Medical Surgical Comp IEN_A
Questions and Answers
A client is diagnosed with HTN. The client says, "I have trouble remembering to take my
medications, but I am now only smoking 5 cigarettes a day instead of 2 packs." Which response
by the nurse is best?
a. "Ask your spouse to help you remember the medications. The smoking needs to be reduced
even more."
b. "It is good that your smoking has decreased. Let's talk about ways to remember the
medication."
c. "You must take the medication, and the smoking habit needs to stop very soon."
d. "It sounds like you are trying to adhere to the plan. Tell me about your current diet." -
<CORRECT ANSWER >>b. "It is good that your smoking has decreased. Let's talk about ways to
remember the medication."
A client is diagnosed with myasthenia gravis. The client says, "I am tired all the time and I don't
want to live any more. If I stop taking my medication, I can stop breathing." Which is the nurse's
best response?
a. Ask client about feelings of hopelessness
b. Give client information about a myasthenia gravis group
c. Place client on suicide watch
d. Teach client about the new medication - <CORRECT ANSWER >>a. Ask client about feelings of
hopelessness
The nurse suctions a client's tracheostomy. Which technique does the nurse use? (select all)
a. Routinely instills sterile normal saline before suctioning
b. Applies suction when inserting the catheter
, c. Suctions the client every hour
d. Uses sterile technique when suctioning
e. Rotates the catheter when withdrawing
f. Uses intermittent suctioning - <CORRECT ANSWER >>a. Routinely instills sterile normal saline
before suctioning
d. Uses sterile technique when suctioning
e. Rotates the catheter when withdrawing
f. Uses intermittent suctioning
A client is diagnosed with epilepsy following a series of seizures. The nurse identifies which
client goal as the priority?
a. Client will maintain optimal mental functioning
b. Client will have no injuries during a seizure
c. Client will meet with a counselor as needed
d. Client will take all medications as directed - <CORRECT ANSWER >>d. Client will take all
medications as directed
A client just had an upper GI X-ray procedure. Which information is most important for the
nurse to give the client?
a. Save stool specimen after 48 hours
b. Take a laxative after 72 hours if no stool
c. Clear liquid diet only for 24 hours then a regular diet
d. Drink large amounts of fluid for 72 hours - <CORRECT ANSWER >>d. Drink large amounts of
fluid for 72 hours
Questions and Answers
A client is diagnosed with HTN. The client says, "I have trouble remembering to take my
medications, but I am now only smoking 5 cigarettes a day instead of 2 packs." Which response
by the nurse is best?
a. "Ask your spouse to help you remember the medications. The smoking needs to be reduced
even more."
b. "It is good that your smoking has decreased. Let's talk about ways to remember the
medication."
c. "You must take the medication, and the smoking habit needs to stop very soon."
d. "It sounds like you are trying to adhere to the plan. Tell me about your current diet." -
<CORRECT ANSWER >>b. "It is good that your smoking has decreased. Let's talk about ways to
remember the medication."
A client is diagnosed with myasthenia gravis. The client says, "I am tired all the time and I don't
want to live any more. If I stop taking my medication, I can stop breathing." Which is the nurse's
best response?
a. Ask client about feelings of hopelessness
b. Give client information about a myasthenia gravis group
c. Place client on suicide watch
d. Teach client about the new medication - <CORRECT ANSWER >>a. Ask client about feelings of
hopelessness
The nurse suctions a client's tracheostomy. Which technique does the nurse use? (select all)
a. Routinely instills sterile normal saline before suctioning
b. Applies suction when inserting the catheter
, c. Suctions the client every hour
d. Uses sterile technique when suctioning
e. Rotates the catheter when withdrawing
f. Uses intermittent suctioning - <CORRECT ANSWER >>a. Routinely instills sterile normal saline
before suctioning
d. Uses sterile technique when suctioning
e. Rotates the catheter when withdrawing
f. Uses intermittent suctioning
A client is diagnosed with epilepsy following a series of seizures. The nurse identifies which
client goal as the priority?
a. Client will maintain optimal mental functioning
b. Client will have no injuries during a seizure
c. Client will meet with a counselor as needed
d. Client will take all medications as directed - <CORRECT ANSWER >>d. Client will take all
medications as directed
A client just had an upper GI X-ray procedure. Which information is most important for the
nurse to give the client?
a. Save stool specimen after 48 hours
b. Take a laxative after 72 hours if no stool
c. Clear liquid diet only for 24 hours then a regular diet
d. Drink large amounts of fluid for 72 hours - <CORRECT ANSWER >>d. Drink large amounts of
fluid for 72 hours
