Page 1 of 107
MED SURG COMPREHENSIVE REVIEW EXAM 1 ALL QUESTIONS AND CORRECT
RATIONALIZED ANSWERS (GRADED A+) LATEST UPDATE
Terms in this set (198) Q & A
The nurse is performing auscultation of breath sounds on a respiratory patient. The sounds
heard on inspiration and expiration are loud, low, coarse sounds. These are identified as
a. crackles.
b. plural friction rub.
c. rhonchi.
d. sonorous wheezes.
- answer- D
Loud, low, coarse sounds are identified as sonorous wheezes.
The nurse instructs a patient that when conditions for bacterial growth are not favorable, the
bacteria can be stored in a dormant form called
a. residue.
b. capsules.
c. spores.
d. flagella.
- answer- C
, Page 2 of 107
Spore formation occurs when conditions are unfavorable, storing the bacteria in a dormant
form.
When a patient complains that he is not yet on an antibiotic, the nurse explains that the
physician is waiting on the results of the culture and sensitivity because this test determines
a. what media the bacteria requires to grow.
b. how fast the bacteria grow.
c. which antibiotics stop bacterial growth.
d. when the bacteria colonize.
- answer- C
Sensitivity tests are done to determine which antibiotics will stop growth.
The patient with a disease caused by a virus has a complication that a patient with a disease
caused by bacteria does not. This complication is that a virus
a. multiplies rapidly.
b. returns frequently.
c. is not killed by antibiotics.
d. is unable to be cultured.
- answer- C
, Page 3 of 107
Antibiotics do not alter the course of the disease caused by a virus.
The nurse prioritizes the care of four patients, focusing on which of the following patients
with the systemic infection?
a. 14 year old with acute appendicitis
b. 80 year old with a urinary tract infection
c. 40 year old with AIDS
d. 50 year old with arthritis
- answer- C
AIDS is a systemic viral infection; options 1 & 2 are local infections; option 4 is not an infection
at all.
The nurse observing standard precautions when she is disposing of linens contaminated with
feces will
a. don gown, gloves, and mask.
b. wash hands for 5 minutes after disposal.
c. don gloves only.
d. double-bag the sheets.
- answer- C
, Page 4 of 107
All health care workers should follow standard precautions to prevent infection from
pathogens. Standard precautions for the disposal of ordinary feces require only that the nurse
don gloves.
When assessing a patient for signs of an infection, the lab result that the nurse recognizes as
indicative of an infection is
a. lowered red blood cell count.
b. increased white blood cell count.
c. lowered white blood cell count.
d. increased red blood cell count.
- answer- B
Increased white blood cell count may indicate an infection.
When sterilizing instruments for the operating room, the most dependable and practical
method to use is
a. chemical solution.
b. boiling water.
c. steam under pressure.
MED SURG COMPREHENSIVE REVIEW EXAM 1 ALL QUESTIONS AND CORRECT
RATIONALIZED ANSWERS (GRADED A+) LATEST UPDATE
Terms in this set (198) Q & A
The nurse is performing auscultation of breath sounds on a respiratory patient. The sounds
heard on inspiration and expiration are loud, low, coarse sounds. These are identified as
a. crackles.
b. plural friction rub.
c. rhonchi.
d. sonorous wheezes.
- answer- D
Loud, low, coarse sounds are identified as sonorous wheezes.
The nurse instructs a patient that when conditions for bacterial growth are not favorable, the
bacteria can be stored in a dormant form called
a. residue.
b. capsules.
c. spores.
d. flagella.
- answer- C
, Page 2 of 107
Spore formation occurs when conditions are unfavorable, storing the bacteria in a dormant
form.
When a patient complains that he is not yet on an antibiotic, the nurse explains that the
physician is waiting on the results of the culture and sensitivity because this test determines
a. what media the bacteria requires to grow.
b. how fast the bacteria grow.
c. which antibiotics stop bacterial growth.
d. when the bacteria colonize.
- answer- C
Sensitivity tests are done to determine which antibiotics will stop growth.
The patient with a disease caused by a virus has a complication that a patient with a disease
caused by bacteria does not. This complication is that a virus
a. multiplies rapidly.
b. returns frequently.
c. is not killed by antibiotics.
d. is unable to be cultured.
- answer- C
, Page 3 of 107
Antibiotics do not alter the course of the disease caused by a virus.
The nurse prioritizes the care of four patients, focusing on which of the following patients
with the systemic infection?
a. 14 year old with acute appendicitis
b. 80 year old with a urinary tract infection
c. 40 year old with AIDS
d. 50 year old with arthritis
- answer- C
AIDS is a systemic viral infection; options 1 & 2 are local infections; option 4 is not an infection
at all.
The nurse observing standard precautions when she is disposing of linens contaminated with
feces will
a. don gown, gloves, and mask.
b. wash hands for 5 minutes after disposal.
c. don gloves only.
d. double-bag the sheets.
- answer- C
, Page 4 of 107
All health care workers should follow standard precautions to prevent infection from
pathogens. Standard precautions for the disposal of ordinary feces require only that the nurse
don gloves.
When assessing a patient for signs of an infection, the lab result that the nurse recognizes as
indicative of an infection is
a. lowered red blood cell count.
b. increased white blood cell count.
c. lowered white blood cell count.
d. increased red blood cell count.
- answer- B
Increased white blood cell count may indicate an infection.
When sterilizing instruments for the operating room, the most dependable and practical
method to use is
a. chemical solution.
b. boiling water.
c. steam under pressure.
