium level of 14 mg/dL. Which provider order
should the nurse implement first?
A. encourage oral fluid intake
B. connect the client to a cardiac monitor
C. assess urinary output
D. administer oral calcitonin (calcimar) Correct
Answers B
A nurse is caring for a client who requires
measurement of specific gravity every four hours.
What does this test detect?
A. nutritional deficit
B. hyperkalemia
C. hypercalcemia
D. Fluid volume status Correct Answers D
, A patient has been just ingested a large amount of
a cathartic containing magnesium. The nurse
should observe for which symptoms of
hypomagnesemia?
A. insomnia, twitching, tremors
B. respirations of 30 breaths per minute
C. muscle weakness
D. hyperactive reflexes Correct Answers C
A patient has hypokalemia with stable cardiac
function. What are the priority nursing
interventions? Select all that apply.
A. Fall prevention interventions
B. teaching regarding sodium restriction
C. encouraging increased fluid intake
D. monitoring for constipation
E. explaining how to take daily weights Correct
Answers AD
A patient is admitted to the hospital with severe
dyspnea and wheezing. ABG levels on admission
are pH 7.26, PaCO2 55mmHg, PaO2 68mmHg, and
HCO3 24. How does the nurse interpret these
laboratory values?
A. metabolic acidosis
B. metabolic alkalosis
C. respiratory acidosis
D. respiratory alkalosis Correct Answers C
Questions With Complete Solutions
A 40-year-old woman is scheduled for external
radiation therapy for breast cancer. What patient
teaching instruction would be appropriate for this
patient? Select all that apply
A. keep away from other family members until your
radiation therapy is completed
B. be sure to go to all schedule radiation therapy
appointments
C. protect your skin by applying lotion to the
radiated area daily
D. keep out of the sun
E. always wear snug fitting clothing Correct
Answers BD
A client at risk for developing hyperkalemia states
"I love fruit and usually eat it every day, but now I
can't because of my high potassium level" How
should the nurse respond?
A. "potatoes and avocados can be substituted for
fruit"
B. "if you cook the fruit, the amount of potassium
will be lower"
C. "berrries, cherries, apples and peaches are low
in potassium"
D. "you are correct, fruit is very high in potassium"
Correct Answers C
,A client rings the call bell and complains of pain at
the site of an IV infusion. The nurse assesses the
site and determines that phlebitis has developed.
The nurse should take which actions in the care of
this client?
A. notify the provider
B. remove IV catheter at that site
C. applies warm moist packs to the site
D. start a new IV proximal to the portion of the
same vein
E. document the occurrence, actions taken, client
response Correct Answers ABCE
A client who is found unresponsive has ABG's
drawn and the results indicate the following: pH is
7.12, PaCO2 is 90mmHg, and HCO3 is 22mEq/L.
The nurse interprets the results as indicating which
condition?
A. metabolic acidosis
B. respiratory alkalosis
C. metabolic alkalosis
D. respiratory acidosis Correct Answers D
A client with a three day history of nausea and
vomiting presents to the emergency department.
The client is hypoventilating and has a respiratory
rate of 10 breaths per minute. The EKG monitor
displays tachycardia, with a heart rate of 120 bpm.
The ABG is drawn and the nurse reviews the
results, expecting to note which finding?
,A. a decreased pH and increased PaCO2
B. an increased pH and decreased PaCO2
C. a decreased pH and decreased HCO3
D. an increased pH and an increased HCO3
Correct Answers D
A new patient on the floor has been diagnosed with
gastroenteritis. What would be the most critical
level to assess?
A. Blood glucose
B. potassium
C. calcium
D. sodium Correct Answers B
A nurse is caring for a client who has a serum
calcium level of 14 mg/dL. Which provider order
should the nurse implement first?
A. encourage oral fluid intake
B. connect the client to a cardiac monitor
C. assess urinary output
D. administer oral calcitonin (calcimar) Correct
Answers B
A nurse is caring for a client who requires
measurement of specific gravity every four hours.
What does this test detect?
A. nutritional deficit
B. hyperkalemia
C. hypercalcemia
D. Fluid volume status Correct Answers D
, A patient has been just ingested a large amount of
a cathartic containing magnesium. The nurse
should observe for which symptoms of
hypomagnesemia?
A. insomnia, twitching, tremors
B. respirations of 30 breaths per minute
C. muscle weakness
D. hyperactive reflexes Correct Answers C
A patient has hypokalemia with stable cardiac
function. What are the priority nursing
interventions? Select all that apply.
A. Fall prevention interventions
B. teaching regarding sodium restriction
C. encouraging increased fluid intake
D. monitoring for constipation
E. explaining how to take daily weights Correct
Answers AD
A patient is admitted to the hospital with severe
dyspnea and wheezing. ABG levels on admission
are pH 7.26, PaCO2 55mmHg, PaO2 68mmHg, and
HCO3 24. How does the nurse interpret these
laboratory values?
A. metabolic acidosis
B. metabolic alkalosis
C. respiratory acidosis
D. respiratory alkalosis Correct Answers C
