Medical-Surgical Nursing Exam 1
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1. The nurse is caring for a client who has as a son with Frequently wash her
a streptococcus throat infection. Which nurse recom- hands and surfaces of the
mendation would be best to advise the client to do in home.
order to prevent acquiring the infection?
2. The nurse is caring for a client infected with Rocky Was bitten by a tick
Mountain spotted fever. The nurse should ask if the
client has experienced which of the following?
3. The nurse is caring for a client with a protozoa infec- Ingestion of contaminated
tion. Which is the most likely mode of transmission? food or water
4. The nurse is caring for a client who is recovering from Eosinophils
an allergic reaction. Which leukocyte level would the
nurse expect to be the most elevated?
5. The nurse is caring for a client who has an infected Localized
wound on the great toe that is red with a purulent
exudate. The nurse expects that this client has which
type of infection?
6. The client experienced a fall. Nursing assessment Administer oxygen.
reveals that the client is experiencing tachycardia,
hypotension, confusion, tachypnea, and flat jugular
veins. What should be the nurse's first response?
7. The family wants to know why the nurse is putting a "It will help monitor how
urinary catheter in a client experiencing shock. What much urine the kidneys
is the nurse's best response? are able to produce."
8. A client experiencing shock has had a urinary output Notify the physician.
of 250 mL in the last 10 hours. What is the nurse's most
appropriate response?
, Medical-Surgical Nursing Exam 1
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9. Which client is most likely to be experiencing hypov- A client who had surgery
olemic shock? 24 hours ago and who
also has a nasogastric
tube
10. The physician has ordered arterial blood gases for a pH 7.32
client experiencing shock. The nurse knows that which
value indicates shock?
11. A 63-year-old Arab American male states his left leg is Assess for pain
"hot." What is the nurse's best first response?
12. The client is complaining of excruciating pain in a foot "He is experiencing phan-
that has been amputated. The family tells the nurse tom limb pain."
that the client is just addicted to pain medications.
What is the nurse's best response?
13. A client has had abdominal surgery and has orders Mediate 1 hour prior to
to be ambulated three times a day. Oral pain medica- ambulating the client.
tion has been ordered for the client. What should the
nurse do to facilitate ambulation?
14. The client reports frequent use of acetaminophen. "Do you drink alcohol?"
How should the nurse best respond?
15. A client with chronic pain has been admitted with a What medications the
fever. The nursing assessment reveals that the client client has taken
has a decreased level of consciousness. What should
the nurse ask the family about?
16. The practical nurse is reviewing the social history from The client has smoked two
a client diagnosed with small cell carcinoma of the (2) packs of cigarettes a
lung. Which information is significant for this disease? day for 20 years
, Medical-Surgical Nursing Exam 1
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17. The practical nurse and an unlicensed assistive per- The client receiving Pro-
sonnel (UAP) are caring for a group of clients on crit (epoetin alfa) has a T
a medical unit. Which information provided by the 99.2˚F, P 68, R 24, and BP
UAP warrants immediate intervention by the practical of 198/102
nurse?
18. The client diagnosed with lung cancer has been told Discuss implementing an
the cancer has metastasized to the brain. Which in- advance directive
tervention should the practical nurse expect to imple-
ment?
19. The client diagnosed with lung cancer is being dis- "It doesn't matter if I
charged. Which statement made by the client indi- smoke now. I already have
cates a reiteration of information is required? cancer."
20. The practical nurse is interviewing clients at the clinic. The client has been
Which information provided by a client warrants fur- coughing up blood in the
ther investigation? mornings
21. The male client had abdominal surgery and the prac- Hard, rigid abdomen and
tical nurse suspects the client has peritonitis. Which white blood cell count
information support the diagnosis of peritonitis? 22,000/mm3
22. The client who had abdominal surgery tells the practi- Inspect the abdominal
cal nurse, "I felt something give way in my stomach." wound incision
Which intervention should the practical nurse imple-
ment first?
23. The client is one (1) day postoperative major abdomi- Fluid and electrolyte im-
nal surgery. Which client problem is a priority? balance
24. Apply sterile normal saline
dressing
Study online at https://quizlet.com/_3y1prv
1. The nurse is caring for a client who has as a son with Frequently wash her
a streptococcus throat infection. Which nurse recom- hands and surfaces of the
mendation would be best to advise the client to do in home.
order to prevent acquiring the infection?
2. The nurse is caring for a client infected with Rocky Was bitten by a tick
Mountain spotted fever. The nurse should ask if the
client has experienced which of the following?
3. The nurse is caring for a client with a protozoa infec- Ingestion of contaminated
tion. Which is the most likely mode of transmission? food or water
4. The nurse is caring for a client who is recovering from Eosinophils
an allergic reaction. Which leukocyte level would the
nurse expect to be the most elevated?
5. The nurse is caring for a client who has an infected Localized
wound on the great toe that is red with a purulent
exudate. The nurse expects that this client has which
type of infection?
6. The client experienced a fall. Nursing assessment Administer oxygen.
reveals that the client is experiencing tachycardia,
hypotension, confusion, tachypnea, and flat jugular
veins. What should be the nurse's first response?
7. The family wants to know why the nurse is putting a "It will help monitor how
urinary catheter in a client experiencing shock. What much urine the kidneys
is the nurse's best response? are able to produce."
8. A client experiencing shock has had a urinary output Notify the physician.
of 250 mL in the last 10 hours. What is the nurse's most
appropriate response?
, Medical-Surgical Nursing Exam 1
Study online at https://quizlet.com/_3y1prv
9. Which client is most likely to be experiencing hypov- A client who had surgery
olemic shock? 24 hours ago and who
also has a nasogastric
tube
10. The physician has ordered arterial blood gases for a pH 7.32
client experiencing shock. The nurse knows that which
value indicates shock?
11. A 63-year-old Arab American male states his left leg is Assess for pain
"hot." What is the nurse's best first response?
12. The client is complaining of excruciating pain in a foot "He is experiencing phan-
that has been amputated. The family tells the nurse tom limb pain."
that the client is just addicted to pain medications.
What is the nurse's best response?
13. A client has had abdominal surgery and has orders Mediate 1 hour prior to
to be ambulated three times a day. Oral pain medica- ambulating the client.
tion has been ordered for the client. What should the
nurse do to facilitate ambulation?
14. The client reports frequent use of acetaminophen. "Do you drink alcohol?"
How should the nurse best respond?
15. A client with chronic pain has been admitted with a What medications the
fever. The nursing assessment reveals that the client client has taken
has a decreased level of consciousness. What should
the nurse ask the family about?
16. The practical nurse is reviewing the social history from The client has smoked two
a client diagnosed with small cell carcinoma of the (2) packs of cigarettes a
lung. Which information is significant for this disease? day for 20 years
, Medical-Surgical Nursing Exam 1
Study online at https://quizlet.com/_3y1prv
17. The practical nurse and an unlicensed assistive per- The client receiving Pro-
sonnel (UAP) are caring for a group of clients on crit (epoetin alfa) has a T
a medical unit. Which information provided by the 99.2˚F, P 68, R 24, and BP
UAP warrants immediate intervention by the practical of 198/102
nurse?
18. The client diagnosed with lung cancer has been told Discuss implementing an
the cancer has metastasized to the brain. Which in- advance directive
tervention should the practical nurse expect to imple-
ment?
19. The client diagnosed with lung cancer is being dis- "It doesn't matter if I
charged. Which statement made by the client indi- smoke now. I already have
cates a reiteration of information is required? cancer."
20. The practical nurse is interviewing clients at the clinic. The client has been
Which information provided by a client warrants fur- coughing up blood in the
ther investigation? mornings
21. The male client had abdominal surgery and the prac- Hard, rigid abdomen and
tical nurse suspects the client has peritonitis. Which white blood cell count
information support the diagnosis of peritonitis? 22,000/mm3
22. The client who had abdominal surgery tells the practi- Inspect the abdominal
cal nurse, "I felt something give way in my stomach." wound incision
Which intervention should the practical nurse imple-
ment first?
23. The client is one (1) day postoperative major abdomi- Fluid and electrolyte im-
nal surgery. Which client problem is a priority? balance
24. Apply sterile normal saline
dressing
