CANADIAN PN EXAM: MEDICAL SURGICAL NURSING UPDATED
ACTUAL EXAM COMPLETE QUESTIONS WITH DETAILED VERIFIED
ANSWERS (100% CORRECT ANSWERS) /ALREADY GRADED A+
Fred Kingsley, a 52-year-old country and western singer, has been diagnosed with vocal cord
polyps, requiring surgical laser removal. What is the practical nurse’s priority assessment in Mr.
Kingsley's immediate postoperative period?
Ans: Hemorrhage.
The throat is a vascular area, and even with laser surgery, there is a recognized danger for
hemorrhage. It may occur quickly and is the most immediate life-threatening post-surgical
complication.
Qiz Fred Kingsley, a 52-year-old country and western singer, has been diagnosed with vocal
cord polyps, requiring surgical laser removal. What is the recommended postoperative position
for Mr. Kingsley?
Ans: Semi-Fowlers with the neck flexed.
Positioning the client in a semi Fowlers with the neck flexed helps prevent pooling of secretions
in the mouth and allows easier breathing and less chance of choking, coughing, and aspirating.
Clients often put themselves into high Fowlers position for comfort and ease of breathing.
,Qiz Fred Kingsley, a 52-year-old country and western singer, has been diagnosed with vocal
cord polyps, requiring surgical laser removal. What nursing action can best alleviate Mr.
Kingsleys throat discomfort?
Ans: Giving him acetaminophen, Tylenol, elixir or pills.
Acetaminophen, Tylenol, elixir or pills is the analgesic of choice and should be given around the
clock. Sometimes rinsing the mouth out with viscous lidocaine is effective to decrease pain in
the throat.
Qiz Consuela Gomez, age 58, moved to Canada from Mexico 10 years ago. For the past few
months, she has been experiencing fatigue, cough, and occasional blood tinged sputum. The
practical nurse administers a montoux tuberculin skin test, and this is Gomez returns to the
clinic for the test to be read. Mrs. Gomez's montoux test yields and in duration area of 10 mm.
What is the most accurate interpretation of a 10 mm result?
Ans: She has been exposed to M tuberculosis or has been vaccinated with Bacille Calmette-
Guérin.
This is a positive reaction. It indicates the presence of tuberculosis, TB, Infection but does not
show weather the infection is active or dormant. People who have been vaccinated with the
bacille Calmette geirin will have positive skin tests due to exposure to the vaccine.
Qiz Consuela Gomez, age 58, moved to Canada from Mexico 10 years ago. For the past few
months, she has been experiencing fatigue, cough, and occasional blood tinged sputum. The
practical nurse administers a montoux tuberculin skin test, and this is Gomez returns to the
clinic for the test to be read. Which of the following tests is most reliable to confirm a diagnosis
of tuberculosis, TB, for Mrs. Gomez?
Ans: Acid-fast bacilli in a sputum smear.
, The demonstration of tubercle bacilli bacteriologically is essential for establishing a diagnosis.
Qiz Consuela Gomez, age 58, moved to Canada from Mexico 10 years ago. For the past few
months, she has been experiencing fatigue, cough, and occasional blood tinged sputum. The
practical nurse administers a montoux tuberculin skin test, and this is Gomez returns to the
clinic for the test to be read. Mrs. Gomez is started on a multiple drug regime. The practical
nurse teaches Mrs. Gomez about the medication's. Which of the following drugs have side
effects of autotoxicity and nephrotoxicity?
Ans: Streptomycin.
Side effects of streptomycin include auto toxicity affecting the eighth cranial nerve,
nephrotoxicity, and hypersensitivity.
Qiz Consuela Gomez, age 58, moved to Canada from Mexico 10 years ago. For the past few
months, she has been experiencing fatigue, cough, and occasional blood tinged sputum. The
practical nurse administers a montoux tuberculin skin test, and this is Gomez returns to the
clinic for the test to be read. The practical nurse discusses with Mrs. Gomez the importance of
adherence to her medication regime. How long will Mrs. Gomez be required to take the
pharmacological treatment for TB?
Ans: 6-9 months.
A problem with adherence to therapy for tuberculosis has been the length of time medication
must be taken. 6 to 9 months of therapy have proven to be effective.
Qiz Mrs. Juliet Matthias, age 34, has been overweight most of her life. Because she began
feeling lightheaded and dizzy, she came to the health clinic for a check up. She was diagnosed
ACTUAL EXAM COMPLETE QUESTIONS WITH DETAILED VERIFIED
ANSWERS (100% CORRECT ANSWERS) /ALREADY GRADED A+
Fred Kingsley, a 52-year-old country and western singer, has been diagnosed with vocal cord
polyps, requiring surgical laser removal. What is the practical nurse’s priority assessment in Mr.
Kingsley's immediate postoperative period?
Ans: Hemorrhage.
The throat is a vascular area, and even with laser surgery, there is a recognized danger for
hemorrhage. It may occur quickly and is the most immediate life-threatening post-surgical
complication.
Qiz Fred Kingsley, a 52-year-old country and western singer, has been diagnosed with vocal
cord polyps, requiring surgical laser removal. What is the recommended postoperative position
for Mr. Kingsley?
Ans: Semi-Fowlers with the neck flexed.
Positioning the client in a semi Fowlers with the neck flexed helps prevent pooling of secretions
in the mouth and allows easier breathing and less chance of choking, coughing, and aspirating.
Clients often put themselves into high Fowlers position for comfort and ease of breathing.
,Qiz Fred Kingsley, a 52-year-old country and western singer, has been diagnosed with vocal
cord polyps, requiring surgical laser removal. What nursing action can best alleviate Mr.
Kingsleys throat discomfort?
Ans: Giving him acetaminophen, Tylenol, elixir or pills.
Acetaminophen, Tylenol, elixir or pills is the analgesic of choice and should be given around the
clock. Sometimes rinsing the mouth out with viscous lidocaine is effective to decrease pain in
the throat.
Qiz Consuela Gomez, age 58, moved to Canada from Mexico 10 years ago. For the past few
months, she has been experiencing fatigue, cough, and occasional blood tinged sputum. The
practical nurse administers a montoux tuberculin skin test, and this is Gomez returns to the
clinic for the test to be read. Mrs. Gomez's montoux test yields and in duration area of 10 mm.
What is the most accurate interpretation of a 10 mm result?
Ans: She has been exposed to M tuberculosis or has been vaccinated with Bacille Calmette-
Guérin.
This is a positive reaction. It indicates the presence of tuberculosis, TB, Infection but does not
show weather the infection is active or dormant. People who have been vaccinated with the
bacille Calmette geirin will have positive skin tests due to exposure to the vaccine.
Qiz Consuela Gomez, age 58, moved to Canada from Mexico 10 years ago. For the past few
months, she has been experiencing fatigue, cough, and occasional blood tinged sputum. The
practical nurse administers a montoux tuberculin skin test, and this is Gomez returns to the
clinic for the test to be read. Which of the following tests is most reliable to confirm a diagnosis
of tuberculosis, TB, for Mrs. Gomez?
Ans: Acid-fast bacilli in a sputum smear.
, The demonstration of tubercle bacilli bacteriologically is essential for establishing a diagnosis.
Qiz Consuela Gomez, age 58, moved to Canada from Mexico 10 years ago. For the past few
months, she has been experiencing fatigue, cough, and occasional blood tinged sputum. The
practical nurse administers a montoux tuberculin skin test, and this is Gomez returns to the
clinic for the test to be read. Mrs. Gomez is started on a multiple drug regime. The practical
nurse teaches Mrs. Gomez about the medication's. Which of the following drugs have side
effects of autotoxicity and nephrotoxicity?
Ans: Streptomycin.
Side effects of streptomycin include auto toxicity affecting the eighth cranial nerve,
nephrotoxicity, and hypersensitivity.
Qiz Consuela Gomez, age 58, moved to Canada from Mexico 10 years ago. For the past few
months, she has been experiencing fatigue, cough, and occasional blood tinged sputum. The
practical nurse administers a montoux tuberculin skin test, and this is Gomez returns to the
clinic for the test to be read. The practical nurse discusses with Mrs. Gomez the importance of
adherence to her medication regime. How long will Mrs. Gomez be required to take the
pharmacological treatment for TB?
Ans: 6-9 months.
A problem with adherence to therapy for tuberculosis has been the length of time medication
must be taken. 6 to 9 months of therapy have proven to be effective.
Qiz Mrs. Juliet Matthias, age 34, has been overweight most of her life. Because she began
feeling lightheaded and dizzy, she came to the health clinic for a check up. She was diagnosed
