TEST BANK
MEDICAL SURGICAL NURSING BY LINTON MATTESON
8TH EDITION
1|Page
,MULTIPLE CHOICES
1. A nurse is assessing a client who has a diagnosis on colon cancer which of the following
should the nurse expect?
a) Statorrhea
b) Elevated hemoglobin
c) Hematochezia
d) Weight gain
C) Hematochezia
2. A nurse is assessing a client admitted with peripheral vascular disease,. Which of the
following findings indicates a venous vascular disorder?
a) An ulcer at the tip of a toe b) Hair loss distal to the clients calves
c) Leg pain at rest
d) Edema of the ankle
D) Edema of the ankle
3.A nurse is assessing a client who has pericarditis. In which of the following areas of the
client's chest should the nurse place the stethoscope to best hear a pericardial friction rub?
(select HOT spot) Answer: D
Heart level
4. A nurse is caring for a client who has a chest tube. The client asks why the fluid in the
water -seal chamber rises and falls. Which of the following statements should the nurse
make?
a) " this means your lung is fully expanded "
b) " this indicates a possible leak"
c) " suction pressure that is too high causes this"
d) " Your breathing pattern causes this"
d) " Your breathing pattern causes this"
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,5. A community health nurse is reviewing home care instructions with an older adult client
who has a new diagnosis of heart failure. Which of the following is the priority topic for the
nurse to review with the client?
a) Daily sodium restriction
b) Daily exercise routine
c) Changes in weight
d) Fluid intake recor
C) changes in weight
6. A nurse is teaching a client about the use of transcutaneous electrical nerve stimulation
(TENS) unit. Which of the following statements should the nurse include? a) "Apply lotion to
the site prior to attaching the electrodes"
b) " this device requires access to a 220 volt outlet"
c) ' this device delivers heat via electrodes that are attached to the effected area"
d) "adjust the dial until you feel a 'pins and needles' sensation"
d) "adjust the dial until you feel a 'pins and needles' sensation"
7. A nurse is providing teaching to a client who is postoperative following a total hip
arthroplasty. Which of the following statements should the nurse make?
a) " use raised toilet seat to maintain your hips above the knees"
b) " twist at the waist when standing from a seated position"
c) "move your stronger leg first when using a walker"
d) " apply a heating pad to the operative hip to decrease pain
a) " use raised toilet seat to maintain your hips above the knees"
8. A nurse finds a client in bed, unresponsive and breathing. Which of the following action
should the nurse take first?
a) Establish IV access
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, b) Apply blood pressure cuff c) Palpate for the client's carotid pulse
d) Initiate cardiac monitoring for the client
c) Palpate for the client's carotid pulse
9. A nurse is caring who is experiencing a hypertensive crisis. Which of the following actions
should the nurse take? a) Initiate IV dopamine infusion
b) Perform neurological assessments
c) Place the client supine
d) Begin an IV bolus of lacted ringer's
b) Perform neurological assessments
10. A nurse is providing discharge teaching about blood sugar monitoring for a client who has
a new diagnosis of type 2 diabetes mellitus. The nurse should instruct the client to obtain
which of the following supplies? a) Sterile lancets
b) Compression stockings
c) Hand mirror
a) sterile lancets
11. A nurse is completing discharge teaching who has a peripherally inserted central catheter (
PICC) line in the left arm. Which of the following instructions should the nurse include in the
teaching?
a) Do not elevate the arm above the level of the heart b) Change the catheter dressing daily
c) Use 10- mL syringe to flush line
d) Clean the insertion site using 20- mL of hydrogen peroxide
c) use 10ml syringe to flush line
12. A nurse is caring for a client who has a sealed radiation implant. Which of the following
actions should the nurse take?
a) Remove soiled linens from the room after each change
4|Page
MEDICAL SURGICAL NURSING BY LINTON MATTESON
8TH EDITION
1|Page
,MULTIPLE CHOICES
1. A nurse is assessing a client who has a diagnosis on colon cancer which of the following
should the nurse expect?
a) Statorrhea
b) Elevated hemoglobin
c) Hematochezia
d) Weight gain
C) Hematochezia
2. A nurse is assessing a client admitted with peripheral vascular disease,. Which of the
following findings indicates a venous vascular disorder?
a) An ulcer at the tip of a toe b) Hair loss distal to the clients calves
c) Leg pain at rest
d) Edema of the ankle
D) Edema of the ankle
3.A nurse is assessing a client who has pericarditis. In which of the following areas of the
client's chest should the nurse place the stethoscope to best hear a pericardial friction rub?
(select HOT spot) Answer: D
Heart level
4. A nurse is caring for a client who has a chest tube. The client asks why the fluid in the
water -seal chamber rises and falls. Which of the following statements should the nurse
make?
a) " this means your lung is fully expanded "
b) " this indicates a possible leak"
c) " suction pressure that is too high causes this"
d) " Your breathing pattern causes this"
d) " Your breathing pattern causes this"
2|Page
,5. A community health nurse is reviewing home care instructions with an older adult client
who has a new diagnosis of heart failure. Which of the following is the priority topic for the
nurse to review with the client?
a) Daily sodium restriction
b) Daily exercise routine
c) Changes in weight
d) Fluid intake recor
C) changes in weight
6. A nurse is teaching a client about the use of transcutaneous electrical nerve stimulation
(TENS) unit. Which of the following statements should the nurse include? a) "Apply lotion to
the site prior to attaching the electrodes"
b) " this device requires access to a 220 volt outlet"
c) ' this device delivers heat via electrodes that are attached to the effected area"
d) "adjust the dial until you feel a 'pins and needles' sensation"
d) "adjust the dial until you feel a 'pins and needles' sensation"
7. A nurse is providing teaching to a client who is postoperative following a total hip
arthroplasty. Which of the following statements should the nurse make?
a) " use raised toilet seat to maintain your hips above the knees"
b) " twist at the waist when standing from a seated position"
c) "move your stronger leg first when using a walker"
d) " apply a heating pad to the operative hip to decrease pain
a) " use raised toilet seat to maintain your hips above the knees"
8. A nurse finds a client in bed, unresponsive and breathing. Which of the following action
should the nurse take first?
a) Establish IV access
3|Page
, b) Apply blood pressure cuff c) Palpate for the client's carotid pulse
d) Initiate cardiac monitoring for the client
c) Palpate for the client's carotid pulse
9. A nurse is caring who is experiencing a hypertensive crisis. Which of the following actions
should the nurse take? a) Initiate IV dopamine infusion
b) Perform neurological assessments
c) Place the client supine
d) Begin an IV bolus of lacted ringer's
b) Perform neurological assessments
10. A nurse is providing discharge teaching about blood sugar monitoring for a client who has
a new diagnosis of type 2 diabetes mellitus. The nurse should instruct the client to obtain
which of the following supplies? a) Sterile lancets
b) Compression stockings
c) Hand mirror
a) sterile lancets
11. A nurse is completing discharge teaching who has a peripherally inserted central catheter (
PICC) line in the left arm. Which of the following instructions should the nurse include in the
teaching?
a) Do not elevate the arm above the level of the heart b) Change the catheter dressing daily
c) Use 10- mL syringe to flush line
d) Clean the insertion site using 20- mL of hydrogen peroxide
c) use 10ml syringe to flush line
12. A nurse is caring for a client who has a sealed radiation implant. Which of the following
actions should the nurse take?
a) Remove soiled linens from the room after each change
4|Page
