Medical-Surgical: Final Practice (50 questions) with
correct Answers
a ynurse yis yplanning ycare yfor ya yclient ywho yhas y- yCorrect y yAnswer y- y
A ynurse yis ymonitoring ya yclient yfollowing ya ythyroidectomy. yWhich yof ythe yfollowing yfindings
yshould ythe ynurse yidentify yas yan yindication yof yhypoparathyroidism? y- yCorrect y yAnswer y-
yInvoluntary ymuscle yspasms y
(occurs yif ythe yparathyroid yglands yare ydamaged yor yremoved yduring ya ythyroidectomy. yMuscle
ytwitching yand yparesthesias ycan yresult ydue yto ydecreased yparathyroid yhormone ylevels yand ycalcium
ydeficiency.)
A ynurse yis yreinforcing ydischarge yteaching ywith ya yclient ywho yhas ya ynew ypermanent ypacemaker.
yWhich yof ythe yfollowing ystatements yby ythe yclient yindicates yan yunderstanding yof ythe yteaching? y-
yCorrect y yAnswer y- y"I yshould ycheck ymy yheart yrate yeach yday."•
A ynurse yis yreinforcing ydischarge yteaching yabout yimproving ygas yexchange ywith ya yclient ywho yhas
yemphysema. yWhich yof ythe yfollowing yinformation yshould ythe ynurse yinclude yin ythe yteaching? y-
yCorrect y yAnswer y- yUse ypursed-lip ybreathing yduring yperiods yof ydyspnea.
A ynurse yis yreinforcing yteaching ywith ya yclient ywho yhas ya ynew ydiagnosis yof ymultiple ysclerosis
y(MS). yThe yclient yasks ythe ynurse yabout ythe yusual ycourse yof yMS. yWhich yof ythe yfollowing
yresponses yshould ythe ynurse ymake? y- yCorrect y yAnswer y- y"Acute yepisodes yare yusually yfollowed
yby yremissions, ywhich ycan ylast yvarying ylengths yof ytime."
a ynurse yin yan yemergency ydepartment yis ycaring yfor ya yclient ywho yreports ydeveloping ysevere yright
yeye ypain ywith ya ygritty ysensation ywhile ysawing ywood. yWhats ypriority? y- yCorrect y yAnswer y- yAsk
ythe yclient yabout yfirst yaid yperformed yat ythe yscene
A ynurse yis ypreparing yto yadminister ytimolol yeye ydrops yfor ya yclient ywho yhas yglaucoma. yWhen
yinstilling ythe ymedication, ywhich yof ythe yfollowing yactions yshould ythe ynurse ytake? y- yCorrect y
yAnswer y- yApply ypressure yto ypuncta yafter yinstillation yof ythe ymedication.
A ynurse yis ycaring yfor ya yclient ywho yhas ya ystage yIII ypressure yulcer yon yhis yheel. yWhen ypreparing
yto yirrigate ythe ywound, ywhich yof ythe yfollowing yactions yshould ythe ynurse ytake yrst? y- yCorrect y
yAnswer y- yCheck ythe yclient's ypain ylevel
, A ynurse yis ycaring yfor ya yclient ywho ybegins yhaving ya ytonic-clonic yseizure ywhile ysitting yin ya ychair
yat ythe ybedside. yWhich yof ythe yfollowing yactions yshould ythe ynurse ytake yfirst? y- yCorrect y yAnswer
y- yLower ythe yclient yto ythe yfloor.
A ynurse yis ycaring yfor ya yclient ywho yhas ytype y1 ydiabetes ymellitus yand ya ycapillary yblood yglucose
yreading yof y48 ymg/dL. yWhich yof ythe yfollowing yfindings yshould ythe ynurse yexpect? y- yCorrect y
yAnswer y- yDiaphoresis
A yclient ywho yhas ya yblood yglucose ylevel ybelow y70 ymg/dL yto yexhibit yindications yof yhypoglycemia.
yIncluding yweakness, yhunger, ydiaphoresis, ynausea, yshakiness, yand yconfusion.
A ynurse yis yreinforcing yteaching ywith ya yclient ywho yis yscheduled yfor ya ysigmoid ycolon yresection
ywith ycolostomy. yWhich yof ythe yfollowing ystatements yby ythe yclient yindicates ya yneed yfor yfurther
yteaching? y- yCorrect y yAnswer y- y"My ydiet ywill yhave yto ychange yto ya ysoft ydiet yafter ysurgery."•
( yAfter ysurgery, ythe yclient's ydiet yquickly yreturns yto ya yregular ydiet yand ythere yare ynot yany yfood
yrestrictions.)
A ynurse yis yreviewing ya yclient's ylaboratory yreport. yThe yclient's yABG ylevels yare ypH y7.5, yPaCO y32
ymm yHG, yand yHCO y24 ymEq/L. yThe ynurse yshould ydetermine ythat ythe yclient yhas ywhich yof ythe
yfollowing yacid-base yimbalances? y- yCorrect y yAnswer y- yRespiratory yalkalosis
(The ynurse yshould yidentify ythat ythe yclient's ypH yis yelevated yabove ythe yexpected yreference yrange
yof y7.35 yto y7.45, yindicating yalkalosis. yThe ynurse yshould ythen yidentify ythat ythe yclient's yPaCO yis
ylow, ybelow ythe yexpected yreference yrange yof y35 yto y45 ymm yHg, ywhich yindicates ya yrespiratory
yorigin. yThe ynurse yshould yconclude ythat ythe yclient's yelevated ypH yand ydecreased yPaCO yindicate
yrespiratory yalkalosis.)
A ynurse yin yan yurgent ycare yclinic yis ycollecting ydata yfrom ya yclient ywho ysustained ya yfall. yWhich yof
ythe yfollowing yfindings yshould ythe ynurse yidentify yas yan yindication yof ya yskull yfracture? y- yCorrect y
yAnswer y- yClear yfluid ycoming yfrom ythe ynares.
(cerebrospinal yfluid)
A ynurse yis yreinforcing yteaching ywith ya yclient yabout ypreventing ythe ytransmission yof yhepatitis yA.
yThe ynurse yshould yidentify ythat yhepatitis yA yis ytransmitted yby ywhich yof ythe yfollowing yroutes? y-
yCorrect y yAnswer y- yFecal-oral ycontamination
A ynurse yis yreinforcing yteaching ywith ya yclient ywho yhas ytuberculosis y(TB) yand ya yprescription yfor
yisoniazid. yWhich yof ythe yfollowing yinstructions yshould ythe ynurse yinclude? y- yCorrect y yAnswer y-
y"Your yprovider ywill ymonitor yyour yliver yfunction ywhile yyou yare ytaking ythis ymedication."
A ynurse yis ycollecting ydata yfrom ya yclient ywho ydevelops ya yfruity ybreath yodor, ydry ymouth, yand
yextreme ythirst. yWhich yof ythe yfollowing yadditional ydata yshould ythe ynurse ycollect? y- yCorrect y
yAnswer y- yBlood yglucose yusing ya yglucometer
correct Answers
a ynurse yis yplanning ycare yfor ya yclient ywho yhas y- yCorrect y yAnswer y- y
A ynurse yis ymonitoring ya yclient yfollowing ya ythyroidectomy. yWhich yof ythe yfollowing yfindings
yshould ythe ynurse yidentify yas yan yindication yof yhypoparathyroidism? y- yCorrect y yAnswer y-
yInvoluntary ymuscle yspasms y
(occurs yif ythe yparathyroid yglands yare ydamaged yor yremoved yduring ya ythyroidectomy. yMuscle
ytwitching yand yparesthesias ycan yresult ydue yto ydecreased yparathyroid yhormone ylevels yand ycalcium
ydeficiency.)
A ynurse yis yreinforcing ydischarge yteaching ywith ya yclient ywho yhas ya ynew ypermanent ypacemaker.
yWhich yof ythe yfollowing ystatements yby ythe yclient yindicates yan yunderstanding yof ythe yteaching? y-
yCorrect y yAnswer y- y"I yshould ycheck ymy yheart yrate yeach yday."•
A ynurse yis yreinforcing ydischarge yteaching yabout yimproving ygas yexchange ywith ya yclient ywho yhas
yemphysema. yWhich yof ythe yfollowing yinformation yshould ythe ynurse yinclude yin ythe yteaching? y-
yCorrect y yAnswer y- yUse ypursed-lip ybreathing yduring yperiods yof ydyspnea.
A ynurse yis yreinforcing yteaching ywith ya yclient ywho yhas ya ynew ydiagnosis yof ymultiple ysclerosis
y(MS). yThe yclient yasks ythe ynurse yabout ythe yusual ycourse yof yMS. yWhich yof ythe yfollowing
yresponses yshould ythe ynurse ymake? y- yCorrect y yAnswer y- y"Acute yepisodes yare yusually yfollowed
yby yremissions, ywhich ycan ylast yvarying ylengths yof ytime."
a ynurse yin yan yemergency ydepartment yis ycaring yfor ya yclient ywho yreports ydeveloping ysevere yright
yeye ypain ywith ya ygritty ysensation ywhile ysawing ywood. yWhats ypriority? y- yCorrect y yAnswer y- yAsk
ythe yclient yabout yfirst yaid yperformed yat ythe yscene
A ynurse yis ypreparing yto yadminister ytimolol yeye ydrops yfor ya yclient ywho yhas yglaucoma. yWhen
yinstilling ythe ymedication, ywhich yof ythe yfollowing yactions yshould ythe ynurse ytake? y- yCorrect y
yAnswer y- yApply ypressure yto ypuncta yafter yinstillation yof ythe ymedication.
A ynurse yis ycaring yfor ya yclient ywho yhas ya ystage yIII ypressure yulcer yon yhis yheel. yWhen ypreparing
yto yirrigate ythe ywound, ywhich yof ythe yfollowing yactions yshould ythe ynurse ytake yrst? y- yCorrect y
yAnswer y- yCheck ythe yclient's ypain ylevel
, A ynurse yis ycaring yfor ya yclient ywho ybegins yhaving ya ytonic-clonic yseizure ywhile ysitting yin ya ychair
yat ythe ybedside. yWhich yof ythe yfollowing yactions yshould ythe ynurse ytake yfirst? y- yCorrect y yAnswer
y- yLower ythe yclient yto ythe yfloor.
A ynurse yis ycaring yfor ya yclient ywho yhas ytype y1 ydiabetes ymellitus yand ya ycapillary yblood yglucose
yreading yof y48 ymg/dL. yWhich yof ythe yfollowing yfindings yshould ythe ynurse yexpect? y- yCorrect y
yAnswer y- yDiaphoresis
A yclient ywho yhas ya yblood yglucose ylevel ybelow y70 ymg/dL yto yexhibit yindications yof yhypoglycemia.
yIncluding yweakness, yhunger, ydiaphoresis, ynausea, yshakiness, yand yconfusion.
A ynurse yis yreinforcing yteaching ywith ya yclient ywho yis yscheduled yfor ya ysigmoid ycolon yresection
ywith ycolostomy. yWhich yof ythe yfollowing ystatements yby ythe yclient yindicates ya yneed yfor yfurther
yteaching? y- yCorrect y yAnswer y- y"My ydiet ywill yhave yto ychange yto ya ysoft ydiet yafter ysurgery."•
( yAfter ysurgery, ythe yclient's ydiet yquickly yreturns yto ya yregular ydiet yand ythere yare ynot yany yfood
yrestrictions.)
A ynurse yis yreviewing ya yclient's ylaboratory yreport. yThe yclient's yABG ylevels yare ypH y7.5, yPaCO y32
ymm yHG, yand yHCO y24 ymEq/L. yThe ynurse yshould ydetermine ythat ythe yclient yhas ywhich yof ythe
yfollowing yacid-base yimbalances? y- yCorrect y yAnswer y- yRespiratory yalkalosis
(The ynurse yshould yidentify ythat ythe yclient's ypH yis yelevated yabove ythe yexpected yreference yrange
yof y7.35 yto y7.45, yindicating yalkalosis. yThe ynurse yshould ythen yidentify ythat ythe yclient's yPaCO yis
ylow, ybelow ythe yexpected yreference yrange yof y35 yto y45 ymm yHg, ywhich yindicates ya yrespiratory
yorigin. yThe ynurse yshould yconclude ythat ythe yclient's yelevated ypH yand ydecreased yPaCO yindicate
yrespiratory yalkalosis.)
A ynurse yin yan yurgent ycare yclinic yis ycollecting ydata yfrom ya yclient ywho ysustained ya yfall. yWhich yof
ythe yfollowing yfindings yshould ythe ynurse yidentify yas yan yindication yof ya yskull yfracture? y- yCorrect y
yAnswer y- yClear yfluid ycoming yfrom ythe ynares.
(cerebrospinal yfluid)
A ynurse yis yreinforcing yteaching ywith ya yclient yabout ypreventing ythe ytransmission yof yhepatitis yA.
yThe ynurse yshould yidentify ythat yhepatitis yA yis ytransmitted yby ywhich yof ythe yfollowing yroutes? y-
yCorrect y yAnswer y- yFecal-oral ycontamination
A ynurse yis yreinforcing yteaching ywith ya yclient ywho yhas ytuberculosis y(TB) yand ya yprescription yfor
yisoniazid. yWhich yof ythe yfollowing yinstructions yshould ythe ynurse yinclude? y- yCorrect y yAnswer y-
y"Your yprovider ywill ymonitor yyour yliver yfunction ywhile yyou yare ytaking ythis ymedication."
A ynurse yis ycollecting ydata yfrom ya yclient ywho ydevelops ya yfruity ybreath yodor, ydry ymouth, yand
yextreme ythirst. yWhich yof ythe yfollowing yadditional ydata yshould ythe ynurse ycollect? y- yCorrect y
yAnswer y- yBlood yglucose yusing ya yglucometer
