Medsurg 1- Brunner and Suddarth
Final Exam Graded A+
A nurse cares for a client with obesity who is scheduled to undergo vagal blocking
therapy. When teaching the client about the procedure or device, which statements will
the nurse include? Select all that apply.
A. "It is a pacemaker-type device that is implanted under your skin."
B. "A pre-programed pulsating signal is delivered."
C. "Recharge the device two times per week." - ANSWER-ABC
A nurse cares for an obese client who wants more information about
naltrexone/bupropion to help with weight loss. Which medical conditions does the nurse
recognize as contraindications to this medication? Select all that apply.
A. Uncontrolled hypertension
B. History of alcohol abuse
C. History of bulimia
D. Epilepsy - ANSWER-ABCD
A nurse educator is teaching a group of recent nursing graduates about their
occupational risks for contracting hepatitis B. What preventative measures should the
educator promote? Select all that apply.
A. Immunization
B. Use of standard precautions
C. Consumption of a vitamin-rich diet
D. Annual vitamin K injections
E. Annual vitamin B12 injections - ANSWER-AB
A nurse is caring for a patient in the late stages of esophageal cancer. The nurse should
plan to prevent or address what characteristics of this stage of the disease? Select all
that apply.
A. Perforation into the mediastinum
B. Development of an esophageal lesion
C. Erosion into the great vessels
D. Painful swallowing
E. Obstruction of the esophagus - ANSWER-ACE
A nurse is caring for a patient who has a diagnosis of GI bleed. During shift
assessment, the nurse finds the patient to be tachycardic and hypotensive, and the
patient has an episode of hematemesis while the nurse is in the room. In addition to
monitoring the patients vital signs and level of conscious, what would be a priority
nursing action for this patient?
A) Place the patient in a prone position.
B) Provide the patient with ice water to slow any GI bleeding.
C) Prepare for the insertion of an NG tube.
, D) Notify the physician. - ANSWER-D
A nurse is caring for a patient who has been admitted for the treatment of advanced
cirrhosis. What assessment should the nurse prioritize in this patient's plan of care?
A. Measurement of abdominal girth and body weight
B. Assessment for variceal bleeding
C. Assessment for signs and symptoms of jaundice
D. Monitoring of results of liver function testing - ANSWER-B
A nurse is caring for a patient who has been admitted to the hospital with diverticulitis.
Which of the following would be appropriate nursing diagnoses for this patient? Select
all that apply.
A. Acute Pain Related to Increased Peristalsis and GI Inflammation
B. Activity Intolerance Related to Generalized Weakness
C. Bowel Incontinence Related to Increased Intestinal Peristalsis
D. Deficient Fluid Volume Related to Anorexia, Nausea, and Diarrhea
E. Impaired Urinary Elimination Related to GI Pressure on the Bladder - ANSWER-ABD
A nurse is caring for a patient who is acutely ill and has included vigilant oral care in the
patients plan of care. Why are patients who are ill at increased risk for developing dental
caries?
A. Hormonal changes brought on by the stress response cause an acidic oral
environment
B. Systemic infections frequently migrate to the teeth
C. Hydration that is received intravenously lacks fluoride
D. Inadequate nutrition and decreased saliva production can cause cavities - ANSWER-
D
A nurse is caring for a patient with COPD. The patients medication regimen has been
recently changed and the nurse is assessing for therapeutic effect of a new
bronchodilator. What assessment parameters suggest a consequent improvement in
respiratory status?Select all that apply.
A) Negative sputum culture
B) Increased viscosity of lung secretions
C) Increased respiratory rate
D) Increased expiratory flow rate
E) Relief of dyspnea - ANSWER-DE
A nurse is caring for a postsurgical client with a Jackson-Pratt drain. Which type of
wound drainage should the nurse report to the health care provider?
A. large amounts of drainage that is clear and watery and has no smell
B. copious drainage that is blood-tinged
C. Small amount of drainage that appears to be mostly fresh blood
D. foul-smelling drainage that is grayish in color - ANSWER-D
Final Exam Graded A+
A nurse cares for a client with obesity who is scheduled to undergo vagal blocking
therapy. When teaching the client about the procedure or device, which statements will
the nurse include? Select all that apply.
A. "It is a pacemaker-type device that is implanted under your skin."
B. "A pre-programed pulsating signal is delivered."
C. "Recharge the device two times per week." - ANSWER-ABC
A nurse cares for an obese client who wants more information about
naltrexone/bupropion to help with weight loss. Which medical conditions does the nurse
recognize as contraindications to this medication? Select all that apply.
A. Uncontrolled hypertension
B. History of alcohol abuse
C. History of bulimia
D. Epilepsy - ANSWER-ABCD
A nurse educator is teaching a group of recent nursing graduates about their
occupational risks for contracting hepatitis B. What preventative measures should the
educator promote? Select all that apply.
A. Immunization
B. Use of standard precautions
C. Consumption of a vitamin-rich diet
D. Annual vitamin K injections
E. Annual vitamin B12 injections - ANSWER-AB
A nurse is caring for a patient in the late stages of esophageal cancer. The nurse should
plan to prevent or address what characteristics of this stage of the disease? Select all
that apply.
A. Perforation into the mediastinum
B. Development of an esophageal lesion
C. Erosion into the great vessels
D. Painful swallowing
E. Obstruction of the esophagus - ANSWER-ACE
A nurse is caring for a patient who has a diagnosis of GI bleed. During shift
assessment, the nurse finds the patient to be tachycardic and hypotensive, and the
patient has an episode of hematemesis while the nurse is in the room. In addition to
monitoring the patients vital signs and level of conscious, what would be a priority
nursing action for this patient?
A) Place the patient in a prone position.
B) Provide the patient with ice water to slow any GI bleeding.
C) Prepare for the insertion of an NG tube.
, D) Notify the physician. - ANSWER-D
A nurse is caring for a patient who has been admitted for the treatment of advanced
cirrhosis. What assessment should the nurse prioritize in this patient's plan of care?
A. Measurement of abdominal girth and body weight
B. Assessment for variceal bleeding
C. Assessment for signs and symptoms of jaundice
D. Monitoring of results of liver function testing - ANSWER-B
A nurse is caring for a patient who has been admitted to the hospital with diverticulitis.
Which of the following would be appropriate nursing diagnoses for this patient? Select
all that apply.
A. Acute Pain Related to Increased Peristalsis and GI Inflammation
B. Activity Intolerance Related to Generalized Weakness
C. Bowel Incontinence Related to Increased Intestinal Peristalsis
D. Deficient Fluid Volume Related to Anorexia, Nausea, and Diarrhea
E. Impaired Urinary Elimination Related to GI Pressure on the Bladder - ANSWER-ABD
A nurse is caring for a patient who is acutely ill and has included vigilant oral care in the
patients plan of care. Why are patients who are ill at increased risk for developing dental
caries?
A. Hormonal changes brought on by the stress response cause an acidic oral
environment
B. Systemic infections frequently migrate to the teeth
C. Hydration that is received intravenously lacks fluoride
D. Inadequate nutrition and decreased saliva production can cause cavities - ANSWER-
D
A nurse is caring for a patient with COPD. The patients medication regimen has been
recently changed and the nurse is assessing for therapeutic effect of a new
bronchodilator. What assessment parameters suggest a consequent improvement in
respiratory status?Select all that apply.
A) Negative sputum culture
B) Increased viscosity of lung secretions
C) Increased respiratory rate
D) Increased expiratory flow rate
E) Relief of dyspnea - ANSWER-DE
A nurse is caring for a postsurgical client with a Jackson-Pratt drain. Which type of
wound drainage should the nurse report to the health care provider?
A. large amounts of drainage that is clear and watery and has no smell
B. copious drainage that is blood-tinged
C. Small amount of drainage that appears to be mostly fresh blood
D. foul-smelling drainage that is grayish in color - ANSWER-D
