1. Anewlydiabeticpatient willreceivein str ,f d
uctions from his nurse. Which of the foll
d d d d d d d
owing actions should thenursetakefirst
d d d d
?
A. Providethepatientwith brochuresf d
ormakingsmartchoic- ,f
es for cooking/baking.
d d d
B. Ask thepatientwhatthey kn
,f ,f d
owaboutdiabetes.
C. Instructthepatientonexercise orac d d
tivitiesthatwillincrease theirmetabol d
ism.
D. Teachthemhowtousetheglu-
cometer.
d
2. Theposthysterectomypatientwithc alls ,f d d
the clinicstatingthatshe hasbeenhaving
d d
difficultywith inconti- d
nence.Whichofthefollowingstate-
d
mentsifmadeby the patient, indi-
d d d d
dcatesthatfurtherteachingisneed- ed? ,f d
A. Idrink8oz.offluidonthe ev d d d
enhourswhileawake.
B. Iwillattempttovoid30 minutesa d
fterdrinking200cc.of fluid d d d
C. IwillonlydrinkfluidwhenI e d d
atm ymeals
,f d
D. Iwillsetthe timer to remind m d d d d d
ewhen to void d d
3. An RN assessesapatientin the Cancer
d d d d d
Centerwithadiagnosisof terminalca d
ncer.The patient statestotheRNthath
d d d ,f
eisshortof breath,hasnoappetiteandh ,f d
urts
every- where.Whichofthefollowingstat e-
d d
1d/d110
, Med-Surg Certification Practice Questions
d d d
B.
First ask thepatientwhat theyknowabout diabet
,f ,f ,f d
es.
*ACTIONquestionsaskforinterven- ,f
tion, NOTassessment
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C.
Apatientsayingthatheorshe willonlydrink flui
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dswheneatingmealsindicatesthatthey don'tkno
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wwhat todoincaseof incontinence.
,f d d d
FURTHERTEACHINGindicatesthatthe patie ,f ,f d
nt needs more information
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C
2d/d110
, Med-Surg Certification Practice Questions d d d
mentsbythe nurseisbest? d
beforebedtime.
C. Recommendthatclientestabli sh
,f d
A. Tellmehowyourfamilyiscoping
B. Show mewhereitdoesnothurt
d d d d
C. I'llteachyourelaxationtech-
niques
d
D. Yourphysicianshouldincreasey our d d
painmedication
4. A clinical nurse returns to the desktofin
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d4 phone messages.Whic hofthefollowin
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gmessagesshouldth enurserespond to fir d d d
st?
A. Apostcervicallaminectomypa-
,f ,f
tientcomplaining of suddendiffi-
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cultytalking.
d
B. A patient with multiple sclerosiscom
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plainingofchangeinp eripher-alvision. d d
C. Apatientwithaherniated discco d
mplainingofconsistent back pain. d d d d
D. A patientwithacastdueto afr
,f d d
acture of therighttibial boneco
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mplainingoftingling toes. d
5. A 75 year old patient complains to the c
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linical nurse that he is havingdifficultys
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leeping.Which of t he fol- d d d
lowingactionsbythenurseismostap prop d
riate?
A. Determinethepatient's us d
ualsleepingandwaking patte d
rns.
B. Suggestthattheclient abstainfrom ,f d
alcoholandcaffeine
3d/d110
, Med-Surg Certification Practice Questions
d d d
A
Band C are expected symptoms ofthe patient's c
d d d d d d d
ondition. Aand D are unexpected.Dislesscritica
d d d d d d d
lthanA.Best answer isA.
d d d d d
A
BandCarerecommendationsthattheRN can s
d d d d d d d
hare after he/she deter-
d d d
dminesthepatient'ssleepingandwak-
ing patterns. So remove Band C. Disan inquir
d d d d d d d
y, butisconcerned aboutthe past (when the pers
d d d d d d
on retired). d
RemoveD.Aisthebestanswer. d d d
4d/d110