Medical-Surgical Nursing Exam 1
Questions And Correct Update
The vnurse vis vcaring vfor va vclient vwho vhas vas va vson vwith va vstreptococcus vthroat vinfection. vWhich
vnurse vrecommendation vwould vbe vbest vto vadvise vthe vclient vto vdo vin vorder v to v prevent vacquiring
vthe vinfection? v- vAnswer v- vFrequently vwash vher vhands vand vsurfaces vof vthe vhome.
The vnurse vis vcaring vfor va vclient vinfected vwith vRocky vMountain vspotted vfever. vThe vnurse vshould
vask vif vthe v client vhas vexperienced vwhich vof vthe vfollowing? v- vAnswer v- vWas vbitten vby va v tick
The vnurse vis vcaring vfor va vclient vwith va vprotozoa vinfection. vWhich vis vthe vmost vlikely vmode vof
vtransmission? v- vAnswer v- vIngestion vof vcontaminated vfood vor vwater
The vnurse vis vcaring vfor va vclient vwho vis vrecovering vfrom van vallergic vreaction. vWhich vleukocyte
vlevel vwould vthe vnurse vexpect v to vbe vthe vmost velevated? v- vAnswer v- vEosinophils
The vnurse vis vcaring vfor va vclient vwho vhas van vinfected vwound von vthe vgreat vtoe vthat vis vred vwith
va vpurulent vexudate. v The vnurse vexpects v that vthis vclient vhas vwhich vtype v of vinfection? v- vAnswer v-
vLocalized
The vclient vexperienced va vfall. vNursing vassessment vreveals vthat vthe vclient vis vexperiencing
vtachycardia, vhypotension, v confusion, vtachypnea, vand vflat vjugular vveins. vWhat vshould vbe vthe
vnurse's vfirst vresponse? v- vAnswer v- vAdminister voxygen.
The vfamily vwants vto vknow vwhy vthe vnurse vis vputting va vurinary vcatheter vin va vclient vexperiencing
vshock. vWhat vis v the vnurse's vbest vresponse? v- vAnswer v- v"It vwill vhelp vmonitor vhow vmuch vurine
vthe vkidneys vare vable vto vproduce."
A vclient vexperiencing vshock vhas vhad va vurinary voutput vof v250 vmL vin vthe vlast v10 vhours. vWhat vis
vthe vnurse's vmost vappropriate vresponse? v- vAnswer v- vNotify vthe vphysician.
,Which vclient vis vmost vlikely vto vbe vexperiencing vhypovolemic vshock? v- vAnswer v- vA vclient vwho vhad
vsurgery v24 vhours vago vand vwho valso vhas va vnasogastric vtube
The vphysician vhas vordered varterial vblood vgases vfor va vclient vexperiencing vshock. vThe vnurse vknows
vthat vwhich vvalue vindicates vshock? v- vAnswer v- vpH v 7.32
A v63-year-old vArab vAmerican vmale vstates vhis vleft vleg vis v"hot." vWhat vis vthe vnurse's vbest vfirst
vresponse? v- vAnswer v- vAssess vfor vpain
The vclient vis vcomplaining vof vexcruciating vpain vin va vfoot vthat vhas vbeen vamputated. vThe vfamily
vtells vthe vnurse vthat v the v client vis vjust vaddicted vto vpain vmedications. vWhat vis vthe vnurse's vbest
vresponse? v- vAnswer v- v "He vis vexperiencing vphantom vlimb vpain."
A vclient vhas vhad vabdominal vsurgery vand vhas vorders vto vbe vambulated vthree vtimes va vday. vOral
vpain vmedication vhas vbeen vordered vfor v the v client. vWhat vshould v the vnurse v do v to vfacilitate
vambulation? v- vAnswer v- vMediate v 1 vhour vprior v to v ambulating vthe vclient.
The vclient vreports vfrequent vuse vof vacetaminophen. vHow vshould vthe vnurse vbest vrespond? v-
vAnswer v- v"Do vyou vdrink valcohol?"
A vclient vwith vchronic vpain vhas vbeen vadmitted vwith va vfever. vThe vnursing vassessment vreveals vthat
vthe vclient vhas va vdecreased vlevel vof vconsciousness. vWhat vshould vthe vnurse vask v the vfamily
vabout? v - vAnswer v- vWhat vmedications vthe vclient vhas vtaken
The vpractical vnurse vis vreviewing vthe vsocial vhistory vfrom va vclient vdiagnosed vwith vsmall vcell
vcarcinoma vof v the vlung. vWhich vinformation vis vsignificant vfor vthis vdisease? v- vAnswer v- vThe vclient
vhas vsmoked vtwo v(2) vpacks vof vcigarettes va vday vfor v20 vyears
The vpractical vnurse vand van vunlicensed vassistive vpersonnel v(UAP) vare vcaring vfor va vgroup vof
vclients von va vmedical vunit. vWhich vinformation vprovided vby vthe vUAP vwarrants vimmediate
vintervention vby vthe vpractical vnurse? v- vAnswer v- vThe vclient vreceiving vProcrit v(epoetin valfa) vhas va
vT v99.2˚F, vP v68, vR v24, vand vBP vof v 198/102
, The vclient vdiagnosed vwith vlung vcancer vhas vbeen vtold vthe vcancer vhas vmetastasized vto vthe vbrain.
vWhich vintervention vshould vthe vpractical vnurse vexpect vto vimplement? v- vAnswer v- vDiscuss
vimplementing van vadvance vdirective
The vclient vdiagnosed vwith vlung vcancer vis vbeing vdischarged. vWhich vstatement vmade vby vthe vclient
vindicates va vreiteration vof vinformation vis vrequired? v- vAnswer v- v"It vdoesn't vmatter vif vI vsmoke
vnow. vI valready vhave vcancer."
The vpractical vnurse vis vinterviewing vclients vat vthe vclinic. vWhich vinformation vprovided vby va vclient
vwarrants vfurther vinvestigation? v- vAnswer v- vThe v client vhas vbeen vcoughing vup v blood vin v the
vmornings
The vmale vclient vhad vabdominal vsurgery vand vthe vpractical vnurse vsuspects vthe vclient vhas
vperitonitis. vWhich vinformation vsupport vthe vdiagnosis vof vperitonitis? v- vAnswer v- vHard, vrigid
vabdomen vand vwhite vblood vcell vcount v22,000/mm3
The vclient vwho vhad vabdominal vsurgery vtells vthe vpractical vnurse, v"I vfelt vsomething vgive vway vin
vmy vstomach." vWhich vintervention vshould vthe vpractical vnurse vimplement vfirst? v- vAnswer v-
vInspect vthe vabdominal vwound vincision
The vclient vis vone v(1) vday vpostoperative vmajor vabdominal vsurgery. vWhich vclient vproblem vis va
vpriority? v- vAnswer v- vFluid vand velectrolyte vimbalance
The vclient vhas van veviscerated vabdominal vwound. vWhich vintervention vshould vthe vpractical vnurse
vimplement? v- vAnswer v- vApply vsterile vnormal vsaline vdressing
The vclient vis vdiagnosed vwith vperitonitis. vWhich vinformation vindicates vto vthe vpractical vnurse vthe
vclient's vcondition vis vimproving? v- vAnswer v- vThe vclient vhas va vdecrease vin v temperature vand va
vsoft vabdomen
A vpatient vis vbeing vreleased vfrom vthe vhospital vwith va vprescription vfor vtetracycline. vWhat vshould
vthe vnurse vinclude vin vpatient v teaching? v
Select vall vthat vapply. v- vAnswer v- vAdvise vlimiting vexposure vto vthe vsun.
Questions And Correct Update
The vnurse vis vcaring vfor va vclient vwho vhas vas va vson vwith va vstreptococcus vthroat vinfection. vWhich
vnurse vrecommendation vwould vbe vbest vto vadvise vthe vclient vto vdo vin vorder v to v prevent vacquiring
vthe vinfection? v- vAnswer v- vFrequently vwash vher vhands vand vsurfaces vof vthe vhome.
The vnurse vis vcaring vfor va vclient vinfected vwith vRocky vMountain vspotted vfever. vThe vnurse vshould
vask vif vthe v client vhas vexperienced vwhich vof vthe vfollowing? v- vAnswer v- vWas vbitten vby va v tick
The vnurse vis vcaring vfor va vclient vwith va vprotozoa vinfection. vWhich vis vthe vmost vlikely vmode vof
vtransmission? v- vAnswer v- vIngestion vof vcontaminated vfood vor vwater
The vnurse vis vcaring vfor va vclient vwho vis vrecovering vfrom van vallergic vreaction. vWhich vleukocyte
vlevel vwould vthe vnurse vexpect v to vbe vthe vmost velevated? v- vAnswer v- vEosinophils
The vnurse vis vcaring vfor va vclient vwho vhas van vinfected vwound von vthe vgreat vtoe vthat vis vred vwith
va vpurulent vexudate. v The vnurse vexpects v that vthis vclient vhas vwhich vtype v of vinfection? v- vAnswer v-
vLocalized
The vclient vexperienced va vfall. vNursing vassessment vreveals vthat vthe vclient vis vexperiencing
vtachycardia, vhypotension, v confusion, vtachypnea, vand vflat vjugular vveins. vWhat vshould vbe vthe
vnurse's vfirst vresponse? v- vAnswer v- vAdminister voxygen.
The vfamily vwants vto vknow vwhy vthe vnurse vis vputting va vurinary vcatheter vin va vclient vexperiencing
vshock. vWhat vis v the vnurse's vbest vresponse? v- vAnswer v- v"It vwill vhelp vmonitor vhow vmuch vurine
vthe vkidneys vare vable vto vproduce."
A vclient vexperiencing vshock vhas vhad va vurinary voutput vof v250 vmL vin vthe vlast v10 vhours. vWhat vis
vthe vnurse's vmost vappropriate vresponse? v- vAnswer v- vNotify vthe vphysician.
,Which vclient vis vmost vlikely vto vbe vexperiencing vhypovolemic vshock? v- vAnswer v- vA vclient vwho vhad
vsurgery v24 vhours vago vand vwho valso vhas va vnasogastric vtube
The vphysician vhas vordered varterial vblood vgases vfor va vclient vexperiencing vshock. vThe vnurse vknows
vthat vwhich vvalue vindicates vshock? v- vAnswer v- vpH v 7.32
A v63-year-old vArab vAmerican vmale vstates vhis vleft vleg vis v"hot." vWhat vis vthe vnurse's vbest vfirst
vresponse? v- vAnswer v- vAssess vfor vpain
The vclient vis vcomplaining vof vexcruciating vpain vin va vfoot vthat vhas vbeen vamputated. vThe vfamily
vtells vthe vnurse vthat v the v client vis vjust vaddicted vto vpain vmedications. vWhat vis vthe vnurse's vbest
vresponse? v- vAnswer v- v "He vis vexperiencing vphantom vlimb vpain."
A vclient vhas vhad vabdominal vsurgery vand vhas vorders vto vbe vambulated vthree vtimes va vday. vOral
vpain vmedication vhas vbeen vordered vfor v the v client. vWhat vshould v the vnurse v do v to vfacilitate
vambulation? v- vAnswer v- vMediate v 1 vhour vprior v to v ambulating vthe vclient.
The vclient vreports vfrequent vuse vof vacetaminophen. vHow vshould vthe vnurse vbest vrespond? v-
vAnswer v- v"Do vyou vdrink valcohol?"
A vclient vwith vchronic vpain vhas vbeen vadmitted vwith va vfever. vThe vnursing vassessment vreveals vthat
vthe vclient vhas va vdecreased vlevel vof vconsciousness. vWhat vshould vthe vnurse vask v the vfamily
vabout? v - vAnswer v- vWhat vmedications vthe vclient vhas vtaken
The vpractical vnurse vis vreviewing vthe vsocial vhistory vfrom va vclient vdiagnosed vwith vsmall vcell
vcarcinoma vof v the vlung. vWhich vinformation vis vsignificant vfor vthis vdisease? v- vAnswer v- vThe vclient
vhas vsmoked vtwo v(2) vpacks vof vcigarettes va vday vfor v20 vyears
The vpractical vnurse vand van vunlicensed vassistive vpersonnel v(UAP) vare vcaring vfor va vgroup vof
vclients von va vmedical vunit. vWhich vinformation vprovided vby vthe vUAP vwarrants vimmediate
vintervention vby vthe vpractical vnurse? v- vAnswer v- vThe vclient vreceiving vProcrit v(epoetin valfa) vhas va
vT v99.2˚F, vP v68, vR v24, vand vBP vof v 198/102
, The vclient vdiagnosed vwith vlung vcancer vhas vbeen vtold vthe vcancer vhas vmetastasized vto vthe vbrain.
vWhich vintervention vshould vthe vpractical vnurse vexpect vto vimplement? v- vAnswer v- vDiscuss
vimplementing van vadvance vdirective
The vclient vdiagnosed vwith vlung vcancer vis vbeing vdischarged. vWhich vstatement vmade vby vthe vclient
vindicates va vreiteration vof vinformation vis vrequired? v- vAnswer v- v"It vdoesn't vmatter vif vI vsmoke
vnow. vI valready vhave vcancer."
The vpractical vnurse vis vinterviewing vclients vat vthe vclinic. vWhich vinformation vprovided vby va vclient
vwarrants vfurther vinvestigation? v- vAnswer v- vThe v client vhas vbeen vcoughing vup v blood vin v the
vmornings
The vmale vclient vhad vabdominal vsurgery vand vthe vpractical vnurse vsuspects vthe vclient vhas
vperitonitis. vWhich vinformation vsupport vthe vdiagnosis vof vperitonitis? v- vAnswer v- vHard, vrigid
vabdomen vand vwhite vblood vcell vcount v22,000/mm3
The vclient vwho vhad vabdominal vsurgery vtells vthe vpractical vnurse, v"I vfelt vsomething vgive vway vin
vmy vstomach." vWhich vintervention vshould vthe vpractical vnurse vimplement vfirst? v- vAnswer v-
vInspect vthe vabdominal vwound vincision
The vclient vis vone v(1) vday vpostoperative vmajor vabdominal vsurgery. vWhich vclient vproblem vis va
vpriority? v- vAnswer v- vFluid vand velectrolyte vimbalance
The vclient vhas van veviscerated vabdominal vwound. vWhich vintervention vshould vthe vpractical vnurse
vimplement? v- vAnswer v- vApply vsterile vnormal vsaline vdressing
The vclient vis vdiagnosed vwith vperitonitis. vWhich vinformation vindicates vto vthe vpractical vnurse vthe
vclient's vcondition vis vimproving? v- vAnswer v- vThe vclient vhas va vdecrease vin v temperature vand va
vsoft vabdomen
A vpatient vis vbeing vreleased vfrom vthe vhospital vwith va vprescription vfor vtetracycline. vWhat vshould
vthe vnurse vinclude vin vpatient v teaching? v
Select vall vthat vapply. v- vAnswer v- vAdvise vlimiting vexposure vto vthe vsun.
