MEDICAL SURGICAL NURSING who has been diagnosed with
chronic renal failure recognizes an
1. Marco who was diagnosed with brain adequate amount of high-biologic-
tumor was scheduled for craniotomy. value protein when the food the
In preventing the development of client selected from the menu was:
cerebral edema after surgery, the a. Raw carrots
nurse should expect the use of: b. Apple juice
a. Diuretics c. Whole wheat bread
b. Antihypertensive d. Cottage cheese
c. Steroids
d. Anticonvulsants 5. Kenneth who has diagnosed
with uremic syndrome has the
2. Halfway through the administration potential to develop
of blood, the female client complains complications. Which among
of lumbar pain. After stopping the the following complications
infusion Nurse Hazel should: should the nurse anticipates:
a. Increase the flow of normal a. Flapping hand tremors
saline b. An elevated hematocrit level
b. Assess the pain further c. Hypotension
c. Notify the blood bank d. Hypokalemia
d. Obtain vital signs.
6. A client is admitted to the hospital
3. Nurse Maureen knows that the with benign prostatic hyperplasia,
positive diagnosis for HIV infection the nurse most relevant
is made based on which of the assessment would be:
following: a. Flank pain radiating in the
a. A history of high risk sexual groin
behaviors. b. Distention of the lower
b. Positive ELISA and western blot abdomen
tests
c. Identification of an
associated
opportunistic infection
d. Evidence of extreme weight
loss and high fever
4. Nurse Maureen is aware that a client
372
, c. Perineal edema a. Ineffective health maintenance
d. Urethral discharge b. Impaired skin integrity
c. Deficient fluid volume
7. A client has undergone with penile d. Pain
implant.
After 24 hrs of surgery, the client’s 11. Nurse Hazel teaches the client with
scrotum was angina about common expected side
edematous and painful. The nurse should: effects of nitroglycerin including:
a. Assist the client with sitz bath a. high blood pressure
b. Apply war soaks in the scrotum b. stomach cramps
c. Elevate the scrotum using a soft c. headache
support d. shortness of breath
d. Prepare for a possible
incision and drainage. 12. The following are lipid abnormalities.
Which of the following is a risk factor
8. Nurse hazel receives emergency for the development of
laboratory results for a client with chest atherosclerosis and PVD?
pain and immediately informs the a. High levels of low density
physician. An increased myoglobin level lipid (LDL) cholesterol
suggests which of the following? b. High levels of high density
a. Liver disease lipid (HDL) cholesterol
b. Myocardial damage c. Low concentration triglycerides
c. Hypertension d. Low levels of LDL cholesterol.
d. Cancer
9. Nurse Maureen would expect the
client with mitral stenosis would
demonstrate symptoms associated
with congestion in the:
a. Right atrium
b. Superior vena cava
c. Aorta
d. Pulmonary
10. A client has been diagnosed with
hypertension. The nurse priority
nursing diagnosis would be:
,
chronic renal failure recognizes an
1. Marco who was diagnosed with brain adequate amount of high-biologic-
tumor was scheduled for craniotomy. value protein when the food the
In preventing the development of client selected from the menu was:
cerebral edema after surgery, the a. Raw carrots
nurse should expect the use of: b. Apple juice
a. Diuretics c. Whole wheat bread
b. Antihypertensive d. Cottage cheese
c. Steroids
d. Anticonvulsants 5. Kenneth who has diagnosed
with uremic syndrome has the
2. Halfway through the administration potential to develop
of blood, the female client complains complications. Which among
of lumbar pain. After stopping the the following complications
infusion Nurse Hazel should: should the nurse anticipates:
a. Increase the flow of normal a. Flapping hand tremors
saline b. An elevated hematocrit level
b. Assess the pain further c. Hypotension
c. Notify the blood bank d. Hypokalemia
d. Obtain vital signs.
6. A client is admitted to the hospital
3. Nurse Maureen knows that the with benign prostatic hyperplasia,
positive diagnosis for HIV infection the nurse most relevant
is made based on which of the assessment would be:
following: a. Flank pain radiating in the
a. A history of high risk sexual groin
behaviors. b. Distention of the lower
b. Positive ELISA and western blot abdomen
tests
c. Identification of an
associated
opportunistic infection
d. Evidence of extreme weight
loss and high fever
4. Nurse Maureen is aware that a client
372
, c. Perineal edema a. Ineffective health maintenance
d. Urethral discharge b. Impaired skin integrity
c. Deficient fluid volume
7. A client has undergone with penile d. Pain
implant.
After 24 hrs of surgery, the client’s 11. Nurse Hazel teaches the client with
scrotum was angina about common expected side
edematous and painful. The nurse should: effects of nitroglycerin including:
a. Assist the client with sitz bath a. high blood pressure
b. Apply war soaks in the scrotum b. stomach cramps
c. Elevate the scrotum using a soft c. headache
support d. shortness of breath
d. Prepare for a possible
incision and drainage. 12. The following are lipid abnormalities.
Which of the following is a risk factor
8. Nurse hazel receives emergency for the development of
laboratory results for a client with chest atherosclerosis and PVD?
pain and immediately informs the a. High levels of low density
physician. An increased myoglobin level lipid (LDL) cholesterol
suggests which of the following? b. High levels of high density
a. Liver disease lipid (HDL) cholesterol
b. Myocardial damage c. Low concentration triglycerides
c. Hypertension d. Low levels of LDL cholesterol.
d. Cancer
9. Nurse Maureen would expect the
client with mitral stenosis would
demonstrate symptoms associated
with congestion in the:
a. Right atrium
b. Superior vena cava
c. Aorta
d. Pulmonary
10. A client has been diagnosed with
hypertension. The nurse priority
nursing diagnosis would be:
,
