Med Surg A Exam Test Questions With 100% Verified
Answers Graded A+
A nurse is caring for a client who has amyotrophic lateral sclerosis (ALS) and is being
admitted to the hospital with pneumonia. Which of the following assessment findings is the
nurse's priority?
A. Temperature 38.4º C (101.1º F)
B. Increased respiratory secretions
C. Fluid intake of 200 mL in the prior 8 hr
D. Limited range of motion - -B. Increased respiratory secretions
Using the airway, breathing, circulation approach to client care, the nurse should
determine that the priority assessment finding is increased respiratory secretions. These
secretions place the client at risk for aspiration pneumonia due to respiratory muscle
weakness caused by the ALS and the pneumonia.
A nurse is conducting an admission history for a client who is to undergo a CT scan with an
IV contrast agent. The nurse should identify which of the following findings requires further
assessment?
A. History of asthma
B. Appendectomy 1 year ago
C. Penicillin allergy
D. Total knee arthroplasty 6 months ago - -A. History of asthma
A client who has a history of asthma has a greater risk of reacting to the contrast dye used
during the procedure. Other conditions that can result in a reaction to contrast media
include allergies to foods, such as shellfish, eggs, milk, and chocolate
@MercyTrishia docs
,Med Surg A Exam Test Questions With 100% Verified
Answers Graded A+
A nurse is providing discharge instructions to a client who has a partial-thickness burn on
the hand. Which of the following instructions should the nurse include?
A. Change the dressing every 72 hr.
B. Immobilize the hand with a pressure dressing.
C. Take pain medication 30 min after changing the dressing.
D. Wrap fingers with individual dressings. - -D. Wrap fingers with individual dressings.
The nurse should instruct the client to wrap the fingers individually to allow for functional
use of the hand while healing occurs. The nurse should also instruct the client to perform
range-of-motion exercises to each finger every hour while awake to promote function of the
injured hand.
A nurse is caring for a client who has bilateral pneumonia and an SaO2 of 85%. The client
has dyspnea with a productive cough and is using accessory muscles to breathe. Which of
the following actions should the nurse take first?
A. Obtain a prescription for ABGs.
B. Administer IV antibiotics to the client.
C. Instruct the client to use the incentive spirometer.
D. Place the client in high-Fowler's position. - -D. Place the client in high-Fowler's
position.
The greatest risk to this client is injury from airway obstruction. Therefore, the priority
intervention the nurse should take is to move the client into high-Fowler's position. High-
Fowler's position facilitates lung expansion and improves ventilation and gas exchange.
@MercyTrishia docs
,Med Surg A Exam Test Questions With 100% Verified
Answers Graded A+
A nurse is providing teaching for a female client who has recurrent urinary tract infections.
Which of the following information should the nurse include in the teaching?
A. Take tub baths daily.
B. Drink at least 1 L of fluid daily.
C. Wear underwear made of nylon.
D. Void before and after intercourse. - -D. Void before and after intercourse.
The nurse should instruct the client to empty her bladder before and after intercourse,
which flushes bacteria out of the urinary tract and prevents the occurrence of infection.
A nurse is reviewing the health record of a client who is scheduled for allergy skin testing.
The nurse should postpone the testing and report to the provider which of the following
findings?
A. Disease processes
B. Laboratory findings
C. Current medications
D. Family history - -C. Current medications
The nurse should review the client's medication record and identify medications, including
ACE inhibitors, beta blockers, theophylline, nifedipine, and glucocorticoids, such as
prednisone, that can alter the allergy skin test results. These medications can diminish the
client's reaction to the allergens. The nurse should notify the provider and instruct the
client to discontinue prednisone for 2 weeks before allergy skin testing.
@MercyTrishia docs
, Med Surg A Exam Test Questions With 100% Verified
Answers Graded A+
A nurse in an emergency department is reviewing the provider's prescriptions for a client
who sustained a rattlesnake bite to the lower leg. Which of the following prescriptions
should the nurse expect?
A. Apply ice to the client's puncture wounds.
B. Initiate corticosteroid therapy for the client.
C. Keep the client's leg above heart level.
D. Administer an opioid analgesic to the client. - -D. Administer an opioid analgesic
to the client.
The nurse should expect a prescription for an opioid analgesic to promote comfort
following a rattlesnake bite.
A nurse is planning to provider discharge teaching for the family of an older adult client who
has hemianopsia and is at risk for falls. Which of the following instructions should the
nurse include?
A. Keep the client's personal care items in the bathroom.
B. Keep the overhead lights on in the client's bedroom while the client is sleeping.
C. Remind the client to scan their complete range of vision during ambulation.
D. Secure the client's extension cords under carpeting. - -C. Remind the client to
scan their complete range of vision during ambulation.
The nurse should instruct the family to remind a client who has hemianopsia, or blindness
in half of the visual field, to use visual scanning to look over their complete range of vision
during ambulation. This practice can accommodate for the loss of vision and help to
reduce the risk for falls.
@MercyTrishia docs
Answers Graded A+
A nurse is caring for a client who has amyotrophic lateral sclerosis (ALS) and is being
admitted to the hospital with pneumonia. Which of the following assessment findings is the
nurse's priority?
A. Temperature 38.4º C (101.1º F)
B. Increased respiratory secretions
C. Fluid intake of 200 mL in the prior 8 hr
D. Limited range of motion - -B. Increased respiratory secretions
Using the airway, breathing, circulation approach to client care, the nurse should
determine that the priority assessment finding is increased respiratory secretions. These
secretions place the client at risk for aspiration pneumonia due to respiratory muscle
weakness caused by the ALS and the pneumonia.
A nurse is conducting an admission history for a client who is to undergo a CT scan with an
IV contrast agent. The nurse should identify which of the following findings requires further
assessment?
A. History of asthma
B. Appendectomy 1 year ago
C. Penicillin allergy
D. Total knee arthroplasty 6 months ago - -A. History of asthma
A client who has a history of asthma has a greater risk of reacting to the contrast dye used
during the procedure. Other conditions that can result in a reaction to contrast media
include allergies to foods, such as shellfish, eggs, milk, and chocolate
@MercyTrishia docs
,Med Surg A Exam Test Questions With 100% Verified
Answers Graded A+
A nurse is providing discharge instructions to a client who has a partial-thickness burn on
the hand. Which of the following instructions should the nurse include?
A. Change the dressing every 72 hr.
B. Immobilize the hand with a pressure dressing.
C. Take pain medication 30 min after changing the dressing.
D. Wrap fingers with individual dressings. - -D. Wrap fingers with individual dressings.
The nurse should instruct the client to wrap the fingers individually to allow for functional
use of the hand while healing occurs. The nurse should also instruct the client to perform
range-of-motion exercises to each finger every hour while awake to promote function of the
injured hand.
A nurse is caring for a client who has bilateral pneumonia and an SaO2 of 85%. The client
has dyspnea with a productive cough and is using accessory muscles to breathe. Which of
the following actions should the nurse take first?
A. Obtain a prescription for ABGs.
B. Administer IV antibiotics to the client.
C. Instruct the client to use the incentive spirometer.
D. Place the client in high-Fowler's position. - -D. Place the client in high-Fowler's
position.
The greatest risk to this client is injury from airway obstruction. Therefore, the priority
intervention the nurse should take is to move the client into high-Fowler's position. High-
Fowler's position facilitates lung expansion and improves ventilation and gas exchange.
@MercyTrishia docs
,Med Surg A Exam Test Questions With 100% Verified
Answers Graded A+
A nurse is providing teaching for a female client who has recurrent urinary tract infections.
Which of the following information should the nurse include in the teaching?
A. Take tub baths daily.
B. Drink at least 1 L of fluid daily.
C. Wear underwear made of nylon.
D. Void before and after intercourse. - -D. Void before and after intercourse.
The nurse should instruct the client to empty her bladder before and after intercourse,
which flushes bacteria out of the urinary tract and prevents the occurrence of infection.
A nurse is reviewing the health record of a client who is scheduled for allergy skin testing.
The nurse should postpone the testing and report to the provider which of the following
findings?
A. Disease processes
B. Laboratory findings
C. Current medications
D. Family history - -C. Current medications
The nurse should review the client's medication record and identify medications, including
ACE inhibitors, beta blockers, theophylline, nifedipine, and glucocorticoids, such as
prednisone, that can alter the allergy skin test results. These medications can diminish the
client's reaction to the allergens. The nurse should notify the provider and instruct the
client to discontinue prednisone for 2 weeks before allergy skin testing.
@MercyTrishia docs
, Med Surg A Exam Test Questions With 100% Verified
Answers Graded A+
A nurse in an emergency department is reviewing the provider's prescriptions for a client
who sustained a rattlesnake bite to the lower leg. Which of the following prescriptions
should the nurse expect?
A. Apply ice to the client's puncture wounds.
B. Initiate corticosteroid therapy for the client.
C. Keep the client's leg above heart level.
D. Administer an opioid analgesic to the client. - -D. Administer an opioid analgesic
to the client.
The nurse should expect a prescription for an opioid analgesic to promote comfort
following a rattlesnake bite.
A nurse is planning to provider discharge teaching for the family of an older adult client who
has hemianopsia and is at risk for falls. Which of the following instructions should the
nurse include?
A. Keep the client's personal care items in the bathroom.
B. Keep the overhead lights on in the client's bedroom while the client is sleeping.
C. Remind the client to scan their complete range of vision during ambulation.
D. Secure the client's extension cords under carpeting. - -C. Remind the client to
scan their complete range of vision during ambulation.
The nurse should instruct the family to remind a client who has hemianopsia, or blindness
in half of the visual field, to use visual scanning to look over their complete range of vision
during ambulation. This practice can accommodate for the loss of vision and help to
reduce the risk for falls.
@MercyTrishia docs
