MEDICAL-SURGICAL PRACTICE EXAM Q AND A

MEDICAL-SURGICAL PRACTICE EXAM
Q AND A

WhichhiclienthishouldhithehipracticalhinursehiquestionhiahiPRNhiprescriptionhiforhisumatript
anhi(Imitrex)hiforhimigrainehiheadaches?hi-hianswer--C.hi50-year-
oldhiwithhiPrinzmetal'shiangina.

Thehipracticalhinursehi(PN)hiishireinforcinghiinformationhitohiahiolderhimalehiclienthiwithhiahi
historyhiofhicoronaryhiarteryhidiseasehiabouthihishiprescribedhidailyhimedicationhiregimen.
hiWhichhimedicationhiishimosthilikelyhitohireducehithehiclient'shiriskhifactors?hi-hianswer--
D.hiAhilow-dosehiaspirinhigivenhidaily.

Anhiadulthiclienthiwithhiotitishimediahihashithick,hiyellowhidrainagehifromhithehirighthiearhica
nal.hiWhathiadditionalhifindingshishouldhithehipracticalhinursehi(PN)hiexpecthitohiidentify?hi-
hianswer--A.hiPainhireliefhiafterhiearhidrainagehibegins.


Thehipracticalhinursehiishicaringhiforhiahiclienthiwhohiishiadmittedhiwithhisignshiofhipossiblehi
acutehibrainhiattackhi(Stroke)hithreehihourshiago.hiThehiclient'shibloodhipressurehiishi170/9
6,hiregularhiradialhipulsehi76hibeats/
minute,hirespirationshiarehinonlaboredhiathi11hibreaths/
minute,hiandhiahiSp02hiofhi99%.hiWhathiactionhiishimosthiimportanthiforhithehiPNhitohiimple
ment?hi-hianswer--C.hiContinuehitohimonitorhiclient'shibloodhipressure.

Ahiclienthiwhohiwashihithiinhithehiheadhiwithhiahibaseballhiishiadmittedhitohithehihospitalhiforhi
observation.hiWhichhifindinghirequireshithehipracticalhinursehi(PN)hitohifollow-
uphiwithhifurtherhiassessment?hi-hianswer--D.hiReportshithehihospitalhiroomhiishianhioffice.

Anhiolderhifemalehiclienthiwithhiosteoporosishiaskshithehipracticalhinursehi(PN)hitohiexplain
hiwhyhishehiishinowhi2hiincheshishorterhithanhiwhenhishehiwashiyounger.hiWhathiinformatio
nhiishibesthiforhithehipracticalhinursehi(PN)hitohiprovide?hi-hianswer--
D.hiIthiishiahicombinationhiofhiwearhiandhitearhiandhicalciumhilosshithathicauseshithehichang
e.

Ahipracticalhinursehi(PN)hiishicoordinatinghithehicarehiofhifourhiclientshionhianhioncologyhiun
it.hiWhichhineutrophilhicounthishouldhithehiPNhiidentifyhiashiahiriskhiforhiahilife-
threateninghiinfectionhiinhionehiofhithehiclients?hi-hianswer--A.hi500/mm3.

Anhiolderhiclienthiwhohihashihadhiahicataracthiinhithehirighthieyehiforhiseveralhiyearshitellshith
ehipracticalhinursehi(PN),hi"NowhiIhihavehilosthithehisighthiinhimyhirighthieyehibecausehiIhiwai
tedhitoohilonghiforhitreatment."hiWhathiinformationhishouldhithehiPNhiprovide?hi-hianswer--
C.hiSurgeryhicanhirestorehivisionhiwithhicorrectivehilenshiimplantshiorhiglasses.

Thehipracticalhinursehi(PN)hiishivisitinghiahimalehiclienthiwithhidiabeteshiwhohihashiahinewhic
asthionhihishiarm.hiThehiclient'shifingershiarehipale,hicool,hislightlyhiswollen,hiandhithehiradia

, lhipulsehiishistrong.hiWhathishouldhithehiPNhidohifirst?hi-hianswer--
D.hiElevatehithehiarmhiabovehithehilevelhiofhithehiheart.

Ahiclienthiwithhiepilepsyhiishihavinghibilateralhirhythmichijerkinghimovementshiofhiallhiextre
mities.hiAfterhicallinghiforhihelp,hiwhichhiactionhishouldhithehipracticalhinursehi(PN)hidohine
xt?hi-hianswer--1.hiMaintainhithehiclient'shiairway
2.hiApplyhipadshitohithehibedsidehirails.
3.hiAvoidhistimulationhiduringhipost-ictalhiphase.
4.hiObservehithehiclienthiforhiincontinence.

Thehipracticalhinursehi(PN)hishouldhiplacehiahiclienthiinhiwhichhipositionhiforhiahithoracente
sis?hi-hianswer--B.hiSittinghiuprighthiinhiahitripodhipositionhileaninghionhianhioverbedhitable.

Whichhiactionhishouldhithehipracticalhinursehitakehiwhenhihandlinghiahisamplehiofhicerebro
spinalhifluidhi(CSF)hicollectedhiforhidiagnostichitestinghifromhiahiclient?hi-hianswer--
A.hiImplementhistandardhiprecautionshiwithhithehiCSFhispecimen.

Whichhiinstructionhishouldhithehipracticalhinursehi(PN)hireinforcehiwithhiahifemalehiclienthia
bouthiskinhicarehiafterhiherhifirsthiradiotherapyhitreatment?hi-hianswer--
C.hiAvoidhiusinghiicehipackshionhithehiexposedhiarea.

Ahiclienthiwithhihearthifailurehi(HF)hitakeshiahidailyhitablethiofhifurosemidehi(Lasix)hiandhilisi
noprilhi(Zestril).hiWhichhifindinghiduringhithehiclinichivisithishouldhiindicatehitohithehipractica
lhinursehithathithehiclient'shiconditionhiishiworsening?hi-hianswer--
D.hiSleepshiwithhitwohiadditionalhipillows.

Ahiclienthiwhohiishi3hidayshipostoperativehiafterhiahilaminectomyhiishicoughinghiuphithickhigr
eenhisputumhiandhiwheezing.hiWhathiactionhiishimosthiimportanthiforhithehipracticalhinurse
hi(PN)hitohiimplement?hi-hianswer--
D.hiReporthithehichangehiinhiconditionhitohithehihealthcarehiprovider.

Ahimalehiclienthiwhohihadhiahistrokehiishiincontinenthiofhiurine.hiWhichhiactionhishouldhithehi
practicalhinursehi(PN)hiimplementhiinhiprovidinghibladderhitraining?hi-hianswer--
B.hiOfferhithehiclienthithehicommodehiorhiurinalhieveryhitwohihours.

Whichhiactionhishouldhithehipracticalhinursehi(PN)hiimplementhitohireducehithehiriskhiofhiinf
ectionhiforhiahiclienthiwhohiishireceivinghitotalhiparenteralhinutritionhi(TPN)?hi-hianswer--
C.hiChangehithehitransparenthidressinghieveryhi72hihours.

Whichhifindinghishouldhithehipracticalhinursehi(PN)hiidentifyhiashitypicalhiforhiahiclienthiwhoh
iishihypoxic?hi-hianswer--B.hiHemoglobinhiofhi10higrams/dl


Whichhifindinghiforhiahiclienthiwhohiishi1-
dayhipostoperativehiforhiahipartialhithyroidectomyhirequireshiimmediatehifollow-
uphibyhithehipracticalhinursehi(PN)?hi-hianswer--A.hiHighhipitchedhiexpiratoryhisound.

Whichhifindingshishouldhithehipracticalhinursehiidentifyhiinhiahiclienthiwithhianemiahiduehitohi
ahivitaminhiB12hideficiency?hi(Selecthiall)hi-hianswer--B.hiSmooth,hibeefy-redhioralhicavity.
D.hiParesthesiahiofhihandshiandhifeet.