Medical-Surgical Nursing Exam 1 Chamberlain College of Nursing Comprehensive Study
Guide (2025)
The |nurse |is |caring |for |a |client |who |has |as |a |son |with |a |streptococcus |throat |infection. |Which |nurse |
recommendation |would |be |best |to |advise |the |client |to |do |in |order |to |prevent |acquiring |the |infection?
|- |answersFrequently |wash |her |hands |and |surfaces |of |the |home.
The |nurse |is |caring |for |a |client |infected |with |Rocky |Mountain |spotted |fever. |The |nurse |should |ask |if |
the |client |has |experienced |which |of |the |following? |- |answersWas |bitten |by |a |tick
The |nurse |is |caring |for |a |client |with |a |protozoa |infection. |Which |is |the |most |likely |mode |of |
transmission? |- |answersIngestion |of |contaminated |food |or |water
The |nurse |is |caring |for |a |client |who |is |recovering |from |an |allergic |reaction. |Which |leukocyte |level |
would |the |nurse |expect |to |be |the |most |elevated? |- |answersEosinophils
The |nurse |is |caring |for |a |client |who |has |an |infected |wound |on |the |great |toe |that |is |red |with |a |
purulent |exudate. |The |nurse |expects |that |this |client |has |which |type |of |infection? |- |answersLocalized
The |client |experienced |a |fall. |Nursing |assessment |reveals |that |the |client |is |experiencing |tachycardia, |
hypotension, |confusion, |tachypnea, |and |flat |jugular |veins. |What |should |be |the |nurse's |first |response?
|- |answersAdminister |oxygen.
The |family |wants |to |know |why |the |nurse |is |putting |a |urinary |catheter |in |a |client |experiencing |shock. |
What |is |the |nurse's |best |response? |- |answers"It |will |help |monitor |how |much |urine |the |kidneys |are |
able |to |produce."
A |client |experiencing |shock |has |had |a |urinary |output |of |250 |mL |in |the |last |10 |hours. |What |is |the |
nurse's |most |appropriate |response? |- |answersNotify |the |physician.
Which |client |is |most |likely |to |be |experiencing |hypovolemic |shock? |- |answersA |client |who |had |surgery |
24 |hours |ago |and |who |also |has |a |nasogastric |tube
The |physician |has |ordered |arterial |blood |gases |for |a |client |experiencing |shock. |The |nurse |knows |that |
which |value |indicates |shock? |- |answerspH |7.32
A |63-year-old |Arab |American |male |states |his |left |leg |is |"hot." |What |is |the |nurse's |best |first |response?
|- |answersAssess |for |pain
The |client |is |complaining |of |excruciating |pain |in |a |foot |that |has |been |amputated. |The |family |tells |the |
nurse |that |the |client |is |just |addicted |to |pain |medications. |What |is |the |nurse's |best |response? |- |
answers"He |is |experiencing |phantom |limb |pain."
A |client |has |had |abdominal |surgery |and |has |orders |to |be |ambulated |three |times |a |day. |Oral |pain |
medication |has |been |ordered |for |the |client. |What |should |the |nurse |do |to |facilitate |ambulation? |- |
answersMediate |1 |hour |prior |to |ambulating |the |client.
,The |client |reports |frequent |use |of |acetaminophen. |How |should |the |nurse |best |respond? |- |answers"Do
|you |drink |alcohol?"
A |client |with |chronic |pain |has |been |admitted |with |a |fever. |The |nursing |assessment |reveals |that |the |
client |has |a |decreased |level |of |consciousness. |What |should |the |nurse |ask |the |family |about? |- |
answersWhat |medications |the |client |has |taken
The |practical |nurse |is |reviewing |the |social |history |from |a |client |diagnosed |with |small |cell |carcinoma |
of |the |lung. |Which |information |is |significant |for |this |disease? |- |answersThe |client |has |smoked |two |(2) |
packs |of |cigarettes |a |day |for |20 |years
The |practical |nurse |and |an |unlicensed |assistive |personnel |(UAP) |are |caring |for |a |group |of |clients |on |a |
medical |unit. |Which |information |provided |by |the |UAP |warrants |immediate |intervention |by |the |
practical |nurse? |- |answersThe |client |receiving |Procrit |(epoetin |alfa) |has |a |T |99.2˚F, |P |68, |R |24, |and |BP
|of |198/102
The |client |diagnosed |with |lung |cancer |has |been |told |the |cancer |has |metastasized |to |the |brain. |Which |
intervention |should |the |practical |nurse |expect |to |implement? |- |answersDiscuss |implementing |an |
advance |directive
The |client |diagnosed |with |lung |cancer |is |being |discharged. |Which |statement |made |by |the |client |
indicates |a |reiteration |of |information |is |required? |- |answers"It |doesn't |matter |if |I |smoke |now. |I |
already |have |cancer."
The |practical |nurse |is |interviewing |clients |at |the |clinic. |Which |information |provided |by |a |client |
warrants |further |investigation? |- |answersThe |client |has |been |coughing |up |blood |in |the |mornings
The |male |client |had |abdominal |surgery |and |the |practical |nurse |suspects |the |client |has |peritonitis. |
Which |information |support |the |diagnosis |of |peritonitis? |- |answersHard, |rigid |abdomen |and |white |
blood |cell |count |22,000/mm3
The |client |who |had |abdominal |surgery |tells |the |practical |nurse, |"I |felt |something |give |way |in |my |
stomach." |Which |intervention |should |the |practical |nurse |implement |first? |- |answersInspect |the |
abdominal |wound |incision
The |client |is |one |(1) |day |postoperative |major |abdominal |surgery. |Which |client |problem |is |a |priority? |-
|answersFluid |and |electrolyte |imbalance
The |client |has |an |eviscerated |abdominal |wound. |Which |intervention |should |the |practical |nurse |
implement? |- |answersApply |sterile |normal |saline |dressing
The |client |is |diagnosed |with |peritonitis. |Which |information |indicates |to |the |practical |nurse |the |client's
|condition |is |improving? |- |answersThe |client |has |a |decrease |in |temperature |and |a |soft |abdomen
A |patient |is |being |released |from |the |hospital |with |a |prescription |for |tetracycline. |What |should |the |
nurse |include |in |patient |teaching? |
Select |all |that |apply. |- |answersAdvise |limiting |exposure |to |the |sun.
, Inform |patient |of |the |possibility |of |gastrointestinal |upset.
Suggest |eating |crackers |and |some |juice |when |taking |this |medicine.
The |nurse |wants |to |determine |if |a |patient |not |fully |awake |from |anesthesia |for |a |surgical |procedure |is
|experiencing |pain. |What |findings |should |the |nurse |use |to |make |this |determination? |
Select |all |that |apply. |- |answersMoaning
Restlessness
Pulling |at |a |body |area
Elevated |blood |pressure
A |patient |is |diagnosed |with |an |infection |that |has |spread |to |the |blood |stream. |Which |term |should |the |
nurse |use |to |document |this |patient's |health |problem? |- |answersSepsis
The |nurse |learns |that |a |patient |is |being |admitted |with |an |infectious |disease |that |is |transmited |
through |the |air. |For |which |health |problems |should |the |nurse |prepare |to |provide |care? |
Select |all |that |apply. |- |answersMeasles
Tuberculosis
Chickenpox
A |patient |is |diagnosed |with |Rocky |Mountain |spotted |fever. |What |should |the |nurse |explain |as |the |
method |by |which |this |disease |was |transmitted |to |the |patient? |- |answersTicks
A |patient |returning |from |the |recovery |room |following |abdominal |surgery |to |drain |an |abscess |has |a |
nonsuction-type |drain |placed |in |the |wound |bed |to |allow |drainage. |Which |drain |should |the |nurse |
expect |to |see? |- |answersPenrose |drain
A |patient |has |an |epidural |catheter |placed |for |pain |control. |Which |medications |should |the |nurse |
question |before |providing |them |to |the |patient |during |routine |medication |administration? |
Select |all |that |apply. |- |answersAspirin |325 |mg |by |mouth |once |a |day
Warfarin |(Coumadin) |2.5 |mg |by |mouth |every |evening
A |patient |with |severe |arthritis |pain |is |prescribed |celecoxib |(Celebrex). |What |should |the |nurse |instruct |
the |patient |about |this |medication? |- |answersTake |with |food.
Guide (2025)
The |nurse |is |caring |for |a |client |who |has |as |a |son |with |a |streptococcus |throat |infection. |Which |nurse |
recommendation |would |be |best |to |advise |the |client |to |do |in |order |to |prevent |acquiring |the |infection?
|- |answersFrequently |wash |her |hands |and |surfaces |of |the |home.
The |nurse |is |caring |for |a |client |infected |with |Rocky |Mountain |spotted |fever. |The |nurse |should |ask |if |
the |client |has |experienced |which |of |the |following? |- |answersWas |bitten |by |a |tick
The |nurse |is |caring |for |a |client |with |a |protozoa |infection. |Which |is |the |most |likely |mode |of |
transmission? |- |answersIngestion |of |contaminated |food |or |water
The |nurse |is |caring |for |a |client |who |is |recovering |from |an |allergic |reaction. |Which |leukocyte |level |
would |the |nurse |expect |to |be |the |most |elevated? |- |answersEosinophils
The |nurse |is |caring |for |a |client |who |has |an |infected |wound |on |the |great |toe |that |is |red |with |a |
purulent |exudate. |The |nurse |expects |that |this |client |has |which |type |of |infection? |- |answersLocalized
The |client |experienced |a |fall. |Nursing |assessment |reveals |that |the |client |is |experiencing |tachycardia, |
hypotension, |confusion, |tachypnea, |and |flat |jugular |veins. |What |should |be |the |nurse's |first |response?
|- |answersAdminister |oxygen.
The |family |wants |to |know |why |the |nurse |is |putting |a |urinary |catheter |in |a |client |experiencing |shock. |
What |is |the |nurse's |best |response? |- |answers"It |will |help |monitor |how |much |urine |the |kidneys |are |
able |to |produce."
A |client |experiencing |shock |has |had |a |urinary |output |of |250 |mL |in |the |last |10 |hours. |What |is |the |
nurse's |most |appropriate |response? |- |answersNotify |the |physician.
Which |client |is |most |likely |to |be |experiencing |hypovolemic |shock? |- |answersA |client |who |had |surgery |
24 |hours |ago |and |who |also |has |a |nasogastric |tube
The |physician |has |ordered |arterial |blood |gases |for |a |client |experiencing |shock. |The |nurse |knows |that |
which |value |indicates |shock? |- |answerspH |7.32
A |63-year-old |Arab |American |male |states |his |left |leg |is |"hot." |What |is |the |nurse's |best |first |response?
|- |answersAssess |for |pain
The |client |is |complaining |of |excruciating |pain |in |a |foot |that |has |been |amputated. |The |family |tells |the |
nurse |that |the |client |is |just |addicted |to |pain |medications. |What |is |the |nurse's |best |response? |- |
answers"He |is |experiencing |phantom |limb |pain."
A |client |has |had |abdominal |surgery |and |has |orders |to |be |ambulated |three |times |a |day. |Oral |pain |
medication |has |been |ordered |for |the |client. |What |should |the |nurse |do |to |facilitate |ambulation? |- |
answersMediate |1 |hour |prior |to |ambulating |the |client.
,The |client |reports |frequent |use |of |acetaminophen. |How |should |the |nurse |best |respond? |- |answers"Do
|you |drink |alcohol?"
A |client |with |chronic |pain |has |been |admitted |with |a |fever. |The |nursing |assessment |reveals |that |the |
client |has |a |decreased |level |of |consciousness. |What |should |the |nurse |ask |the |family |about? |- |
answersWhat |medications |the |client |has |taken
The |practical |nurse |is |reviewing |the |social |history |from |a |client |diagnosed |with |small |cell |carcinoma |
of |the |lung. |Which |information |is |significant |for |this |disease? |- |answersThe |client |has |smoked |two |(2) |
packs |of |cigarettes |a |day |for |20 |years
The |practical |nurse |and |an |unlicensed |assistive |personnel |(UAP) |are |caring |for |a |group |of |clients |on |a |
medical |unit. |Which |information |provided |by |the |UAP |warrants |immediate |intervention |by |the |
practical |nurse? |- |answersThe |client |receiving |Procrit |(epoetin |alfa) |has |a |T |99.2˚F, |P |68, |R |24, |and |BP
|of |198/102
The |client |diagnosed |with |lung |cancer |has |been |told |the |cancer |has |metastasized |to |the |brain. |Which |
intervention |should |the |practical |nurse |expect |to |implement? |- |answersDiscuss |implementing |an |
advance |directive
The |client |diagnosed |with |lung |cancer |is |being |discharged. |Which |statement |made |by |the |client |
indicates |a |reiteration |of |information |is |required? |- |answers"It |doesn't |matter |if |I |smoke |now. |I |
already |have |cancer."
The |practical |nurse |is |interviewing |clients |at |the |clinic. |Which |information |provided |by |a |client |
warrants |further |investigation? |- |answersThe |client |has |been |coughing |up |blood |in |the |mornings
The |male |client |had |abdominal |surgery |and |the |practical |nurse |suspects |the |client |has |peritonitis. |
Which |information |support |the |diagnosis |of |peritonitis? |- |answersHard, |rigid |abdomen |and |white |
blood |cell |count |22,000/mm3
The |client |who |had |abdominal |surgery |tells |the |practical |nurse, |"I |felt |something |give |way |in |my |
stomach." |Which |intervention |should |the |practical |nurse |implement |first? |- |answersInspect |the |
abdominal |wound |incision
The |client |is |one |(1) |day |postoperative |major |abdominal |surgery. |Which |client |problem |is |a |priority? |-
|answersFluid |and |electrolyte |imbalance
The |client |has |an |eviscerated |abdominal |wound. |Which |intervention |should |the |practical |nurse |
implement? |- |answersApply |sterile |normal |saline |dressing
The |client |is |diagnosed |with |peritonitis. |Which |information |indicates |to |the |practical |nurse |the |client's
|condition |is |improving? |- |answersThe |client |has |a |decrease |in |temperature |and |a |soft |abdomen
A |patient |is |being |released |from |the |hospital |with |a |prescription |for |tetracycline. |What |should |the |
nurse |include |in |patient |teaching? |
Select |all |that |apply. |- |answersAdvise |limiting |exposure |to |the |sun.
, Inform |patient |of |the |possibility |of |gastrointestinal |upset.
Suggest |eating |crackers |and |some |juice |when |taking |this |medicine.
The |nurse |wants |to |determine |if |a |patient |not |fully |awake |from |anesthesia |for |a |surgical |procedure |is
|experiencing |pain. |What |findings |should |the |nurse |use |to |make |this |determination? |
Select |all |that |apply. |- |answersMoaning
Restlessness
Pulling |at |a |body |area
Elevated |blood |pressure
A |patient |is |diagnosed |with |an |infection |that |has |spread |to |the |blood |stream. |Which |term |should |the |
nurse |use |to |document |this |patient's |health |problem? |- |answersSepsis
The |nurse |learns |that |a |patient |is |being |admitted |with |an |infectious |disease |that |is |transmited |
through |the |air. |For |which |health |problems |should |the |nurse |prepare |to |provide |care? |
Select |all |that |apply. |- |answersMeasles
Tuberculosis
Chickenpox
A |patient |is |diagnosed |with |Rocky |Mountain |spotted |fever. |What |should |the |nurse |explain |as |the |
method |by |which |this |disease |was |transmitted |to |the |patient? |- |answersTicks
A |patient |returning |from |the |recovery |room |following |abdominal |surgery |to |drain |an |abscess |has |a |
nonsuction-type |drain |placed |in |the |wound |bed |to |allow |drainage. |Which |drain |should |the |nurse |
expect |to |see? |- |answersPenrose |drain
A |patient |has |an |epidural |catheter |placed |for |pain |control. |Which |medications |should |the |nurse |
question |before |providing |them |to |the |patient |during |routine |medication |administration? |
Select |all |that |apply. |- |answersAspirin |325 |mg |by |mouth |once |a |day
Warfarin |(Coumadin) |2.5 |mg |by |mouth |every |evening
A |patient |with |severe |arthritis |pain |is |prescribed |celecoxib |(Celebrex). |What |should |the |nurse |instruct |
the |patient |about |this |medication? |- |answersTake |with |food.
