PNR201 Med Surg 1 comprehensive exam Questions With
Complete Solutions
Clients lacking the production of intrinsic factors in their
gastrointestinal tract are at greatest risk for which type of
vitamin deficiency?
Vitamin B12 deficiency
What would a care plan include for a client diagnosed with
sickle cell anemia and is experiencing sickle cell crisis?
Morphine per providers prescription (pain management)
What is Preload?
The amount of blood in the ventricles before systole
What are the modifiable risk factors for coronary artery disease?
Smoking, obesity, stress, hyperlipidemia, hypertension
What are the signs of an arterial thrombus?
Pallor, parathesis, paralysis/numbness, pain, pulselessness
What is Thromboangiitis obliterans?
Buerger's disease, commonly found in heavy smokers
Risk factors for development of atherosclerosis due to
mechanical stress on the artery?
Hypertension
What is the discharge teaching for a hospitalized client with
right-sided heart failure?
, Daily weight check
The nurse conducts discharge education for the client diagnosed
with coronary artery disease. What should be included?
Decrease/eliminate all baked goods containing trans-fat,
saturated fat, or high levels of fat
What dietary instructions/recommendations for a client with
irritable bowel syndrome whose primary symptom is alternating
constipation and diarrhea?
Apples
What would be the teaching plan for a client with a hiatal hernia
who chronically experiences heartburn after meals?
Sit up after meals, do not lay down, eat small frequent meals,
raise HOB
What are the initial characteristic signs of SLE?
Fatigue, shortness of breath, chest pain, rash (butterfly rash on
face initally)
What is the white blood cell count value for a client with a
diagnosis of cancer who is immunosuppressed and would
suggest the need for implementing neutropenic precautions?
2000 mm3
(less than 3000mm3 indicates neutropenia)
What are precautions/interventions for a surgical incision and
notes an increase in the amount of drainage, a separation of the
incision line, and the appearance of underlying tissue?
Complete Solutions
Clients lacking the production of intrinsic factors in their
gastrointestinal tract are at greatest risk for which type of
vitamin deficiency?
Vitamin B12 deficiency
What would a care plan include for a client diagnosed with
sickle cell anemia and is experiencing sickle cell crisis?
Morphine per providers prescription (pain management)
What is Preload?
The amount of blood in the ventricles before systole
What are the modifiable risk factors for coronary artery disease?
Smoking, obesity, stress, hyperlipidemia, hypertension
What are the signs of an arterial thrombus?
Pallor, parathesis, paralysis/numbness, pain, pulselessness
What is Thromboangiitis obliterans?
Buerger's disease, commonly found in heavy smokers
Risk factors for development of atherosclerosis due to
mechanical stress on the artery?
Hypertension
What is the discharge teaching for a hospitalized client with
right-sided heart failure?
, Daily weight check
The nurse conducts discharge education for the client diagnosed
with coronary artery disease. What should be included?
Decrease/eliminate all baked goods containing trans-fat,
saturated fat, or high levels of fat
What dietary instructions/recommendations for a client with
irritable bowel syndrome whose primary symptom is alternating
constipation and diarrhea?
Apples
What would be the teaching plan for a client with a hiatal hernia
who chronically experiences heartburn after meals?
Sit up after meals, do not lay down, eat small frequent meals,
raise HOB
What are the initial characteristic signs of SLE?
Fatigue, shortness of breath, chest pain, rash (butterfly rash on
face initally)
What is the white blood cell count value for a client with a
diagnosis of cancer who is immunosuppressed and would
suggest the need for implementing neutropenic precautions?
2000 mm3
(less than 3000mm3 indicates neutropenia)
What are precautions/interventions for a surgical incision and
notes an increase in the amount of drainage, a separation of the
incision line, and the appearance of underlying tissue?
