Med-Surge Theory Final All practice questions from Week 2
– 13 Questions With Complete Solutions
Following an exploratory laparotomy and bowel resection, a
client has an NG tube to suction but complains of nausea and
stomach distension. The nurse irrigates the tube PRN as ordered,
but the irrigating fluid does not return. What should be the next
nursing action?
A. Notify the physician.
B. Auscultate for bowel sounds.
C. Reposition the tube and check for placement.
D. Remove the tube and replace it with a new one.
C. Reposition the tube and check for placement.
A client asks the nurse why a dose of morphine sulphate by IV
bolus is given before starting the medication via PCA. Which of
the following responses is most appropriate?
A. "PCA takes at least 2 hours to begin working, so the IV bolus
dose will provide pain relief in the interim."
B. "The IV bolus dose will enhance the effects of the PCA for
the next 8 hours."
C. "The IV bolus dose will provide for immediate pain relief,
which can be maintained by using the PCA."
D. "PCA will never be effective unless a bolus dose is given
first."
,C. "The IV bolus dose will provide for immediate pain relief,
which can be maintained by using the PCA."
The client did not have an advance directive when he suffered a
serious stroke. Who is responsible for identifying end-of-life
measures to be instituted when the patient cannot communicate
his or her specific wishes?
A.Adult children
B.Notary and attorney
C.Physician and family
D.Physician and nursing staff
C.Physician and family
What is the primary difference between benign and malignant
neoplasms?
A.The rate of cell proliferation
B.The site of malignant tumour
C.The requirements for cellular nutrients
D.The characteristic of tissue invasiveness
D.The characteristic of tissue invasiveness
The nurse is caring for a client who has recently been diagnosed
with stage II cervical cancer. Which of the following
characteristics should the nurse understand related to this stage?
,A. It is in situ
B. It has metastasized
C. It has spread locally
D. It has spread extensively
C. It has spread locally
Mrs. Smith reports nausea and vomiting following her daily
chemotherapy treatment. Which of the following is the most
appropriate nursing intervention?
A.Keep Mrs. Smith NPO until her daily chemotherapy is
completed.
B.Provide antiemetic medications 30 to 40 minutes prior to each
treatment.
C.Provide clear liquids until the chemotherapy is completed.
D.Schedule chemotherapy administration for bedtime.
B.Provide antiemetic medications 30 to 40 minutes prior to each
treatment.
When assessing the client experiencing the onset of type 1
diabetes, which question should the nurse ask?
A."Have you lost any weight lately?"
B."Do you crave fluids containing sugar?"
C."How long have you felt anorexic?"
D."Is your urine unusually dark-coloured?"
A."Have you lost any weight lately?"
, A client with newly diagnosed type 2 diabetes asks the nurse
what "type 2" means in relation to diabetes. Which of the
following statements best explains to the client how type 2
diabetes primarily differs from type 1 diabetes?
A."With type 2 diabetes, the client is totally dependent on an
outside source of insulin."
B."With type 2 diabetes, decreased insulin secretion, cellular
resistance to insulin, or both are produced."
C."With type 2 diabetes, islet cell antibodies and insulin
autoantibodies destroy beta cells in the pancreas."
D."With type 2 diabetes, the C-peptide chain of proinsulin
secreted by the pancreas cannot be removed by the liver,
resulting in a lack of active insulin."
B."With type 2 diabetes, decreased insulin secretion, cellular
resistance to insulin, or both are produced."
A client screened for diabetes at a clinic has a fasting plasma
glucose of 6.7 mmol/L (120 mg/dL). What will the nurse plan to
teach the client about?
A.Use of low doses of regular insulin
B.Self-monitoring of blood glucose
C.Oral hypoglycemic medications
D.Maintenance of a healthy weight
D.Maintenance of a healthy weight
- Give the patient 3 month trial to improve diet and excersise
then you would start oral medications if no change in weight
– 13 Questions With Complete Solutions
Following an exploratory laparotomy and bowel resection, a
client has an NG tube to suction but complains of nausea and
stomach distension. The nurse irrigates the tube PRN as ordered,
but the irrigating fluid does not return. What should be the next
nursing action?
A. Notify the physician.
B. Auscultate for bowel sounds.
C. Reposition the tube and check for placement.
D. Remove the tube and replace it with a new one.
C. Reposition the tube and check for placement.
A client asks the nurse why a dose of morphine sulphate by IV
bolus is given before starting the medication via PCA. Which of
the following responses is most appropriate?
A. "PCA takes at least 2 hours to begin working, so the IV bolus
dose will provide pain relief in the interim."
B. "The IV bolus dose will enhance the effects of the PCA for
the next 8 hours."
C. "The IV bolus dose will provide for immediate pain relief,
which can be maintained by using the PCA."
D. "PCA will never be effective unless a bolus dose is given
first."
,C. "The IV bolus dose will provide for immediate pain relief,
which can be maintained by using the PCA."
The client did not have an advance directive when he suffered a
serious stroke. Who is responsible for identifying end-of-life
measures to be instituted when the patient cannot communicate
his or her specific wishes?
A.Adult children
B.Notary and attorney
C.Physician and family
D.Physician and nursing staff
C.Physician and family
What is the primary difference between benign and malignant
neoplasms?
A.The rate of cell proliferation
B.The site of malignant tumour
C.The requirements for cellular nutrients
D.The characteristic of tissue invasiveness
D.The characteristic of tissue invasiveness
The nurse is caring for a client who has recently been diagnosed
with stage II cervical cancer. Which of the following
characteristics should the nurse understand related to this stage?
,A. It is in situ
B. It has metastasized
C. It has spread locally
D. It has spread extensively
C. It has spread locally
Mrs. Smith reports nausea and vomiting following her daily
chemotherapy treatment. Which of the following is the most
appropriate nursing intervention?
A.Keep Mrs. Smith NPO until her daily chemotherapy is
completed.
B.Provide antiemetic medications 30 to 40 minutes prior to each
treatment.
C.Provide clear liquids until the chemotherapy is completed.
D.Schedule chemotherapy administration for bedtime.
B.Provide antiemetic medications 30 to 40 minutes prior to each
treatment.
When assessing the client experiencing the onset of type 1
diabetes, which question should the nurse ask?
A."Have you lost any weight lately?"
B."Do you crave fluids containing sugar?"
C."How long have you felt anorexic?"
D."Is your urine unusually dark-coloured?"
A."Have you lost any weight lately?"
, A client with newly diagnosed type 2 diabetes asks the nurse
what "type 2" means in relation to diabetes. Which of the
following statements best explains to the client how type 2
diabetes primarily differs from type 1 diabetes?
A."With type 2 diabetes, the client is totally dependent on an
outside source of insulin."
B."With type 2 diabetes, decreased insulin secretion, cellular
resistance to insulin, or both are produced."
C."With type 2 diabetes, islet cell antibodies and insulin
autoantibodies destroy beta cells in the pancreas."
D."With type 2 diabetes, the C-peptide chain of proinsulin
secreted by the pancreas cannot be removed by the liver,
resulting in a lack of active insulin."
B."With type 2 diabetes, decreased insulin secretion, cellular
resistance to insulin, or both are produced."
A client screened for diabetes at a clinic has a fasting plasma
glucose of 6.7 mmol/L (120 mg/dL). What will the nurse plan to
teach the client about?
A.Use of low doses of regular insulin
B.Self-monitoring of blood glucose
C.Oral hypoglycemic medications
D.Maintenance of a healthy weight
D.Maintenance of a healthy weight
- Give the patient 3 month trial to improve diet and excersise
then you would start oral medications if no change in weight
