Medical-Surgical Nursing Practice Questions & Test Bank - Grade A+

NURSING • TESTBANK • PRACTICE QUESTIONS




TESTBANK
Medical-Surgical
Nursing



PRACTICE QUESTIONS


Answers shown after each question




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Original Educational Practice Questions
For Nursing Students




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1. A patient with heart failure is prescribed furosemide. The nurse should monitor for:
A. Hyperkalemia
B. Hypokalemia
C. Hypernatremia only
D. Elevated magnesium
Answer: B
2. The priority assessment for a patient with chest pain is:
A. Last meal time
B. Airway, breathing, circulation and characteristics of the pain
C. Family history only
D. Only blood pressure
Answer: B
3. A patient with COPD should be taught to:
A. Breathe rapidly at all times
B. Use pursed-lip breathing and conserve energy
C. Avoid all activity
D. Lie flat when short of breath
Answer: B
4. Which finding is most concerning in a patient with pneumonia?
A. Productive cough
B. Sudden increase in respiratory rate and decreasing oxygen saturation
C. Mild fever
D. Fatigue
Answer: B
5. A patient with diabetes has a blood glucose of 52 mg/dL and is conscious. The nurse should:
A. Give IV dextrose immediately without assessment
B. Provide 15 g of fast-acting carbohydrate and recheck
C. Give long-acting insulin
D. Ignore the value
Answer: B
6. The classic signs of hyperglycemia include:
A. Cool clammy skin and hunger only
B. Polyuria, polydipsia, and polyphagia
C. Only bradycardia
D. Weight gain only
Answer: B
7. A patient with DKA is likely to have which acid-base imbalance?
A. Metabolic alkalosis
B. Metabolic acidosis
C. Respiratory alkalosis only
D. Normal pH
Answer: B
8. Priority nursing action for a patient admitted with suspected myocardial infarction is:
A. Ambulate immediately
B. Oxygen, cardiac monitoring, and pain relief as ordered
C. Give a full meal
D. Restrict all fluids
Answer: B
9. Nitroglycerin is given for chest pain primarily to:
A. Increase blood pressure
B. Dilate coronary vessels and reduce preload
C. Raise heart rate
D. Treat infection
Answer: B
10. A patient receiving heparin should be monitored for:




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A. Only blood glucose
B. Signs of bleeding and aPTT as ordered
C. Only potassium
D. Only temperature
Answer: B
11. Warfarin therapy is monitored using:
A. aPTT only
B. INR (and PT)
C. Only platelet count
D. Only hemoglobin
Answer: B
12. A patient with atrial fibrillation is at increased risk for:
A. Only bradycardia
B. Thromboembolism / stroke
C. Only hypertension
D. Only anemia
Answer: B
13. Left-sided heart failure commonly presents with:
A. Peripheral edema only
B. Pulmonary congestion, dyspnea, and crackles
C. Only jugular venous distention
D. Only ascites
Answer: B
14. Right-sided heart failure commonly presents with:
A. Pulmonary edema only
B. Peripheral edema, jugular venous distention, and hepatomegaly
C. Only crackles
D. Only orthopnea
Answer: B
15. A patient with hypertension should be taught to:
A. Stop medication when feeling better
B. Take medications as prescribed and modify lifestyle
C. Double doses if pressure is high
D. Avoid all exercise
Answer: B
16. The nurse notes a blood pressure of 190/110. Priority action is to:
A. Document only
B. Reassess, notify the provider, and follow emergency protocols as indicated
C. Give oral fluids only
D. Encourage ambulation
Answer: B
17. A patient with anemia may present with:
A. High energy and ruddy complexion
B. Fatigue, pallor, and dyspnea on exertion
C. Only hypertension
D. Only bradycardia
Answer: B
18. Iron supplements are best absorbed when taken:
A. With milk
B. On an empty stomach or with vitamin C as advised
C. With antacids
D. Only at bedtime with calcium
Answer: B
19. A patient with sickle cell disease is at risk for:
A. Only hypertension




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