NUR 170 Exam 2 () | Medical-
Surgical Nursing |Verified Questions
&Answers
What is health?
A state of complete physical, mental, and social well-being, not merely the absence
of disease.
Define wellness.
Actions taken by individuals to achieve their fullest potential for complete, holistic
health.
What does the Wheel of Wellness represent?
The dimensions of health, with the center representing least wellness and the outer
representing greater wellness.
What is the health-illness continuum?
A model that illustrates the range of health states from optimal wellness to severe
illness.
What is health promotion?
Actions taken to empower clients to take control over their own health habits for a
healthier life.
What are nonmodifiable risk factors?
Conditions that increase the risk of developing a disease and cannot be changed,
such as genetics and age.
What are the three levels of prevention?
Primary prevention (intervening before health effects occur), secondary prevention
(early screening), and tertiary prevention (controlling chronic effects).
Define genomics.
The study of human genes and their function, including interactions among genes
and the environment.
What is a genogram?
A pictorial tool that links family relationships with health information to evaluate
health risks.
How can genomics be useful in healthcare?
By providing personalized care plans, targeting treatments at the genetic level, and
identifying individuals at risk for certain conditions.
What is the importance of sleep?
,Essential for growth, hormone regulation, energy metabolism, learning, immune
function, and stress reduction.
What regulates the sleep-wake cycle?
An internal process regulated by the hypothalamus based on a 24-hour day-night
pattern.
What are the stages of NREM sleep?
Stage 1 (light sleep), Stage 2 (decreased heart rate and temperature), Stage 3 (deep
sleep with immune system strengthening).
What occurs during REM sleep?
Brain activity increases, dreaming occurs, and cognitive restoration takes place.
What factors can affect sleep?
Diet, emotional stress, environment, stimulants, pain, medications, and exercise.
What nursing interventions can promote sleep?
Educate on the importance of sleep, establish routines, cluster tasks, and provide
back rubs.
What is self-care in nursing?
Taking care of oneself to improve all components of health and wellness, enabling
better care for clients.
What is disease prevention?
Measures taken to limit exposure or effects of illness or disease, motivated by the
need to protect health.
What are the roles of nurses in health promotion?
Educate, collaborate, counsel, provide resources, and serve as role models.
What is Healthy People 2030?
A national health promotion and disease prevention initiative developed every ten
years to improve the health of all Americans.
What is included in the assessment phase of the nursing process?
Patient interview, physical assessment, health history, lifestyle review, and social
support system evaluation.
What is the difference between objective and subjective data?
Objective data is measurable and observable, while subjective data is derived from
the client's self-report.
What are modifiable risk factors?
Behaviors, actions, and exposures that can be changed to affect a client's risk for
developing a disease.
What are examples of self-care strategies for nurses?
Engaging in physical activity, maintaining a balanced diet, practicing mindfulness,
and ensuring adequate rest.
,The home health nurse is assigned to visit these clients when a change in
agency staffing requires that one of the clients be rescheduled for a visit on the
following day. Which client will be best to reschedule?
Client with emphysema who has been on home oxygen for a month and has SpO2
levels of 91% to 93%
A client is admitted to the medical floor with a new diagnosis of lung cancer.
How will the nurse initially assist the client in managing the anxiety associated
with the new diagnosis?
Encourage the client to ask questions and verbalize concerns.
Encourage the client to ask questions and verbalize concerns.
When caring for a client who has just undergone thoracentesis, which of these
interventions does the nurse perform first?
Schedule an immediate chest x-ray.
.
The nurse is assessing a client with chronic bronchitis who smoked 3 packs of
cigarettes daily for 32 years. How does the nurse document pack-year history
of smoking in the medical record?
Client has a 96 pack-year history
The nurse is caring for a client with heart failure and acute kidney injury. For
which of these breath sounds will the nurse assess?
Crackles
The nurse in the outpatient clinic is scheduling a client for pulmonary
function tests. When teaching the client about pulmonary function testing
(PFT), which point is essential for the nurse to emphasize?
Ensure the client does not smoke for 6 hours before the test.
The nurse in a life care community for geriatric clients is providing education
to a group of residents on expected changes during aging. Which of these
activities does the nurse encourage the older adult to perform to maintain
respiratory function?
Walk as tolerated each day.
A client is admitted to the surgical floor with chest pain, shortness of breath,
and hypoxemia after having a knee replacement. What primary assessment
will the nurse make while preparing the client for a computed tomography
(CT) scan?
"Are you allergic to iodine or shellfish?"
The nurse is caring for four clients who came to the emergency department
with a productive cough. Which of these clients requires immediate
intervention by the nurse?
The client with pink, frothy sputum
, Which client does the charge nurse on the medical-surgical unit assign to an
RN who has floated from the postanesthesia care unit (PACU)?
Client who had 1200 mL of pleural fluid removed by thoracentesis
The nurse is providing education on preventing pulmonary disorders at a
community health fair. Which of these groups does the nurse target?
Bakers
Coal miners
Furniture refinishers
Potters
A client has returned to the medical surgical unit after a bronchoscopy.
Which nursing task is best for the charge nurse to delegate to the experienced
unlicensed assistive personnel (UAP)?
Monitor blood pressure and pulse.
The nurse is preparing the client for a diagnostic bronchoscopy. Which
nursing intervention is essential for the nurse to perform prior to the
procedure?
Ensure the client has had nothing by mouth.
The RN has received report about four clients. Which client needs the most
immediate assessment?
Client with acute asthma who has an oxygen saturation of 89% by pulse oximetry
Which assessment finding in the client with exacerbation of emphysema
requires intervention by the nurse?
Bronchial breath sounds heard at the bases
A client with asthma reports shortness of breath. Which of these findings does
the nurse anticipate when assessing this client's chest?
Expiratory wheezing not cleared by coughing
The RN and the LPN/LVN are working together to provide care for a group
of clients on a medical surgical unit. Which of these actions is most
appropriate for the RN to perform?
Plan client and family teaching regarding upcoming pulmonary function testing
The emergency department nurse is assessing a client who believes he has
sustained a pneumothorax after an outpatient thoracentesis earlier today. For
which of these symptoms will the nurse assess?
Sensation of air hunger
Tracheal deviation
Blue discoloration of the lips
The nurse is preparing a client with possible pulmonary embolism for a CT
scan with contrast. Prior to the scan, which of these assessment questions is
essential for the nurse to ask?
"Did you take metformin today?"
Surgical Nursing |Verified Questions
&Answers
What is health?
A state of complete physical, mental, and social well-being, not merely the absence
of disease.
Define wellness.
Actions taken by individuals to achieve their fullest potential for complete, holistic
health.
What does the Wheel of Wellness represent?
The dimensions of health, with the center representing least wellness and the outer
representing greater wellness.
What is the health-illness continuum?
A model that illustrates the range of health states from optimal wellness to severe
illness.
What is health promotion?
Actions taken to empower clients to take control over their own health habits for a
healthier life.
What are nonmodifiable risk factors?
Conditions that increase the risk of developing a disease and cannot be changed,
such as genetics and age.
What are the three levels of prevention?
Primary prevention (intervening before health effects occur), secondary prevention
(early screening), and tertiary prevention (controlling chronic effects).
Define genomics.
The study of human genes and their function, including interactions among genes
and the environment.
What is a genogram?
A pictorial tool that links family relationships with health information to evaluate
health risks.
How can genomics be useful in healthcare?
By providing personalized care plans, targeting treatments at the genetic level, and
identifying individuals at risk for certain conditions.
What is the importance of sleep?
,Essential for growth, hormone regulation, energy metabolism, learning, immune
function, and stress reduction.
What regulates the sleep-wake cycle?
An internal process regulated by the hypothalamus based on a 24-hour day-night
pattern.
What are the stages of NREM sleep?
Stage 1 (light sleep), Stage 2 (decreased heart rate and temperature), Stage 3 (deep
sleep with immune system strengthening).
What occurs during REM sleep?
Brain activity increases, dreaming occurs, and cognitive restoration takes place.
What factors can affect sleep?
Diet, emotional stress, environment, stimulants, pain, medications, and exercise.
What nursing interventions can promote sleep?
Educate on the importance of sleep, establish routines, cluster tasks, and provide
back rubs.
What is self-care in nursing?
Taking care of oneself to improve all components of health and wellness, enabling
better care for clients.
What is disease prevention?
Measures taken to limit exposure or effects of illness or disease, motivated by the
need to protect health.
What are the roles of nurses in health promotion?
Educate, collaborate, counsel, provide resources, and serve as role models.
What is Healthy People 2030?
A national health promotion and disease prevention initiative developed every ten
years to improve the health of all Americans.
What is included in the assessment phase of the nursing process?
Patient interview, physical assessment, health history, lifestyle review, and social
support system evaluation.
What is the difference between objective and subjective data?
Objective data is measurable and observable, while subjective data is derived from
the client's self-report.
What are modifiable risk factors?
Behaviors, actions, and exposures that can be changed to affect a client's risk for
developing a disease.
What are examples of self-care strategies for nurses?
Engaging in physical activity, maintaining a balanced diet, practicing mindfulness,
and ensuring adequate rest.
,The home health nurse is assigned to visit these clients when a change in
agency staffing requires that one of the clients be rescheduled for a visit on the
following day. Which client will be best to reschedule?
Client with emphysema who has been on home oxygen for a month and has SpO2
levels of 91% to 93%
A client is admitted to the medical floor with a new diagnosis of lung cancer.
How will the nurse initially assist the client in managing the anxiety associated
with the new diagnosis?
Encourage the client to ask questions and verbalize concerns.
Encourage the client to ask questions and verbalize concerns.
When caring for a client who has just undergone thoracentesis, which of these
interventions does the nurse perform first?
Schedule an immediate chest x-ray.
.
The nurse is assessing a client with chronic bronchitis who smoked 3 packs of
cigarettes daily for 32 years. How does the nurse document pack-year history
of smoking in the medical record?
Client has a 96 pack-year history
The nurse is caring for a client with heart failure and acute kidney injury. For
which of these breath sounds will the nurse assess?
Crackles
The nurse in the outpatient clinic is scheduling a client for pulmonary
function tests. When teaching the client about pulmonary function testing
(PFT), which point is essential for the nurse to emphasize?
Ensure the client does not smoke for 6 hours before the test.
The nurse in a life care community for geriatric clients is providing education
to a group of residents on expected changes during aging. Which of these
activities does the nurse encourage the older adult to perform to maintain
respiratory function?
Walk as tolerated each day.
A client is admitted to the surgical floor with chest pain, shortness of breath,
and hypoxemia after having a knee replacement. What primary assessment
will the nurse make while preparing the client for a computed tomography
(CT) scan?
"Are you allergic to iodine or shellfish?"
The nurse is caring for four clients who came to the emergency department
with a productive cough. Which of these clients requires immediate
intervention by the nurse?
The client with pink, frothy sputum
, Which client does the charge nurse on the medical-surgical unit assign to an
RN who has floated from the postanesthesia care unit (PACU)?
Client who had 1200 mL of pleural fluid removed by thoracentesis
The nurse is providing education on preventing pulmonary disorders at a
community health fair. Which of these groups does the nurse target?
Bakers
Coal miners
Furniture refinishers
Potters
A client has returned to the medical surgical unit after a bronchoscopy.
Which nursing task is best for the charge nurse to delegate to the experienced
unlicensed assistive personnel (UAP)?
Monitor blood pressure and pulse.
The nurse is preparing the client for a diagnostic bronchoscopy. Which
nursing intervention is essential for the nurse to perform prior to the
procedure?
Ensure the client has had nothing by mouth.
The RN has received report about four clients. Which client needs the most
immediate assessment?
Client with acute asthma who has an oxygen saturation of 89% by pulse oximetry
Which assessment finding in the client with exacerbation of emphysema
requires intervention by the nurse?
Bronchial breath sounds heard at the bases
A client with asthma reports shortness of breath. Which of these findings does
the nurse anticipate when assessing this client's chest?
Expiratory wheezing not cleared by coughing
The RN and the LPN/LVN are working together to provide care for a group
of clients on a medical surgical unit. Which of these actions is most
appropriate for the RN to perform?
Plan client and family teaching regarding upcoming pulmonary function testing
The emergency department nurse is assessing a client who believes he has
sustained a pneumothorax after an outpatient thoracentesis earlier today. For
which of these symptoms will the nurse assess?
Sensation of air hunger
Tracheal deviation
Blue discoloration of the lips
The nurse is preparing a client with possible pulmonary embolism for a CT
scan with contrast. Prior to the scan, which of these assessment questions is
essential for the nurse to ask?
"Did you take metformin today?"
