PN ADULT MEDICAL SURGICAL
NURSING WITH QUESTIONS AND
ANSWERS WRITTEN CORRECTLY
A nurse is caring for a client who has a new diagnosis of type 2 diabetes Mellitus and reports difficulty
following the diet and remembering to take the prescribed medication. Which of the following actions
should the nurse take to promote client compliance? (Select all that apply)
A. Recommend a referral to the dietitian to assist with meal planning
B. Contact the clients support system.
C. Collect data regarding age related cognitive awareness
D. encourage the use of daily medication dispenser,
E. review provided educational materials for home use - ANSWER✔✔✨---A, B, D, E.
A nurse is assisting with the evaluation of the level of wellness for clients using the illness-wellness
continuum tool. The nurse should identify which of the following clients as being at the center of the
continuum?
A. A college student who has influenza
B. An older adult who has a new diagnosis of type 2 diabetes mellitus
C. A new mother who has a urinary tract infection
D. A young male client who has a long history of well controlled rheumatoid arthritis -
ANSWER✔✔✨---D. young male client who has a long history of well controlled rheumatoid arthritis
A nurse is assisting with the evaluation of clients at a health fair for modifiable variables affecting health
and wellness. The nurse should identify which of the following variables as modifiable? (Select all that
apply)
A. Smoking on social occasions
B. BMI of 28
, C. Alopecia
D. Trisomy 21
E. History of reflux - ANSWER✔✔✨---A, B, E. Smoking on social occasions, BMI of 28, history of
reflux
A nurse is caring for a client who was just informed of a new diagnosis of breast cancer. Which of the
following statements by the client reflects a lack of understanding of an illness perspective?
A. "I have no family history of breast cancer
B. I need a second opinion. There is no lump.
C. I am glad we live in the city near several large hospitals.
D. I will schedule surgery next week, over the holidays. - ANSWER✔✔✨---B. "I need a second
opinion. There is no lump."
ABCDE - ANSWER✔✔✨---Airway, breathing, circulation, disability, exposure
Hypoxia - ANSWER✔✔✨---lack of oxygen, brain injury or death occurs in 3-5 min
If a client is not breathing or is breathing inadequately - ANSWER✔✔✨---manual ventilation should
be performed by a bag valve mask with supplemental oxygen or mouth-to-mask ventilation until bag
valve mask can be obtained
Shock is... - ANSWER✔✔✨---The body's response to inadequate tissue perfusion and oxygenation.
Increased heart rate, hypotension, results in tissue ischemia and necrosis
AVPU mnemonic - ANSWER✔✔✨---A-alert V- responsive to voice, P- responsive to pain, U-
unresponsive
Glasgow Coma Scale - ANSWER✔✔✨---eyes, verbal, motor
Max- 15 pts, 3= totally unresponsive
Victims are at risk for... - ANSWER✔✔✨---Hypothermia (35c 95F or less)
NURSING WITH QUESTIONS AND
ANSWERS WRITTEN CORRECTLY
A nurse is caring for a client who has a new diagnosis of type 2 diabetes Mellitus and reports difficulty
following the diet and remembering to take the prescribed medication. Which of the following actions
should the nurse take to promote client compliance? (Select all that apply)
A. Recommend a referral to the dietitian to assist with meal planning
B. Contact the clients support system.
C. Collect data regarding age related cognitive awareness
D. encourage the use of daily medication dispenser,
E. review provided educational materials for home use - ANSWER✔✔✨---A, B, D, E.
A nurse is assisting with the evaluation of the level of wellness for clients using the illness-wellness
continuum tool. The nurse should identify which of the following clients as being at the center of the
continuum?
A. A college student who has influenza
B. An older adult who has a new diagnosis of type 2 diabetes mellitus
C. A new mother who has a urinary tract infection
D. A young male client who has a long history of well controlled rheumatoid arthritis -
ANSWER✔✔✨---D. young male client who has a long history of well controlled rheumatoid arthritis
A nurse is assisting with the evaluation of clients at a health fair for modifiable variables affecting health
and wellness. The nurse should identify which of the following variables as modifiable? (Select all that
apply)
A. Smoking on social occasions
B. BMI of 28
, C. Alopecia
D. Trisomy 21
E. History of reflux - ANSWER✔✔✨---A, B, E. Smoking on social occasions, BMI of 28, history of
reflux
A nurse is caring for a client who was just informed of a new diagnosis of breast cancer. Which of the
following statements by the client reflects a lack of understanding of an illness perspective?
A. "I have no family history of breast cancer
B. I need a second opinion. There is no lump.
C. I am glad we live in the city near several large hospitals.
D. I will schedule surgery next week, over the holidays. - ANSWER✔✔✨---B. "I need a second
opinion. There is no lump."
ABCDE - ANSWER✔✔✨---Airway, breathing, circulation, disability, exposure
Hypoxia - ANSWER✔✔✨---lack of oxygen, brain injury or death occurs in 3-5 min
If a client is not breathing or is breathing inadequately - ANSWER✔✔✨---manual ventilation should
be performed by a bag valve mask with supplemental oxygen or mouth-to-mask ventilation until bag
valve mask can be obtained
Shock is... - ANSWER✔✔✨---The body's response to inadequate tissue perfusion and oxygenation.
Increased heart rate, hypotension, results in tissue ischemia and necrosis
AVPU mnemonic - ANSWER✔✔✨---A-alert V- responsive to voice, P- responsive to pain, U-
unresponsive
Glasgow Coma Scale - ANSWER✔✔✨---eyes, verbal, motor
Max- 15 pts, 3= totally unresponsive
Victims are at risk for... - ANSWER✔✔✨---Hypothermia (35c 95F or less)
