Medical-Surgical Nursing, 13th Edition - Exam 2 Study Questions
Study online at https://quizlet.com/_80egab
1. 1. A patient with possible bacterial meningi- Ans: B
tis is admitted to the ICU. What assessment Feedback:
finding would the nurse expect for a patient Clinical manifestations of bacterial
with this diagnosis? meningitis include a positive Brudzins-
ki's sign. Neck flexion producing flexion
A) Pain upon ankle dorsiflexion of the foot of knees and hips correlates with a pos-
itive Brudzinski's sign. Positive Homan's
B) Neck flexion produces flexion of knees and
sign (pain upon dorsiflexion of the foot)
hips
and negative Romberg's sign (inabili-
ty to stand with eyes closed and arms
C) Inability to stand with eyes closed and
extended) are not expected assessment
arms extended without swaying
findings for the patient with bacter-
D) Numbness and tingling in the lower ex- ial meningitis. Peripheral neuropathy
tremities manifests as numbness and tingling in
the lower extremities. Again, this would
not be an initial assessment to rule out
bacterial meningitis.
2. 2. The nurse is planning discharge education Ans: A
for a patient with trigeminal neuralgia. The Feedback:
nurse knows to include information about Washing the face should be avoid-
factors that precipitate an attack. What would ed if possible because this activity can
the nurse be correct in teaching the patient trigger an attack of pain in a patient
to avoid? with trigeminal neuralgia. Using arti-
ficial tears would be an appropriate
A) Washing his face behavior. Exposing the skin to sun-
light would not be harmful to this pa-
B) Exposing his skin to sunlight
tient. Temperature extremes in bever-
ages should be avoided.
C) Using artificial tears
D) Drinking large amounts of fluids
, Medical-Surgical Nursing, 13th Edition - Exam 2 Study Questions
Study online at https://quizlet.com/_80egab
3. 3. The nurse is caring for a patient with multi-
Ans: B
ple sclerosis (MS). The patient tells the nurse
Feedback:
the hardest thing to deal with is the fatigue.
Fatigue is a common symptom of pa-
When teaching the patient how to reduce fa- tients with MS. Lowering the body tem-
tigue, what action should the nurse suggest?perature by resting in an air-condi-
tioned room may relieve fatigue; how-
A) Taking a hot bath at least once daily ever, extreme cold should be avoid-
ed. A hot bath or shower can increase
B) Resting in an air-conditioned room when-
body temperature, producing fatigue.
ever possible
Muscle relaxants, prescribed to reduce
spasticity, can cause drowsiness and fa-
C) Increasing the dose of muscle relaxants
tigue. Planning for frequent rest peri-
D) Avoiding naps during the day ods and naps can relieve fatigue. Oth-
er measures to reduce fatigue in the
patient with MS include treating de-
pression, using occupational therapy to
learn energy conservation techniques,
and reducing spasticity.
4. 4. A patient with Guillain-Barré syndrome has Ans: C
experienced a sharp decline in vital capacity. Feedback:
What is the nurse's most appropriate action? For the patient with Guillain-Barré syn-
drome, mechanical ventilation is re-
A) Administer bronchodilators as ordered. quired if the vital capacity falls, making
spontaneous breathing impossible and
B) Remind the patient of the importance of
tissue oxygenation inadequate. Each of
deep breathing and coughing exercises.
the other listed actions is likely insuffi-
cient to meet the patient's oxygenation
C) Prepare to assist with intubation.
needs.
D) Administer supplementary oxygen by
nasal cannula.
, Medical-Surgical Nursing, 13th Edition - Exam 2 Study Questions
Study online at https://quizlet.com/_80egab
5. 5. A patient diagnosed with Bell's palsy is be-
Ans: A
ing cared for on an outpatient basis. During Feedback:
health education, the nurse should promote Corneal irritation and ulceration may
which of the following actions? occur if the eye is unprotected. While
paralysis lasts, the involved eye must
A) Applying a protective eye shield at night be protected. The patient should be
encouraged to eat on the unaffect-
B) Chewing on the affected side to prevent
ed side, due to swallowing difficulties.
unilateral neglect
Analgesics are used to control the fa-
cial pain. The patient should continue
C) Avoiding the use of analgesics whenever
to provide self-care including oral hy-
possible
giene.
D) Avoiding brushing the teeth
6. 6. The nurse is working with a patient who Ans: A
is newly diagnosed with MS. What basic in- Feedback:
formation should the nurse provide to the MS is a chronic, degenerative, progres-
patient? sive disease of the central nervous sys-
tem, characterized by the occurrence of
A) MS is a progressive demyelinating disease small patches of demyelination in the
of the nervous system. brain and spinal cord. The cause of MS
is not known, and the disease affects
B) MS usually occurs more frequently in
twice as many women as men.
men.
C) MS typically has an acute onset.
D) MS is sometimes caused by a bacterial
infection.
7. 7. The nurse is creating a plan of care for a pa- Ans: D
tient who has a recent diagnosis of MS. Which Feedback:
of the following should the nurse include in A patient diagnosed with MS should be
, Medical-Surgical Nursing, 13th Edition - Exam 2 Study Questions
Study online at https://quizlet.com/_80egab
the patient's care plan? encouraged to increase the fiber in his
or her diet and void 30 minutes after
A) Encourage patient to void every hour. drinking to help train the bladder. The
patient should participate in daily mus-
B) Order a low-residue diet.
cle stretching to help alleviate and relax
muscle spasms.
C) Provide total assistance with all ADLs.
D) Instruct the patient on daily muscle
stretching.
8. 8. A patient with metastatic cancer has devel- Ans: B
oped trigeminal neuralgia and is taking car- Feedback:
bamazepine (Tegretol) for pain relief. What The anticonvulsant agents carba-
principle applies to the administration of this mazepine (Tegretol) and phenytoin (Di-
medication? lantin) relieve pain in most patients di-
agnosed with trigeminal neuralgia by
A) Tegretol is not known to have serious ad- reducing the transmission of impulses
verse effects. at certain nerve terminals. Side effects
include nausea, dizziness, drowsiness,
B) The patient should be monitored for bone
and aplastic anemia. Carbamazepine
marrow depression.
should be gradually increased until
pain relief is obtained.
C) Side effects of the medication include renal
dysfunction.
D) The medication should be first taken in the
maximum dosage form to be effective.
9. 9. A male patient presents to the clinic com- Ans: B
plaining of a headache. The nurse notes that Feedback:
the patient is guarding his neck and tells the Meningeal irritation results in a num-
nurse that he has stiffness in the neck area. ber of well-recognized signs common-
The nurse suspects the patient may have ly seen in meningitis, such as a posi-
Study online at https://quizlet.com/_80egab
1. 1. A patient with possible bacterial meningi- Ans: B
tis is admitted to the ICU. What assessment Feedback:
finding would the nurse expect for a patient Clinical manifestations of bacterial
with this diagnosis? meningitis include a positive Brudzins-
ki's sign. Neck flexion producing flexion
A) Pain upon ankle dorsiflexion of the foot of knees and hips correlates with a pos-
itive Brudzinski's sign. Positive Homan's
B) Neck flexion produces flexion of knees and
sign (pain upon dorsiflexion of the foot)
hips
and negative Romberg's sign (inabili-
ty to stand with eyes closed and arms
C) Inability to stand with eyes closed and
extended) are not expected assessment
arms extended without swaying
findings for the patient with bacter-
D) Numbness and tingling in the lower ex- ial meningitis. Peripheral neuropathy
tremities manifests as numbness and tingling in
the lower extremities. Again, this would
not be an initial assessment to rule out
bacterial meningitis.
2. 2. The nurse is planning discharge education Ans: A
for a patient with trigeminal neuralgia. The Feedback:
nurse knows to include information about Washing the face should be avoid-
factors that precipitate an attack. What would ed if possible because this activity can
the nurse be correct in teaching the patient trigger an attack of pain in a patient
to avoid? with trigeminal neuralgia. Using arti-
ficial tears would be an appropriate
A) Washing his face behavior. Exposing the skin to sun-
light would not be harmful to this pa-
B) Exposing his skin to sunlight
tient. Temperature extremes in bever-
ages should be avoided.
C) Using artificial tears
D) Drinking large amounts of fluids
, Medical-Surgical Nursing, 13th Edition - Exam 2 Study Questions
Study online at https://quizlet.com/_80egab
3. 3. The nurse is caring for a patient with multi-
Ans: B
ple sclerosis (MS). The patient tells the nurse
Feedback:
the hardest thing to deal with is the fatigue.
Fatigue is a common symptom of pa-
When teaching the patient how to reduce fa- tients with MS. Lowering the body tem-
tigue, what action should the nurse suggest?perature by resting in an air-condi-
tioned room may relieve fatigue; how-
A) Taking a hot bath at least once daily ever, extreme cold should be avoid-
ed. A hot bath or shower can increase
B) Resting in an air-conditioned room when-
body temperature, producing fatigue.
ever possible
Muscle relaxants, prescribed to reduce
spasticity, can cause drowsiness and fa-
C) Increasing the dose of muscle relaxants
tigue. Planning for frequent rest peri-
D) Avoiding naps during the day ods and naps can relieve fatigue. Oth-
er measures to reduce fatigue in the
patient with MS include treating de-
pression, using occupational therapy to
learn energy conservation techniques,
and reducing spasticity.
4. 4. A patient with Guillain-Barré syndrome has Ans: C
experienced a sharp decline in vital capacity. Feedback:
What is the nurse's most appropriate action? For the patient with Guillain-Barré syn-
drome, mechanical ventilation is re-
A) Administer bronchodilators as ordered. quired if the vital capacity falls, making
spontaneous breathing impossible and
B) Remind the patient of the importance of
tissue oxygenation inadequate. Each of
deep breathing and coughing exercises.
the other listed actions is likely insuffi-
cient to meet the patient's oxygenation
C) Prepare to assist with intubation.
needs.
D) Administer supplementary oxygen by
nasal cannula.
, Medical-Surgical Nursing, 13th Edition - Exam 2 Study Questions
Study online at https://quizlet.com/_80egab
5. 5. A patient diagnosed with Bell's palsy is be-
Ans: A
ing cared for on an outpatient basis. During Feedback:
health education, the nurse should promote Corneal irritation and ulceration may
which of the following actions? occur if the eye is unprotected. While
paralysis lasts, the involved eye must
A) Applying a protective eye shield at night be protected. The patient should be
encouraged to eat on the unaffect-
B) Chewing on the affected side to prevent
ed side, due to swallowing difficulties.
unilateral neglect
Analgesics are used to control the fa-
cial pain. The patient should continue
C) Avoiding the use of analgesics whenever
to provide self-care including oral hy-
possible
giene.
D) Avoiding brushing the teeth
6. 6. The nurse is working with a patient who Ans: A
is newly diagnosed with MS. What basic in- Feedback:
formation should the nurse provide to the MS is a chronic, degenerative, progres-
patient? sive disease of the central nervous sys-
tem, characterized by the occurrence of
A) MS is a progressive demyelinating disease small patches of demyelination in the
of the nervous system. brain and spinal cord. The cause of MS
is not known, and the disease affects
B) MS usually occurs more frequently in
twice as many women as men.
men.
C) MS typically has an acute onset.
D) MS is sometimes caused by a bacterial
infection.
7. 7. The nurse is creating a plan of care for a pa- Ans: D
tient who has a recent diagnosis of MS. Which Feedback:
of the following should the nurse include in A patient diagnosed with MS should be
, Medical-Surgical Nursing, 13th Edition - Exam 2 Study Questions
Study online at https://quizlet.com/_80egab
the patient's care plan? encouraged to increase the fiber in his
or her diet and void 30 minutes after
A) Encourage patient to void every hour. drinking to help train the bladder. The
patient should participate in daily mus-
B) Order a low-residue diet.
cle stretching to help alleviate and relax
muscle spasms.
C) Provide total assistance with all ADLs.
D) Instruct the patient on daily muscle
stretching.
8. 8. A patient with metastatic cancer has devel- Ans: B
oped trigeminal neuralgia and is taking car- Feedback:
bamazepine (Tegretol) for pain relief. What The anticonvulsant agents carba-
principle applies to the administration of this mazepine (Tegretol) and phenytoin (Di-
medication? lantin) relieve pain in most patients di-
agnosed with trigeminal neuralgia by
A) Tegretol is not known to have serious ad- reducing the transmission of impulses
verse effects. at certain nerve terminals. Side effects
include nausea, dizziness, drowsiness,
B) The patient should be monitored for bone
and aplastic anemia. Carbamazepine
marrow depression.
should be gradually increased until
pain relief is obtained.
C) Side effects of the medication include renal
dysfunction.
D) The medication should be first taken in the
maximum dosage form to be effective.
9. 9. A male patient presents to the clinic com- Ans: B
plaining of a headache. The nurse notes that Feedback:
the patient is guarding his neck and tells the Meningeal irritation results in a num-
nurse that he has stiffness in the neck area. ber of well-recognized signs common-
The nurse suspects the patient may have ly seen in meningitis, such as a posi-
