PN Medical-Surgical Nursing Final Exam
deWit 3rd edition
A 65-yr-vintage patient complains of leg ache that disappears at rest after having walked a brief
distance. The nurse recognizes the patient's symptoms are constant with which trouble?
A. Muscle spasm
B. Deep venous thrombosis
C. Claudication
D. Angiospasm - ANS-Answer:
C. Claudication
A seventy five-yr-antique patient asks the nurse if the Pneumovax immunization he took whilst
he became sixty five is still defensive him. Which reply is most accurate?
A. "Pneumovax protects you on your lifetime."
B. "Immunity afforded you via Pneumovax lasts simplest 2 years."
C. "Pneumovax safety varies in line with your chance elements and dwelling state of affairs."
D. "After 6 years, you want a repeat dose of Pneumovax for full immunity." - ANS-Answer:
D. "After 6 years, you want a repeat does of Pneumovax for full immunity."
A 75-year-vintage patient gives to the emergency branch with shortness of breath, fatigue, and
a dry cough. What data leads the nurse to suspect this affected person have to go through a
workup for histoplasmosis?
A. The affected person reports consuming pond water.
B. The patient lives on a farm and raises chickens.
C. The patient currently went hunting in a wooded area.
D. The affected person owns a landscaping organisation. - ANS-Answer:
B. The patient lives on a farm and increases chickens.
A 75-year-vintage affected person questions the nurse approximately vaccination to prevent
shingles. What reaction is most suitable?
A. "The prevalence of shingles in humans your age isn't always overly common, so vaccination
is senseless."
,B. "The vaccination has not but been accepted to be used within the older person."
C. "Because of the incidence of shingles to your age group, you should take into account taking
the vaccination."
D. "The vaccination is high priced however will provide lifelong immunity." - ANS-Answer:
C. "Because of the incidence of shingles in your age organization, you must remember taking
the vaccination."
A 79-12 months-old affected person with bacterial pneumonia will become increasingly
stressed, pressured, and agitated. The patient's temperature is one hundred F, and his pulse,
blood stress, and respirations are expanded since the remaining assessment 6 hours in the
past. What action must the nurse take first?
A. Auscultate the patient's lungs
B. Assess the patient's oxygen saturation
C. Administer the moderate sedative as ordered
D. Administer an ordered analgesic for soreness - ANS-Answer:
B. Assess the patient's oxygen saturation
A affected person who offered to the emergency room with a myocardial infarction (MI)
becomes faded, diaphoretic, and hypotensive. What movement need to the nurse take first?
A. Notify the doctor straight away.
B. Ensure the patient has patent IV get right of entry to.
C. Request assistance from respiration therapy.
D. Inform the affected person's circle of relatives of the change in fame. - ANS-Answer:
A. Notify the health practitioner immediately
According to most state NPAs, the vocational nurse performing as rate nurse in a
protracted-time period care facility acts in which capacity?
A. Working beneath direct supervision of an RN at the unit.
B. Working with the RN inside the building.
C. Working underneath popular supervision with the aid of the RN available on web site or via
smartphone.
D. Working as an impartial vocational nurse. - ANS-Answer:
C. Working beneath general supervision via the RN available on site or with the aid of the
telephone.
, An 85-year-antique patient with a newly recognized heart murmur expresses issue that he has
in no way been notified of this finding earlier than. What is the most possibly cause of this
patient's heart murmur?
A. Hypertension
B. Atherosclerosis
C. Insufficient heart valve
D. Weakened pacemaker - ANS-Answer:
C. Insufficient heart valve
An 86-yr-antique patient asks why her ankles have a brownish discoloration and the skin looks
thick. Which reaction great addresses the patient's subject?
A. "The valves in the vessels on your legs are not running as well as they used to, which causes
the discoloration and thickening of your skin."
B. "You likely aren't getting sufficient iron in your weight loss plan. We need to communicate to
your doctor approximately including an iron complement."
C. "How a few years have you ever smoked? Nicotine will cause these changes to your skin."
D. "These are simply ordinary adjustments visible in most older human beings." - ANS-Answer:
A. "The valves inside the vessels for your legs are not working as well as they used to, which
reasons the discoloration and thickening of your skin."
For which affected person would the nurse question an order for isotretinoin (Accutane)?
A. A 20-year-vintage epileptic guy with nodular zits and epilepsy.
B. A 22-12 months-old pregnant female with severe zits.
C. A forty six-year-old female on oral contraceptive capsules with cystic acne.
D. A 50-yr-old hypertensive guy with cystic zits. - ANS-Answer:
B. A 22-year-vintage pregnant female with excessive pimples.
The hospital nurse gives recommendations to a affected person who is planning a journey to
Mexico on the way to assist prevent a protozoan infection. Which suggestion is most helpful?
A. "Ask the medical doctor for a prophylactic prescription for an antiviral drug."
B. "Broad-spectrum antibiotics could be most useful in case you agreement a protozoan
infection."
C. "Be positive to exercise properly hand hygiene even as to your ride."
D. "It could be great in case you drank bottled water at the same time as in your trip." -
ANS-Answer:
D. "It could be great if you drank bottled water at the same time as to your experience."
deWit 3rd edition
A 65-yr-vintage patient complains of leg ache that disappears at rest after having walked a brief
distance. The nurse recognizes the patient's symptoms are constant with which trouble?
A. Muscle spasm
B. Deep venous thrombosis
C. Claudication
D. Angiospasm - ANS-Answer:
C. Claudication
A seventy five-yr-antique patient asks the nurse if the Pneumovax immunization he took whilst
he became sixty five is still defensive him. Which reply is most accurate?
A. "Pneumovax protects you on your lifetime."
B. "Immunity afforded you via Pneumovax lasts simplest 2 years."
C. "Pneumovax safety varies in line with your chance elements and dwelling state of affairs."
D. "After 6 years, you want a repeat dose of Pneumovax for full immunity." - ANS-Answer:
D. "After 6 years, you want a repeat does of Pneumovax for full immunity."
A 75-year-vintage patient gives to the emergency branch with shortness of breath, fatigue, and
a dry cough. What data leads the nurse to suspect this affected person have to go through a
workup for histoplasmosis?
A. The affected person reports consuming pond water.
B. The patient lives on a farm and raises chickens.
C. The patient currently went hunting in a wooded area.
D. The affected person owns a landscaping organisation. - ANS-Answer:
B. The patient lives on a farm and increases chickens.
A 75-year-vintage affected person questions the nurse approximately vaccination to prevent
shingles. What reaction is most suitable?
A. "The prevalence of shingles in humans your age isn't always overly common, so vaccination
is senseless."
,B. "The vaccination has not but been accepted to be used within the older person."
C. "Because of the incidence of shingles to your age group, you should take into account taking
the vaccination."
D. "The vaccination is high priced however will provide lifelong immunity." - ANS-Answer:
C. "Because of the incidence of shingles in your age organization, you must remember taking
the vaccination."
A 79-12 months-old affected person with bacterial pneumonia will become increasingly
stressed, pressured, and agitated. The patient's temperature is one hundred F, and his pulse,
blood stress, and respirations are expanded since the remaining assessment 6 hours in the
past. What action must the nurse take first?
A. Auscultate the patient's lungs
B. Assess the patient's oxygen saturation
C. Administer the moderate sedative as ordered
D. Administer an ordered analgesic for soreness - ANS-Answer:
B. Assess the patient's oxygen saturation
A affected person who offered to the emergency room with a myocardial infarction (MI)
becomes faded, diaphoretic, and hypotensive. What movement need to the nurse take first?
A. Notify the doctor straight away.
B. Ensure the patient has patent IV get right of entry to.
C. Request assistance from respiration therapy.
D. Inform the affected person's circle of relatives of the change in fame. - ANS-Answer:
A. Notify the health practitioner immediately
According to most state NPAs, the vocational nurse performing as rate nurse in a
protracted-time period care facility acts in which capacity?
A. Working beneath direct supervision of an RN at the unit.
B. Working with the RN inside the building.
C. Working underneath popular supervision with the aid of the RN available on web site or via
smartphone.
D. Working as an impartial vocational nurse. - ANS-Answer:
C. Working beneath general supervision via the RN available on site or with the aid of the
telephone.
, An 85-year-antique patient with a newly recognized heart murmur expresses issue that he has
in no way been notified of this finding earlier than. What is the most possibly cause of this
patient's heart murmur?
A. Hypertension
B. Atherosclerosis
C. Insufficient heart valve
D. Weakened pacemaker - ANS-Answer:
C. Insufficient heart valve
An 86-yr-antique patient asks why her ankles have a brownish discoloration and the skin looks
thick. Which reaction great addresses the patient's subject?
A. "The valves in the vessels on your legs are not running as well as they used to, which causes
the discoloration and thickening of your skin."
B. "You likely aren't getting sufficient iron in your weight loss plan. We need to communicate to
your doctor approximately including an iron complement."
C. "How a few years have you ever smoked? Nicotine will cause these changes to your skin."
D. "These are simply ordinary adjustments visible in most older human beings." - ANS-Answer:
A. "The valves inside the vessels for your legs are not working as well as they used to, which
reasons the discoloration and thickening of your skin."
For which affected person would the nurse question an order for isotretinoin (Accutane)?
A. A 20-year-vintage epileptic guy with nodular zits and epilepsy.
B. A 22-12 months-old pregnant female with severe zits.
C. A forty six-year-old female on oral contraceptive capsules with cystic acne.
D. A 50-yr-old hypertensive guy with cystic zits. - ANS-Answer:
B. A 22-year-vintage pregnant female with excessive pimples.
The hospital nurse gives recommendations to a affected person who is planning a journey to
Mexico on the way to assist prevent a protozoan infection. Which suggestion is most helpful?
A. "Ask the medical doctor for a prophylactic prescription for an antiviral drug."
B. "Broad-spectrum antibiotics could be most useful in case you agreement a protozoan
infection."
C. "Be positive to exercise properly hand hygiene even as to your ride."
D. "It could be great in case you drank bottled water at the same time as in your trip." -
ANS-Answer:
D. "It could be great if you drank bottled water at the same time as to your experience."
