MED-SURG PART B i i
1. A inurse iis ireinforcing iteaching iwith ian iolder iadult iclient iwho ihas iosteoporosis. iWhich iof ithe
ifollowing iinstructions ishould ithe inurse iin ithe iteaching?
a) "Place ithrow irugs ion iwooden ifloors iat ihome." iClick ihere ifor ianswers
ihttps://bit.ly/30ZIPpb
b) "Supplement iyour idiet iwith ivitamin iE."
c) "Swim ilaps ifor i20 iminutes itwice iper iweek."
d) "Take icalcium isupplements iwith imeals." i(The inurse ishould iinstruct ithe iclient ito itake
icalcium icarbonate isupplements iwith ior ifollowing imeals ito iincrease iabsorption iand
ieffectiveness.)
2. A inurse iis ireviewing ithe imedication irecord iof ia iclient iwho iis itaking idigoxin. iWhich iof ithe
ifollowing imedications ishould ithe inurse iidentify ias iincreasing ithe irisk ifor ithe iclient ito
idevelop idigoxin itoxicity?
a) Potassium ichloride
e) i Famotidine iClick ihere ifor ianswers ihttps://bit.ly/30ZIPpb
b) Levothyroxine
c) Furosemide i(The inurse ishould iidentify ithat iloop idiuretics, isuch ias ifurosemide, iincrease
ithe iurinary iexcretion iof ipotassium, iwhich ican ilead ito ihypokalemia. iHypokalemia
iincreases ithe irisk ifor ithe idevelopment iof idigoxin itoxicity.)
3. A inurse iis ireinforcing iteaching iabout iinsulin iinjections iwith ian iadult iclient iwho iweighs i45.4
ikg i(100 ilb.). iWhich iof ithe ifollowing istatements iby ithe iclient iindicates ian iunderstanding iof
ithe iteaching?
f) "I ishould iinsert ithe ineedle iat ia i90-degree iangle." iClick ihere ifor ianswers
ihttps://bit.ly/30ZIPpb
a) "I ishould igive imy ishot iin imy ibelly itissue." i(Clients iwho ihave ilow ibody iweights ican
ihave ivery ilittle isubcutaneous itissue. iTherefore, ithe inurse ishould iinstruct ithe iclient ito
iadminister ithe imedication iin ithe iupper iabdomen ifor iproper iabsorption.)
b) "I iwill ipull iback ion ithe isyringe iplunger ito ilook ifor iblood ibefore iI ipush ithe imedication
iin."
c) "I iwill iuse ithe iside iof imy ihand ito ipull imy iskin ito ithe iside iprior ito iadministering ithe
iinsulin."
4. A inurse iis ireinforcing idischarge iteaching ifor ia iclient iwho ihad ia imechanical imitral ivalve
ireplacement. iWhich iof ithe ifollowing istatements iby ithe iclient iindicates ian iunderstanding iof
ithe iteaching?
a) "I iwill inotify imy identist iabout ithis iprocedure." i(The inurse ishould iinstruct ithe iclient ito
inotify ihis identist iabout ithe imechanical imitral ivalve ireplacement ibefore iany iprocedures iso
iantibiotic itherapy ican ibe iinitiated ito ireduce ithe irisk iof iendocardial iinfection.)
b) "I iwill itake ian ienteric-coated iaspirin idaily."
c) "I iwill iuse ia ifirm-bristled itoothbrush."
d) "I iwill iweigh imyself ionce ia iweek."
, g) iA inurse iis ireviewing ithe imedical irecord ifor ian iolder iadult iclient iwho iis iexperiencing
inausea iand ivomiting. iBased ion ithe iclient idata, iwhich iof ithe ifollowing iactions ishould
ithe inurse itake? i(Click ion ithe i“Exhibit” ibutton ifor iadditional iclient iinformation.
iThere iare ithree itabs ithat icontain iseparate icategories iof idata.) iClick ihere ifor ianswers
ihttps://bit.ly/30ZIPpb
View the Exhibit
i i
Exhibit i1 Exhibit i2 Exhibit i3
Diagnosis iResults Nurses’ iNotes Graphic iRecord
Sodium i142 imEq/ 1200: iAlert iand ioriented ix3 Temperature
Potassium i4.2 imEq/L Lungs iclear ito iauscultation 0800: i37.7° iC i(99.9° iF)
BUN i36 img/dL Decreased iskin iturgor 1200: i37.2° iC i(99.0° iF)
Creatinine i1.4 img/dL Dry imucous imembranes Pulse
0800: i96/min
1200:105/min
Respiratory irate
0800: i18/min
1200: i20/min
Blood ipressure
0800; i118/62 immHg
1200: i104/65 imm iHg
a) Encourage ithe iclient ito iambulate.
b) Administer ian iantipyretic imedication.
c) Notify ithe icharge inurse iof ithe iclient's iBUN ilevel i(The iclient's iBUN ilevel iis iabove ithe
iexpected ireference irange iof i10 ito i20 img/dL, iwhich iindicates idehydration iand iimpaired
irenal ifunction. iThe inurse ishould inotify ithe icharge inurse iof ithis ifinding iand ianticipate
iinterventions ito irestore ithe iclient's ifluid ivolume.)
d) Keep ithe itemperature iin ithe iclient's iroom iwarm.
5. A inurse iis iproviding iinformation iregarding itransmission-based iprecautions ifor ia iclient iwho
ihas iClostridium idifficile ito ian iassistive ipersonnel i(AP). iWhich iof ithe ifollowing iinstructions
ishould ithe inurse iinclude? i(Select iall ithat iapply).
h) i"Provide ithe iclient iwith idisposable iutensils iand idishes ifor imeals." i(Clients iwho ihave iC.
idifficile irequire icontact iprecautions, iwhich iinclude iusing idisposable iutensils iand idishes
iduring imeals ito iprevent iexposure ito icontaminants iby iothers.) iClick ihere ifor ianswers
ihttps://bit.ly/30ZIPpb
a) "Leave iblood ipressure iequipment iin ithe iclient's iroom." i(When iusing icontact iprecautions,
ithe ihealth icare istaff ishould idedicate iequipment ito isingle-client iuse ito iprevent
itransmission iof ithe ipathogen.)
b) "Clean icontaminated isurfaces iwith ia ibleach isolution." i(The ihealth icare istaff ishould iuse ia
ibleach isolution ito iclean iequipment ito iprevent itransmission iof ithe ipathogen.)
c) "Use ian ialcohol-based ihand isanitizer iafter iclient icare."
d) "Wear ia iface imask iwhen iin ithe iclient's iroom."
, 6. A inurse iis iadmitting ia iclient iwho iis isuspected ihaving iactive ituberculosis i(TB). iWhich iof ithe
ifollowing iactions ishould ithe inurse itake ifirst? i(chap. i20)
a) Administer iantituberculosis imedication.
b) Institute iairborne iprecautions. i(The igreatest irisk ifrom ithis iclient iis itransmitting iTB ito
istaff iand iother iclients. iTherefore, ithe ifirst iaction ithe inurse ishould itake iis ito iimplement
iairborne iprecautions.)
c) Obtain isputum icultures.
d) Auscultate ibreath isounds.
7. A inurse iis icaring ifor ia iclient iwho iis ipostoperative iand ihas ia iJackson-Pratt idrain. iWhich iof
ithe ifollowing iactions ishould ithe inurse itake?
a) Fill ithe ibulb ireservoir iwith i0.9% isodium ichloride.
b) Allow ithe iJackson-Pratt idrain ito ihang ifreely.
c) Cut ia islit iin ia igauze isponge iand iapply iit iaround ithe itubing iinsertion isite.
d) Compress ithe ibulb ireservoir iand ithen iclose ithe idrainage ivalve. i(The inurse ishould ifully
icompress ithe ibulb ireservoir iand ithen ireplace ithe ivalve iplug iusing iaseptic itechnique ito
iestablish isuction iafter iemptying ior iactivating ia iJackson-Pratt idrain.)
8. A inurse iis ireinforcing iteaching iwith ithe iparent iof ia itoddler iwho ihas itype iI idiabetes imellitus
iand iwhose iprescription ihas ibeen ichanged ifrom iregular iinsulin ito ilispro iinsulin. iWhich iof
ithe ifollowing iinformation ishould ithe inurse iinclude iin ithe iteaching?
a) Lispro iis igiven ionce ia iday.
b) Lispro ishould ibe igiven ibefore ieating. i(Lispro iinsulin ishould ibe igiven iaround imealtime,
iwithin i15 imin ibefore ior iafter ieating.)
c) Lispro icannot ibe igiven iwith iother iinsulin.
i) Lispro idoes inot icause ihypoglycemia. iClick ihere ifor ianswers ihttps://bit.ly/30ZIPpb
9. A inurse iis ireinforcing iteaching iwith ia iclient iwho ihas imicrocytic ianemia iand iis iprescribed ia
idaily iiron isupplement. iThe inurse itells ithe iclient ito iconsume ifoods icontaining ivitamin iC
iwhen itaking ithe isupplement ito ienhance iiron iabsorption. iWhich iof ithe ifollowing iclient ifood
ichoices iindicates ian iunderstanding iof ithe iteaching?
a) 1 icup icooked ibrown irice
b) 1 icup iboiled ibroccoli i(The inurse ishould idetermine ithat ichoosing iboiled ibroccoli iindicates
ian iunderstanding iof ithe iteaching ibecause i1 icup icontains i101 img iof ivitamin iC iper
iserving.)
c) 1 icup icottage icheese
d) 1 icup icooked ikidney ibeans
10. A inurse iis iassisting iwith ithe idevelopment iof ia iplan iof icare ito imanage ipain ifor ia iclient iwho
ihas iherpes izoster iwith ilesions ion ithe ilower iextremities. iWhich iof ithe ifollowing iinterventions
ishould ithe inurse iinclude iin ithe iplan iof icare?
a) Keep ibed ilinens ioff iof ithe iaffected iareas. i(The inurse ishould ikeep ibed ilinens ioff iof ithe
iaffected iareas iusing ia ibed icradle, iwhich iwill irelieve ipain icaused iby ithe ilinens irubbing
iagainst ithe ilesions.)
b) Position ia iheat ilamp iover ithe ilower iextremities.
c) Apply iwarm, imoist icompresses ito ithe iaffected iareas.
d) Initiate idroplet iisolation iprecautions.
1. A inurse iis ireinforcing iteaching iwith ian iolder iadult iclient iwho ihas iosteoporosis. iWhich iof ithe
ifollowing iinstructions ishould ithe inurse iin ithe iteaching?
a) "Place ithrow irugs ion iwooden ifloors iat ihome." iClick ihere ifor ianswers
ihttps://bit.ly/30ZIPpb
b) "Supplement iyour idiet iwith ivitamin iE."
c) "Swim ilaps ifor i20 iminutes itwice iper iweek."
d) "Take icalcium isupplements iwith imeals." i(The inurse ishould iinstruct ithe iclient ito itake
icalcium icarbonate isupplements iwith ior ifollowing imeals ito iincrease iabsorption iand
ieffectiveness.)
2. A inurse iis ireviewing ithe imedication irecord iof ia iclient iwho iis itaking idigoxin. iWhich iof ithe
ifollowing imedications ishould ithe inurse iidentify ias iincreasing ithe irisk ifor ithe iclient ito
idevelop idigoxin itoxicity?
a) Potassium ichloride
e) i Famotidine iClick ihere ifor ianswers ihttps://bit.ly/30ZIPpb
b) Levothyroxine
c) Furosemide i(The inurse ishould iidentify ithat iloop idiuretics, isuch ias ifurosemide, iincrease
ithe iurinary iexcretion iof ipotassium, iwhich ican ilead ito ihypokalemia. iHypokalemia
iincreases ithe irisk ifor ithe idevelopment iof idigoxin itoxicity.)
3. A inurse iis ireinforcing iteaching iabout iinsulin iinjections iwith ian iadult iclient iwho iweighs i45.4
ikg i(100 ilb.). iWhich iof ithe ifollowing istatements iby ithe iclient iindicates ian iunderstanding iof
ithe iteaching?
f) "I ishould iinsert ithe ineedle iat ia i90-degree iangle." iClick ihere ifor ianswers
ihttps://bit.ly/30ZIPpb
a) "I ishould igive imy ishot iin imy ibelly itissue." i(Clients iwho ihave ilow ibody iweights ican
ihave ivery ilittle isubcutaneous itissue. iTherefore, ithe inurse ishould iinstruct ithe iclient ito
iadminister ithe imedication iin ithe iupper iabdomen ifor iproper iabsorption.)
b) "I iwill ipull iback ion ithe isyringe iplunger ito ilook ifor iblood ibefore iI ipush ithe imedication
iin."
c) "I iwill iuse ithe iside iof imy ihand ito ipull imy iskin ito ithe iside iprior ito iadministering ithe
iinsulin."
4. A inurse iis ireinforcing idischarge iteaching ifor ia iclient iwho ihad ia imechanical imitral ivalve
ireplacement. iWhich iof ithe ifollowing istatements iby ithe iclient iindicates ian iunderstanding iof
ithe iteaching?
a) "I iwill inotify imy identist iabout ithis iprocedure." i(The inurse ishould iinstruct ithe iclient ito
inotify ihis identist iabout ithe imechanical imitral ivalve ireplacement ibefore iany iprocedures iso
iantibiotic itherapy ican ibe iinitiated ito ireduce ithe irisk iof iendocardial iinfection.)
b) "I iwill itake ian ienteric-coated iaspirin idaily."
c) "I iwill iuse ia ifirm-bristled itoothbrush."
d) "I iwill iweigh imyself ionce ia iweek."
, g) iA inurse iis ireviewing ithe imedical irecord ifor ian iolder iadult iclient iwho iis iexperiencing
inausea iand ivomiting. iBased ion ithe iclient idata, iwhich iof ithe ifollowing iactions ishould
ithe inurse itake? i(Click ion ithe i“Exhibit” ibutton ifor iadditional iclient iinformation.
iThere iare ithree itabs ithat icontain iseparate icategories iof idata.) iClick ihere ifor ianswers
ihttps://bit.ly/30ZIPpb
View the Exhibit
i i
Exhibit i1 Exhibit i2 Exhibit i3
Diagnosis iResults Nurses’ iNotes Graphic iRecord
Sodium i142 imEq/ 1200: iAlert iand ioriented ix3 Temperature
Potassium i4.2 imEq/L Lungs iclear ito iauscultation 0800: i37.7° iC i(99.9° iF)
BUN i36 img/dL Decreased iskin iturgor 1200: i37.2° iC i(99.0° iF)
Creatinine i1.4 img/dL Dry imucous imembranes Pulse
0800: i96/min
1200:105/min
Respiratory irate
0800: i18/min
1200: i20/min
Blood ipressure
0800; i118/62 immHg
1200: i104/65 imm iHg
a) Encourage ithe iclient ito iambulate.
b) Administer ian iantipyretic imedication.
c) Notify ithe icharge inurse iof ithe iclient's iBUN ilevel i(The iclient's iBUN ilevel iis iabove ithe
iexpected ireference irange iof i10 ito i20 img/dL, iwhich iindicates idehydration iand iimpaired
irenal ifunction. iThe inurse ishould inotify ithe icharge inurse iof ithis ifinding iand ianticipate
iinterventions ito irestore ithe iclient's ifluid ivolume.)
d) Keep ithe itemperature iin ithe iclient's iroom iwarm.
5. A inurse iis iproviding iinformation iregarding itransmission-based iprecautions ifor ia iclient iwho
ihas iClostridium idifficile ito ian iassistive ipersonnel i(AP). iWhich iof ithe ifollowing iinstructions
ishould ithe inurse iinclude? i(Select iall ithat iapply).
h) i"Provide ithe iclient iwith idisposable iutensils iand idishes ifor imeals." i(Clients iwho ihave iC.
idifficile irequire icontact iprecautions, iwhich iinclude iusing idisposable iutensils iand idishes
iduring imeals ito iprevent iexposure ito icontaminants iby iothers.) iClick ihere ifor ianswers
ihttps://bit.ly/30ZIPpb
a) "Leave iblood ipressure iequipment iin ithe iclient's iroom." i(When iusing icontact iprecautions,
ithe ihealth icare istaff ishould idedicate iequipment ito isingle-client iuse ito iprevent
itransmission iof ithe ipathogen.)
b) "Clean icontaminated isurfaces iwith ia ibleach isolution." i(The ihealth icare istaff ishould iuse ia
ibleach isolution ito iclean iequipment ito iprevent itransmission iof ithe ipathogen.)
c) "Use ian ialcohol-based ihand isanitizer iafter iclient icare."
d) "Wear ia iface imask iwhen iin ithe iclient's iroom."
, 6. A inurse iis iadmitting ia iclient iwho iis isuspected ihaving iactive ituberculosis i(TB). iWhich iof ithe
ifollowing iactions ishould ithe inurse itake ifirst? i(chap. i20)
a) Administer iantituberculosis imedication.
b) Institute iairborne iprecautions. i(The igreatest irisk ifrom ithis iclient iis itransmitting iTB ito
istaff iand iother iclients. iTherefore, ithe ifirst iaction ithe inurse ishould itake iis ito iimplement
iairborne iprecautions.)
c) Obtain isputum icultures.
d) Auscultate ibreath isounds.
7. A inurse iis icaring ifor ia iclient iwho iis ipostoperative iand ihas ia iJackson-Pratt idrain. iWhich iof
ithe ifollowing iactions ishould ithe inurse itake?
a) Fill ithe ibulb ireservoir iwith i0.9% isodium ichloride.
b) Allow ithe iJackson-Pratt idrain ito ihang ifreely.
c) Cut ia islit iin ia igauze isponge iand iapply iit iaround ithe itubing iinsertion isite.
d) Compress ithe ibulb ireservoir iand ithen iclose ithe idrainage ivalve. i(The inurse ishould ifully
icompress ithe ibulb ireservoir iand ithen ireplace ithe ivalve iplug iusing iaseptic itechnique ito
iestablish isuction iafter iemptying ior iactivating ia iJackson-Pratt idrain.)
8. A inurse iis ireinforcing iteaching iwith ithe iparent iof ia itoddler iwho ihas itype iI idiabetes imellitus
iand iwhose iprescription ihas ibeen ichanged ifrom iregular iinsulin ito ilispro iinsulin. iWhich iof
ithe ifollowing iinformation ishould ithe inurse iinclude iin ithe iteaching?
a) Lispro iis igiven ionce ia iday.
b) Lispro ishould ibe igiven ibefore ieating. i(Lispro iinsulin ishould ibe igiven iaround imealtime,
iwithin i15 imin ibefore ior iafter ieating.)
c) Lispro icannot ibe igiven iwith iother iinsulin.
i) Lispro idoes inot icause ihypoglycemia. iClick ihere ifor ianswers ihttps://bit.ly/30ZIPpb
9. A inurse iis ireinforcing iteaching iwith ia iclient iwho ihas imicrocytic ianemia iand iis iprescribed ia
idaily iiron isupplement. iThe inurse itells ithe iclient ito iconsume ifoods icontaining ivitamin iC
iwhen itaking ithe isupplement ito ienhance iiron iabsorption. iWhich iof ithe ifollowing iclient ifood
ichoices iindicates ian iunderstanding iof ithe iteaching?
a) 1 icup icooked ibrown irice
b) 1 icup iboiled ibroccoli i(The inurse ishould idetermine ithat ichoosing iboiled ibroccoli iindicates
ian iunderstanding iof ithe iteaching ibecause i1 icup icontains i101 img iof ivitamin iC iper
iserving.)
c) 1 icup icottage icheese
d) 1 icup icooked ikidney ibeans
10. A inurse iis iassisting iwith ithe idevelopment iof ia iplan iof icare ito imanage ipain ifor ia iclient iwho
ihas iherpes izoster iwith ilesions ion ithe ilower iextremities. iWhich iof ithe ifollowing iinterventions
ishould ithe inurse iinclude iin ithe iplan iof icare?
a) Keep ibed ilinens ioff iof ithe iaffected iareas. i(The inurse ishould ikeep ibed ilinens ioff iof ithe
iaffected iareas iusing ia ibed icradle, iwhich iwill irelieve ipain icaused iby ithe ilinens irubbing
iagainst ithe ilesions.)
b) Position ia iheat ilamp iover ithe ilower iextremities.
c) Apply iwarm, imoist icompresses ito ithe iaffected iareas.
d) Initiate idroplet iisolation iprecautions.
