Med Surg Exam 3 Practice Exam
Med Surg Exam 3 Practice Predictor Exam
VERIFIED QUESTIONS AND ANSWERS Test
Bank with 350 QUESTIONS WITH CORRECT
DETAILED ANSWERS & RATIONALES |graded
A+
A client in a long-term care facility is being prepared to be discharged to home in 2 days. The
client has been eating a regular diet for a week; however, he is still receiving intermittent
enteral tube feedings and will need to receive these feedings at home. The client states
concern that he will not be able to continue the tube feedings at home. Which nursing
response is most appropriate at this time?
A. "Do you want to stay here in this facility for a few more days?"
B. "Have you discussed your feelings with your health care provider?"
C. "You need to talk to your health care provider about these concerns."
D. "Tell me more about your concerns with your diet after going home."
A+ TEST BANK 1
, Med Surg Exam 3 Practice Exam
D. "Tell me more about your concerns with your diet after going home."
Rationale:
A client often has fears about leaving the secure, cared-for environment of the health care
facility. This client has a fear about not being able to care for himself at home and of not being
able to handle the tube feedings at home. A therapeutic communication statement such as
"Tell me more about . . ." often leads to valuable information about the client and his
concerns. The statements in the remaining options are nontherapeutic.
The nurse should anticipate that the health care provider (HCP) will prescribe which
treatment for a client with pernicious anemia?
A. Oral iron tablets
B. Blood transfusions
C. Gastric tube feedings
D. Vitamin B12 injections
D. Vitamin B12 injections
Rationale:
A lack of the intrinsic factor needed to absorb vitamin B12 occurs in pernicious anemia.
Vitamin B12 is needed for the maturation of red blood cells. Iron is used for anemia that
results from a lack of iron. Blood transfusions are not needed for pernicious anemia because a
lack of red blood cells is not the problem. Gastric tube feedings will not replace vitamin B12.
Vitamin B12 needs to be given by injection to ensure absorption.
A client arrives at the hospital emergency department complaining of acute right lower
quadrant abdominal pain, and appendicitis is suspected. Laboratory tests are performed, and
the nurse notes that the client's white blood cell (WBC) count is elevated. On the basis of
these findings, the nurse should question which health care provider (HCP) prescription
A+ TEST BANK 2
, Med Surg Exam 3 Practice Exam
documented in the client's medical record?
A. Apply a cold pack to the abdomen.
B. Administer 30 mL of milk of magnesia (MOM).
C. Maintain nothing by mouth (nil per os [NPO]) status.
D. Initiate an intravenous (IV) line for the administration of IV fluids.
B. Administer 30 mL of milk of magnesia (MOM).
Rationale:
Appendicitis should be suspected in a client with an elevated WBC count complaining of acute
right lower abdominal quadrant pain. Laxatives are never prescribed because if appendicitis is
present, the effect of the laxative may cause a rupture with resultant peritonitis. Cold packs
may be prescribed for comfort. The client would be NPO and given IV fluids in preparation for
possible surgery.
The nurse is providing dietary instructions to a client with a diagnosis of irritable bowel
syndrome. The nurse determines that education was effective if the client states the need to
avoid which food?
A. Rice
B. Corn
C. Broiled chicken
D. Cream of wheat
B. Corn
Rationale:
The client with irritable bowel should take in a diet that consists of 30 to 40 g of fiber daily
because dietary fiber will help produce bulky, soft stools and establish regular bowel habits.
The client should also drink 8 to 10 glasses of fluid daily and chew food slowly to promote
normal bowel function. Foods that are irritating to the intestines need to be avoided. Corn is
A+ TEST BANK 3
, Med Surg Exam 3 Practice Exam
high in fiber but can be very irritating to the intestines and should be avoided. The food items
in the other options are acceptable to eat.
Diphenoxylate hydrochloride with atropine sulfate is prescribed for a client with ulcerative
colitis. The nurse should monitor the client for which therapeutic effect of this medication?
A. Decreased diarrhea
B. Decreased cramping
C. Improved intestinal tone
D. Elimination of peristalsis
A. Decreased diarrhea
Rationale:
Diphenoxylate hydrochloride with atropine sulfate is an antidiarrheal product that decreases
the frequency of defecation, usually by reducing the volume of liquid in the stools. The
remaining options are not associated therapeutic effects of this medication.
Sulfasalazine is prescribed for a client with a diagnosis of ulcerative colitis, and the nurse
instructs the client about the medication. Which statement made by the client indicates a
need for further teaching?
A. "The medication will cause constipation."
B. "I need to take the medication with meals."
C. "I may have increased sensitivity to sunlight."
D. "This medication should be taken as prescribed."
A. "The medication will cause constipation."
Rationale:
A+ TEST BANK 4
Med Surg Exam 3 Practice Predictor Exam
VERIFIED QUESTIONS AND ANSWERS Test
Bank with 350 QUESTIONS WITH CORRECT
DETAILED ANSWERS & RATIONALES |graded
A+
A client in a long-term care facility is being prepared to be discharged to home in 2 days. The
client has been eating a regular diet for a week; however, he is still receiving intermittent
enteral tube feedings and will need to receive these feedings at home. The client states
concern that he will not be able to continue the tube feedings at home. Which nursing
response is most appropriate at this time?
A. "Do you want to stay here in this facility for a few more days?"
B. "Have you discussed your feelings with your health care provider?"
C. "You need to talk to your health care provider about these concerns."
D. "Tell me more about your concerns with your diet after going home."
A+ TEST BANK 1
, Med Surg Exam 3 Practice Exam
D. "Tell me more about your concerns with your diet after going home."
Rationale:
A client often has fears about leaving the secure, cared-for environment of the health care
facility. This client has a fear about not being able to care for himself at home and of not being
able to handle the tube feedings at home. A therapeutic communication statement such as
"Tell me more about . . ." often leads to valuable information about the client and his
concerns. The statements in the remaining options are nontherapeutic.
The nurse should anticipate that the health care provider (HCP) will prescribe which
treatment for a client with pernicious anemia?
A. Oral iron tablets
B. Blood transfusions
C. Gastric tube feedings
D. Vitamin B12 injections
D. Vitamin B12 injections
Rationale:
A lack of the intrinsic factor needed to absorb vitamin B12 occurs in pernicious anemia.
Vitamin B12 is needed for the maturation of red blood cells. Iron is used for anemia that
results from a lack of iron. Blood transfusions are not needed for pernicious anemia because a
lack of red blood cells is not the problem. Gastric tube feedings will not replace vitamin B12.
Vitamin B12 needs to be given by injection to ensure absorption.
A client arrives at the hospital emergency department complaining of acute right lower
quadrant abdominal pain, and appendicitis is suspected. Laboratory tests are performed, and
the nurse notes that the client's white blood cell (WBC) count is elevated. On the basis of
these findings, the nurse should question which health care provider (HCP) prescription
A+ TEST BANK 2
, Med Surg Exam 3 Practice Exam
documented in the client's medical record?
A. Apply a cold pack to the abdomen.
B. Administer 30 mL of milk of magnesia (MOM).
C. Maintain nothing by mouth (nil per os [NPO]) status.
D. Initiate an intravenous (IV) line for the administration of IV fluids.
B. Administer 30 mL of milk of magnesia (MOM).
Rationale:
Appendicitis should be suspected in a client with an elevated WBC count complaining of acute
right lower abdominal quadrant pain. Laxatives are never prescribed because if appendicitis is
present, the effect of the laxative may cause a rupture with resultant peritonitis. Cold packs
may be prescribed for comfort. The client would be NPO and given IV fluids in preparation for
possible surgery.
The nurse is providing dietary instructions to a client with a diagnosis of irritable bowel
syndrome. The nurse determines that education was effective if the client states the need to
avoid which food?
A. Rice
B. Corn
C. Broiled chicken
D. Cream of wheat
B. Corn
Rationale:
The client with irritable bowel should take in a diet that consists of 30 to 40 g of fiber daily
because dietary fiber will help produce bulky, soft stools and establish regular bowel habits.
The client should also drink 8 to 10 glasses of fluid daily and chew food slowly to promote
normal bowel function. Foods that are irritating to the intestines need to be avoided. Corn is
A+ TEST BANK 3
, Med Surg Exam 3 Practice Exam
high in fiber but can be very irritating to the intestines and should be avoided. The food items
in the other options are acceptable to eat.
Diphenoxylate hydrochloride with atropine sulfate is prescribed for a client with ulcerative
colitis. The nurse should monitor the client for which therapeutic effect of this medication?
A. Decreased diarrhea
B. Decreased cramping
C. Improved intestinal tone
D. Elimination of peristalsis
A. Decreased diarrhea
Rationale:
Diphenoxylate hydrochloride with atropine sulfate is an antidiarrheal product that decreases
the frequency of defecation, usually by reducing the volume of liquid in the stools. The
remaining options are not associated therapeutic effects of this medication.
Sulfasalazine is prescribed for a client with a diagnosis of ulcerative colitis, and the nurse
instructs the client about the medication. Which statement made by the client indicates a
need for further teaching?
A. "The medication will cause constipation."
B. "I need to take the medication with meals."
C. "I may have increased sensitivity to sunlight."
D. "This medication should be taken as prescribed."
A. "The medication will cause constipation."
Rationale:
A+ TEST BANK 4
