1
MEDICAL
SUGICAL
NURSING BEST
PRACTICE TEST
BANK
, 2
1. Marco who was diagnosed with client’s scrotum was edematous and
brain tumor was scheduled for painful. The nurse should:
tracheotomy. In preventing A. Assist the client with sitz bath
the development of cerebral edema B. Apply war soaks in the scrotum
after surgery, the nurse should expect the C. Elevate the scrotum using a soft support
use of: D. Prepare for a possible incision and
A. Diuretics drainage
B. Anti hypertensive
C. Steroids 8. Nurse Hazel receives emergency
D. Anticonvulsants laboratory results for a client with chest
pain and immediately informs the
2. Halfway through the administration physician. An increased myoglobin level
of blood, the female client complains of suggests which of the following?
lumbar pain. After stopping the infusion A. Liver disease
Nurse Hazel should: B. Myocardial damage
A. Increase the flow of normal saline C. Hypertension
B. Assess the pain further D. Cancer
C. Notify the blood bank
D. Obtain vital signs. 9. Nurse Maureen would expect a client
with mitral stenosis would demonstrate
3. Nurse Maureen knows that the positive symptoms associated with congestion in
diagnosis of HIV infection is made based the:
on which of the following: A. Right atrium
A. A history of high-risk sexual behaviors. B. Superior vena cava
B. Positive ELISA and western blot tests C. Aorta
C. Identification of an associated D. Pulmonary
opportunistic infection 10. A client has been diagnosed
D. Evidence of extreme weight loss and with hypertension. The nurse
high fever priority nursing diagnosis would be:
A. Ineffective health maintenance
4. Nurse Maureen is aware that a client B. Impaired skin integrity
who has been diagnosed with chronic C. Deficient fluid volume
renal failure recognizes an adequate D. Pain
amount of high-biologic-value protein
when the food the client selected from the 11. Nurse Hazel teaches the client
menu was: with angina about common expected side
A. Raw carrots effects of nitroglycerin including:
B. Apple juice A. high blood pressure
C. Whole wheat bread B. stomach cramps
D. Cottage cheese C. headache
D. shortness of breath
5. Kenneth who was diagnosed with
uremic syndrome has the potential to 12. The following are lipid abnormalities.
develop complications. Which among the Which of the following is a risk factor for
following complications should the nurse the development of atherosclerosis and
anticipates: PVD?
A. Flapping hand tremors A. High levels of low-density lipid
B. An elevated hematocrit level (LDL) cholesterol
C. Hypotension B. High levels of high-density lipid (HDL)
D. Hypokalemia cholesterol
C. Low concentration triglycerides
6. A client is admitted to the hospital D. Low levels of LDL cholesterol.
with benign prostatic hyperplasia, the
nurse most relevant assessment would be: 13. Which of the following represents a
A. Flank pain radiating in the groin significant risk immediately after surgery
, 3
14. Nurse Josie should instruct the client
to eat which of the following foods to 21. Which of the following signs and
obtain the best supply of Vitamin B12? symptoms would Nurse Maureen include
A. dairy products in teaching plan as an early manifestation
B. vegetables of laryngeal cancer?
C. Grains A. Stomatitis
D. Broccoli B. Airway obstruction
C. Hoarseness
15. Karen has been diagnosed with D. Dysphagia
aplastic anemia. The nurse monitors for
changes in which of the following 22. Karina a client with myasthenia
physiologic functions? gravis is to receive immunosuppressive
A. Bowel function therapy. The nurse understands that this
B. Peripheral sensation therapy is effective because it:
C. Bleeding tendencies A. Promotes the removal of antibodies that
D. Intake and output impair the transmission of impulses
B. Stimulates the production of
16. Lydia is scheduled for elective acetylcholine at the neuromuscular junction.
splenectomy. Before the client goes to C. Decreases the production of
surgery, the nurse in charge final autoantibodies that attack the acetylcholine
assessment would be: receptors.
A. signed consent D. Inhibits the breakdown of acetylcholine
B. vital signs at the neuromuscular junction.
C. name band
D. empty bladder 23. A female client is receiving IV
Mannitol. An assessment specific to safe
17. What is the peak age range for administration of the said drug is:
acquiring acute lymphocytic A. Vital signs q4h
leukemia(ALL)? B. Weighing daily
A. 4 to 12 years. C. Urine output hourly
B. 20 to 30 years D. Level of consciousness q4h
C. 40 to 50 years
D. 60 60 70 years 24. Patricia a 20-year-old college student
with diabetes mellitus requests additional
18. Marie with acute lymphocytic information about the advantages of
leukemia suffers from nausea and using a pen-like insulin delivery devices.
headache. These clinical manifestations The nurse explains that the advantages of
may indicate all of the following except: these devices over syringes include:
A. effects of radiation A. Accurate dose delivery
B. chemotherapy side effects B. Shorter injection time
C. meningeal irritation C. Lower cost with reusable insulin
D. gastric distension cartridges
D. Use of smaller gauge needle.
19. A client has been diagnosed
with Disseminated Intravascular 25. A male client’s left tibia was fractured
Coagulation(DIC). Which of the following in an automobile accident, and a cast is
is contraindicated with the client? applied. To assess for damage to major
A. Administering Heparin blood vessels from the fracture tibia, the
B. Administering Coumadin nurse in charge should monitor the client
C. Treating the underlying cause for:
D. Replacing depleted blood products A. Swelling of the left thigh
B. Increased
20. Which of the following findings is the skin temperature of the foot
best indication that fluid replacement for C. Prolonged reperfusion of the toes after
the client with hypovolemic shock is blanching
, 4
daily
C. Report any discomfort or stiffness to the 33. A 22-year-old client suffered from his
physician first tonic-clonic seizure. Upon
D. Elevate the leg when sitting for long awakening, the client asks the nurse,
periods of time. “What caused me to have a seizure?
Which of the following would the nurse
27. While performing a physical include in the primary cause of tonic-
assessment of a male client with gout of clonic seizures in adults more the 20
the great toe, Nurse Vivian should assess years?
for additional tophi (urate deposits) on A. Electrolyte imbalance
the: B. Head trauma
A. Buttocks C. Epilepsy
B. Ears D. Congenital defect
C. Face
D. Abdomen 34. What is the priority nursing
assessment in the first 24 hours after
28. Nurse Katrina would recognize that admission of the client with thrombotic
the demonstration of crutch walking with CVA?
tripod gait was understood when the A. Pupil size and pupillary response
client places weight on the: B. cholesterol level
A. Palms of the hands and axillary regions C. Echocardiogram
B. Palms of the hand D. Bowel sounds
C. Axillary regions
D. Feet, which are set apart 35. Nurse Linda is preparing a client
with multiple sclerosis for discharge from
29. Mang Jose with rheumatoid the hospital to home. Which of the
arthritis states, “the only time I am following instruction is most appropriate?
without pain is when I lie in bed perfectly A. “Practice using the mechanical aids that
still”. During the convalescent stage, the you will need when future disabilities arise”.
nurse in charge with Mang Jose should B. “Follow good health habits to change the
encourage: course of the disease”.
A. Active joint flexion and extension C. “Keep active, use stress reduction
B. Continued immobility until pain subsides strategies, and avoid fatigue”.
C. Range of motion exercises twice daily D. “You will need to accept the necessity for
D. Flexion exercises three times daily a quiet and inactive lifestyle”.
36. The nurse is aware the early indicator
30. A male client has undergone spinal of hypoxia in the unconscious client is:
surgery, the nurse should: A. Cyanosis
A. Observe the client’s bowel movement B. Increased respirations
and voiding patterns C. Hypertension
B. Log-roll the client to prone position D. Restlessness
C. Assess the client’s feet for sensation and
circulation 37. A client is experiencing spinal shock.
D. Encourage client to drink plenty of fluids Nurse Myrna should expect the function
of the bladder to be which of the
31. Marina with acute renal failure moves following?
into the diuretic phase after one week of A. Normal
therapy. During this phase the client must B. Atonic
be assessed for signs of developing: C. Spastic
A. Hypovolemia D. Uncontrolled
B. renal failure
C. metabolic acidosis 38. Which of the following stage is the
D. hyperkalemia carcinogen irreversible?
32. Nurse Judith obtains a specimen of A. Progression stage
clear nasal drainage from a client with a B. Initiation stage
MEDICAL
SUGICAL
NURSING BEST
PRACTICE TEST
BANK
, 2
1. Marco who was diagnosed with client’s scrotum was edematous and
brain tumor was scheduled for painful. The nurse should:
tracheotomy. In preventing A. Assist the client with sitz bath
the development of cerebral edema B. Apply war soaks in the scrotum
after surgery, the nurse should expect the C. Elevate the scrotum using a soft support
use of: D. Prepare for a possible incision and
A. Diuretics drainage
B. Anti hypertensive
C. Steroids 8. Nurse Hazel receives emergency
D. Anticonvulsants laboratory results for a client with chest
pain and immediately informs the
2. Halfway through the administration physician. An increased myoglobin level
of blood, the female client complains of suggests which of the following?
lumbar pain. After stopping the infusion A. Liver disease
Nurse Hazel should: B. Myocardial damage
A. Increase the flow of normal saline C. Hypertension
B. Assess the pain further D. Cancer
C. Notify the blood bank
D. Obtain vital signs. 9. Nurse Maureen would expect a client
with mitral stenosis would demonstrate
3. Nurse Maureen knows that the positive symptoms associated with congestion in
diagnosis of HIV infection is made based the:
on which of the following: A. Right atrium
A. A history of high-risk sexual behaviors. B. Superior vena cava
B. Positive ELISA and western blot tests C. Aorta
C. Identification of an associated D. Pulmonary
opportunistic infection 10. A client has been diagnosed
D. Evidence of extreme weight loss and with hypertension. The nurse
high fever priority nursing diagnosis would be:
A. Ineffective health maintenance
4. Nurse Maureen is aware that a client B. Impaired skin integrity
who has been diagnosed with chronic C. Deficient fluid volume
renal failure recognizes an adequate D. Pain
amount of high-biologic-value protein
when the food the client selected from the 11. Nurse Hazel teaches the client
menu was: with angina about common expected side
A. Raw carrots effects of nitroglycerin including:
B. Apple juice A. high blood pressure
C. Whole wheat bread B. stomach cramps
D. Cottage cheese C. headache
D. shortness of breath
5. Kenneth who was diagnosed with
uremic syndrome has the potential to 12. The following are lipid abnormalities.
develop complications. Which among the Which of the following is a risk factor for
following complications should the nurse the development of atherosclerosis and
anticipates: PVD?
A. Flapping hand tremors A. High levels of low-density lipid
B. An elevated hematocrit level (LDL) cholesterol
C. Hypotension B. High levels of high-density lipid (HDL)
D. Hypokalemia cholesterol
C. Low concentration triglycerides
6. A client is admitted to the hospital D. Low levels of LDL cholesterol.
with benign prostatic hyperplasia, the
nurse most relevant assessment would be: 13. Which of the following represents a
A. Flank pain radiating in the groin significant risk immediately after surgery
, 3
14. Nurse Josie should instruct the client
to eat which of the following foods to 21. Which of the following signs and
obtain the best supply of Vitamin B12? symptoms would Nurse Maureen include
A. dairy products in teaching plan as an early manifestation
B. vegetables of laryngeal cancer?
C. Grains A. Stomatitis
D. Broccoli B. Airway obstruction
C. Hoarseness
15. Karen has been diagnosed with D. Dysphagia
aplastic anemia. The nurse monitors for
changes in which of the following 22. Karina a client with myasthenia
physiologic functions? gravis is to receive immunosuppressive
A. Bowel function therapy. The nurse understands that this
B. Peripheral sensation therapy is effective because it:
C. Bleeding tendencies A. Promotes the removal of antibodies that
D. Intake and output impair the transmission of impulses
B. Stimulates the production of
16. Lydia is scheduled for elective acetylcholine at the neuromuscular junction.
splenectomy. Before the client goes to C. Decreases the production of
surgery, the nurse in charge final autoantibodies that attack the acetylcholine
assessment would be: receptors.
A. signed consent D. Inhibits the breakdown of acetylcholine
B. vital signs at the neuromuscular junction.
C. name band
D. empty bladder 23. A female client is receiving IV
Mannitol. An assessment specific to safe
17. What is the peak age range for administration of the said drug is:
acquiring acute lymphocytic A. Vital signs q4h
leukemia(ALL)? B. Weighing daily
A. 4 to 12 years. C. Urine output hourly
B. 20 to 30 years D. Level of consciousness q4h
C. 40 to 50 years
D. 60 60 70 years 24. Patricia a 20-year-old college student
with diabetes mellitus requests additional
18. Marie with acute lymphocytic information about the advantages of
leukemia suffers from nausea and using a pen-like insulin delivery devices.
headache. These clinical manifestations The nurse explains that the advantages of
may indicate all of the following except: these devices over syringes include:
A. effects of radiation A. Accurate dose delivery
B. chemotherapy side effects B. Shorter injection time
C. meningeal irritation C. Lower cost with reusable insulin
D. gastric distension cartridges
D. Use of smaller gauge needle.
19. A client has been diagnosed
with Disseminated Intravascular 25. A male client’s left tibia was fractured
Coagulation(DIC). Which of the following in an automobile accident, and a cast is
is contraindicated with the client? applied. To assess for damage to major
A. Administering Heparin blood vessels from the fracture tibia, the
B. Administering Coumadin nurse in charge should monitor the client
C. Treating the underlying cause for:
D. Replacing depleted blood products A. Swelling of the left thigh
B. Increased
20. Which of the following findings is the skin temperature of the foot
best indication that fluid replacement for C. Prolonged reperfusion of the toes after
the client with hypovolemic shock is blanching
, 4
daily
C. Report any discomfort or stiffness to the 33. A 22-year-old client suffered from his
physician first tonic-clonic seizure. Upon
D. Elevate the leg when sitting for long awakening, the client asks the nurse,
periods of time. “What caused me to have a seizure?
Which of the following would the nurse
27. While performing a physical include in the primary cause of tonic-
assessment of a male client with gout of clonic seizures in adults more the 20
the great toe, Nurse Vivian should assess years?
for additional tophi (urate deposits) on A. Electrolyte imbalance
the: B. Head trauma
A. Buttocks C. Epilepsy
B. Ears D. Congenital defect
C. Face
D. Abdomen 34. What is the priority nursing
assessment in the first 24 hours after
28. Nurse Katrina would recognize that admission of the client with thrombotic
the demonstration of crutch walking with CVA?
tripod gait was understood when the A. Pupil size and pupillary response
client places weight on the: B. cholesterol level
A. Palms of the hands and axillary regions C. Echocardiogram
B. Palms of the hand D. Bowel sounds
C. Axillary regions
D. Feet, which are set apart 35. Nurse Linda is preparing a client
with multiple sclerosis for discharge from
29. Mang Jose with rheumatoid the hospital to home. Which of the
arthritis states, “the only time I am following instruction is most appropriate?
without pain is when I lie in bed perfectly A. “Practice using the mechanical aids that
still”. During the convalescent stage, the you will need when future disabilities arise”.
nurse in charge with Mang Jose should B. “Follow good health habits to change the
encourage: course of the disease”.
A. Active joint flexion and extension C. “Keep active, use stress reduction
B. Continued immobility until pain subsides strategies, and avoid fatigue”.
C. Range of motion exercises twice daily D. “You will need to accept the necessity for
D. Flexion exercises three times daily a quiet and inactive lifestyle”.
36. The nurse is aware the early indicator
30. A male client has undergone spinal of hypoxia in the unconscious client is:
surgery, the nurse should: A. Cyanosis
A. Observe the client’s bowel movement B. Increased respirations
and voiding patterns C. Hypertension
B. Log-roll the client to prone position D. Restlessness
C. Assess the client’s feet for sensation and
circulation 37. A client is experiencing spinal shock.
D. Encourage client to drink plenty of fluids Nurse Myrna should expect the function
of the bladder to be which of the
31. Marina with acute renal failure moves following?
into the diuretic phase after one week of A. Normal
therapy. During this phase the client must B. Atonic
be assessed for signs of developing: C. Spastic
A. Hypovolemia D. Uncontrolled
B. renal failure
C. metabolic acidosis 38. Which of the following stage is the
D. hyperkalemia carcinogen irreversible?
32. Nurse Judith obtains a specimen of A. Progression stage
clear nasal drainage from a client with a B. Initiation stage
