Medical-Surgical Nursing Exam 1 with
correct ANSWERS
The nurse is caring for a client who has as a son with a
streptococcus throat infection. Which nurse recommendation
would be best to advise the client to do in order to prevent
acquiring the infection? - ...,.🔹VERIFIED ANSWER
**✔✔Frequently wash her hands and surfaces of the home.
The nurse is caring for a client infected with Rocky Mountain
spotted fever. The nurse should ask if the client has experienced
which of the following? - ...,.🔹VERIFIED ANSWER **✔✔Was
bitten by a tick
The nurse is caring for a client with a protozoa infection. Which is
the most likely mode of transmission? - ...,.🔹VERIFIED ANSWER
**✔✔Ingestion of contaminated food or water
The nurse is caring for a client who is recovering from an allergic
reaction. Which leukocyte level would the nurse expect to be the
,most elevated? - ...,.🔹VERIFIED ANSWER **✔✔Eosinophils
The nurse is caring for a client who has an infected wound on the
great toe that is red with a purulent exudate. The nurse expects that
this client has which type of infection? - ...,.🔹VERIFIED ANSWER
**✔✔Localized
The client experienced a fall. Nursing assessment reveals that the
client is experiencing tachycardia, hypotension, confusion,
tachypnea, and flat jugular veins. What should be the nurse's first
response? - ...,.🔹VERIFIED ANSWER **✔✔Administer oxygen.
The family wants to know why the nurse is putting a urinary
catheter in a client experiencing shock. What is the nurse's best
response? - ...,.🔹VERIFIED ANSWER **✔✔"It will help monitor
how much urine the kidneys are able to produce."
A client experiencing shock has had a urinary output of 250 mL in
the last 10 hours. What is the nurse's most appropriate response?
- ...,.🔹VERIFIED ANSWER **✔✔Notify the physician.
,Which client is most likely to be experiencing hypovolemic shock? -
...,.🔹VERIFIED ANSWER **✔✔A client who had surgery 24
hours ago and who also has a nasogastric tube
The physician has ordered arterial blood gases for a client
experiencing shock. The nurse knows that which value indicates
shock? - ...,.🔹VERIFIED ANSWER **✔✔pH 7.32
A 63-year-old Arab American male states his left leg is "hot." What
is the nurse's best first response? - ...,.🔹VERIFIED ANSWER
**✔✔Assess for pain
The client is complaining of excruciating pain in a foot that has
been amputated. The family tells the nurse that the client is just
addicted to pain medications. What is the nurse's best response?
- ...,.🔹VERIFIED ANSWER **✔✔"He is experiencing phantom
limb pain."
A client has had abdominal surgery and has orders to be ambulated
three times a day. Oral pain medication has been ordered for the
client. What should the nurse do to facilitate ambulation?
, - ...,.🔹VERIFIED ANSWER **✔✔Mediate 1 hour prior to
ambulating the client.
The client reports frequent use of acetaminophen. How should the
nurse best respond? - ...,.🔹VERIFIED ANSWER **✔✔"Do you
drink alcohol?"
A client with chronic pain has been admitted with a fever. The
nursing assessment reveals that the client has a decreased level of
consciousness. What should the nurse ask the family about?
- ...,.🔹VERIFIED ANSWER **✔✔What medications the client has
taken
The practical nurse is reviewing the social history from a client
diagnosed with small cell carcinoma of the lung. Which
information is significant for this disease? - ...,.🔹VERIFIED
ANSWER **✔✔The client has smoked two (2) packs of cigarettes a
day for 20 years
The practical nurse and an unlicensed assistive personnel (UAP)
are caring for a group of clients on a medical unit. Which
correct ANSWERS
The nurse is caring for a client who has as a son with a
streptococcus throat infection. Which nurse recommendation
would be best to advise the client to do in order to prevent
acquiring the infection? - ...,.🔹VERIFIED ANSWER
**✔✔Frequently wash her hands and surfaces of the home.
The nurse is caring for a client infected with Rocky Mountain
spotted fever. The nurse should ask if the client has experienced
which of the following? - ...,.🔹VERIFIED ANSWER **✔✔Was
bitten by a tick
The nurse is caring for a client with a protozoa infection. Which is
the most likely mode of transmission? - ...,.🔹VERIFIED ANSWER
**✔✔Ingestion of contaminated food or water
The nurse is caring for a client who is recovering from an allergic
reaction. Which leukocyte level would the nurse expect to be the
,most elevated? - ...,.🔹VERIFIED ANSWER **✔✔Eosinophils
The nurse is caring for a client who has an infected wound on the
great toe that is red with a purulent exudate. The nurse expects that
this client has which type of infection? - ...,.🔹VERIFIED ANSWER
**✔✔Localized
The client experienced a fall. Nursing assessment reveals that the
client is experiencing tachycardia, hypotension, confusion,
tachypnea, and flat jugular veins. What should be the nurse's first
response? - ...,.🔹VERIFIED ANSWER **✔✔Administer oxygen.
The family wants to know why the nurse is putting a urinary
catheter in a client experiencing shock. What is the nurse's best
response? - ...,.🔹VERIFIED ANSWER **✔✔"It will help monitor
how much urine the kidneys are able to produce."
A client experiencing shock has had a urinary output of 250 mL in
the last 10 hours. What is the nurse's most appropriate response?
- ...,.🔹VERIFIED ANSWER **✔✔Notify the physician.
,Which client is most likely to be experiencing hypovolemic shock? -
...,.🔹VERIFIED ANSWER **✔✔A client who had surgery 24
hours ago and who also has a nasogastric tube
The physician has ordered arterial blood gases for a client
experiencing shock. The nurse knows that which value indicates
shock? - ...,.🔹VERIFIED ANSWER **✔✔pH 7.32
A 63-year-old Arab American male states his left leg is "hot." What
is the nurse's best first response? - ...,.🔹VERIFIED ANSWER
**✔✔Assess for pain
The client is complaining of excruciating pain in a foot that has
been amputated. The family tells the nurse that the client is just
addicted to pain medications. What is the nurse's best response?
- ...,.🔹VERIFIED ANSWER **✔✔"He is experiencing phantom
limb pain."
A client has had abdominal surgery and has orders to be ambulated
three times a day. Oral pain medication has been ordered for the
client. What should the nurse do to facilitate ambulation?
, - ...,.🔹VERIFIED ANSWER **✔✔Mediate 1 hour prior to
ambulating the client.
The client reports frequent use of acetaminophen. How should the
nurse best respond? - ...,.🔹VERIFIED ANSWER **✔✔"Do you
drink alcohol?"
A client with chronic pain has been admitted with a fever. The
nursing assessment reveals that the client has a decreased level of
consciousness. What should the nurse ask the family about?
- ...,.🔹VERIFIED ANSWER **✔✔What medications the client has
taken
The practical nurse is reviewing the social history from a client
diagnosed with small cell carcinoma of the lung. Which
information is significant for this disease? - ...,.🔹VERIFIED
ANSWER **✔✔The client has smoked two (2) packs of cigarettes a
day for 20 years
The practical nurse and an unlicensed assistive personnel (UAP)
are caring for a group of clients on a medical unit. Which