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NURS MED SURG EXAM|| ALL QUESTIONS AND
100% CORRECT ANSWERS ALREADY GRADED
A+|| LATEST AND COMPLETE UPDATE 2025
WITH VERIFIED SOLUTIONS|| ASSURED PASS!!!
Questions
□ The nurse is assessing a client's laboratory values following
administration of chemotherapy. Which lab value leads the nurse to suspect that
the client is experiencing tumor lysis syndrome (TLS)?
A Serum PTT of 10 seconds.
B Serum calcium of 5 mg/dl. Correct
C Oxygen saturation of 90%.
D Hemoglobin of 10 g/dl.
□ TLS results in hyperkalemia, hypocalcemia, hyperuricemia, and
hyperphosphatemia. A serum calcium level of 5 (B), which is low, is an indicator
of possible tumor lysis syndrome. (A, C, and D) are not particularly related to TLS.
Awarded 0.0 points out of 1.0 possible points.
□ 2.ID: 6974889585A client is admitted to the hospital with a diagnosis
of severe acute diverticulitis. Which assessment finding should the nurse expect
this client to exhibit?
A Lower left quadrant pain and a low-grade fever. Correct
B Severe pain at McBurney's point and nausea. C Abdominal pain and
intermittent tenesmus.
D Exacerbations of severe diarrhea.
□ Left lower quadrant pain occurs with diverticulitis because the
sigmoid colon is the most common area for diverticula, and the inflammation of
diverticula causes a low- grade fever (A). (B) would be indicative of appendicitis.
(C and D) are symptoms exhibited with ulcerative colitis.
Awarded 0.0 points out of 1.0 possible points.
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□ Hypokalemia (C) can precipitate digitalis toxicity in persons receiving
digoxin which will increase the chance of dangerous dysrhythmias (normal
potassium level is 3.5 to
5.5 mEq/L). The therapeutic range for digoxin is 0.8 to 2 ng/ml (toxic levels=>2
ng/ml); (A) is within this range. (B) would not warrant the nurse withholding the
digoxin. The nurse should withhold the digoxin if the apical pulse is less than
60/min (D). Awarded 0.0 points out of 1.0 possible points.
□ 8.ID: 6974890473After the fourth dose of gentamicin sulfate
(Garamycin) IV, the nurse plans to draw blood samples to determine peak and
trough levels. When are the best times to draw these samples?
A 15 minutes before and 15 minutes after the next dose. B One hour before
and one hour after the next dose.
C 5 minutes before and 30 minutes after the next dose. Correct
D 30 minutes before and 30 minutes after the next dose.
□ Peak drug serum levels are achieved 30 minutes after IV
administration of aminoglycosides. The best time to draw a trough is the closest
time to the next administration (C). (A, B, and D) are not as good a time to draw
the trough as (C). (B and D) are not the best times to draw the peak of an
aminoglycoside that has been administered IV. Awarded 0.0 points out of 1.0
possible points.
□ 9.ID: 6974891711A client has undergone insertion of a permanent
pacemaker. When developing a discharge teaching plan, the nurse writes a goal of,
"The client will verbalize symptoms of pacemaker failure." Which symptoms are
most important to teach the client?
A Facial flushing.
B Fever.
C Pounding headache.
D Feelings of dizziness. Correct
□ Feelings of dizziness (D) may occur as the result of a decreased heart
rate, leading to decreased cardiac output. (A and C) will not occur as the result of
pacemaker failure.
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(A) may be an indication of infection postoperatively, but is not an indication of
pacemaker failure. Awarded 0.0 points out of 1.0 possible points.
□ 10.ID: 6974890487A client with heart disease is on a continuous
telemetry monitor and has developed sinus bradycardia. In determining the
possible cause of the
bradycardia, the nurse assesses the client's medication record. Which medication is
most likely the cause of the bradycardia?
A Propanolol (Inderal). Correct
B Captopril (Capoten).
C Furosemide (Lasix).
D Dobutamine (Dobutrex).
□ Inderal (A) is a beta adrenergic blocking agent, which causes
decreased heart rate and decreased contractility.
Neither (B), an ACE inhibitor, nor (C), a loop diuretic, causes bradycardia. (D) is a
sympathomimetic, direct acting cardiac stimulant, which would increase the heart
rate. Awarded 0.0 points out of 1.0 possible points.
□ 11.ID: 6974890493In preparing a discharge plan for a 22- year-old
male client diagnosed with Buerger's disease (thromboangiitis obliterans), which
referral is most important?
A Genetic counseling.
B Twelve-step recovery program.
C Clinical nutritionist.
D Smoking cessation program. Correct
□ Buerger's disease is strongly related to smoking. The most effective
means of controlling symptoms and disease progression is through smoking
cessation (D). The cause of Buerger's disease is unknown; a genetic predisposition
is possible, but (A) will not be of value. The client with Buerger's disease does not
need referral to a 12-step program any more than the general population (B). Diet
is not a significant factor in the disease, and general healthy diet guidelines can be
provided by the nurse (C). Awarded
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0.0 points out of 1.0 possible points.
□ 12.ID: 6974894214Which symptoms should the nurse expect a client
to exhibit who is diagnosed with a pheochromocytoma?
A Numbness, tingling, and cramps in the extremities. B Headache,
diaphoresis, and palpitations. Correct
C Cyanosis, fever, and classic signs of shock. D Nausea, vomiting, and
muscular weakness.
□ Pheochromocytoma is a catecholamine secreting tumor
of the adrenal medulla, and (B) is the typical triad of symptoms depending upon
the relative proportions of epinephrine and norepinephrine secretion. (A) lists the
signs of latent tetany, exhibited by clients diagnosed with hypoparathyroidism. (C)
lists the signs of an Addisonian (adrenal) crisis. (D) lists the signs of
hyperparathyroidism.
Awarded 0.0 points out of 1.0 possible points.
□ 13.ID: 6974890477In assessing a client diagnosed with primary
hyperaldosteronism, the nurse expects the laboratory test results to indicate a
decreased serum level of which substance?
A Sodium.
B Antidiuretic hormone.
C Potassium. Correct
D Glucose.
□ Clients with primary aldosteronism exhibit a profound decline in the
serum levels of potassium (C) (hypokalemia)-- hypertension is the most prominent
and universal sign. (A) is normal or elevated, depending on the amount of water
reabsorbed with the sodium. (B) is decreased with diabetes insipidus. (D) is not
affected by primary aldosteronism.
Awarded 0.0 points out of 1.0 possible points.
□ 14.ID: 6974891771A middle-aged male client with diabetes continues
to eat an abundance of foods that are high in sugar and fat. According to the Health
NURS MED SURG EXAM|| ALL QUESTIONS AND
100% CORRECT ANSWERS ALREADY GRADED
A+|| LATEST AND COMPLETE UPDATE 2025
WITH VERIFIED SOLUTIONS|| ASSURED PASS!!!
Questions
□ The nurse is assessing a client's laboratory values following
administration of chemotherapy. Which lab value leads the nurse to suspect that
the client is experiencing tumor lysis syndrome (TLS)?
A Serum PTT of 10 seconds.
B Serum calcium of 5 mg/dl. Correct
C Oxygen saturation of 90%.
D Hemoglobin of 10 g/dl.
□ TLS results in hyperkalemia, hypocalcemia, hyperuricemia, and
hyperphosphatemia. A serum calcium level of 5 (B), which is low, is an indicator
of possible tumor lysis syndrome. (A, C, and D) are not particularly related to TLS.
Awarded 0.0 points out of 1.0 possible points.
□ 2.ID: 6974889585A client is admitted to the hospital with a diagnosis
of severe acute diverticulitis. Which assessment finding should the nurse expect
this client to exhibit?
A Lower left quadrant pain and a low-grade fever. Correct
B Severe pain at McBurney's point and nausea. C Abdominal pain and
intermittent tenesmus.
D Exacerbations of severe diarrhea.
□ Left lower quadrant pain occurs with diverticulitis because the
sigmoid colon is the most common area for diverticula, and the inflammation of
diverticula causes a low- grade fever (A). (B) would be indicative of appendicitis.
(C and D) are symptoms exhibited with ulcerative colitis.
Awarded 0.0 points out of 1.0 possible points.
,2|Pag e
□ Hypokalemia (C) can precipitate digitalis toxicity in persons receiving
digoxin which will increase the chance of dangerous dysrhythmias (normal
potassium level is 3.5 to
5.5 mEq/L). The therapeutic range for digoxin is 0.8 to 2 ng/ml (toxic levels=>2
ng/ml); (A) is within this range. (B) would not warrant the nurse withholding the
digoxin. The nurse should withhold the digoxin if the apical pulse is less than
60/min (D). Awarded 0.0 points out of 1.0 possible points.
□ 8.ID: 6974890473After the fourth dose of gentamicin sulfate
(Garamycin) IV, the nurse plans to draw blood samples to determine peak and
trough levels. When are the best times to draw these samples?
A 15 minutes before and 15 minutes after the next dose. B One hour before
and one hour after the next dose.
C 5 minutes before and 30 minutes after the next dose. Correct
D 30 minutes before and 30 minutes after the next dose.
□ Peak drug serum levels are achieved 30 minutes after IV
administration of aminoglycosides. The best time to draw a trough is the closest
time to the next administration (C). (A, B, and D) are not as good a time to draw
the trough as (C). (B and D) are not the best times to draw the peak of an
aminoglycoside that has been administered IV. Awarded 0.0 points out of 1.0
possible points.
□ 9.ID: 6974891711A client has undergone insertion of a permanent
pacemaker. When developing a discharge teaching plan, the nurse writes a goal of,
"The client will verbalize symptoms of pacemaker failure." Which symptoms are
most important to teach the client?
A Facial flushing.
B Fever.
C Pounding headache.
D Feelings of dizziness. Correct
□ Feelings of dizziness (D) may occur as the result of a decreased heart
rate, leading to decreased cardiac output. (A and C) will not occur as the result of
pacemaker failure.
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(A) may be an indication of infection postoperatively, but is not an indication of
pacemaker failure. Awarded 0.0 points out of 1.0 possible points.
□ 10.ID: 6974890487A client with heart disease is on a continuous
telemetry monitor and has developed sinus bradycardia. In determining the
possible cause of the
bradycardia, the nurse assesses the client's medication record. Which medication is
most likely the cause of the bradycardia?
A Propanolol (Inderal). Correct
B Captopril (Capoten).
C Furosemide (Lasix).
D Dobutamine (Dobutrex).
□ Inderal (A) is a beta adrenergic blocking agent, which causes
decreased heart rate and decreased contractility.
Neither (B), an ACE inhibitor, nor (C), a loop diuretic, causes bradycardia. (D) is a
sympathomimetic, direct acting cardiac stimulant, which would increase the heart
rate. Awarded 0.0 points out of 1.0 possible points.
□ 11.ID: 6974890493In preparing a discharge plan for a 22- year-old
male client diagnosed with Buerger's disease (thromboangiitis obliterans), which
referral is most important?
A Genetic counseling.
B Twelve-step recovery program.
C Clinical nutritionist.
D Smoking cessation program. Correct
□ Buerger's disease is strongly related to smoking. The most effective
means of controlling symptoms and disease progression is through smoking
cessation (D). The cause of Buerger's disease is unknown; a genetic predisposition
is possible, but (A) will not be of value. The client with Buerger's disease does not
need referral to a 12-step program any more than the general population (B). Diet
is not a significant factor in the disease, and general healthy diet guidelines can be
provided by the nurse (C). Awarded
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0.0 points out of 1.0 possible points.
□ 12.ID: 6974894214Which symptoms should the nurse expect a client
to exhibit who is diagnosed with a pheochromocytoma?
A Numbness, tingling, and cramps in the extremities. B Headache,
diaphoresis, and palpitations. Correct
C Cyanosis, fever, and classic signs of shock. D Nausea, vomiting, and
muscular weakness.
□ Pheochromocytoma is a catecholamine secreting tumor
of the adrenal medulla, and (B) is the typical triad of symptoms depending upon
the relative proportions of epinephrine and norepinephrine secretion. (A) lists the
signs of latent tetany, exhibited by clients diagnosed with hypoparathyroidism. (C)
lists the signs of an Addisonian (adrenal) crisis. (D) lists the signs of
hyperparathyroidism.
Awarded 0.0 points out of 1.0 possible points.
□ 13.ID: 6974890477In assessing a client diagnosed with primary
hyperaldosteronism, the nurse expects the laboratory test results to indicate a
decreased serum level of which substance?
A Sodium.
B Antidiuretic hormone.
C Potassium. Correct
D Glucose.
□ Clients with primary aldosteronism exhibit a profound decline in the
serum levels of potassium (C) (hypokalemia)-- hypertension is the most prominent
and universal sign. (A) is normal or elevated, depending on the amount of water
reabsorbed with the sodium. (B) is decreased with diabetes insipidus. (D) is not
affected by primary aldosteronism.
Awarded 0.0 points out of 1.0 possible points.
□ 14.ID: 6974891771A middle-aged male client with diabetes continues
to eat an abundance of foods that are high in sugar and fat. According to the Health
