PNLE : MEDICAL SURGICAL
NURSING EXAM 2 QUESTIONS
AND VERIFIED ANSWERS
A client is hospitalized with a diagnosis of chronic renal failure. An arteriovenous
fistula was created in his left arm for hemodialysis. When preparing the client for
discharge, the nurse should reinforce which dietary instruction?
A. “Be sure to eat meat at every meal.”
B. “Monitor your fruit intake and eat plenty of bananas.”
C. “Restrict your salt intake.”
D. “Drink plenty of fluids.”
The nurse is caring for a client who has just had a modified radical mastectomy
with immediate reconstruction. She’s in her 30s and has tow children. Although
,she’s worried about her future, she seems to be adjusting well to her diagnosis.
What should the nurse do to support her coping?
A. Tell the client’s spouse or partner to be supportive while she recovers.
B. Encourage the client to proceed with the next phase of treatment.
C. Recommend that the client remain cheerful for the sake of her children.
D. Refer the client to the American Cancer Society’s Reach for Recovery
program or another support program.
A 21 year-old male has been seen in the clinic for a thickening in his right testicle.
The physician ordered a human chorionic gonadotropin (HCG) level. The nurse’s
explanation to the client should include the fact that:
A. The test will evaluate prostatic function.
B. The test was ordered to identify the site of a possible infection.
C. The test was ordered because clients who have testicular cancer has elevated
levels of HCG.
D. The test was ordered to evaluate the testosterone level. 22. A client is
receiving captopril (Capoten) for heart failure. The nurse should notify the
physician that the medication therapy is ineffective if an assessment reveals:
A. A skin rash.
B. Peripheral edema.
C. A dry cough.
D. Postural hypotension.
Which assessment finding indicates dehydration?
A. Tenting of chest skin when pinched.
B. Rapid filling of hand veins.
,C. A pulse that isn’t easily obliterated.
D. Neck vein distention
The nurse is teaching a client with a history of atherosclerosis. To decrease the risk
of atherosclerosis, the nurse should encourage the client to:
A. Avoid focusing on his weight.
B. Increase his activity level.
C. Follow a regular diet.
D. Continue leading a high-stress lifestyle.
For a client newly diagnosed with radiationinduced thrombocytopenia,
the nurse should include which intervention in the plan of care?
A. Administer aspirin if the temperature exceeds 38.8º C.
B. Inspect the skin for petechiae once every shift.
C. Provide for frequent periods of rest.
D. Place the client in strict isolation.
A client is chronically short of breath and yet has normal lung ventilation, clear
lungs, and an arterial oxygen saturation (SaO2) 96% or better. The client most
likely has:
A. poor peripheral perfusion
B. a possible Hematologic problem
C. a psychosomatic disorder
D. left-sided heart failure
, For a client in addisonian crisis, it would be very risky for a nurse to administer:
A. potassium chloride
B. normal saline solution
C. hydrocortisone
D. fludrocortisone
The nurse is reviewing the laboratory report of a client who underwent a
bone marrow biopsy. The finding that would most
strongly support a diagnosis of acute leukemia is the existence of a large number of
immature:
A. lymphocytes
B. thrombocytes
C. reticulocytes
D. leukocytes
After a cerebrovascular accident, a 75 yr old client is admitted to the health care
facility. The client has left-sided weakness and an absent gag reflex. He’s
incontinent and has a tarry stool. His blood pressure is 90/50 mm Hg, and his
hemoglobin is 10 g/dl. Which of the following is a priority for this client?
A. checking stools for occult blood
B. performing range-of-motion exercises to the left side
C. keeping skin clean and dry
D. elevating the head of the bed to 30 degrees
NURSING EXAM 2 QUESTIONS
AND VERIFIED ANSWERS
A client is hospitalized with a diagnosis of chronic renal failure. An arteriovenous
fistula was created in his left arm for hemodialysis. When preparing the client for
discharge, the nurse should reinforce which dietary instruction?
A. “Be sure to eat meat at every meal.”
B. “Monitor your fruit intake and eat plenty of bananas.”
C. “Restrict your salt intake.”
D. “Drink plenty of fluids.”
The nurse is caring for a client who has just had a modified radical mastectomy
with immediate reconstruction. She’s in her 30s and has tow children. Although
,she’s worried about her future, she seems to be adjusting well to her diagnosis.
What should the nurse do to support her coping?
A. Tell the client’s spouse or partner to be supportive while she recovers.
B. Encourage the client to proceed with the next phase of treatment.
C. Recommend that the client remain cheerful for the sake of her children.
D. Refer the client to the American Cancer Society’s Reach for Recovery
program or another support program.
A 21 year-old male has been seen in the clinic for a thickening in his right testicle.
The physician ordered a human chorionic gonadotropin (HCG) level. The nurse’s
explanation to the client should include the fact that:
A. The test will evaluate prostatic function.
B. The test was ordered to identify the site of a possible infection.
C. The test was ordered because clients who have testicular cancer has elevated
levels of HCG.
D. The test was ordered to evaluate the testosterone level. 22. A client is
receiving captopril (Capoten) for heart failure. The nurse should notify the
physician that the medication therapy is ineffective if an assessment reveals:
A. A skin rash.
B. Peripheral edema.
C. A dry cough.
D. Postural hypotension.
Which assessment finding indicates dehydration?
A. Tenting of chest skin when pinched.
B. Rapid filling of hand veins.
,C. A pulse that isn’t easily obliterated.
D. Neck vein distention
The nurse is teaching a client with a history of atherosclerosis. To decrease the risk
of atherosclerosis, the nurse should encourage the client to:
A. Avoid focusing on his weight.
B. Increase his activity level.
C. Follow a regular diet.
D. Continue leading a high-stress lifestyle.
For a client newly diagnosed with radiationinduced thrombocytopenia,
the nurse should include which intervention in the plan of care?
A. Administer aspirin if the temperature exceeds 38.8º C.
B. Inspect the skin for petechiae once every shift.
C. Provide for frequent periods of rest.
D. Place the client in strict isolation.
A client is chronically short of breath and yet has normal lung ventilation, clear
lungs, and an arterial oxygen saturation (SaO2) 96% or better. The client most
likely has:
A. poor peripheral perfusion
B. a possible Hematologic problem
C. a psychosomatic disorder
D. left-sided heart failure
, For a client in addisonian crisis, it would be very risky for a nurse to administer:
A. potassium chloride
B. normal saline solution
C. hydrocortisone
D. fludrocortisone
The nurse is reviewing the laboratory report of a client who underwent a
bone marrow biopsy. The finding that would most
strongly support a diagnosis of acute leukemia is the existence of a large number of
immature:
A. lymphocytes
B. thrombocytes
C. reticulocytes
D. leukocytes
After a cerebrovascular accident, a 75 yr old client is admitted to the health care
facility. The client has left-sided weakness and an absent gag reflex. He’s
incontinent and has a tarry stool. His blood pressure is 90/50 mm Hg, and his
hemoglobin is 10 g/dl. Which of the following is a priority for this client?
A. checking stools for occult blood
B. performing range-of-motion exercises to the left side
C. keeping skin clean and dry
D. elevating the head of the bed to 30 degrees
