Medsurg 2 Final Exam
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1. The client reports that a previously sensitive area of D. Dermis
skin no longer responds to temperature changes or
painful stimuli. This finding indicates a functional ab-
normality for which skin layer?
A. Stratum corneum
B. Adipose layer
C. Epidermis
D. Dermis
2. During skin inspection the nurse observes three le- A. Annular, circinate, clus-
sions on the client's right knee. The lesions are round, tered
have a raised border, and are grouped in a "smiley
face" pattern. Which descriptors does the nurse use
to document these observations?
A. Annular, circinate, clustered
B. Linear, confluent, vesicular
C. Circumscribed, universal, pustular
D. Serpiginous, coalesced, wheal-like
3. Which technique for obtaining a specimen for bacte- A. Remove several crusts,
rial culture is most correct for the nurse to use with and swab the underlying
a client who has crusted skin lesions on the upper exudate.
back?
A. Remove several crusts, and swab the underlying
exudate.
B. Dampen the culture swab with sterile water, and
then roll the swab over the central crusts.
C. Apply a gauze bandage to the area, remove it after
1 hour, and send the entire gauze to the laboratory.
, Medsurg 2 Final Exam
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D. Clean the area with an antibacterial solution, re-
move a crust from the center of the cluster of lesions,
and send it to the laboratory.
4. An 88-year-old man is admitted to the ED from B. Ensure that siderails are
home with weakness and acute confusion.What is the raised on his stretcher
nurse's priority for his care to maintain client safety?
A. Assess his mental status every 30minutes
B. Ensure that siderails are raised on his stretcher
C. Check his bowel sounds for intestinal obstruction
D. Teach him to move slowly when walking
5. A client is admitted to the ED with multiple stab B. Assess and maintain the
wounds to his chest, abdomen and arms. What is the client's airway
nurse's priority upon admission to the ED?
A. Check for bleeding from the stab wounds
B. Assess and maintain the client's airway
C. Start 2 large-bore IV lines
D. Assess the level of consciousness
6. An older client with heat stroke is being cooled with C. The client's temperature
a cooling blanket and ice packs under her arms and is 100 degrees F
behind her neck. What assessment indicates to the
nurse that the cooling process is effective?
A. The client is alert and oriented
B. The client states that she feels cooler
C. The client's temperature is 100 degrees F
D. The client's urinary output is 30 mL/hr
7.
, Medsurg 2 Final Exam
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An older client is preparing for a trip to a cold-weather B. Layer clothing to keep
area and asks the nurse how he can prevent hypother- heat near the body
mia while visiting there. Which preventative actions C. Avoid skiing if it is snow-
will the nurse include in the health teaching? Select all ing heavily
that apply. D. Be sure to wear gloves
and a hat
A. Wear cotton clothing to help absorb moisture E. Do not wear too many
B. Layer clothing to keep heat near the body pairs of socks
C. Avoid skiing if it is snowing heavily
D. Be sure to wear gloves and a hat
E. Do not wear too many pairs of socks
8. A client experiences altitude-related illness after visit- A. Provide supplemental
ing a ski resort in Colorado. What is the nurse's priority oxygen
action when the client is admitted to the emergency
department?
A. Provide supplemental oxygen
B. Place the client on a ventilator
C. Perform an electrocardiogram
D. Insert a nasogastric tube
9. The nurse is preparing to triage clients at the scene of C. Middle-aged man with
an airplane crash. Which of these clients will the nurse third-degree burns over
identify as emergent? 90% of his body
A. Young woman with closed fractures of her right leg
and arm
B. Older woman with abdominal bleeding who is dzed
and confused
C. Middle-aged man with third-degree burns over 90%
of his body
, Medsurg 2 Final Exam
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D. Young man with numerous bruises and superficial
lacerations
10. A nurse needs to discharge two medical-surgical B. 57-year-old who had a
clients to make room for two victims of a tornado. bowel resection for cancer
Which of these clients could be discharged from the 2 days ago
unit now? Select all that apply. C. 44-year-old who has re-
ceived 3 days of IV antibi-
A. 78-year-old with telemetry monitoring for chest otics for pneumonia
pain last night
B. 57-year-old who had a bowel resection for cancer 2
days ago
C. 44-year-old who has received 3 days of IV antibiotics
for pneumonia
D. 61-year-old who had a thyroidectomy this morning
E. 72-year-old who had a total hip replacement 2 days
ago
11. A female business woman has extremely dry skin on B. "Avoid wearing panty-
her legs. In addition to using lotions after bathing, she hose or nylon stockings
asks the nurse about other measures to help reduce for more than 2 hours at a
the dryness. What is the nurse's best response? time."
A. "Wear long-legged pajamas to sleep in rather than
nightgowns."
B. "Avoid wearing pantyhose or nylon stockings for
more than 2 hours at a time."
C. "Leave the fat-containing soap on your skin when
bathing rather than rinsing it off."
D. "Bathe in water that is as warm as you can stand
to stimulate the release of body oils from your seba-
ceous glands."
Study online at https://quizlet.com/_gym2so
1. The client reports that a previously sensitive area of D. Dermis
skin no longer responds to temperature changes or
painful stimuli. This finding indicates a functional ab-
normality for which skin layer?
A. Stratum corneum
B. Adipose layer
C. Epidermis
D. Dermis
2. During skin inspection the nurse observes three le- A. Annular, circinate, clus-
sions on the client's right knee. The lesions are round, tered
have a raised border, and are grouped in a "smiley
face" pattern. Which descriptors does the nurse use
to document these observations?
A. Annular, circinate, clustered
B. Linear, confluent, vesicular
C. Circumscribed, universal, pustular
D. Serpiginous, coalesced, wheal-like
3. Which technique for obtaining a specimen for bacte- A. Remove several crusts,
rial culture is most correct for the nurse to use with and swab the underlying
a client who has crusted skin lesions on the upper exudate.
back?
A. Remove several crusts, and swab the underlying
exudate.
B. Dampen the culture swab with sterile water, and
then roll the swab over the central crusts.
C. Apply a gauze bandage to the area, remove it after
1 hour, and send the entire gauze to the laboratory.
, Medsurg 2 Final Exam
Study online at https://quizlet.com/_gym2so
D. Clean the area with an antibacterial solution, re-
move a crust from the center of the cluster of lesions,
and send it to the laboratory.
4. An 88-year-old man is admitted to the ED from B. Ensure that siderails are
home with weakness and acute confusion.What is the raised on his stretcher
nurse's priority for his care to maintain client safety?
A. Assess his mental status every 30minutes
B. Ensure that siderails are raised on his stretcher
C. Check his bowel sounds for intestinal obstruction
D. Teach him to move slowly when walking
5. A client is admitted to the ED with multiple stab B. Assess and maintain the
wounds to his chest, abdomen and arms. What is the client's airway
nurse's priority upon admission to the ED?
A. Check for bleeding from the stab wounds
B. Assess and maintain the client's airway
C. Start 2 large-bore IV lines
D. Assess the level of consciousness
6. An older client with heat stroke is being cooled with C. The client's temperature
a cooling blanket and ice packs under her arms and is 100 degrees F
behind her neck. What assessment indicates to the
nurse that the cooling process is effective?
A. The client is alert and oriented
B. The client states that she feels cooler
C. The client's temperature is 100 degrees F
D. The client's urinary output is 30 mL/hr
7.
, Medsurg 2 Final Exam
Study online at https://quizlet.com/_gym2so
An older client is preparing for a trip to a cold-weather B. Layer clothing to keep
area and asks the nurse how he can prevent hypother- heat near the body
mia while visiting there. Which preventative actions C. Avoid skiing if it is snow-
will the nurse include in the health teaching? Select all ing heavily
that apply. D. Be sure to wear gloves
and a hat
A. Wear cotton clothing to help absorb moisture E. Do not wear too many
B. Layer clothing to keep heat near the body pairs of socks
C. Avoid skiing if it is snowing heavily
D. Be sure to wear gloves and a hat
E. Do not wear too many pairs of socks
8. A client experiences altitude-related illness after visit- A. Provide supplemental
ing a ski resort in Colorado. What is the nurse's priority oxygen
action when the client is admitted to the emergency
department?
A. Provide supplemental oxygen
B. Place the client on a ventilator
C. Perform an electrocardiogram
D. Insert a nasogastric tube
9. The nurse is preparing to triage clients at the scene of C. Middle-aged man with
an airplane crash. Which of these clients will the nurse third-degree burns over
identify as emergent? 90% of his body
A. Young woman with closed fractures of her right leg
and arm
B. Older woman with abdominal bleeding who is dzed
and confused
C. Middle-aged man with third-degree burns over 90%
of his body
, Medsurg 2 Final Exam
Study online at https://quizlet.com/_gym2so
D. Young man with numerous bruises and superficial
lacerations
10. A nurse needs to discharge two medical-surgical B. 57-year-old who had a
clients to make room for two victims of a tornado. bowel resection for cancer
Which of these clients could be discharged from the 2 days ago
unit now? Select all that apply. C. 44-year-old who has re-
ceived 3 days of IV antibi-
A. 78-year-old with telemetry monitoring for chest otics for pneumonia
pain last night
B. 57-year-old who had a bowel resection for cancer 2
days ago
C. 44-year-old who has received 3 days of IV antibiotics
for pneumonia
D. 61-year-old who had a thyroidectomy this morning
E. 72-year-old who had a total hip replacement 2 days
ago
11. A female business woman has extremely dry skin on B. "Avoid wearing panty-
her legs. In addition to using lotions after bathing, she hose or nylon stockings
asks the nurse about other measures to help reduce for more than 2 hours at a
the dryness. What is the nurse's best response? time."
A. "Wear long-legged pajamas to sleep in rather than
nightgowns."
B. "Avoid wearing pantyhose or nylon stockings for
more than 2 hours at a time."
C. "Leave the fat-containing soap on your skin when
bathing rather than rinsing it off."
D. "Bathe in water that is as warm as you can stand
to stimulate the release of body oils from your seba-
ceous glands."
