PN Medical-Surgical Nursing Final Exam
deWit 3rd edition
A 65-yr-vintage patient complains of leg pain that disappears at relaxation after having walked a
quick distance. The nurse acknowledges the patient's signs and symptoms are consistent with
which problem?
A. Muscle spasm
B. Deep venous thrombosis
C. Claudication
D. Angiospasm - ANS-Answer:
C. Claudication
A 75-yr-old patient asks the nurse if the Pneumovax immunization he took when he became 65
remains protective him. Which reply is maximum accurate?
A. "Pneumovax protects you for your lifetime."
B. "Immunity afforded you by Pneumovax lasts handiest 2 years."
C. "Pneumovax safety varies in line with your hazard factors and living scenario."
D. "After 6 years, you want a repeat dose of Pneumovax for complete immunity." - ANS-Answer:
D. "After 6 years, you want a repeat does of Pneumovax for complete immunity."
A seventy five-12 months-antique affected person gives to the emergency department with
shortness of breath, fatigue, and a dry cough. What records leads the nurse to suspect this
patient have to go through a workup for histoplasmosis?
A. The patient reviews ingesting pond water.
B. The patient lives on a farm and raises chickens.
C. The patient lately went hunting in a wooded area.
D. The patient owns a landscaping enterprise. - ANS-Answer:
B. The patient lives on a farm and raises chickens.
A seventy five-year-old affected person questions the nurse approximately vaccination to save
you shingles. What response is maximum suitable?
,A. "The occurrence of shingles in human beings your age is not overly commonplace, so
vaccination is senseless."
B. "The vaccination has no longer yet been authorized for use in the older person."
C. "Because of the prevalence of shingles to your age organization, you should take into
account taking the vaccination."
D. "The vaccination is expensive but will offer lifelong immunity." - ANS-Answer:
C. "Because of the occurrence of shingles in your age group, you should don't forget taking the
vaccination."
A 79-year-vintage affected person with bacterial pneumonia will become an increasing number
of stressed, pressured, and agitated. The patient's temperature is one hundred F, and his pulse,
blood strain, and respirations are expanded because the final assessment 6 hours in the past.
What movement must the nurse take first?
A. Auscultate the patient's lungs
B. Assess the patient's oxygen saturation
C. Administer the mild sedative as ordered
D. Administer an ordered analgesic for soreness - ANS-Answer:
B. Assess the patient's oxygen saturation
A affected person who provided to the emergency room with a myocardial infarction (MI)
becomes light, diaphoretic, and hypotensive. What movement need to the nurse take first?
A. Notify the medical doctor straight away.
B. Ensure the affected person has patent IV get admission to.
C. Request assistance from respiratory remedy.
D. Inform the patient's circle of relatives of the exchange in repute. - ANS-Answer:
A. Notify the doctor right now
According to maximum nation NPAs, the vocational nurse acting as price nurse in a long-time
period care facility acts in which capacity?
A. Working beneath direct supervision of an RN on the unit.
B. Working with the RN in the building.
C. Working beneath general supervision with the aid of the RN to be had on web page or by
means of smartphone.
D. Working as an independent vocational nurse. - ANS-Answer:
C. Working below trendy supervision by using the RN available on website or through the
smartphone.
, An 85-12 months-old patient with a newly identified coronary heart murmur expresses concern
that he has never been notified of this finding before. What is the most in all likelihood purpose
of this patient's coronary heart murmur?
A. Hypertension
B. Atherosclerosis
C. Insufficient coronary heart valve
D. Weakened pacemaker - ANS-Answer:
C. Insufficient heart valve
An 86-yr-old patient asks why her ankles have a brownish discoloration and the skin looks thick.
Which response quality addresses the affected person's difficulty?
A. "The valves inside the vessels for your legs aren't working in addition to they used to, which
causes the discoloration and thickening of your pores and skin."
B. "You probable are not getting enough iron for your weight-reduction plan. We must talk in
your physician approximately adding an iron complement."
C. "How many years have you smoked? Nicotine will motive these changes in your skin."
D. "These are simply ordinary changes visible in maximum older humans." - ANS-Answer:
A. "The valves within the vessels in your legs are not operating in addition to they used to, which
reasons the discoloration and thickening of your skin."
For which affected person might the nurse question an order for isotretinoin (Accutane)?
A. A 20-year-vintage epileptic man with nodular acne and epilepsy.
B. A 22-12 months-vintage pregnant woman with extreme pimples.
C. A 46-12 months-old woman on oral contraceptive pills with cystic pimples.
D. A 50-12 months-old hypertensive man with cystic zits. - ANS-Answer:
B. A 22-12 months-antique pregnant girl with extreme zits.
The clinic nurse gives pointers to a patient who is planning a ride to Mexico that will assist save
you a protozoan contamination. Which notion is most helpful?
A. "Ask the physician for a prophylactic prescription for an antiviral drug."
B. "Broad-spectrum antibiotics can be maximum helpful if you settlement a protozoan
contamination."
C. "Be positive to practice suitable hand hygiene while on your journey."
D. "It would be exceptional if you drank bottled water while for your trip." - ANS-Answer:
D. "It might be first-class in case you drank bottled water whilst on your experience."
deWit 3rd edition
A 65-yr-vintage patient complains of leg pain that disappears at relaxation after having walked a
quick distance. The nurse acknowledges the patient's signs and symptoms are consistent with
which problem?
A. Muscle spasm
B. Deep venous thrombosis
C. Claudication
D. Angiospasm - ANS-Answer:
C. Claudication
A 75-yr-old patient asks the nurse if the Pneumovax immunization he took when he became 65
remains protective him. Which reply is maximum accurate?
A. "Pneumovax protects you for your lifetime."
B. "Immunity afforded you by Pneumovax lasts handiest 2 years."
C. "Pneumovax safety varies in line with your hazard factors and living scenario."
D. "After 6 years, you want a repeat dose of Pneumovax for complete immunity." - ANS-Answer:
D. "After 6 years, you want a repeat does of Pneumovax for complete immunity."
A seventy five-12 months-antique affected person gives to the emergency department with
shortness of breath, fatigue, and a dry cough. What records leads the nurse to suspect this
patient have to go through a workup for histoplasmosis?
A. The patient reviews ingesting pond water.
B. The patient lives on a farm and raises chickens.
C. The patient lately went hunting in a wooded area.
D. The patient owns a landscaping enterprise. - ANS-Answer:
B. The patient lives on a farm and raises chickens.
A seventy five-year-old affected person questions the nurse approximately vaccination to save
you shingles. What response is maximum suitable?
,A. "The occurrence of shingles in human beings your age is not overly commonplace, so
vaccination is senseless."
B. "The vaccination has no longer yet been authorized for use in the older person."
C. "Because of the prevalence of shingles to your age organization, you should take into
account taking the vaccination."
D. "The vaccination is expensive but will offer lifelong immunity." - ANS-Answer:
C. "Because of the occurrence of shingles in your age group, you should don't forget taking the
vaccination."
A 79-year-vintage affected person with bacterial pneumonia will become an increasing number
of stressed, pressured, and agitated. The patient's temperature is one hundred F, and his pulse,
blood strain, and respirations are expanded because the final assessment 6 hours in the past.
What movement must the nurse take first?
A. Auscultate the patient's lungs
B. Assess the patient's oxygen saturation
C. Administer the mild sedative as ordered
D. Administer an ordered analgesic for soreness - ANS-Answer:
B. Assess the patient's oxygen saturation
A affected person who provided to the emergency room with a myocardial infarction (MI)
becomes light, diaphoretic, and hypotensive. What movement need to the nurse take first?
A. Notify the medical doctor straight away.
B. Ensure the affected person has patent IV get admission to.
C. Request assistance from respiratory remedy.
D. Inform the patient's circle of relatives of the exchange in repute. - ANS-Answer:
A. Notify the doctor right now
According to maximum nation NPAs, the vocational nurse acting as price nurse in a long-time
period care facility acts in which capacity?
A. Working beneath direct supervision of an RN on the unit.
B. Working with the RN in the building.
C. Working beneath general supervision with the aid of the RN to be had on web page or by
means of smartphone.
D. Working as an independent vocational nurse. - ANS-Answer:
C. Working below trendy supervision by using the RN available on website or through the
smartphone.
, An 85-12 months-old patient with a newly identified coronary heart murmur expresses concern
that he has never been notified of this finding before. What is the most in all likelihood purpose
of this patient's coronary heart murmur?
A. Hypertension
B. Atherosclerosis
C. Insufficient coronary heart valve
D. Weakened pacemaker - ANS-Answer:
C. Insufficient heart valve
An 86-yr-old patient asks why her ankles have a brownish discoloration and the skin looks thick.
Which response quality addresses the affected person's difficulty?
A. "The valves inside the vessels for your legs aren't working in addition to they used to, which
causes the discoloration and thickening of your pores and skin."
B. "You probable are not getting enough iron for your weight-reduction plan. We must talk in
your physician approximately adding an iron complement."
C. "How many years have you smoked? Nicotine will motive these changes in your skin."
D. "These are simply ordinary changes visible in maximum older humans." - ANS-Answer:
A. "The valves within the vessels in your legs are not operating in addition to they used to, which
reasons the discoloration and thickening of your skin."
For which affected person might the nurse question an order for isotretinoin (Accutane)?
A. A 20-year-vintage epileptic man with nodular acne and epilepsy.
B. A 22-12 months-vintage pregnant woman with extreme pimples.
C. A 46-12 months-old woman on oral contraceptive pills with cystic pimples.
D. A 50-12 months-old hypertensive man with cystic zits. - ANS-Answer:
B. A 22-12 months-antique pregnant girl with extreme zits.
The clinic nurse gives pointers to a patient who is planning a ride to Mexico that will assist save
you a protozoan contamination. Which notion is most helpful?
A. "Ask the physician for a prophylactic prescription for an antiviral drug."
B. "Broad-spectrum antibiotics can be maximum helpful if you settlement a protozoan
contamination."
C. "Be positive to practice suitable hand hygiene while on your journey."
D. "It would be exceptional if you drank bottled water while for your trip." - ANS-Answer:
D. "It might be first-class in case you drank bottled water whilst on your experience."
