NUR 242 Medical-Surgical Nursing Exam | Questions
With Verified Answers |Graded A | (Latest update
2023/ 2024)
1. 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? - ANSWER: Frequently wash her
hands and surfaces of the home.
2. 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? -
ANSWER: Was bitten by a tick
3. The nurse is caring for a client with a protozoa infection. Which is the most likely
mode of transmission? - ANSWER: Ingestion of contaminated food or water
4. 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? - ANSWER:
Eosinophils
5. 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? - ANSWER: Localized
6. 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? - ANSWER: Administer
oxygen.
7. 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? - ANSWER: "It will
help monitor how much urine the kidneys are able to produce."
8. 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? - ANSWER: Notify the
physician.
9. Which client is most likely to be experiencing hypovolemic shock? - ANSWER:
A client who had surgery 24 hours ago and who also has a nasogastric tube
10. The physician has ordered arterial blood gases for a client experiencing shock.
The nurse knows that which value indicates shock? - ANSWER: pH 7.32
11. A 63-year-old Arab American male states his left leg is "hot." What is the nurse's
best first response? - ANSWER: Assess for pain
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,NUR 242 Medical-Surgical Nursing Exam | Questions
With Verified Answers |Graded A | (Latest update
2023/ 2024)
12. 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? - ANSWER: "He is experiencing phantom
limb pain."
13. 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? - ANSWER: Mediate 1 hour prior to
ambulating the client.
14. The client reports frequent use of acetaminophen. How should the nurse best
respond? - ANSWER: "Do you drink alcohol?"
15. 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? - ANSWER: What medications the
client has taken
16. 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?
- ANSWER: The client has smoked two (2) packs of cigarettes a day for 20
years
17. 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? - ANSWER: The client
receiving Procrit (epoetin alfa) has a T 99.2˚F, P 68, R 24, and BP of 198/102
18. 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? - ANSWER: Discuss implementing an advance directive
19. The client diagnosed with lung cancer is being discharged. Which statement
made by the client indicates a reiteration of information is required? -
ANSWER: "It doesn't matter if I smoke now. I already have cancer."
20. The practical nurse is interviewing clients at the clinic. Which information
provided by a client warrants further investigation? - ANSWER: The client has
been coughing up blood in the mornings
#$%^&*
&^%$#$
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&*&^%$
#$%^&*
, NUR 242 Medical-Surgical Nursing Exam | Questions
With Verified Answers |Graded A | (Latest update
2023/ 2024)
21. The male client had abdominal surgery and the practical nurse suspects the
client has peritonitis. Which information support the diagnosis of peritonitis? -
ANSWER: Hard, rigid abdomen and white blood cell count 22,000/mm3
22. The client who had abdominal surgery tells the practical nurse, "I felt something
give way in my stomach." Which intervention should the practical nurse
implement first? - ANSWER: Inspect the abdominal wound incision
23. The client is one (1) day postoperative major abdominal surgery. Which client
problem is a priority? - ANSWER: Fluid and electrolyte imbalance
24. The client has an eviscerated abdominal wound. Which intervention should the
practical nurse implement? - ANSWER: Apply sterile normal saline dressing
25. The client is diagnosed with peritonitis. Which information indicates to the
practical nurse the client's condition is improving? - ANSWER: The client has a
decrease in temperature and a soft abdomen
26. A patient is being released from the hospital with a prescription for tetracycline.
What should the nurse include in patient teaching?
Select all that apply.
- ANSWER: Advise limiting exposure to the sun.
Inform patient of the possibility of gastrointestinal upset.
Suggest eating crackers and some juice when taking this
medicine.
27. The nurse wants to determine if a patient not fully awake from anesthesia for a
surgical procedure is experiencing pain. What findings should the nurse use to
make this determination?
Select all that apply.
- ANSWER: Moaning
Restlessness
Pulling at a body area
Elevated blood pressure
28. A patient is diagnosed with an infection that has spread to the blood stream.
Which term should the nurse use to document this patient's health problem?
- ANSWER: Sepsis
#$%^&*
&^%$#$
%^&*&^
%$#$%^
&*&^%$
#$%^&*
With Verified Answers |Graded A | (Latest update
2023/ 2024)
1. 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? - ANSWER: Frequently wash her
hands and surfaces of the home.
2. 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? -
ANSWER: Was bitten by a tick
3. The nurse is caring for a client with a protozoa infection. Which is the most likely
mode of transmission? - ANSWER: Ingestion of contaminated food or water
4. 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? - ANSWER:
Eosinophils
5. 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? - ANSWER: Localized
6. 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? - ANSWER: Administer
oxygen.
7. 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? - ANSWER: "It will
help monitor how much urine the kidneys are able to produce."
8. 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? - ANSWER: Notify the
physician.
9. Which client is most likely to be experiencing hypovolemic shock? - ANSWER:
A client who had surgery 24 hours ago and who also has a nasogastric tube
10. The physician has ordered arterial blood gases for a client experiencing shock.
The nurse knows that which value indicates shock? - ANSWER: pH 7.32
11. A 63-year-old Arab American male states his left leg is "hot." What is the nurse's
best first response? - ANSWER: Assess for pain
#$%^&*
&^%$#$
%^&*&^
%$#$%^
&*&^%$
#$%^&*
,NUR 242 Medical-Surgical Nursing Exam | Questions
With Verified Answers |Graded A | (Latest update
2023/ 2024)
12. 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? - ANSWER: "He is experiencing phantom
limb pain."
13. 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? - ANSWER: Mediate 1 hour prior to
ambulating the client.
14. The client reports frequent use of acetaminophen. How should the nurse best
respond? - ANSWER: "Do you drink alcohol?"
15. 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? - ANSWER: What medications the
client has taken
16. 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?
- ANSWER: The client has smoked two (2) packs of cigarettes a day for 20
years
17. 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? - ANSWER: The client
receiving Procrit (epoetin alfa) has a T 99.2˚F, P 68, R 24, and BP of 198/102
18. 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? - ANSWER: Discuss implementing an advance directive
19. The client diagnosed with lung cancer is being discharged. Which statement
made by the client indicates a reiteration of information is required? -
ANSWER: "It doesn't matter if I smoke now. I already have cancer."
20. The practical nurse is interviewing clients at the clinic. Which information
provided by a client warrants further investigation? - ANSWER: The client has
been coughing up blood in the mornings
#$%^&*
&^%$#$
%^&*&^
%$#$%^
&*&^%$
#$%^&*
, NUR 242 Medical-Surgical Nursing Exam | Questions
With Verified Answers |Graded A | (Latest update
2023/ 2024)
21. The male client had abdominal surgery and the practical nurse suspects the
client has peritonitis. Which information support the diagnosis of peritonitis? -
ANSWER: Hard, rigid abdomen and white blood cell count 22,000/mm3
22. The client who had abdominal surgery tells the practical nurse, "I felt something
give way in my stomach." Which intervention should the practical nurse
implement first? - ANSWER: Inspect the abdominal wound incision
23. The client is one (1) day postoperative major abdominal surgery. Which client
problem is a priority? - ANSWER: Fluid and electrolyte imbalance
24. The client has an eviscerated abdominal wound. Which intervention should the
practical nurse implement? - ANSWER: Apply sterile normal saline dressing
25. The client is diagnosed with peritonitis. Which information indicates to the
practical nurse the client's condition is improving? - ANSWER: The client has a
decrease in temperature and a soft abdomen
26. A patient is being released from the hospital with a prescription for tetracycline.
What should the nurse include in patient teaching?
Select all that apply.
- ANSWER: Advise limiting exposure to the sun.
Inform patient of the possibility of gastrointestinal upset.
Suggest eating crackers and some juice when taking this
medicine.
27. The nurse wants to determine if a patient not fully awake from anesthesia for a
surgical procedure is experiencing pain. What findings should the nurse use to
make this determination?
Select all that apply.
- ANSWER: Moaning
Restlessness
Pulling at a body area
Elevated blood pressure
28. A patient is diagnosed with an infection that has spread to the blood stream.
Which term should the nurse use to document this patient's health problem?
- ANSWER: Sepsis
#$%^&*
&^%$#$
%^&*&^
%$#$%^
&*&^%$
#$%^&*
