MEDICAL SURGICAL NURSING-ANSWERS
1. A 42-year-old client admitted with an acute myocardial infarction asks to see his
chart. What should the nurse do first?
a. Allow the client to view his chart
b. Contact the supervisor and physician for approval
c. Ask the client if he has concerns about his care
d. Tell the client that he isn't permitted to view his chart.
2. A registered nurse who works in the preoperative area of the operating room notices
that a client is scheduled for a partial mastectomy and axillary lymph node removal the
following week. The nurse should make sure, that the client is well educated about her
surgery by:
a. taking with the nursing staff at the physician's office to find out what the client has
been taught and her level of understanding
b. making sure that the post-anesthesia recovery unit nurses know what to teach the
patient before discharge
c. providing all of the preoperative teaching before surgery
d. having the post-operative nurses teach the patient because she'll be too anxious
before surgery
3. A male client brings a list of his prescribed medications to the clinic. During the initial
assessment, he tells the nurse that he has been experiencing delayed ejaculation. Which
drug class is associated with this problem?
a. Anticoagulants
b. Antibiotics
c. Antihypertensive
d. Steroids
Situation: Larry was admitted at Manila Doctor's Hospital because of a second-degree
burn wound.
4. Before debriding a second-degree burn wound in the left lower leg, the nurse should
do which of the following?
a. Apply Lindane (Kwell) to the affected area
b. Medicate the client with narcotic analgesic
c. Administer acylovir (Zovirax) IV
d. Apply a topical antimicrobial ointment
5. Larry’s anterior trunk, both front upper extremities, both lower extremities sustained
second and third degree burn. Estimate the total percentage of body surface area
,burned using the Rule of Nines.
a. 60%
b. 63%
c. 62%
d. 61%
Situation 4. Hearing, impairment appears to be common among elderly patients. But
also occurs among children.
6. To assess the degree of hearing impairment of a 70-year-old client. Which
communication approach would you initiate?
a. Use verbal communication and observe the response
b. Give message to client in writing
c. Asks a family member about the client's
d. Post a sign "Patient deaf"
7. While you are mating your routine rounds you were told that there is a client in the
1CU who is in respirator and who lip-reads. To establish relationship with him,
communication is best accomplished by:
a. Speaking slowly but aloud
b. Writing messages
c. Gesturing while speaking
d. Using simple "charade" approach or strategy
8. One of your client's has just undergone an ear surgery. Which of the following would
be inappropriate in planning for his care?
a. Administration of anti-emetics and analgesics as ordered
b. Daily irrigation of the ear canal
c. Walking with assistance at least 24 hours after operation
d. Teaching the patient to avoid sneezing, coughing and nose blowing
9. Which of the following conditions would an irrigation of the ear canal be appropriate
intervention?
a. Foreign body in the ear canal
b. Serious otitis
c. Impacted cerumen
d. Tympanic membrane perforation
10. Children who have undetected hearing loss are likely to exhibit which of the
, following:
a. Indifference and lack of interest in the environment
b. Hyperactivity
c. An increased interest in reading
d. Hand gestures while speaking
Situation 9. One of the main fools of the nursing profession is the use of therapeutic
communication. The following situation would require you of your communication skills.
11. A patient who is diagnosed to have terminal illness tells you. "I’m really scared. Am I
dying?" What could be your most appropriate response?
a. "Tell me about what you think."
b. "I'm sure you are scared; other clients in your situation feel the same way."
c. "You should be careful not to let your family know you're scared"
d. "Why are you scared?"
12. The nurse assessing a male client who has been admitted for treatment of
alcoholism. Which question by the nurse is least appropriate?
a. "How much do you think?"
b. "What other drugs do you use?" .
c. "How is your general health?"
d. "Why do you drink so much?"
13. A 58-year-old male client tells the office nurse that his wife does not let him change
his colostomy bag himself. Which response by the nurse indicates as understanding of
the situation?
a. "Your wife's need to help you is a reality you should accept"
b. "Do you think your wife might benefit from counseling?"
c. "You feel you need privacy when changing your colostomy?"
d. "Have you discussed the situation with your doctor?"
14. An 87 year old widow was hospitalized for treatment of chronic renal disease. She
lives with her daughter and son-in-law and their family, who are very supportive. She is
now ready for discharge. The doctor has ordered high carbohydrates, low-protein, low
sodium diet for her and the family has asked for assistance in planning low-sodium diet
meals. Which of the following choices best reflects the pre-discharge information the
nurse should provide for the client's family regarding low-sodium diet?
a. Avoid canned and processed foods, do not use salt replacements substitute herbs and
replaces for salt in cooking and when seasoning foods, call a dietitian for help.
b. Use potassium salts in place of table salt when coking and seasoning foods, read the
1. A 42-year-old client admitted with an acute myocardial infarction asks to see his
chart. What should the nurse do first?
a. Allow the client to view his chart
b. Contact the supervisor and physician for approval
c. Ask the client if he has concerns about his care
d. Tell the client that he isn't permitted to view his chart.
2. A registered nurse who works in the preoperative area of the operating room notices
that a client is scheduled for a partial mastectomy and axillary lymph node removal the
following week. The nurse should make sure, that the client is well educated about her
surgery by:
a. taking with the nursing staff at the physician's office to find out what the client has
been taught and her level of understanding
b. making sure that the post-anesthesia recovery unit nurses know what to teach the
patient before discharge
c. providing all of the preoperative teaching before surgery
d. having the post-operative nurses teach the patient because she'll be too anxious
before surgery
3. A male client brings a list of his prescribed medications to the clinic. During the initial
assessment, he tells the nurse that he has been experiencing delayed ejaculation. Which
drug class is associated with this problem?
a. Anticoagulants
b. Antibiotics
c. Antihypertensive
d. Steroids
Situation: Larry was admitted at Manila Doctor's Hospital because of a second-degree
burn wound.
4. Before debriding a second-degree burn wound in the left lower leg, the nurse should
do which of the following?
a. Apply Lindane (Kwell) to the affected area
b. Medicate the client with narcotic analgesic
c. Administer acylovir (Zovirax) IV
d. Apply a topical antimicrobial ointment
5. Larry’s anterior trunk, both front upper extremities, both lower extremities sustained
second and third degree burn. Estimate the total percentage of body surface area
,burned using the Rule of Nines.
a. 60%
b. 63%
c. 62%
d. 61%
Situation 4. Hearing, impairment appears to be common among elderly patients. But
also occurs among children.
6. To assess the degree of hearing impairment of a 70-year-old client. Which
communication approach would you initiate?
a. Use verbal communication and observe the response
b. Give message to client in writing
c. Asks a family member about the client's
d. Post a sign "Patient deaf"
7. While you are mating your routine rounds you were told that there is a client in the
1CU who is in respirator and who lip-reads. To establish relationship with him,
communication is best accomplished by:
a. Speaking slowly but aloud
b. Writing messages
c. Gesturing while speaking
d. Using simple "charade" approach or strategy
8. One of your client's has just undergone an ear surgery. Which of the following would
be inappropriate in planning for his care?
a. Administration of anti-emetics and analgesics as ordered
b. Daily irrigation of the ear canal
c. Walking with assistance at least 24 hours after operation
d. Teaching the patient to avoid sneezing, coughing and nose blowing
9. Which of the following conditions would an irrigation of the ear canal be appropriate
intervention?
a. Foreign body in the ear canal
b. Serious otitis
c. Impacted cerumen
d. Tympanic membrane perforation
10. Children who have undetected hearing loss are likely to exhibit which of the
, following:
a. Indifference and lack of interest in the environment
b. Hyperactivity
c. An increased interest in reading
d. Hand gestures while speaking
Situation 9. One of the main fools of the nursing profession is the use of therapeutic
communication. The following situation would require you of your communication skills.
11. A patient who is diagnosed to have terminal illness tells you. "I’m really scared. Am I
dying?" What could be your most appropriate response?
a. "Tell me about what you think."
b. "I'm sure you are scared; other clients in your situation feel the same way."
c. "You should be careful not to let your family know you're scared"
d. "Why are you scared?"
12. The nurse assessing a male client who has been admitted for treatment of
alcoholism. Which question by the nurse is least appropriate?
a. "How much do you think?"
b. "What other drugs do you use?" .
c. "How is your general health?"
d. "Why do you drink so much?"
13. A 58-year-old male client tells the office nurse that his wife does not let him change
his colostomy bag himself. Which response by the nurse indicates as understanding of
the situation?
a. "Your wife's need to help you is a reality you should accept"
b. "Do you think your wife might benefit from counseling?"
c. "You feel you need privacy when changing your colostomy?"
d. "Have you discussed the situation with your doctor?"
14. An 87 year old widow was hospitalized for treatment of chronic renal disease. She
lives with her daughter and son-in-law and their family, who are very supportive. She is
now ready for discharge. The doctor has ordered high carbohydrates, low-protein, low
sodium diet for her and the family has asked for assistance in planning low-sodium diet
meals. Which of the following choices best reflects the pre-discharge information the
nurse should provide for the client's family regarding low-sodium diet?
a. Avoid canned and processed foods, do not use salt replacements substitute herbs and
replaces for salt in cooking and when seasoning foods, call a dietitian for help.
b. Use potassium salts in place of table salt when coking and seasoning foods, read the
