Medical-surgical examination preparation
Medical-surgical examination
preparation
8th edition 2025
Study guide questions with approved
answers
@ pg. 1
, Medical-surgical examination preparation
A patient has been admitted to the floor with a suspected diagnosis of Graves’ disease. What common
manifestations of Graves’ disease might the nurse expect to see in this patient? (Select all that apply)
@ pg. 2
, Medical-surgical examination preparation
A. The patient has an abnormal bulging in the throat area
B. While inspecting the mouth, the nurse discovers scaly patches on the patient's tongue, and that it is
abnormally large.
C. The patient's eyes are bulging out from her face
D. The patient claims that she "never has any energy"
E. The patient's spouse mentions that she has not been eating well, and that she never seems to be hungry -
✔✔✔A. The patient has an abnormal bulging in the throat area
C. The patient's eyes are bulging out from her face
A student nurse is preparing blood for an A Positive patient who needs to receive a blood transfusion. The
nurse intervenes after which statement?
A. “Since you are a positive, you are considered a "universal recipient", therefore you can receive any type of
blood.
B. "A positive blood types can receive A+, A-, O+ and O-"
C. "Testing your blood type helps us determine what type of blood you need. Not all blood types are the
same and can cause a reaction"
D. "Only certain people who meet a certain criteria can donate blood, but if you have any types of symptoms
during transfusion, let a health care staff member know" –
✔✔✔A. “Since you are a positive, you are considered a "universal recipient", therefore you can receive any
type of blood.
After restrictive gastric banding surgery, a 42-year-old female patient returns to the surgical nursing unit with
a nasogastric tube to low, intermittent suction and a patient-controlled analgesia (PCA) machine for pain
control. Which nursing action should be included in the postoperative plan of care?
A. Water and clear liquids given q 2 hours
B. Assessment of wound
C. Identify health information concerning CPAP devices
D. Educate patient on the dietary modifications required
@ pg. 3
, Medical-surgical examination preparation
- ✔✔✔A. Water and clear liquids given q 2 hours
Which of these statements is true about Crohn's disease? Select all that apply:
a. Weight loss is common with the disease.
b. Usually starts in the rectum, and spreads up the colon
c. Involves the entire thickness of the bowel wall
d. Involves just the mucosa of the bowel
e. Commonly causes toxic megacolon
- ✔✔✔a. Weight loss is common with the disease.
A patient presents themselves to the ED with dehydration, poor skin turgor, dry mucous membranes,
tachycardia, and orthostatic hypotension. They state they are feeling lethargic and weak, with nausea and
abdominal pain. During your assessment, you notice the fruity odor of their breath. What should you expect
the physician will order for this patient (select all that apply)?
a. 20 gauge IV catheter access
b. Intermittent Insulin Drip
c. 0.9% NaCl Solution
d. NG Tube to continuous suction
e. Oxygen via a Nasal Cannula or Non-Rebreather Mask
- ✔✔✔c. 0.9% NaCl Solution
e. Oxygen via a Nasal Cannula or Non-Rebreather Mask
Which of the following individuals would most likely develop a hiatal hernia?
A. 42-year-old obese male with working in a sedentary office setting.
B. 36-year-old overweight female working at a package delivery company.
C. 25-year-old female clerk abusing laxatives.
@ pg. 4
Medical-surgical examination
preparation
8th edition 2025
Study guide questions with approved
answers
@ pg. 1
, Medical-surgical examination preparation
A patient has been admitted to the floor with a suspected diagnosis of Graves’ disease. What common
manifestations of Graves’ disease might the nurse expect to see in this patient? (Select all that apply)
@ pg. 2
, Medical-surgical examination preparation
A. The patient has an abnormal bulging in the throat area
B. While inspecting the mouth, the nurse discovers scaly patches on the patient's tongue, and that it is
abnormally large.
C. The patient's eyes are bulging out from her face
D. The patient claims that she "never has any energy"
E. The patient's spouse mentions that she has not been eating well, and that she never seems to be hungry -
✔✔✔A. The patient has an abnormal bulging in the throat area
C. The patient's eyes are bulging out from her face
A student nurse is preparing blood for an A Positive patient who needs to receive a blood transfusion. The
nurse intervenes after which statement?
A. “Since you are a positive, you are considered a "universal recipient", therefore you can receive any type of
blood.
B. "A positive blood types can receive A+, A-, O+ and O-"
C. "Testing your blood type helps us determine what type of blood you need. Not all blood types are the
same and can cause a reaction"
D. "Only certain people who meet a certain criteria can donate blood, but if you have any types of symptoms
during transfusion, let a health care staff member know" –
✔✔✔A. “Since you are a positive, you are considered a "universal recipient", therefore you can receive any
type of blood.
After restrictive gastric banding surgery, a 42-year-old female patient returns to the surgical nursing unit with
a nasogastric tube to low, intermittent suction and a patient-controlled analgesia (PCA) machine for pain
control. Which nursing action should be included in the postoperative plan of care?
A. Water and clear liquids given q 2 hours
B. Assessment of wound
C. Identify health information concerning CPAP devices
D. Educate patient on the dietary modifications required
@ pg. 3
, Medical-surgical examination preparation
- ✔✔✔A. Water and clear liquids given q 2 hours
Which of these statements is true about Crohn's disease? Select all that apply:
a. Weight loss is common with the disease.
b. Usually starts in the rectum, and spreads up the colon
c. Involves the entire thickness of the bowel wall
d. Involves just the mucosa of the bowel
e. Commonly causes toxic megacolon
- ✔✔✔a. Weight loss is common with the disease.
A patient presents themselves to the ED with dehydration, poor skin turgor, dry mucous membranes,
tachycardia, and orthostatic hypotension. They state they are feeling lethargic and weak, with nausea and
abdominal pain. During your assessment, you notice the fruity odor of their breath. What should you expect
the physician will order for this patient (select all that apply)?
a. 20 gauge IV catheter access
b. Intermittent Insulin Drip
c. 0.9% NaCl Solution
d. NG Tube to continuous suction
e. Oxygen via a Nasal Cannula or Non-Rebreather Mask
- ✔✔✔c. 0.9% NaCl Solution
e. Oxygen via a Nasal Cannula or Non-Rebreather Mask
Which of the following individuals would most likely develop a hiatal hernia?
A. 42-year-old obese male with working in a sedentary office setting.
B. 36-year-old overweight female working at a package delivery company.
C. 25-year-old female clerk abusing laxatives.
@ pg. 4
