1
MED SURG EXAM TEST BANK
MED SURG EXAM TEST BANK 2 with 263 Questions
and Correct Answers with Detailed Rationales /
MED SURG Hesi, RN Med Surg Proctored, Evolve
HESI Med Surg Comprehensive Practice Exam
Latest
During assessment of a client with a 15-year history of diabetes, the nurse notes
that the client has decreased tactile sensation in both feet. Which action does
the nurse take first?
A) Notify the health care provider.
B) Document the finding in the client's chart.
C) Examine the client's feet for signs of injury.
, 2
MED SURG EXAM TEST BANK
D) Test sensory perception in the client's hands. –
Correct Answer :C
Diabetic neuropathy is common when the disease is of long duration. The client
is at great risk for injury in any area with decreased sensation because he or she
is less able to feel injurious events. Feet are common locations for neuropathy
and injury, so the nurse should inspect them for any signs of injury. After
assessing, the nurse should document findings in the client's chart. Testing
sensory perception in the hands may or may not be needed. The health care
provider can be notified after assessment and documentation have been
completed.
Which nursing intervention best assists a bedridden client to keep skin intact?
A) Use a lift sheet to move the client in bed.
B) Turn the client every 2 to 4 hours.
C) Use a foam mattress pad.
D) Apply talcum powder to the perineal area. –
Correct Answer :A
Friction forces are generated when the client is dragged or pulled across bed
linen; this often leads to altered skin integrity. Using a lift sheet will prevent
friction. Keeping the skin clean and dry is an important intervention, but
powders should not be used in the perineal area. To minimize vasoconstriction
and possible pressure ulcer development from dependency, the client should be
, 3
MED SURG EXAM TEST BANK
turned at a minimum of every 2 hours. A foam mattress will not significantly
decrease pressure to an area.
A client presents with an acute exacerbation of multiple sclerosis. Which
prescribed medication does the nurse prepare to administer?
A) Interferon beta-1b (Betaseron)
B) Baclofen (Lioresal)
C) Methylprednisolone (Medrol)
D) Dantrolene sodium (Dantrium) –
Correct Answer :C
Methylprednisolone is the drug of choice for acute exacerbations of the disease.
The other medications are not appropriate.
The nurse is assessing a client's understanding of his hypertension therapy.
What client statement indicates a need for further teaching?
A) "When my blood pressure is normal, I will no longer need to take
medication."
B) "If my blood pressure stays under control, I will reduce my risk for a heart
attack."
C) "If I lose weight, I might be able to reduce my blood pressure medication."
D) "When getting out of bed in the morning, I will sit for a few moments then
stand." –
, 4
MED SURG EXAM TEST BANK
Correct Answer :A
Compliance with antihypertensive therapy is difficult for two reasons. First, often
clients have no distressing symptoms associated with hypertension and may not
believe that they have a problem. Second, many clients believe that once blood
pressure is brought back into the normal range, they are "cured" and no longer
need to take medication. Losing weight might allow the client to reduce
medications. Lowering blood pressure does lower risk for heart attack. Because
blood pressure medications often lead to orthostatic hypotension, clients
should be taught to change position slowly, sitting first before standing after
lying flat.
Which of the following would be included in the assessment of a patient with
diabetes mellitus who is experiencing a hypoglycemic reaction? (Select all that
apply.)
A) Constricted pupils
B) Flushed skin
C) Tremors
D) Nervousness
E) Extreme thirst
F) Profuse perspiration –
Correct Answer :C,D,F
When hypoglycemia occurs, blood glucose levels fall, resulting in sympathetic
nervous system responses such as tremors, nervousness, and profuse
MED SURG EXAM TEST BANK
MED SURG EXAM TEST BANK 2 with 263 Questions
and Correct Answers with Detailed Rationales /
MED SURG Hesi, RN Med Surg Proctored, Evolve
HESI Med Surg Comprehensive Practice Exam
Latest
During assessment of a client with a 15-year history of diabetes, the nurse notes
that the client has decreased tactile sensation in both feet. Which action does
the nurse take first?
A) Notify the health care provider.
B) Document the finding in the client's chart.
C) Examine the client's feet for signs of injury.
, 2
MED SURG EXAM TEST BANK
D) Test sensory perception in the client's hands. –
Correct Answer :C
Diabetic neuropathy is common when the disease is of long duration. The client
is at great risk for injury in any area with decreased sensation because he or she
is less able to feel injurious events. Feet are common locations for neuropathy
and injury, so the nurse should inspect them for any signs of injury. After
assessing, the nurse should document findings in the client's chart. Testing
sensory perception in the hands may or may not be needed. The health care
provider can be notified after assessment and documentation have been
completed.
Which nursing intervention best assists a bedridden client to keep skin intact?
A) Use a lift sheet to move the client in bed.
B) Turn the client every 2 to 4 hours.
C) Use a foam mattress pad.
D) Apply talcum powder to the perineal area. –
Correct Answer :A
Friction forces are generated when the client is dragged or pulled across bed
linen; this often leads to altered skin integrity. Using a lift sheet will prevent
friction. Keeping the skin clean and dry is an important intervention, but
powders should not be used in the perineal area. To minimize vasoconstriction
and possible pressure ulcer development from dependency, the client should be
, 3
MED SURG EXAM TEST BANK
turned at a minimum of every 2 hours. A foam mattress will not significantly
decrease pressure to an area.
A client presents with an acute exacerbation of multiple sclerosis. Which
prescribed medication does the nurse prepare to administer?
A) Interferon beta-1b (Betaseron)
B) Baclofen (Lioresal)
C) Methylprednisolone (Medrol)
D) Dantrolene sodium (Dantrium) –
Correct Answer :C
Methylprednisolone is the drug of choice for acute exacerbations of the disease.
The other medications are not appropriate.
The nurse is assessing a client's understanding of his hypertension therapy.
What client statement indicates a need for further teaching?
A) "When my blood pressure is normal, I will no longer need to take
medication."
B) "If my blood pressure stays under control, I will reduce my risk for a heart
attack."
C) "If I lose weight, I might be able to reduce my blood pressure medication."
D) "When getting out of bed in the morning, I will sit for a few moments then
stand." –
, 4
MED SURG EXAM TEST BANK
Correct Answer :A
Compliance with antihypertensive therapy is difficult for two reasons. First, often
clients have no distressing symptoms associated with hypertension and may not
believe that they have a problem. Second, many clients believe that once blood
pressure is brought back into the normal range, they are "cured" and no longer
need to take medication. Losing weight might allow the client to reduce
medications. Lowering blood pressure does lower risk for heart attack. Because
blood pressure medications often lead to orthostatic hypotension, clients
should be taught to change position slowly, sitting first before standing after
lying flat.
Which of the following would be included in the assessment of a patient with
diabetes mellitus who is experiencing a hypoglycemic reaction? (Select all that
apply.)
A) Constricted pupils
B) Flushed skin
C) Tremors
D) Nervousness
E) Extreme thirst
F) Profuse perspiration –
Correct Answer :C,D,F
When hypoglycemia occurs, blood glucose levels fall, resulting in sympathetic
nervous system responses such as tremors, nervousness, and profuse
