173
MEDICAL SURGICAL NURSING 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. Perineal edema
c. Identification of an
associated
opportunistic infection
d. Evidence of extreme weight
loss and high fever
4. Nurse Maureen is aware that a client
who has been diagnosed with chronic
, d. Urethral discharge nursing diagnosis would be:
a. Ineffective health maintenance
7. A client has undergone with penile b. Impaired skin integrity
implant. c. Deficient fluid volume
After 24 hrs of surgery, the client’s d. Pain
scrotum was
edematous and painful. The nurse should: 11. Nurse Hazel teaches the client with
a. Assist the client with sitz bath angina about common expected side
b. Apply war soaks in the scrotum effects of nitroglycerin including:
c. Elevate the scrotum using a soft a. high blood pressure
support b. stomach cramps
d. Prepare for a possible c. headache
incision and drainage. d. shortness of breath
8. Nurse hazel receives emergency 12. The following are lipid abnormalities.
laboratory results for a client with chest Which of the following is a risk factor
pain and immediately informs the for the development of
physician. An increased myoglobin level atherosclerosis and PVD?
suggests which of the following? a. High levels of low density
a. Liver disease lipid (LDL) cholesterol
b. Myocardial damage b. High levels of high density
c. Hypertension lipid (HDL) cholesterol
d. Cancer c. Low concentration triglycerides
d. Low levels of LDL cholesterol.
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
174
,
MEDICAL SURGICAL NURSING 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. Perineal edema
c. Identification of an
associated
opportunistic infection
d. Evidence of extreme weight
loss and high fever
4. Nurse Maureen is aware that a client
who has been diagnosed with chronic
, d. Urethral discharge nursing diagnosis would be:
a. Ineffective health maintenance
7. A client has undergone with penile b. Impaired skin integrity
implant. c. Deficient fluid volume
After 24 hrs of surgery, the client’s d. Pain
scrotum was
edematous and painful. The nurse should: 11. Nurse Hazel teaches the client with
a. Assist the client with sitz bath angina about common expected side
b. Apply war soaks in the scrotum effects of nitroglycerin including:
c. Elevate the scrotum using a soft a. high blood pressure
support b. stomach cramps
d. Prepare for a possible c. headache
incision and drainage. d. shortness of breath
8. Nurse hazel receives emergency 12. The following are lipid abnormalities.
laboratory results for a client with chest Which of the following is a risk factor
pain and immediately informs the for the development of
physician. An increased myoglobin level atherosclerosis and PVD?
suggests which of the following? a. High levels of low density
a. Liver disease lipid (LDL) cholesterol
b. Myocardial damage b. High levels of high density
c. Hypertension lipid (HDL) cholesterol
d. Cancer c. Low concentration triglycerides
d. Low levels of LDL cholesterol.
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
174
,
