Medical-Surgical Nursing Exam 1 QUESTIONS AND
CORRECT ANSWERS GRADED A+/
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?
Ans: Frequently wash her hands and surfaces of the home.
Quiz 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?
Ans: Was bitten by a tick
Quiz The nurse is caring for a client with a protozoa infection. Which is the most
likely mode of transmission?
Ans: Ingestion of contaminated food or water
Quiz 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?
,Ans: Eosinophils
Quiz 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?
Ans: Localized
Quiz 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?
Ans: Administer oxygen.
Quiz 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?
Ans: "It will help monitor how much urine the kidneys are able to produce."
Quiz 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?
Ans: Notify the physician.
,Quiz Which client is most likely to be experiencing hypovolemic shock?
Ans: A client who had surgery 24 hours ago and who also has a nasogastric tube
Quiz The physician has ordered arterial blood gases for a client experiencing
shock. The nurse knows that which value indicates shock?
Ans: pH 7.32
Quiz A 63-year-old Arab American male states his left leg is "hot." What is the
nurse's best first response?
Ans: Assess for pain
Quiz 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?
Ans: "He is experiencing phantom limb pain."
Quiz 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?
, Ans: Mediate 1 hour prior to ambulating the client.
Quiz The client reports frequent use of acetaminophen. How should the nurse
best respond?
Ans: "Do you drink alcohol?"
Quiz 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?
Ans: What medications the client has taken
Quiz 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?
Ans: The client has smoked two (2) packs of cigarettes a day for 20 years
Quiz The practical nurse and an unlicensed assistive personnel (UAP) are caring
for a group of clients on a medical unit. Which information provided by the UAP
warrants immediate intervention by the practical nurse?
CORRECT ANSWERS GRADED A+/
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?
Ans: Frequently wash her hands and surfaces of the home.
Quiz 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?
Ans: Was bitten by a tick
Quiz The nurse is caring for a client with a protozoa infection. Which is the most
likely mode of transmission?
Ans: Ingestion of contaminated food or water
Quiz 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?
,Ans: Eosinophils
Quiz 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?
Ans: Localized
Quiz 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?
Ans: Administer oxygen.
Quiz 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?
Ans: "It will help monitor how much urine the kidneys are able to produce."
Quiz 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?
Ans: Notify the physician.
,Quiz Which client is most likely to be experiencing hypovolemic shock?
Ans: A client who had surgery 24 hours ago and who also has a nasogastric tube
Quiz The physician has ordered arterial blood gases for a client experiencing
shock. The nurse knows that which value indicates shock?
Ans: pH 7.32
Quiz A 63-year-old Arab American male states his left leg is "hot." What is the
nurse's best first response?
Ans: Assess for pain
Quiz 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?
Ans: "He is experiencing phantom limb pain."
Quiz 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?
, Ans: Mediate 1 hour prior to ambulating the client.
Quiz The client reports frequent use of acetaminophen. How should the nurse
best respond?
Ans: "Do you drink alcohol?"
Quiz 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?
Ans: What medications the client has taken
Quiz 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?
Ans: The client has smoked two (2) packs of cigarettes a day for 20 years
Quiz The practical nurse and an unlicensed assistive personnel (UAP) are caring
for a group of clients on a medical unit. Which information provided by the UAP
warrants immediate intervention by the practical nurse?
