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KAPLAN MEDICAL SURGICAL INTEGRATED TEST ACTUAL EXAM
200 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
The nurse teaches a client about metered dose and dry powder inhalers.
Which information is included?
a. Water can be used to clean both inhaler cases
b. There is no difference. Both are used the same way
c. Dry powder inhaler should be shaken upon inhalation
d. Metered dose inhaler may used a spacer for inhalation - ANSWER-d.
Metered dose inhaler may used a spacer for inhalation
A client is diagnosed with Ménière' disease. The client has a sudden attack
of veritgo, nausea, vomiting, and sweating. The nurse provides which
intervention during the attack? (select all)
a. Glycerol test
b. A dark, quiet environment
c. A warm, moist environment
d. Lorazepam and meclizine
e. IV fluids and medications
f. Diet high in sodium and caffeine - ANSWER-b. A dark, quiet environment
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d. Lorazepam and meclizine
e. IV fluids and medications
A client is diagnosed with HTN. The client says, "I think I can stop taking my
medication now. I don't have those headaches anymore, so I must be over
this." Which is the nurse's best response?
a. "We will see what your BP is. Maybe you can stop. How about your diet?"
b. "Don't you remember, I told you the medication would need to be taken
for life?"
c. "Tell me what you remember from our conversation about HTN."
d. "Remember, you can have HTN and not have any symptoms at all." -
ANSWER-c. "Tell me what you remember from our conversation about
HTN."
A client is newly diagnosed with COPD. The client's blood gas values are:
PaO2 - 55 mm Hg (7.32 kPa) and PaCO2 - 49 mm Hg (6.52kPa). The client
says, "I usually have headaches when awakening in the morning." The nurse
identifies a nursing diagnosis related to which information?"
a. Hyperventilation
b. Excessive sputum
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c. Hypoventilation
d. Cardiac disease - ANSWER-c. Hypoventilation
A client has a chest tube attached to wall suction. The nurse observes
continuous bubbling in the water chamber. Which action does the nurse take
next?
a. Nothing because this is normal for a chest tube
b. Notifies HCP to replace tube
c. Has the client cough and deep breathe
d. Clamps tube for a moment at insertion site - ANSWER-b. Notifies HCP to
replace tube
A client has a possible UTI. Which does the nurse expect the client to say
that is relevant to the possible infection? (select all)
a. "I started eating more fruits and vegetables."
b. "I was constipated yesterday but not today."
c. "I use diaphragm when I have sex."
d. "I have to urinate all the time and it hurts."
e. "I had surgery on my hand last week."
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f. "I get hot and then cold, I shiver." - ANSWER-c. "I use diaphragm when I
have sex."
d. "I have to urinate all the time and it hurts."
f. "I get hot and then cold, I shiver."
A client with liver cancer receives chemotherapy. The client is scheduled for
a chemoembolization procedure. The nurse teaches the client which
information about this procedure?
a. "This procedure destroys tumor cells with liquid nitrogen or argon."
b. "This procedure shrinks tumor cells using radio frequency."
c. "This procedure requires 6-8 treatments of acetic acid to shrink tumor
cells."
d. "This procedure allows more chemotherapy to remain in the tumor cells."
- ANSWER-d. "This procedure allows more chemotherapy to remain in the
tumor cells."
The nurse teaches a client who had a stapedectomy. The teaching is
understood when which client request is made?
a. A prescription for a stool softener
b. Neck brace with padding
KAPLAN MEDICAL SURGICAL INTEGRATED TEST ACTUAL EXAM
200 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
The nurse teaches a client about metered dose and dry powder inhalers.
Which information is included?
a. Water can be used to clean both inhaler cases
b. There is no difference. Both are used the same way
c. Dry powder inhaler should be shaken upon inhalation
d. Metered dose inhaler may used a spacer for inhalation - ANSWER-d.
Metered dose inhaler may used a spacer for inhalation
A client is diagnosed with Ménière' disease. The client has a sudden attack
of veritgo, nausea, vomiting, and sweating. The nurse provides which
intervention during the attack? (select all)
a. Glycerol test
b. A dark, quiet environment
c. A warm, moist environment
d. Lorazepam and meclizine
e. IV fluids and medications
f. Diet high in sodium and caffeine - ANSWER-b. A dark, quiet environment
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d. Lorazepam and meclizine
e. IV fluids and medications
A client is diagnosed with HTN. The client says, "I think I can stop taking my
medication now. I don't have those headaches anymore, so I must be over
this." Which is the nurse's best response?
a. "We will see what your BP is. Maybe you can stop. How about your diet?"
b. "Don't you remember, I told you the medication would need to be taken
for life?"
c. "Tell me what you remember from our conversation about HTN."
d. "Remember, you can have HTN and not have any symptoms at all." -
ANSWER-c. "Tell me what you remember from our conversation about
HTN."
A client is newly diagnosed with COPD. The client's blood gas values are:
PaO2 - 55 mm Hg (7.32 kPa) and PaCO2 - 49 mm Hg (6.52kPa). The client
says, "I usually have headaches when awakening in the morning." The nurse
identifies a nursing diagnosis related to which information?"
a. Hyperventilation
b. Excessive sputum
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c. Hypoventilation
d. Cardiac disease - ANSWER-c. Hypoventilation
A client has a chest tube attached to wall suction. The nurse observes
continuous bubbling in the water chamber. Which action does the nurse take
next?
a. Nothing because this is normal for a chest tube
b. Notifies HCP to replace tube
c. Has the client cough and deep breathe
d. Clamps tube for a moment at insertion site - ANSWER-b. Notifies HCP to
replace tube
A client has a possible UTI. Which does the nurse expect the client to say
that is relevant to the possible infection? (select all)
a. "I started eating more fruits and vegetables."
b. "I was constipated yesterday but not today."
c. "I use diaphragm when I have sex."
d. "I have to urinate all the time and it hurts."
e. "I had surgery on my hand last week."
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f. "I get hot and then cold, I shiver." - ANSWER-c. "I use diaphragm when I
have sex."
d. "I have to urinate all the time and it hurts."
f. "I get hot and then cold, I shiver."
A client with liver cancer receives chemotherapy. The client is scheduled for
a chemoembolization procedure. The nurse teaches the client which
information about this procedure?
a. "This procedure destroys tumor cells with liquid nitrogen or argon."
b. "This procedure shrinks tumor cells using radio frequency."
c. "This procedure requires 6-8 treatments of acetic acid to shrink tumor
cells."
d. "This procedure allows more chemotherapy to remain in the tumor cells."
- ANSWER-d. "This procedure allows more chemotherapy to remain in the
tumor cells."
The nurse teaches a client who had a stapedectomy. The teaching is
understood when which client request is made?
a. A prescription for a stool softener
b. Neck brace with padding
