NUR 314 (Med Surg) Exam 1 With Complete Solutions
A nurse is providing education to a client who is to undergo an
electroencephalogram (EEG) the next day. Which of the following information
should the nurse include in the teaching?
A. " Do not wash your hair the morning of the procedure "
B. " Try to stay awake most of the night prior to the procedure "
C. " The procedure will take approximately 15 minutes "
D. " You will need to lie flat for 4 hours after the procedure"
B
A nurse is caring for a client who is experiencing mild acute pain after spraining
an ankle. Which of the following analgesics should the nurse expect to
administer?
A. Ketorolac
B. Ketamine
C. Meperidine
D. Methadone
A
A nurse at a clinic is talking with a client who has cancer and takes extended-
release opioids twice daily. The client reports an increase in localized, achy pain
over the last few days. How should the nurse document this increase in pain?
A. Phantom limb pain
B. Mixed pain
C. Breakthrough pain
D. Neuropathic pain
C
A nurse is caring for a client who is receiving morphine via a patient- controlled
analgesia (PCA) infusion device after abdominal surgery. Which of the following
client statements indicates that the client understands how to use the device?
A. "I'll wait to use the device until it's absolutly necessary"
B. "I'll be careful about pushing the button s i don't get an overdose"
C. " I should tell the nurse if the pain doesn't stop after i use this device "
D. " I will ask my son to push the dose button when i am sleeping"
C
, A nurse is discussing pain assessment with a newly licensed nurse. Which of the
following information should the nurse include?
A. Most clients exaggerate their level of pain
B. Pain must have an identifiable source to justify the use of opioids
C. Objective data are essential in assessing pain
D. Pain is whatever the client says it is
D
A nurse is monitoring a client who is receiving opiod analgesia. Which of the
following findings should the nurse identify as adverse effects of opioid
analgesics? SATA
A. Urinary incontinece
B. Diarrhea
C. Bradypnea
D. Orthostatic hypotension
E. Nausea
C, D, E
A nurse is caring for a client who is postprocedure following lumbar puncture
and reports a throbbing headache when sitting upright. Which of the following
actions should the nurse take? SATA
A. Use the Glasgow Coma Scale when assessing the client
B. Assist the client to a supine position
C. Administer an opioid medication
D. Encourage the client to increase fluid intake
E. Instruct the client to perform deep breathing and cough exercises
B, C, D
A nurse is caring for a client who experienced a traumatic head injury and has
intraventricular catheter (ventriculostomy) for ICP monitoring. The nurse should
monitor the client for which of the following complications related to
ventriculostomy?
A. Headache
B. Infection
C. Aphasia
D. Hypertension
B
A nurse is assessing a client for changes in the level of consciousness using the
Glasgow Coma Scale (GCS). The client opens his eyes when spoken to, speaks
A nurse is providing education to a client who is to undergo an
electroencephalogram (EEG) the next day. Which of the following information
should the nurse include in the teaching?
A. " Do not wash your hair the morning of the procedure "
B. " Try to stay awake most of the night prior to the procedure "
C. " The procedure will take approximately 15 minutes "
D. " You will need to lie flat for 4 hours after the procedure"
B
A nurse is caring for a client who is experiencing mild acute pain after spraining
an ankle. Which of the following analgesics should the nurse expect to
administer?
A. Ketorolac
B. Ketamine
C. Meperidine
D. Methadone
A
A nurse at a clinic is talking with a client who has cancer and takes extended-
release opioids twice daily. The client reports an increase in localized, achy pain
over the last few days. How should the nurse document this increase in pain?
A. Phantom limb pain
B. Mixed pain
C. Breakthrough pain
D. Neuropathic pain
C
A nurse is caring for a client who is receiving morphine via a patient- controlled
analgesia (PCA) infusion device after abdominal surgery. Which of the following
client statements indicates that the client understands how to use the device?
A. "I'll wait to use the device until it's absolutly necessary"
B. "I'll be careful about pushing the button s i don't get an overdose"
C. " I should tell the nurse if the pain doesn't stop after i use this device "
D. " I will ask my son to push the dose button when i am sleeping"
C
, A nurse is discussing pain assessment with a newly licensed nurse. Which of the
following information should the nurse include?
A. Most clients exaggerate their level of pain
B. Pain must have an identifiable source to justify the use of opioids
C. Objective data are essential in assessing pain
D. Pain is whatever the client says it is
D
A nurse is monitoring a client who is receiving opiod analgesia. Which of the
following findings should the nurse identify as adverse effects of opioid
analgesics? SATA
A. Urinary incontinece
B. Diarrhea
C. Bradypnea
D. Orthostatic hypotension
E. Nausea
C, D, E
A nurse is caring for a client who is postprocedure following lumbar puncture
and reports a throbbing headache when sitting upright. Which of the following
actions should the nurse take? SATA
A. Use the Glasgow Coma Scale when assessing the client
B. Assist the client to a supine position
C. Administer an opioid medication
D. Encourage the client to increase fluid intake
E. Instruct the client to perform deep breathing and cough exercises
B, C, D
A nurse is caring for a client who experienced a traumatic head injury and has
intraventricular catheter (ventriculostomy) for ICP monitoring. The nurse should
monitor the client for which of the following complications related to
ventriculostomy?
A. Headache
B. Infection
C. Aphasia
D. Hypertension
B
A nurse is assessing a client for changes in the level of consciousness using the
Glasgow Coma Scale (GCS). The client opens his eyes when spoken to, speaks
