Medical Surgical Nursing Test Prep

Medical Surgical Nursing Test Prep 1 #8: A diabetic client exhibits the following symptoms; pulse rate 120 beats per minute, drop in blood pressure from 120/80 to 90/56 within 30 minutes, rapid shallow breathing. The client is 1 hour post op. You would expect from the following symptoms that.... A.The client is going into shock, possibly due to internal post operative bleeding. B.The client is a going into a diabetic coma. C.The client is dehydrated. - CORRECT ANSWERS A.The client is going into shock, possibly due to internal post operative bleeding. #1: Your client has just returned from a cardiac catheterization. Upon arriving to the floor you take a set of vital signs. What sign would alert you to the fact that there is something wrong? A.Weak left pedal pulse, and bounding right pedal pulse with toes that are cool. B.The client complains of pain in their groin area, rating it at a 10 on the visual analogue scale. C.The client's blood pressure has dropped from 145/90 to 138/85 in one hour. - CORRECT ANSWERS A.Weak left pedal pulse, and bounding right pedal pulse with toes that are cool. #2: You are teaching a client about taking the medication Digoxin. What is the most important aspect that you need the client to understand regarding this medication? A.To always take their pulse rate before taking the medication, and if their pulse is less than 60 beats per minute, not to take the medication, and to call their doctor. B.You are empathetic to their concerns, and that while their blood sugar may possibly drop some, Lantus has no pronounced peak time C.To take their pulse and blood pressure before taking the pill. If their blood pressure and pulse is too low, then withhold taking the medication D.That this medication can cause a drop in blood pressure, and they need to get up slowly from a sitting to standing position - CORRECT ANSWERS A.To always take their pulse rate before taking the medication, and if their pulse is less than 60 beats per minute, not to take the medication, and to call their doctor. B.You are empathetic to their concerns, and that while their blood sugar may possibly drop some, Lantus has no pronounced peak time #3: You are reading the client's labs and you notice that their neutrophil count is elevated. You interpret this finding as a sign that the.... A.Client has a recent infection B.Client has a long term infection. C.Client needs to be placed in isolation - CORRECT ANSWERS A.Client has a recent infection #4: A client's blood type is AB positive. Which of the following blood products can the client receive? A.A,B, AB, and O B.Only AB Ac B, and AB - CORRECT ANSWERS A.A,B, AB, and O #5: A client is receiving blood products. Which of the following I.V. solutions is compatible? A.Isotonic B.Hypertonic C.Hypotonic - CORRECT ANSWERS A.Isotonic #6: The best plan of action as a nurse would be to... A.Call a code, stay with the client and try to keep the client from loosing consciousness. B.Pull out the call light in the wall to get help, stay with the client and increase I.V. fluid rate from keep open to 100mL per minute. C.Leave the client and obtain the blood glucose monitor to test the client's blood sugar. - CORRECT ANSWERS A.Call a code, stay with the client and try to keep the client from loosing consciousness. #7: You are making rounds at 1600 and you notice that one of your patients who is a diabetic has had the following blood sugars @ 0600 B.S. of 68, @1200 B.S. 264. The client is on a insulin sliding scale. The patient appears lethargic, and is difficult to arouse. You notice that the patient is sweating. Which of the following interventions would you begin first? A.Take the client's blood sugar stat B.Give the client 6 oz of fruit juice C.Administer 1mg of glucagon D.Cover client with 10 Units of Lantus as ordered. E.1.5 mL's - CORRECT ANSWERS A.Take the client's blood sugar stat #9: Prioritize the following scenarios as to which patient you would see first. A.A Patient: 64 year old male, long time smoker is hospitalized for a cardiac catheterization and awaiting the procedure, begins complaining of chest pain, you note that he is diaphoretic, and is having trouble breathing, the cardiac monitor is reading Vtachycardia B.A Patient two hours post-op abdominal surgery displays bright red blood on their dressing C.A Patient who is walking in the halls, has blood work that shows an elevated potassium level of 5.7 D.A patient two days post-op appendectomy is complaining of pain in the back of their right calf, numbness in their toes and is positive for Homans signs. - CORRECT ANSWERS A.A Patient: 64 year old male, long time smoker is hospitalized for a cardiac catheterization and awaiting the procedure, begins complaining of chest pain, you note that he is diaphoretic, and is having trouble breathing, the cardiac monitor is reading Vtachycardia #10: Which of the following patient's you would see first? A.A 35 year old male with a history of alcoholism and cirrhosis of the liver is hospitalized for Ascites. Upon receiving report from the midnight shift that he has been alert and oriented x3, you notice that one hour into the shift he is confused and is calling out loudly at people that are not in the room. B.A 84 year old woman has a history of COPD and has a O2 sat of 94 while on 2liters of O2. She is complaining that she has not moved her bowels in 2 days. C.A 24 year old female hospitalized for a breast biopsy is weeping in her room quietly. D.74 year old female who had her foley catheter removed 6 hours ago has not yet voided, and states that she does not have the urge to go, although she has been drinking fluids - CORRECT ANSWERS A.A 35 year old male with a history of alcoholism and cirrhosis of the liver is hospitalized for Ascites. Upon receiving report from the midnight shift that he has been alert and oriented x3, you notice that one hour into the shift he is confused and is calling out loudly at people that are not in the room. #11: Your patient has a feeding tube running at 35mL's per hour. You shut off the flow and prepare to give the patient their medication twenty minutes later. You are able to aspirate over 40 mL's from the tubing prior to infusing medication. Why is this amount significant? A.Do not give the medication and call the patient's physician B.Give the medication C.Give the medication so that you will be in the time frame of one hour after the medication is due. - CORRECT ANSWERS A.Do not give the m