MEDICAL-SURGICAL NURSING
NEWEST EXAM 1 ALL QUESTIONS AND
ANSWERS UPDATE THIS YEAR
QUESTIONThe nurse is caring for a client who is recovering from an allergic reaction. Which
leukocyte level would the nurse expect to be the most elevated? - answer-Eosinophils
QUESTIONThe nurse is caring for a client who has an infected wound on the great toe that is
red with a purulent exudate. The nurse expects that this client has which type of infection? -
answer-Localized
QUESTIONThe client experienced a fall. Nursing assessment reveals that the client is
experiencing tachycardia, hypotension, confusion, tachypnea, and flat jugular veins. What
should be the nurse's first response? - answer-Administer oxygen.
QUESTIONThe family wants to know why the nurse is putting a urinary catheter in a client
experiencing shock. What is the nurse's best response? - answer-"It will help monitor how
much urine the kidneys are able to produce."
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? - answer-Frequently wash her hands and surfaces of the home.
QUESTIONThe nurse is caring for a client infected with Rocky Mountain spotted fever. The
nurse should ask if the client has experienced which of the following? - answer-Was bitten by
a tick
QUESTIONThe nurse is caring for a client with a protozoa infection. Which is the most likely
mode of transmission? - answer-Ingestion of contaminated food or water
,QUESTIONA client experiencing shock has had a urinary output of 250 mL in the last 10 hours.
What is the nurse's most appropriate response? - answer-Notify the physician.
QUESTIONWhich client is most likely to be experiencing hypovolemic shock? - answer-A client
who had surgery 24 hours ago and who also has a nasogastric tube
QUESTIONThe physician has ordered arterial blood gases for a client experiencing shock. The
nurse knows that which value indicates shock? - answer-pH 7.32
QUESTIONA 63-year-old Arab American male states his left leg is "hot." What is the nurse's
best first response? - answer-Assess for pain
QUESTIONThe client is complaining of excruciating pain in a foot that has been amputated. The
family tells the nurse that the client is just addicted to pain medications. What is the nurse's
best response? - answer-"He is experiencing phantom limb pain."
QUESTIONA client has had abdominal surgery and has orders to be ambulated three times a
day. Oral pain medication has been ordered for the client. What should the nurse do to
facilitate ambulation? - answer-Mediate 1 hour prior to ambulating the client.
QUESTIONThe client reports frequent use of acetaminophen. How should the nurse best
respond? - answer-"Do you drink alcohol?"
QUESTIONA client with chronic pain has been admitted with a fever. The nursing assessment
reveals that the client has a decreased level of consciousness. What should the nurse ask the
family about? - answer-What medications the client has taken
QUESTIONThe practical nurse is reviewing the social history from a client diagnosed with
small cell carcinoma of the lung. Which information is significant for this disease? - answer-
The client has smoked two (2) packs of cigarettes a day for 20 years
, QUESTIONThe practical nurse and an unlicensed assistive personnel (UAP) are caring for a
group of clients on a medical unit. Which information provided by the UAP warrants immediate
intervention by the practical nurse? - answer-The client receiving Procrit (epoetin alfa) has a T
99.2˚F, P 68, R 24, and BP of 198/102
QUESTIONThe client diagnosed with lung cancer has been told the cancer has metastasized to
the brain. Which intervention should the practical nurse expect to implement? - answer-
Discuss implementing an advance directive
QUESTIONA patient is being released from the hospital with a prescription for tetracycline.
What should the nurse include in patient teaching?
Select all that apply. - answer-Advise limiting exposure to the sun.
Inform patient of the possibility of gastrointestinal upset.
Suggest eating crackers and some juice when taking this medicine.
QUESTIONThe nurse wants to determine if a patient not fully awake from anesthesia for a
surgical procedure is experiencing pain. What findings should the nurse use to make this
determination?
Select all that apply. - answer-Moaning
Restlessness
Pulling at a body area
Elevated blood pressure
QUESTIONA patient is diagnosed with an infection that has spread to the blood stream. Which
term should the nurse use to document this patient's health problem? - answer-Sepsis
NEWEST EXAM 1 ALL QUESTIONS AND
ANSWERS UPDATE THIS YEAR
QUESTIONThe nurse is caring for a client who is recovering from an allergic reaction. Which
leukocyte level would the nurse expect to be the most elevated? - answer-Eosinophils
QUESTIONThe nurse is caring for a client who has an infected wound on the great toe that is
red with a purulent exudate. The nurse expects that this client has which type of infection? -
answer-Localized
QUESTIONThe client experienced a fall. Nursing assessment reveals that the client is
experiencing tachycardia, hypotension, confusion, tachypnea, and flat jugular veins. What
should be the nurse's first response? - answer-Administer oxygen.
QUESTIONThe family wants to know why the nurse is putting a urinary catheter in a client
experiencing shock. What is the nurse's best response? - answer-"It will help monitor how
much urine the kidneys are able to produce."
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? - answer-Frequently wash her hands and surfaces of the home.
QUESTIONThe nurse is caring for a client infected with Rocky Mountain spotted fever. The
nurse should ask if the client has experienced which of the following? - answer-Was bitten by
a tick
QUESTIONThe nurse is caring for a client with a protozoa infection. Which is the most likely
mode of transmission? - answer-Ingestion of contaminated food or water
,QUESTIONA client experiencing shock has had a urinary output of 250 mL in the last 10 hours.
What is the nurse's most appropriate response? - answer-Notify the physician.
QUESTIONWhich client is most likely to be experiencing hypovolemic shock? - answer-A client
who had surgery 24 hours ago and who also has a nasogastric tube
QUESTIONThe physician has ordered arterial blood gases for a client experiencing shock. The
nurse knows that which value indicates shock? - answer-pH 7.32
QUESTIONA 63-year-old Arab American male states his left leg is "hot." What is the nurse's
best first response? - answer-Assess for pain
QUESTIONThe client is complaining of excruciating pain in a foot that has been amputated. The
family tells the nurse that the client is just addicted to pain medications. What is the nurse's
best response? - answer-"He is experiencing phantom limb pain."
QUESTIONA client has had abdominal surgery and has orders to be ambulated three times a
day. Oral pain medication has been ordered for the client. What should the nurse do to
facilitate ambulation? - answer-Mediate 1 hour prior to ambulating the client.
QUESTIONThe client reports frequent use of acetaminophen. How should the nurse best
respond? - answer-"Do you drink alcohol?"
QUESTIONA client with chronic pain has been admitted with a fever. The nursing assessment
reveals that the client has a decreased level of consciousness. What should the nurse ask the
family about? - answer-What medications the client has taken
QUESTIONThe practical nurse is reviewing the social history from a client diagnosed with
small cell carcinoma of the lung. Which information is significant for this disease? - answer-
The client has smoked two (2) packs of cigarettes a day for 20 years
, QUESTIONThe practical nurse and an unlicensed assistive personnel (UAP) are caring for a
group of clients on a medical unit. Which information provided by the UAP warrants immediate
intervention by the practical nurse? - answer-The client receiving Procrit (epoetin alfa) has a T
99.2˚F, P 68, R 24, and BP of 198/102
QUESTIONThe client diagnosed with lung cancer has been told the cancer has metastasized to
the brain. Which intervention should the practical nurse expect to implement? - answer-
Discuss implementing an advance directive
QUESTIONA patient is being released from the hospital with a prescription for tetracycline.
What should the nurse include in patient teaching?
Select all that apply. - answer-Advise limiting exposure to the sun.
Inform patient of the possibility of gastrointestinal upset.
Suggest eating crackers and some juice when taking this medicine.
QUESTIONThe nurse wants to determine if a patient not fully awake from anesthesia for a
surgical procedure is experiencing pain. What findings should the nurse use to make this
determination?
Select all that apply. - answer-Moaning
Restlessness
Pulling at a body area
Elevated blood pressure
QUESTIONA patient is diagnosed with an infection that has spread to the blood stream. Which
term should the nurse use to document this patient's health problem? - answer-Sepsis
