MED/SURG 2024 (Questions with 100% correct answers)

The nurse is assessing a 48-year-old client with a history of smoking during a routine clinic visit. The client, who exercises regularly, reports having pain in the calf during exercise that disappears at rest. Which of the following findings requires further evaluation? 1. Heart rate 57 bpm. 2...

When describing patient education approaches, the nurse educator would explain that informal teaching is an approach that a. follows formalized plans b. has standardized content c. often occurs one-to-one d. addresses group needs correct answers C. Informal teaching is individualized one on on...

A female client with a nasogastric tube attached to low suction states that she is nauseated. The nurse assesses that there has been no drainage through the nasogastric tube in the last 2 hours. Which action should the nurse take first? A. Irrigate the nasogastric tube with sterile normal saline....

A client with a productive cough has obtained a sputum specimen for culture as instructed. What is the best initial nursing action? A. Administer the first dose of antibiotic therapy B. Observe the color, consistency, and amount of sputum C. Encourage the client to consume plenty of warm liquid...

What instruction should the nurse include in the discharge teaching plan of a client who had a cataract extraction today? correct answers Light housekeeping is permitted but avoid heavy lifting A male adult comes to the urgent care clinic 5 days after being diagnose with influenza. He is short of...

The nurse assesses a patient's surgical wound on the first postoperative day and notes redness and warmth around the incision. Which action by the nurse is appropriate? a. Obtain wound cultures. b. Document the assessment. c. Notify the health care provider. d. Assess the wound every 2 hour...

medical-surgical nursing correct answers a specialty practice area in which nurses promote, restore, or maintain optimal health for patients from 18 to older than 100 years of age hypertension correct answers Used to treat _______________, the "ACE inhibitors" are drugs that disrupt the renin-a...

Which type of fluid is found in synovial fluid in the joints? correct answers transcellular fluid A client admitted with hypovolemia asks the nurse the cause of this condition. The nurse identifies which of the following as risk factors for hypovolemia? correct answers hemorrhage, vomiting, liver...

During an assessment of a 45-yr-old patient with asthma, the nurse notes wheezing and dyspnea. The nurse interprets that these symptoms are related to what pathophysiologic change? a. Laryngospasm b. Pulmonary edema c. Narrowing of the airway d. Overdistention of the alveoli correct answers c. N...

After receiving morning report, which patient should the licensed practical nurse/licensed vocational nurse (LPN/LVN) assess first? A) A patient who needs discharge teaching B) A patient who needs assistance to ambulate C) A patient who states, "No one cares about me." D) A patient who has...

A client presents to the emergency department with upper gastrointestinal bleeding and is in moderate distress. In planning care, what is the priority nursing action for this client? a. Assessment of vital signs b. Completion of abdominal examination c. Insertion of the prescribed nasogastric tub...

An older client is hospitalized after an operation. When assessing the client for postoperative infection, the nurse places priority on which assessment? correct answers change in behavior A preoperative nurse is assessing a client prior to surgery. Which information would be most important for t...

When a client with a history of chronic alcoholism is admitted to the hospital for surgery, the nurse anticipates that the client may show signs of alcohol withdrawal delirium during which time period? correct answers Up to 72 hours after alcohol withdrawal A fractured skull would be classified u...

What are the ABCDE's to identify skin cancer? correct answers A: Asymmetry of shape B: Border irregularity C: Color variation within one lesion D: Diameter > 6mm E: Evolving/changing features What are some psychosocial assessments for skin integrity? correct answers Body Image Body Langu...

A nurse is discussing restorative health care with a newly licensed nurse. Which examples should the nurse include in the teaching ? correct answers Home health care, rehabilitation facilities, skilled nursing facilities. A nurse is explaining the various types of healthcare coverage clients migh...

Which description of symptoms is characteristic of a client diagnosed with trigeminal neuralgia (tic douloureux)? A) Tinnitus, vertigo, and hearing difficulties. B) Sudden, stabbing, severe pain over the lip and chin. C) Facial weakness and paralysis. D) Difficulty in chewing, talking, and sw...

Ethics correct answers Ideals or right and wrong behavior Bioethics correct answers Issues that arise in health care such as quality of life, genetic screening, and futile care. Ethical dilemma correct answers Situations where one is forced to choose between two alternatives. Processed in the ...

A patient is seen at the clinic for a routine physical examination. After the patient is assessed for evidence of peripheral vascular disease, the nurse explains that which of the following tests is typically used to assist in the diagnosis? 1. Allen's Test 2. Ankle brachial pressure index. 3. C...

The nurse is caring for a client who has as a son with a streptococcus throat infection. Which nurse recommendation would be best to advise the client to do in order to prevent acquiring the infection? correct answers Frequently wash her hands and surfaces of the home. The nurse is caring for a c...

A nurse working in an emergency dept. Is caring for a client who has benzodiazepine toxicity due to an overdose. Which actions is the nurses priority? A- administer flumazenil B- identify the clients level of orientation C- infuse iv fluids D- prepare the client for gastric lavage correct answer...

The nurse is admitting a patient with the diagnosis of advanced renal carcinoma. Based upon this diagnosis, the nurse will expect to find which of the following as the "classic triad" of presenting symptoms occurring in patients with renal cancer? A. Fever, chills, flank pain B. Hematuria, flan...

One hour after admission to the post anesthesia care unit (PACU), the postoperative patient has become very restless. What is the nurse's first action? A. Assess the oxygen saturation level B. Administer pain medication as ordered C. Call the surgeon to assess the patient D. Assess for bladder ...

1. A patient is being admitted to the hospital on the day before a scheduled surgery. What is the most appropriate initial question for the nurse to ask this preoperative patient? a) "What did your surgeon say to you about the type of surgery you are having?" b) "What questions do you have abou...

Nurse that coordinates and documents pt care in the operating room correct answers circulating nurse Pt often have alteration in mental status when suffering from this urinary disorder correct answers urosepsis the lab work order to monitor the effectiveness of Synthroid dosage correct answers...

A new nurse is working with a preceptor on an inpatient medical-surgical unit. The preceptor advises the student that which is the priority when working as a professional nurse? a. Attending to holistic client needs b. Ensuring client safety c. Not making medication errors d. Providing client-fo...

Which patients are at risk for fluid volume excess? A. 64 year old male with a diagnosis of kidney failure B. 46 year old male who is training for a marathon C. 35 year old male with diarrhea and vomiting for the past 2 days D. 83 year old female with a diagnosis of a stroke and has trouble ta...

The nurse assesses a surgical patient the morning of the first postoperative day and notes redness and warmth around the incision. Which action by the nurse is most appropriate? a. Obtain wound cultures. b. Document the assessment. c. Notify the health care provider. d. Assess the wound every 2 ...

A correct answers The nurse includes which nursing diagnosis in the plan of care for the patient admitted with pneumonia? A. Anxiety related to hypoxia B. Deficient knowledge related to cause of disorder C. Fear related to the threat of pain D. Ineffective breathing pattern related to decreas...

A patient has a nursing diagnosis of ineffective airway clearance related to retained secretions, excessive mucus, and ineffective cough as evidenced by adventitious breath sounds. What should the nurse include in the NCP as an appropriate NOC outcome and NIC intervention for this nursing diagnosis?...

A nurse has recently been assigned to a medical-surgical clinical rotation. According to the scope of medical-surgical nursing, what type of client assignments does the nurse expect to see? A. Hospitalized children with acute and chronic illnesses B. Hospitalized adults with acute and chronic illn...

The nurse is assessing a patient with advance cirrhosis. The nurse should be alert for which sign of hepatic deterioration correct answers Altered Level of Consciousness This scenario describe hepatic encephalopathy. This cause central nervous system toxicity, Leading to Altered Level of Conscio...

What is the scope of medical-surgical nursing? correct answers to promote health and prevent illness or injury in patients from 18 to older than 100 Recipients of care in mutually trusting relationships with nurses and other members of the health care team. correct answers Patients This requir...

Mechanical ventilation is commonly indicated in all of the following conditions except a. pneumothorax. b. drug overdose. c. status asthmaticus. d. thoracic surgery. correct answers A During spontaneous breathing, air is drawn into the lungs by a. collapsing alveoli. b. low oxygen levels. ...

The student nurse studying the gastrointestinal system understands that chyme refers to what A Hormones that reduce gastric acidity B Liquefied food ready for digestion C Nutrients after being absorbed D Secretions that help digest food correct answers B A client scheduled for a percutaneou...

What laboratory findings does the nurse determine are consistent with hypovolemia in a female patient? (Select all that apply.) 1. BUN : serum creatinine ratio of >12.1 2. Urine positive for blood 3. Hematocrit level of >47% 4. Urine specific gravity of 1.027 5. Urine osmolality of >...

Which assessment is most important for the nurse to perform on a client who is hospitalized for Guillain-Barre syndrome that is rapidly progressing? A: Respiratory effort. B: Unsteady gait. C: Intensity of pain. D: Ability to eat. correct answers A: Respiratory Effort (Guillain-Barre syndrome...

A 20-year-old female client calls the nurse to report a lump she found in her breast. Which response is the best for the nurse to provide? A) Check it again in one month, and if it is still there schedule an appointment. B) Most lumps are benign, but it is always best to come in for an examinatio...

1. A nurse is visiting a client who is receiving home health care, focusing on medication and dietary instructions and management of heart failure. The nurse should reinforce which instruction? A.) If you feel tired and short of breath, lie down flat and prop up your feet. B.) Eating liver sev...

A client is admitted for dehydration, and an intravenous (IV) infusion of normal saline at 125 mL/hr has been started. One hour after the IV initiation the client begins screaming, "I can't breathe!" The nursing priority action is: 1. Discontinue the IV site and contact the primary health care...

The nurse assesses a patient with shortness of breath for evidence of long-standing hypoxemia by inspecting: A. Chest excursion B. Spinal curvatures C. The respiratory pattern D. The fingernail and its base correct answers D. The fingernail and its base Clubbing, a sign of long-standing hypoxe...

While completing a health assessment for a young adult female with acute appendicitis, the client informs the nurse that there is a chance that she may be pregnant. The operating team is preparing to take the client to surgery. Which intervention should the nurse implement immediately? correct answe...

Which assessment is most important for the nurse to perform on a client who is hospitalized for Guillain-Barre syndrome that is rapidly progressing? A: Respiratory effort. B: Unsteady gait. C: Intensity of pain. D: Ability to eat. correct answers A: Respiratory Effort (Guillain-Barre syndrome...