Med-Surg 1 In-Class Final Exam Review
The nurse is providing discharge teaching for a client who has peptic ulcer disease
caused by H. pylori infection. Which statement by the client indicated that additional
teaching is needed?
A. "I will avoid drinking coffee, even if it is decaffeinated."
B. "I will take a multivitamin every morning with breakfast."
C. "I will go to my tai chi class to wind down after a busy day."
D. "I will take my medication ever day until my heartburn is gone."
D. "I will take my medication ever day until my heartburn is gone."
During the preoperative interview, the client's statement that would alert the nurse to an
increased risk during surgery is "I-
A. am a reformed smoker; I haven't had a cigarette in 10 years."
B. rarely eat red meat; it usually makes me feel bloated."
C. take a couple of aspirin every day for my headaches."
D. take a large assortment of vitamins daily."
C. take a couple of aspirin every day for my headaches."
A client has a leg wound that is in Stage II of the inflammatory response. For what sign
or symptom does the nurse assess?
A. Noticeable rubor
B. Purulent drainage
C. Swelling and pain
D. Warmth at the site
B. Purulent drainage
,The nurse is assessing a group of clients for their risk of kidney disease. Which
racial/ethnic group is at the greatest risk as they age?
A. Latino Americans
B. African Americans
C. Jewish Americans
D. Asian Americans
B. African Americans
An older client expresses concern about developing new "age spots." Which instruction
most important for the nurse to provide to the client?
A. "Limit the time you spend in the sun."
B. "Monitor for signs of infection."
C. "Monitor spots for color change."
D. "Use skin creams to prevent drying."
C. "Monitor spots for color change."
In the emergent care of a client with a pelvic fracture, the nurse must be especially alert
for indications of the complication of?
A. deep vein thrombosis
B. hyperthermia
C. hypovolemic shock
D. infection
A. deep vein thrombosis
An obese client has reflux and asks how being overweight could cause this condition.
Which by the nurse is best?
,A. "You eat more food, more often, than non-obese people do."
B. "The weight adds extra pressure, which helps push stomach contents up."
C. "Obese people tend to eat more high-fat food, which presents a risk."
D. "Obesity is not related to reflux, but losing weight would be healthy."
B. "The weight adds extra pressure, which helps push stomach contents up."
A client in the oncology clinic reports her family is frustrated at her ongoing fatigue 4
months after radiation therapy for breast cancer. What response by the nurse is most
appropriate?
A. "Are you getting adequate rest and sleep each day?"
B. "It is normal to be fatigued even for months afterward."
C. "This is not normal and I'll let the provider know."
D. "Try adding more vitamins B and C to your diet."
B. "It is normal to be fatigued even for months afterward."
A client who has sustained a crush injury to the right lower leg reports numbness and
tingling of the affected extremity. The skin of the right leg appears pale. Which is the
nurse's first intervention?
A. Assess pedal pulses
B. Apply oxygen by nasal cannula
C. Increase the IV flow rate
D. Document the finding
A. Assess pedal pulses
A client has a platelet count of 9800/mm3. What action by the nurse is most
appropriate?
, A. Assess the client for calf pain, warmth, and redness
B. Instruct the client to call for help to get out of bed
C. Obtain cultures as per the facility's standing policy
D. Place the client on protective isolation precautions
B. Instruct the client to call for help to get out of bed
A client has returned to the nursing unit after esophagogastroduodenoscopy (EGD).
Which action by the nurse takes priority?
A. Keep the client on strict bedrest for 8 hours
B. Delegate taking vital signs to the nursing assistant
C. Increase the IV rate to flush the kidneys
D. Assess the client's gag reflex
D. Assess the client's gag reflex
The nurse is caring for an older adult client with multiple fractures. How does the nurse
manage pain in this client?
A. Meperidine (Demerol) injections every 4 hours rather than PRN
B. Patient-controlled analgesia (PCA) pump with morphine
C. Ibuprofen (Motrin) 600 mg every 4 hours
D. IV morphine PRN
B. Patient-controlled analgesia (PCA) pump with morphine
After teaching a client with hypertension secondary to renal disease, the nurse
assesses the client's understanding. Which statement made by the client indicated a
need for additional teaching?
The nurse is providing discharge teaching for a client who has peptic ulcer disease
caused by H. pylori infection. Which statement by the client indicated that additional
teaching is needed?
A. "I will avoid drinking coffee, even if it is decaffeinated."
B. "I will take a multivitamin every morning with breakfast."
C. "I will go to my tai chi class to wind down after a busy day."
D. "I will take my medication ever day until my heartburn is gone."
D. "I will take my medication ever day until my heartburn is gone."
During the preoperative interview, the client's statement that would alert the nurse to an
increased risk during surgery is "I-
A. am a reformed smoker; I haven't had a cigarette in 10 years."
B. rarely eat red meat; it usually makes me feel bloated."
C. take a couple of aspirin every day for my headaches."
D. take a large assortment of vitamins daily."
C. take a couple of aspirin every day for my headaches."
A client has a leg wound that is in Stage II of the inflammatory response. For what sign
or symptom does the nurse assess?
A. Noticeable rubor
B. Purulent drainage
C. Swelling and pain
D. Warmth at the site
B. Purulent drainage
,The nurse is assessing a group of clients for their risk of kidney disease. Which
racial/ethnic group is at the greatest risk as they age?
A. Latino Americans
B. African Americans
C. Jewish Americans
D. Asian Americans
B. African Americans
An older client expresses concern about developing new "age spots." Which instruction
most important for the nurse to provide to the client?
A. "Limit the time you spend in the sun."
B. "Monitor for signs of infection."
C. "Monitor spots for color change."
D. "Use skin creams to prevent drying."
C. "Monitor spots for color change."
In the emergent care of a client with a pelvic fracture, the nurse must be especially alert
for indications of the complication of?
A. deep vein thrombosis
B. hyperthermia
C. hypovolemic shock
D. infection
A. deep vein thrombosis
An obese client has reflux and asks how being overweight could cause this condition.
Which by the nurse is best?
,A. "You eat more food, more often, than non-obese people do."
B. "The weight adds extra pressure, which helps push stomach contents up."
C. "Obese people tend to eat more high-fat food, which presents a risk."
D. "Obesity is not related to reflux, but losing weight would be healthy."
B. "The weight adds extra pressure, which helps push stomach contents up."
A client in the oncology clinic reports her family is frustrated at her ongoing fatigue 4
months after radiation therapy for breast cancer. What response by the nurse is most
appropriate?
A. "Are you getting adequate rest and sleep each day?"
B. "It is normal to be fatigued even for months afterward."
C. "This is not normal and I'll let the provider know."
D. "Try adding more vitamins B and C to your diet."
B. "It is normal to be fatigued even for months afterward."
A client who has sustained a crush injury to the right lower leg reports numbness and
tingling of the affected extremity. The skin of the right leg appears pale. Which is the
nurse's first intervention?
A. Assess pedal pulses
B. Apply oxygen by nasal cannula
C. Increase the IV flow rate
D. Document the finding
A. Assess pedal pulses
A client has a platelet count of 9800/mm3. What action by the nurse is most
appropriate?
, A. Assess the client for calf pain, warmth, and redness
B. Instruct the client to call for help to get out of bed
C. Obtain cultures as per the facility's standing policy
D. Place the client on protective isolation precautions
B. Instruct the client to call for help to get out of bed
A client has returned to the nursing unit after esophagogastroduodenoscopy (EGD).
Which action by the nurse takes priority?
A. Keep the client on strict bedrest for 8 hours
B. Delegate taking vital signs to the nursing assistant
C. Increase the IV rate to flush the kidneys
D. Assess the client's gag reflex
D. Assess the client's gag reflex
The nurse is caring for an older adult client with multiple fractures. How does the nurse
manage pain in this client?
A. Meperidine (Demerol) injections every 4 hours rather than PRN
B. Patient-controlled analgesia (PCA) pump with morphine
C. Ibuprofen (Motrin) 600 mg every 4 hours
D. IV morphine PRN
B. Patient-controlled analgesia (PCA) pump with morphine
After teaching a client with hypertension secondary to renal disease, the nurse
assesses the client's understanding. Which statement made by the client indicated a
need for additional teaching?
