MED SURG 1 FINAL 2021 EXAM QUESTIONS
WITH CORRECT ANSWERS
A nurse is caring for an adolescent client who has a long history of diabetes mellitus
and is being admitted to the emergency department confused, flushed, and with an
acetone odor on the breath. Diabetic ketoacidosis is suspected.The nurse should
anticipate using which of the following types of insulin to treat this client? - ANSWER
Regular insulin
A nurse is discussing the difference between skeletal and skin traction with a newly
licensed nurse. Which of the statements by the newly licensed nurse indicates
understanding? - ANSWER Skeletal traction is more appropriate than skin traction for
reducing a fracture.
A nurse is proving discharge teaching to a client who has a fracture of the right tibia and
a fiberglass cast. Which of the following instructions should the nurse include in the
teaching? - ANSWER Report any worsening or unrelieved pain
A nurse is caring for a client who has gastrointestinal bleeding. Which of the following
actions should the nurse take ? - ANSWER Assess orthostatic blood pressure
A nurse is caring for a client with type 1 diabetes mellitus who reports felling shaky and
having palpitations. When the nurse finds the client's blood glucose to be 48 mg/dL on
glucometer, he should give the client which of the following - ANSWER Graham
crackers
A nurse is teaching a client who has diabetes about which dietary source should provide
the greatest percentage of calories. Which of the following statements indicates the
client understands the teaching? - ANSWER I should eat more calories from complex
carbohydrates than anything else
A nurse is caring for a client who has had a stroke involving the right hemisphere.
Which of the following alteration in function should the nurse expect? - ANSWER
Inability to recognize his family members
A nurse is providing teaching for a client who is newly diagnosed with type 2 diabetes
Mellitus and has a prescription for glipizide. Which of the following statements by the
nurse best describes action action of glipizide - ANSWER Glipizide stimulates your
pancreas to release insulin
, A nurse in a community clinic is assessing an older adult client for manifestation of
dehydration. Which of the following findings should the nurse expect - ANSWER
Furrows in the tongue
A nurse is caring for a child who is experiencing a seizure. Which of the following
actions should the nurse take? - ANSWER Position the child laterally
A nurse is caring for a client who has active pulmonary tuberculosis (TB) and a new
prescription for IV rifampin. The nurse should instruct the client that they should expect
to experience which of the following manifestations while taking this medication? -
ANSWER Red colored urine
A nurse is preparing to initiate a transfusion of packed RBC for a client who has anemia.
Which of the following actions should the nurse plan to take? - ANSWER Check the
clients vital signs every hour during the transfusion
A nurse is teaching a client about nutritional requirements necessary to promote wound
healing. Which of the following nutrient should the nurse include in the teaching -
ANSWER Protein
A nurse is caring for an older adult client who has a urinary track infection . Which of the
following manifestation should the nurse identify as a findings specially associated with
this client? - ANSWER Confusion
A nurse is providing teaching to a client who is taking warfarin about monitoring it's
therapeutic effects. Which of the following explanation should the nurse provide about
the international normalized ratio (INR) test? - ANSWER The INR is a standardized test
that eliminates the variations between laboratories reports in Prothrombin times.
A nurse is teaching group of nursing students about Pyelonephritis. Which of the
following statements should the nurse include in the teaching - ANSWER Pyelonephritis
increases a pregnant woman's risk for preterm labor
A nurse is teaching about diseases management for a client who has type 1 diabetes
Mellitus.Which statement made by the clinic indicates an understanding of the
teaching? - ANSWER I give the insulin injection in the abdominal area
A nurse is caring for a client who has a new diagnosis of urolithiasis. Which of the
following should the nurse identify as an associated risk factor? - ANSWER Family
history
A nurse is providing teaching to a client who is postoperative following coronary artery
bypass graft surgery and is receiving opioid medication to manage discomfort. Aside
from managing pain, which of the following desires effects of medications should the
nurse identify as most important for the clients recovery? - ANSWER It facilitates the
clients deep breathing
WITH CORRECT ANSWERS
A nurse is caring for an adolescent client who has a long history of diabetes mellitus
and is being admitted to the emergency department confused, flushed, and with an
acetone odor on the breath. Diabetic ketoacidosis is suspected.The nurse should
anticipate using which of the following types of insulin to treat this client? - ANSWER
Regular insulin
A nurse is discussing the difference between skeletal and skin traction with a newly
licensed nurse. Which of the statements by the newly licensed nurse indicates
understanding? - ANSWER Skeletal traction is more appropriate than skin traction for
reducing a fracture.
A nurse is proving discharge teaching to a client who has a fracture of the right tibia and
a fiberglass cast. Which of the following instructions should the nurse include in the
teaching? - ANSWER Report any worsening or unrelieved pain
A nurse is caring for a client who has gastrointestinal bleeding. Which of the following
actions should the nurse take ? - ANSWER Assess orthostatic blood pressure
A nurse is caring for a client with type 1 diabetes mellitus who reports felling shaky and
having palpitations. When the nurse finds the client's blood glucose to be 48 mg/dL on
glucometer, he should give the client which of the following - ANSWER Graham
crackers
A nurse is teaching a client who has diabetes about which dietary source should provide
the greatest percentage of calories. Which of the following statements indicates the
client understands the teaching? - ANSWER I should eat more calories from complex
carbohydrates than anything else
A nurse is caring for a client who has had a stroke involving the right hemisphere.
Which of the following alteration in function should the nurse expect? - ANSWER
Inability to recognize his family members
A nurse is providing teaching for a client who is newly diagnosed with type 2 diabetes
Mellitus and has a prescription for glipizide. Which of the following statements by the
nurse best describes action action of glipizide - ANSWER Glipizide stimulates your
pancreas to release insulin
, A nurse in a community clinic is assessing an older adult client for manifestation of
dehydration. Which of the following findings should the nurse expect - ANSWER
Furrows in the tongue
A nurse is caring for a child who is experiencing a seizure. Which of the following
actions should the nurse take? - ANSWER Position the child laterally
A nurse is caring for a client who has active pulmonary tuberculosis (TB) and a new
prescription for IV rifampin. The nurse should instruct the client that they should expect
to experience which of the following manifestations while taking this medication? -
ANSWER Red colored urine
A nurse is preparing to initiate a transfusion of packed RBC for a client who has anemia.
Which of the following actions should the nurse plan to take? - ANSWER Check the
clients vital signs every hour during the transfusion
A nurse is teaching a client about nutritional requirements necessary to promote wound
healing. Which of the following nutrient should the nurse include in the teaching -
ANSWER Protein
A nurse is caring for an older adult client who has a urinary track infection . Which of the
following manifestation should the nurse identify as a findings specially associated with
this client? - ANSWER Confusion
A nurse is providing teaching to a client who is taking warfarin about monitoring it's
therapeutic effects. Which of the following explanation should the nurse provide about
the international normalized ratio (INR) test? - ANSWER The INR is a standardized test
that eliminates the variations between laboratories reports in Prothrombin times.
A nurse is teaching group of nursing students about Pyelonephritis. Which of the
following statements should the nurse include in the teaching - ANSWER Pyelonephritis
increases a pregnant woman's risk for preterm labor
A nurse is teaching about diseases management for a client who has type 1 diabetes
Mellitus.Which statement made by the clinic indicates an understanding of the
teaching? - ANSWER I give the insulin injection in the abdominal area
A nurse is caring for a client who has a new diagnosis of urolithiasis. Which of the
following should the nurse identify as an associated risk factor? - ANSWER Family
history
A nurse is providing teaching to a client who is postoperative following coronary artery
bypass graft surgery and is receiving opioid medication to manage discomfort. Aside
from managing pain, which of the following desires effects of medications should the
nurse identify as most important for the clients recovery? - ANSWER It facilitates the
clients deep breathing
