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Detailed Answer Key MS Comprehensive Exit Exam Spring 2023

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Medical Surgical Nursing I (SCR 210) Detailed Answer Key MS Comprehensive Exit Exam Spring 20231. A nurse in an eye clinic is caring for a group of clients. The nurse should recommend that which of the following clients be attended to first A. a client complaining of seeing flashes of light and floaters on her vision B. a client complaining of dry eyes after spending 8 straight hours in front of her computer C. a client complaining of having difficulty seeing distant images clearly D. a client complaining of red, tender, and swollen eyelid on her left eye after swimming 2. A nurse is reinforcing discharge teaching to an older adult client who had a cataract surgery. Which of the following statements should the nurse include in the teaching? A. Ask family members for assistance when performing activities of daily living. B. Avoid lifting anything heavier than half a pound for the first few weeks. C. Maintain a low-fiber and low-sodium diet for the next two to three months. D. Lie on the affected or operative side when sleeping or when sitting in a couch. 3. A nurse is caring for a client who is scheduled to undergo scleral buckling. Which of the following disorders should the nurse suspect the client has? A. retinal detachment B. hypermature cataract C. angle-closure glaucoma D. macular degeneration 4. A nurse is preparing to administer diuretic to a client with glaucoma. Which of the following actions should the nurse take? A. Monitor intake and output. B. Inform the client that his eye color might change. C. Assess for bronchospasm. D. Assess conjunctiva for redness and itching. Created on:06/17/2023 Page 1 Downloaded by DANIEL NDAMBIRI () lOMoARcPSD| A++ Detailed Answer Key MS Comprehensive Exit Exam Spring 2023 5. A nurse is reinforcing dietary teaching with a client who has Addison's disease. The nurse should remind the client to decrease intake of which of the following? A. potassium B. calcium C. protein D. magnesium 6. A nurse is collecting data from a client who has peripheral arterial disease (PAD). Which of the following data collection findings should the nurse identify as the priority? A. loss of hair legs B. cool, clammy legs C. dirty toenails D. elevated blood pressure 7. A nurse is reinforcing teaching with a female client about risk factors for hypertension. Which of the following risk factors should the nurse include? Select all that apply. A. use of tanning beds B. strong family history C. excessive sun exposure D. African-American race E. history of nulliparity F. history of contact dermatitis 8. A nurse is caring for a client who has macular degeneration. Which of the following structures of the eye is primarily affected by this disease? A. retina B. cornea C. lens D. anterior chamber Created on:06/17/2023 Page 2 Downloaded by DANIEL NDAMBIRI () lOMoARcPSD| A++ Detailed Answer Key MS Comprehensive Exit Exam Spring 2023 9. A nurse is collecting data from a client who has pheochromocytoma. Which of the following findings has the highest priority? A. blood pressure of 167/121 mm Hg B. blood glucose level of 398 mg/dL C. weight loss of 12 lbs for the last 4 weeks D. blurred vision at nighttime

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Detailed Answer Key (57)


Medical Surgical Nursing I (LaGuardia Community College)




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Detailed Answer Key
MS Comprehensive Exit Exam Spring 2023



1. A nurse in an eye clinic is caring for a group of clients. The nurse should recommend that which of the following
clients be attended to first

A. a client complaining of seeing flashes of light and floaters on her vision

B. a client complaining of dry eyes after spending 8 straight hours in front of her computer

C. a client complaining of having difficulty seeing distant images clearly

D. a client complaining of red, tender, and swollen eyelid on her left eye after swimming




2. A nurse is reinforcing discharge teaching to an older adult client who had a cataract surgery. Which of the following
statements should the nurse include in the teaching?
A. Ask family members for assistance when performing activities of daily living.

B. Avoid lifting anything heavier than half a pound for the first few weeks.

C. Maintain a low-fiber and low-sodium diet for the next two to three months.

D. Lie on the affected or operative side when sleeping or when sitting in a couch.




3. A nurse is caring for a client who is scheduled to undergo scleral buckling. Which of the following disorders should
the nurse suspect the client has?

A. retinal detachment

B. hypermature cataract

C. angle-closure glaucoma

D. macular degeneration



4. A nurse is preparing to administer diuretic to a client with glaucoma. Which of the following actions should the nurse
take?

A. Monitor intake and output.

B. Inform the client that his eye color might change.

C. Assess for bronchospasm.

D. Assess conjunctiva for redness and itching.




Created on:06/17/2023 Page 1



A++
Downloaded by DANIEL NDAMBIRI ()

, lOMoARcPSD|16995810




Detailed Answer Key
MS Comprehensive Exit Exam Spring 2023


5. A nurse is reinforcing dietary teaching with a client who has Addison's disease. The nurse should remind the client
to decrease intake of which of the following?

A. potassium

B. calcium

C. protein

D. magnesium




6. A nurse is collecting data from a client who has peripheral arterial disease (PAD). Which of the following data
collection findings should the nurse identify as the priority?

A. loss of hair legs
B. cool, clammy legs

C. dirty toenails

D. elevated blood pressure




7. A nurse is reinforcing teaching with a female client about risk factors for hypertension. Which of the following risk
factors should the nurse include? Select all that apply.

A. use of tanning beds

B. strong family history

C. excessive sun exposure

D. African-American race

E. history of nulliparity

F. history of contact dermatitis



8. A nurse is caring for a client who has macular degeneration. Which of the following structures of the eye is primarily
affected by this disease?

A. retina

B. cornea

C. lens

D. anterior chamber




Created on:06/17/2023 Page 2



A++
Downloaded by DANIEL NDAMBIRI ()

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