Medical Surgical Nursing Study Guide Question and Answers
Which of the following statements indicate that the client with PUD understands how to effectively
adjust the response to work related stress?
1) I will have to improve my ability to cope with stress
2) I don't have any control over my stressors at work. My coworkers are difficult to work with
3) Well, I guess this ulcer means I wont be able to work toward a job promotion
4) My job is to stressful, I will have to find a new career
Answer: 1) I will have to improve my ability to cope with stress
A client admitted to the ED complains of severe and pain and elevated WBC count. The physicians
diagnose is appendicitis, the nurse knows the client is at greatest risk for?
1) inflammation of the gallbladder
2) rupture of the appendix
3) emotional distress related to the pain
4) ulceration of the appendix
Answer: 2) rupture of the appendix
A client who has an appendectomy for a perforated appendix returns from surgery with a drain inserted
in the incision, whats the purpose of the drain?
1) decrease post-op discomfort
2) promote drainage of wound exudates
3) provide access for wound irrigation
4) minimize development of scar tissue
Answer: 2) promote drainage of wound exudates
After a subtotal gastrectomy, the nurse is developing a plan with the client to gain weight. what should
the nurse provide the clients nutritional goals to be at home?
1) inform the client that bland food are typically less nutritional and should be used minimally
2) encourage the client to eat smaller amounts more frequently
3) instruct the client to increase the amount eaten at each meal
4) explain that if vomiting occurs after a meal, nothing more should be eaten that day
Answer: 2) encourage the client to eat smaller amounts more frequently
a client who had a laparoscopic cholecystectomy receives discharge teaching from the nurse. which
statement indicates the client understands the teaching?
1) i can anticipate some nausea for several days after surgery
2) i can remove the dressing from my incision tomorrow and take a shower
3) i need to maintain a low-fat diet for the next 6 months
4) i can return to work in 4 to 6 weeks
Answer: 2) i can remove the dressing from my incision tomorrow and take a shower
Which diet should a client with PUD have after discharge?
1) any foods that are tolerated
2) high-protein foods
3) a glass of milk with each meal
4) bland foods
, Answer: 1) any foods that are tolerated
a client undergoes a laparoscopic cholecystectomy, what dietary instructions should the nurse give
immediately after surgery?
1) you can progress from a liquid diet as tolerated
2) you may resume your normal diet the day after your surgery
3) drink liquids today and eat lightly for a few days
4) you cannot eat/drink anything for 24 hours
Answer: 3) drink liquids today and eat lightly for a few days
to reduce the risk of dumping syndrome the nurse should teach the client to do which of the following?
1) decrease the carbohydrate content of meals
2) sit upright for 30 minutes after meal
3) avoid milk and other dairy products
4) drink liquids with meals, avoiding caffeine
Answer: 1) decrease the carbohydrate content of meals
the client reports gnawing epigastric pain following meals and heartburn, the nurse suspects the client
has?
1) ulcerative colitis
2) appendicitis
3) diverticulitis
4) peptic ulcer disease
Answer: 4) peptic ulcer disease
which laboratory findings should be reported to the physician immediately?
1) potassium- 4.2
2) sodium- 135
3) WBC count- 22.8
4) hematocrit- 42
Answer: 3) WBC count- 22.8
the nurse is assigning care of a client admitted with appendicitis, she should assign the care of the client
to?
1) licensed practical nurse
2) registered nurse
3) clinical nurse specialist
4) nursing assistant
Answer: 2) registered nurse
When preparing a client for surgery to treat appendicitis, the nurse formulates a nursing diagnoses of
Risk for infection related to inflammation, perforation, and surgery. whats the rationale for choosing this
ND?
1) the appendix may develop gangrene and rupture, especially in middle aged client
2) obstruction of the appendix may increase venous drainage and cause the appendix to rupture
3) obstruction of the appendix reduces arterial flow, leading to ischemia, inflammation, and rupture of
the appendix
4) infection of the appendix diminishes necrotic arterial blood flow and increase venous drainage
Which of the following statements indicate that the client with PUD understands how to effectively
adjust the response to work related stress?
1) I will have to improve my ability to cope with stress
2) I don't have any control over my stressors at work. My coworkers are difficult to work with
3) Well, I guess this ulcer means I wont be able to work toward a job promotion
4) My job is to stressful, I will have to find a new career
Answer: 1) I will have to improve my ability to cope with stress
A client admitted to the ED complains of severe and pain and elevated WBC count. The physicians
diagnose is appendicitis, the nurse knows the client is at greatest risk for?
1) inflammation of the gallbladder
2) rupture of the appendix
3) emotional distress related to the pain
4) ulceration of the appendix
Answer: 2) rupture of the appendix
A client who has an appendectomy for a perforated appendix returns from surgery with a drain inserted
in the incision, whats the purpose of the drain?
1) decrease post-op discomfort
2) promote drainage of wound exudates
3) provide access for wound irrigation
4) minimize development of scar tissue
Answer: 2) promote drainage of wound exudates
After a subtotal gastrectomy, the nurse is developing a plan with the client to gain weight. what should
the nurse provide the clients nutritional goals to be at home?
1) inform the client that bland food are typically less nutritional and should be used minimally
2) encourage the client to eat smaller amounts more frequently
3) instruct the client to increase the amount eaten at each meal
4) explain that if vomiting occurs after a meal, nothing more should be eaten that day
Answer: 2) encourage the client to eat smaller amounts more frequently
a client who had a laparoscopic cholecystectomy receives discharge teaching from the nurse. which
statement indicates the client understands the teaching?
1) i can anticipate some nausea for several days after surgery
2) i can remove the dressing from my incision tomorrow and take a shower
3) i need to maintain a low-fat diet for the next 6 months
4) i can return to work in 4 to 6 weeks
Answer: 2) i can remove the dressing from my incision tomorrow and take a shower
Which diet should a client with PUD have after discharge?
1) any foods that are tolerated
2) high-protein foods
3) a glass of milk with each meal
4) bland foods
, Answer: 1) any foods that are tolerated
a client undergoes a laparoscopic cholecystectomy, what dietary instructions should the nurse give
immediately after surgery?
1) you can progress from a liquid diet as tolerated
2) you may resume your normal diet the day after your surgery
3) drink liquids today and eat lightly for a few days
4) you cannot eat/drink anything for 24 hours
Answer: 3) drink liquids today and eat lightly for a few days
to reduce the risk of dumping syndrome the nurse should teach the client to do which of the following?
1) decrease the carbohydrate content of meals
2) sit upright for 30 minutes after meal
3) avoid milk and other dairy products
4) drink liquids with meals, avoiding caffeine
Answer: 1) decrease the carbohydrate content of meals
the client reports gnawing epigastric pain following meals and heartburn, the nurse suspects the client
has?
1) ulcerative colitis
2) appendicitis
3) diverticulitis
4) peptic ulcer disease
Answer: 4) peptic ulcer disease
which laboratory findings should be reported to the physician immediately?
1) potassium- 4.2
2) sodium- 135
3) WBC count- 22.8
4) hematocrit- 42
Answer: 3) WBC count- 22.8
the nurse is assigning care of a client admitted with appendicitis, she should assign the care of the client
to?
1) licensed practical nurse
2) registered nurse
3) clinical nurse specialist
4) nursing assistant
Answer: 2) registered nurse
When preparing a client for surgery to treat appendicitis, the nurse formulates a nursing diagnoses of
Risk for infection related to inflammation, perforation, and surgery. whats the rationale for choosing this
ND?
1) the appendix may develop gangrene and rupture, especially in middle aged client
2) obstruction of the appendix may increase venous drainage and cause the appendix to rupture
3) obstruction of the appendix reduces arterial flow, leading to ischemia, inflammation, and rupture of
the appendix
4) infection of the appendix diminishes necrotic arterial blood flow and increase venous drainage
