Med-Surg Practice Questions
vn vn
Thevnnursevnisvncaringvnforvnfourvnclientsvnonvnavnmedical-
surgicalvnunit.vnWhichvnclientvnshouldvnthevn
nursevnseevninitially?
1.vnAvnclientvnadmittedvnwithvnhepatitisvnAvnwhovnhasvnhadvnseverevndiarrheavnf
orvnthevnlastvn
24vnhours
2.vnAvnclientvnadmittedvnwithvnpneumoniavnwhovnisvnhasvnsmallvnamountsvnofvn
yellowvn
productivevnsputum
3.vnAvnclientvnadmittedvnwithvnfevervnofvnunknownvnoriginvn(FUO)vnwhovnhasvn
beenvn
withoutvnfevervnforvnthevnlastvn48vnhours
4.vnAvnclientvnadmittedvnwithvnavnwoundvninfectionvnwhosevnWBCvnisvn8,500vn
mm3vn-vncorrectvnanswer✔ ✔ Answer:vn1
Rationale:vnThevnnursevnmustvndecidevnwhichvnclientvnshouldvnbevnseenvnonvnth
evninitialvnroundsvnofvnthevn
day.vnThevnnursevnmustvnremembervnthatvnthevnfirstvnclientvntovnbevnseenvnshoul
dvnbevnthevnclientvn
,whovnneedsvnthevnattentionvnofvnthevnnursevninitially.vnAvnclientvnwithvnhepatitis
vnAvndoesvn
experiencevndiarrhea,vnbutvndiarrheavnforvnthevnlastvn24vnhoursvncouldvncausevnt
hevnclientvntovn
havevnavnproblemvnwithvndehydrationvnandvnexperiencevnavnstatevnofvnfluidvnvol
umevndeficit.
Thevnnursevnisvnpreparingvntovnadministervninfluenzavnvaccinesvntovnavnmassvndr
ive-throughvnclinic.vn
Whichvnstatementvnbyvnavnclientvnwouldvnindicatevnfurthervnquestioningvnprior
vntovngivingvnthevnclientvn
thevninfluenzavnvaccine?
1.vn"Ivnamvnallergicvntovnhorsevnhair."
2.vn"Ivntryvntovngetvnmyvnvaccinevneveryvnyear."
3.vn"Ivnamvnnotvnallergicvntovnanythingvnexceptvneggs."
4.vn"Myvnhusbandvnhadvnavnseverevnallergicvnreactionvnaftervnhevnreceivedvnhisvn
influenzavn
vaccine."vn-vncorrectvnanswer✔ ✔ Answer:vn3
Rationale:vnInfluenzavnvaccinesvnarevnrecommendedvnforvnpersonvnatvnhighvnri
skvnforvnseriousvn
,sequelaevnofvninfluenza.vnThevnnursevnshouldvnbevnawarevnthatvnclientvnwithvnavn
sensitivityvntovn
eggsvnshouldvnnotvnreceivevnthevnvaccine.vnVaccinesvnpreparedvnfromvnchicke
nvnorvnduckvn
embryosvnarevncontraindicatedvninvnclientsvnwhovnarevnallergicvntovneggs.
Eachvnclient'svnresponsevntovnpainvnmayvnbevninfluencedvnbyvnmultiplevnfactors
.vnSelectvnallvnthatvn
apply:
a.vnAge
b.vnPastvnexperiencevnwithvnpain
c.vnCulturalvninfluences
d.vnKnowledgevn-vncorrectvnanswer✔ ✔ CorrectvnAnswers:vna;vnb;vnc;vnd
Rationale:vnAllvnfactorsvnlistedvncanvninfluencevnavnclient'svnresponsevntovnpain.
Thevnnursevnisvncaringvnforvnfourvnclientsvnonvnavnmedical-
surgicalvnunit.vnThevnsecretaryvngivesvnthevn
nursevnthevnmorningvnlabs.vnWhichvnofvnthevnfollowingvnlabsvnwouldvnrequirevn
thatvnthevnnursevncallvnthevn
physicianvnandvninformvnthevnhealthcarevnprovidervnaboutvnthevnclient'svnabnor
malities?
, 1.vnWBCvn14,600vnmm3
2.vnSerumvnproteinvn6.9vng/dL
3.vnIvn&vnDvn(incisionvnandvndrainage)vnshowingvnnovngrowthvnforvnthevnlastvn24v
nhours
4.vnAlbuminvn4.2vng/dLvn-vncorrectvnanswer✔ ✔ Answer:vn1
Rationale:vnWhenvnthevnnursevnisvncaringvnforvnseveralvnclients,vnallvnofvnthevnla
bsvnshouldvnbevncheckedvn
frequentlyvnthroughoutvnthevnshiftvntovnassessvnforvnanyvnabnormalities.vnThevn
WBCvninvnoptionvn1vnisvn
abnormal.vn(NormalvnWBCvn4,000-10,000vnmm3
.)vnAllvnofvnthevnothervnlabvnresultsvnarevnwithinvn
acceptablevnrange;vntherefore,vnthevnresultsvnshouldvnnotvnbevncalledvninvntovnth
evnphysician.
Thevnnursevnisvnorientingvnavnnewvngraduate.vnThevnnursevnisvnreinforcingvnthevn
importancevnofvn
standardvnprecautions.vnWhichvnofvnthevnfollowingvnobservationsvnbyvnthevnnu
rsevnwouldvnrequirevn
furthervneducationvnregardingvnstandardvnprecautions?
vn vn
Thevnnursevnisvncaringvnforvnfourvnclientsvnonvnavnmedical-
surgicalvnunit.vnWhichvnclientvnshouldvnthevn
nursevnseevninitially?
1.vnAvnclientvnadmittedvnwithvnhepatitisvnAvnwhovnhasvnhadvnseverevndiarrheavnf
orvnthevnlastvn
24vnhours
2.vnAvnclientvnadmittedvnwithvnpneumoniavnwhovnisvnhasvnsmallvnamountsvnofvn
yellowvn
productivevnsputum
3.vnAvnclientvnadmittedvnwithvnfevervnofvnunknownvnoriginvn(FUO)vnwhovnhasvn
beenvn
withoutvnfevervnforvnthevnlastvn48vnhours
4.vnAvnclientvnadmittedvnwithvnavnwoundvninfectionvnwhosevnWBCvnisvn8,500vn
mm3vn-vncorrectvnanswer✔ ✔ Answer:vn1
Rationale:vnThevnnursevnmustvndecidevnwhichvnclientvnshouldvnbevnseenvnonvnth
evninitialvnroundsvnofvnthevn
day.vnThevnnursevnmustvnremembervnthatvnthevnfirstvnclientvntovnbevnseenvnshoul
dvnbevnthevnclientvn
,whovnneedsvnthevnattentionvnofvnthevnnursevninitially.vnAvnclientvnwithvnhepatitis
vnAvndoesvn
experiencevndiarrhea,vnbutvndiarrheavnforvnthevnlastvn24vnhoursvncouldvncausevnt
hevnclientvntovn
havevnavnproblemvnwithvndehydrationvnandvnexperiencevnavnstatevnofvnfluidvnvol
umevndeficit.
Thevnnursevnisvnpreparingvntovnadministervninfluenzavnvaccinesvntovnavnmassvndr
ive-throughvnclinic.vn
Whichvnstatementvnbyvnavnclientvnwouldvnindicatevnfurthervnquestioningvnprior
vntovngivingvnthevnclientvn
thevninfluenzavnvaccine?
1.vn"Ivnamvnallergicvntovnhorsevnhair."
2.vn"Ivntryvntovngetvnmyvnvaccinevneveryvnyear."
3.vn"Ivnamvnnotvnallergicvntovnanythingvnexceptvneggs."
4.vn"Myvnhusbandvnhadvnavnseverevnallergicvnreactionvnaftervnhevnreceivedvnhisvn
influenzavn
vaccine."vn-vncorrectvnanswer✔ ✔ Answer:vn3
Rationale:vnInfluenzavnvaccinesvnarevnrecommendedvnforvnpersonvnatvnhighvnri
skvnforvnseriousvn
,sequelaevnofvninfluenza.vnThevnnursevnshouldvnbevnawarevnthatvnclientvnwithvnavn
sensitivityvntovn
eggsvnshouldvnnotvnreceivevnthevnvaccine.vnVaccinesvnpreparedvnfromvnchicke
nvnorvnduckvn
embryosvnarevncontraindicatedvninvnclientsvnwhovnarevnallergicvntovneggs.
Eachvnclient'svnresponsevntovnpainvnmayvnbevninfluencedvnbyvnmultiplevnfactors
.vnSelectvnallvnthatvn
apply:
a.vnAge
b.vnPastvnexperiencevnwithvnpain
c.vnCulturalvninfluences
d.vnKnowledgevn-vncorrectvnanswer✔ ✔ CorrectvnAnswers:vna;vnb;vnc;vnd
Rationale:vnAllvnfactorsvnlistedvncanvninfluencevnavnclient'svnresponsevntovnpain.
Thevnnursevnisvncaringvnforvnfourvnclientsvnonvnavnmedical-
surgicalvnunit.vnThevnsecretaryvngivesvnthevn
nursevnthevnmorningvnlabs.vnWhichvnofvnthevnfollowingvnlabsvnwouldvnrequirevn
thatvnthevnnursevncallvnthevn
physicianvnandvninformvnthevnhealthcarevnprovidervnaboutvnthevnclient'svnabnor
malities?
, 1.vnWBCvn14,600vnmm3
2.vnSerumvnproteinvn6.9vng/dL
3.vnIvn&vnDvn(incisionvnandvndrainage)vnshowingvnnovngrowthvnforvnthevnlastvn24v
nhours
4.vnAlbuminvn4.2vng/dLvn-vncorrectvnanswer✔ ✔ Answer:vn1
Rationale:vnWhenvnthevnnursevnisvncaringvnforvnseveralvnclients,vnallvnofvnthevnla
bsvnshouldvnbevncheckedvn
frequentlyvnthroughoutvnthevnshiftvntovnassessvnforvnanyvnabnormalities.vnThevn
WBCvninvnoptionvn1vnisvn
abnormal.vn(NormalvnWBCvn4,000-10,000vnmm3
.)vnAllvnofvnthevnothervnlabvnresultsvnarevnwithinvn
acceptablevnrange;vntherefore,vnthevnresultsvnshouldvnnotvnbevncalledvninvntovnth
evnphysician.
Thevnnursevnisvnorientingvnavnnewvngraduate.vnThevnnursevnisvnreinforcingvnthevn
importancevnofvn
standardvnprecautions.vnWhichvnofvnthevnfollowingvnobservationsvnbyvnthevnnu
rsevnwouldvnrequirevn
furthervneducationvnregardingvnstandardvnprecautions?
