MedLect USMLE Answers & Rationales |
Comprehensive Q& A | Grade A | 100%
Correct -The Ultimate
A 24-year-old female client is scheduled for surgery in the morning. Which of the
following is the primary responsibilty of the nurse?
a) taking the vital signs
b) obtaining the permit
c) explaining the procedure
d) checking the lab work - ANSWERSA - taking the vital signs
The primary responsibility of the nurse is to take the vital signs before any surgery.
The actions in answers B, C, and D are the responsibility of the doctor.
The nurse is working in the emergency room when a client arrives with severe burns
of the left arm, hands, face and neck. Which action should receive priority?
a) Starting an IV
b) Applying oxygen
c) Obtaining blood gasses
d) Medicating the patient for pain - ANSWERSB- Applying oxygen
The client with burns to the neck needs airway assessment and supplemental
oxygen, so applying oxygen is the priority. The next action should be to start an IV
and medicate for pain, making answers A and C incorrect. Answer D is ordered by
the doctor
The nurse is visiting a home health client with osteoporosis. The client has a new
prescription for alendronate (Fosamax). Which instruction should be given to the
patient?
a) rest in bed after taking the medication for at least 30 minutes
b) avoid rapid movements after taking the medication
c) take the medication with water only
d) allow at least one hour between taking the medication and taking other
medications - ANSWERSC - take the medication with water only
Fosamax should be taken with water only. the client should also remain upright for at
least 30 minutes after taking the medication. Answers A, B, and D are not applicable
to taking Fosamax.
The nurse is making initial rounds on a client with a C5 fracture and crutchfield
tongs. Which equipment should be kept at the bedside?
a) a pair of forceps
b) a torque wrench
, c) a pair of wire cutters
d) a screwdriver - ANSWERSB- a torque wrench
The nurse is caring for a client for removal of the pituitary gland. The nurse should
be particularly of:
a) Nasal Congestion
b) Abdominal Tenderness
c) Muscle Tetany
d) Oliguria - ANSWERSA - Nasal Congestion
Removal of the pituitary gland is usually done by a transphenoidal approach, through
the nose. Nasal congestion further interferes with the airway.
Answers B, C, and D are not correct because they are not directly associated with
the pituitary gland
A client with cancer is admitted to the oncology unit. Stat lab values reveal Hgb 12.6,
WBC 6500, K+ 1.9, uric acid 7.0, Na+ 136 and platelets 178,000. The nurse
evaluates that the client is experiencing which of the following?
a) Hypernatremia
b) Hypokalemia
c) Myelosuppression
d) Leukosytosis - ANSWERSB - Hypokalemia
Hypokalemia is evident from the lab values listed. the other laboratory findings are
within normal limits, making A, C, and D incorrect
A torque wrench is kept at the bedside table to tighten and loosen the screws of
crutchfield tongs. The wrench control the amount of pressure that is placed on the
screws. A pair of forceps, wire cutters, and a screwdriver would not be used.
An infant weighs 7 pounds at birth. The expected weight by one year should be:
a) 10 pounds
b) 12 pounds
c) 18 pounds
d) 21 pounds - ANSWERSD - 21 pounds
The birth weight of 7 pounds would indicate 21 pounds in 1 year, or triple his birth
weight.
A client is admitted with a Ewing's sarcoma. Which symptoms would be expected
due to this tumor's location?
a) hemiplegia
b) aphasia
c) nausea
d) bone pain - ANSWERSD - bone pain
Comprehensive Q& A | Grade A | 100%
Correct -The Ultimate
A 24-year-old female client is scheduled for surgery in the morning. Which of the
following is the primary responsibilty of the nurse?
a) taking the vital signs
b) obtaining the permit
c) explaining the procedure
d) checking the lab work - ANSWERSA - taking the vital signs
The primary responsibility of the nurse is to take the vital signs before any surgery.
The actions in answers B, C, and D are the responsibility of the doctor.
The nurse is working in the emergency room when a client arrives with severe burns
of the left arm, hands, face and neck. Which action should receive priority?
a) Starting an IV
b) Applying oxygen
c) Obtaining blood gasses
d) Medicating the patient for pain - ANSWERSB- Applying oxygen
The client with burns to the neck needs airway assessment and supplemental
oxygen, so applying oxygen is the priority. The next action should be to start an IV
and medicate for pain, making answers A and C incorrect. Answer D is ordered by
the doctor
The nurse is visiting a home health client with osteoporosis. The client has a new
prescription for alendronate (Fosamax). Which instruction should be given to the
patient?
a) rest in bed after taking the medication for at least 30 minutes
b) avoid rapid movements after taking the medication
c) take the medication with water only
d) allow at least one hour between taking the medication and taking other
medications - ANSWERSC - take the medication with water only
Fosamax should be taken with water only. the client should also remain upright for at
least 30 minutes after taking the medication. Answers A, B, and D are not applicable
to taking Fosamax.
The nurse is making initial rounds on a client with a C5 fracture and crutchfield
tongs. Which equipment should be kept at the bedside?
a) a pair of forceps
b) a torque wrench
, c) a pair of wire cutters
d) a screwdriver - ANSWERSB- a torque wrench
The nurse is caring for a client for removal of the pituitary gland. The nurse should
be particularly of:
a) Nasal Congestion
b) Abdominal Tenderness
c) Muscle Tetany
d) Oliguria - ANSWERSA - Nasal Congestion
Removal of the pituitary gland is usually done by a transphenoidal approach, through
the nose. Nasal congestion further interferes with the airway.
Answers B, C, and D are not correct because they are not directly associated with
the pituitary gland
A client with cancer is admitted to the oncology unit. Stat lab values reveal Hgb 12.6,
WBC 6500, K+ 1.9, uric acid 7.0, Na+ 136 and platelets 178,000. The nurse
evaluates that the client is experiencing which of the following?
a) Hypernatremia
b) Hypokalemia
c) Myelosuppression
d) Leukosytosis - ANSWERSB - Hypokalemia
Hypokalemia is evident from the lab values listed. the other laboratory findings are
within normal limits, making A, C, and D incorrect
A torque wrench is kept at the bedside table to tighten and loosen the screws of
crutchfield tongs. The wrench control the amount of pressure that is placed on the
screws. A pair of forceps, wire cutters, and a screwdriver would not be used.
An infant weighs 7 pounds at birth. The expected weight by one year should be:
a) 10 pounds
b) 12 pounds
c) 18 pounds
d) 21 pounds - ANSWERSD - 21 pounds
The birth weight of 7 pounds would indicate 21 pounds in 1 year, or triple his birth
weight.
A client is admitted with a Ewing's sarcoma. Which symptoms would be expected
due to this tumor's location?
a) hemiplegia
b) aphasia
c) nausea
d) bone pain - ANSWERSD - bone pain
