Med surg quiz 1 practice questions and Answers 100% pass

Med surg quiz 1 practice questions and Answers 100% pass 1. The nurse is caring for clients on an oncology unit. Which neutropenia precautions should be implemented? 1. Hold all venipuncture sites for at least 5 minutes 2. Limit fresh fruits and flowers 3. Place all clients in reverse isolation 4. Have the clients use a soft-bristle toothbrush - ANS -2. Limit fresh fruits and flowers 1. The nurse requests the client to sign a surgical informed consent form for an emergency appendectomy. Which statement by the client indicates further teaching is needed? 1. "I will be glad when this is over so I can go home today." 2. "I will not be able to eat or drink anything prior to my surgery." 3. "I can practice relaxing by listening to my favorite music." 4. "I will need to get up and walk as soon as possible." - ANS -1. "I will be glad when this is over so I can go home today." 10. The nurse is caring for a client scheduled for total hip replacement. Which behavior indicates the need for further preoperative teaching? 1. The client uses the diaphragm and abdominal muscles to inhale through the nose and exhale through the mouth 2. The client demonstrates dorsiflexion of the feet, flexing of the toes, and moves the feet in a circular motion 3. The client uses the incentive spirometer and inhales slowly and deeply so the piston rises to the preset volume 4. The client gets out of bed by lifting straight upright from the waist and then swings both legs along the side of the bed - ANS -4. The client gets out of bed by lifting straight upright from the waist and then swings both legs along the side of the bed 11. The nurse is completing a care plan for a client diagnosed with leukemia. Which independent problem should be addressed? 1. Infection 2. Anemia 3. Nutrition 4. Grieving - ANS -4. Grieving 11. The nurse is completing preoperative assessment on a male client who states, "I am allergic to codeine." Which intervention should the nurse implement first? 1. Apply an allergy bracelet on the client's wrist 2. Label the client's allergies on the front of the chair 3. Ask the client what happens when he takes codeine 4. Document the allergy on the medication administration record - ANS -3. Ask the client what happens when he takes codeine 12. The nurse is caring for a client diagnosed with acute leukemia. Which assessment data warrant immediate intervention? 1. T 99, P 102, R 22, and BP 132/68 2. Hyperplasia of the gums 3. Weaknesses and Fatigue 4. Pain in LUQ - ANS -4. Pain in LUQ 12. Which lab result would require immediate intervention by the nurse for the client scheduled for surgery? 1. Calcium 9.2 2. Bleeding time 2 minutes 3. Hemoglobin 15 4. Potassium 2.4 - ANS -4. Potassium 2.4 13. Which activities are the circulating nurse's responsibilities in the OR? 1. Monitor the position of the client, prepare the surgical site, and ensure the client's safety 2. Give preop meds in the holding area and monitor the client's response to anesthesia 3. Prepare sutures; set up the sterile fild, and count all needles and sponges and instruments 4. Prepare the meds to be administered by the anesthesiologist and change the tubing for the anesthesia machine - ANS -1. Monitor the position of the client, prepare the surgical site, and ensure the client's safety 14. The circulating nurse observes the surgical scrub technician remove a sponge from the edge of the sterile field with a clamp and place the sponge and clamp in a designated area. Which action should the nurse implement? 1. Place the sponge back where it was 2. Tell the technician to not waste supplies 3. Do nothing because this is the correct procedure 4. Take the sponge out of the room immediately - ANS -3. Do nothing because this is the correct procedure 14. The client asks the nurse, "they say I have cancer. How can they tell if I have Hodgkin's disease from a biopsy?" The nurse's answer is based on which scientific rationale? 1. Biopsies are nuclear medication scans that can detect cancer 2. A biopsy is a laboratory test that detects cancer cells 3. It determines which kind of cancer the client has 4. The HCP takes a small piece out of the tumor and looks at the cells - ANS -3. It determines which kind of cancer the client has 16. Which client is at the highest risk for developing a lymphoma? 1. The client is diagnosed with chronic lung disease who is taking a steroid 2. The client diagnosed with breast cancer who has extensive lymph involvement 3. The client who received a kidney transplant several years ago 4. The client ho has had ureteral stent placements for a neurogenic bladder - ANS -3. The client who received a kidney transplant several years ago 16. Which violation of surgical asepsis would require immediate intervention by the circulating nurse? 1. Surgical supplies were cleaned and sterilized prior to the case 2. The circulating nurse is wearing a long-sleeved sterile gown 3. Masks covering the mouth and nose are being worn by the surgical team 4. The scrub nurse setting up the sterile field is wearing artificial nails - ANS -4. The scrub nurse setting up the sterile field is wearing artificial nails 17. The nurse identifies the nursing diagnosis "risk for injury related to positioning" for the client in the operating room. Which nursing intervention should the nurse implement? 1. Avoid using the cautery unit, which does not have a biomedical tag on it 2. Carefully pad the client's elbows before covering the client with a blanket 3. Apply a warming pad on the OR table before placing the client on the table 4. Check the chart for any prescription or OTC medication use - ANS -2. Carefully pad the client's elbows before covering the client with a blanket 18. The circulating nurse is positioning clients for surgery. Which client has the greatest potential for nerve damage? 1. The 16 year old in dorsal recumbent position having an appendectomy 2. The 68 year old in the Trendlenburg position having a cholecystectomy 3. The 45 year old in the reverse trendlenburg position having a biopsy 4. The 22 year old client in the lateral postion having a nephrectomy - ANS -2. The 68 year old in the Trendlenburg position having a cholecystectomy 19. Which situation demonstrates the circulating nurse acting as the client's advocate? 1. Plays the client's favorite audio book during surgery 2. Keeps the family informed of the findings of the surgery 3. Keeps the operating room door closed at all times 4. Calls the client by the first name when the client is recovering - ANS -3. Keeps the operating room door closed at all times 2. The nurse in the holding area of the surgery department is interviewing a client who requests to keep his religious medal on during surgery. Which intervention should the nurse implement? 1. Notify the surgeon about the client's request to wear the medal 2. Tape the medal to the client and allow the client to wear the medal 3. Request the family member take the medal prior to surgery 4. Explain taking the medal to surgery is against the policy - ANS -2. Tape the medal to the client and allow the client to wear the medal 2. The nurse is assessing a client diagnosed with acute leukemia. Which assessment data support this diagnosis? 1. Fever and infections 2. N+V 3. Excessive energy and high platelet counts 4. Cervical lymph node enlargement and positive acid-fast bacillus - ANS -1. Fever and infections 20. The circulating nurse is planning the care for an intraoperative client. Which statement is the expected outcome? 1. The client has no injuries from the OR equipment 2. The client ahs no post op infection 3. The client has stable vital signs during surgery 4. The client recovers from anesthesia - ANS -1. The client has no injuries from the OR equipment 21. Which nursing intervention has the highest priority when preparing the client for a surgical procedure? 1. Pad the client's elbows and knees 2. Apply soft restraint straps to the extremities 3. Prepare the client's incision site 4. Document the temperature of the room - ANS -2. Apply soft restraint straps to the extremities 22. The nursing manager is making assignments for the OR. Which case should the manager assign to the inexperienced nurse? 1. The client having open-heart surgery 2. The client having a biopsy of the breast 3. The client having laser eye surgery 4. The client having a laparoscopic knee repair - ANS -2. The client having a biopsy of the breast 23. The circulating nurse assesses tachycardia and hypotension in the client. Which interventions should the nurse implement? 1. Prepare ice packs and mix dantrolene sodium 2. Request the defibrillator be brought into the OR 3. Draw a PTT and prepare a heparin drip 4. Obtain finger stick blood glucose immediately - ANS -1. Prepare ice packs and mix dantrolene sodium 24. The nurse is planning care of the surgical client having conscious sedation. Which intervention has highest priority? 1. Assess the client's respiratory status 2. Monitor the client's urinary output 3. Take a 12-lead ECG prior to injection