NUR1211-E Medical-Surgical Nursing I Exam
Questions With Correct Answers
Question |1
|Question
|text
A | client | has | a | white | blood | cell | change | in | which | the | number | of | suppressor | T-cells | is | way | below
| normal |and
asks |the |nurse |which |type |of |health |problem(s) |could |be |expected |as |a |result |of |this |deficiency. |What
|is |the
nurse's |best |response?
|Select |one:
a. “Try |to |avoid |crowds |and |people |who |are |ill |because |you |are |now |more |susceptible |to |bacterial
|and |viral |infections.”
b. “You |will |be |more |prone |to |allergic |reactions |when |exposed |to |allergens |or |drugs.”
c. "You |will |need |to |receive |booster |vaccinations |more |often |because |your |ability |to |make |antibodies
|is |reduced.”
d. “Your |risk |for |cancer |development |is |increased.”
Question |2
|Question
|text
The | nurse | is | preparing | a | client | for | discharge | who | developed | an | acute | kidney | injury | during
| coronary |artery
bypass |graft |surgery. |The |nurse |notices |that |the |client |has |a |serum |creatinine |of |1.2 |mg/dL |(106
|mcmol/L) |and |a |glomerular |filtration |rate |(GFR) |of |75 |mL/kg/1.73 |m2. |Which |is |the |priority |nursing
|action?
Select |one:
a. Checking |the |remaining |values |on |the |metabolic |panel |and |informing |the |primary |care |provider |of
|all |results |before |the |client |is |discharged
b. Encouraging |the |client |to |reduce |protein |intake |to |reduce |creatinine |production |until |the |follow-
up |visit |with |the |nephrologist |occurs
c. Reminding |the |client |to |remain |hydrated |by |drinking |500 |mL |of |an |electrolyte-based |solution |daily
d. Educating |the |client |about |the |need |for |follow-up, |including |re-evaluation |of |serum |creatinine
|with |the |primary |care |provider |or |nephrologist |in |8-12 |weeks
Question |3
|Question
|text
The |laboratory |values |of |a |client |who |has |diabetes |mellitus |include |a |fasting |blood |glucose |level |of
82 |mg/dL |(mmol/L) |and |hemoglobin |A1C |of |5.9%. |What |is |the |nurse's |interpretation |of |these |findings?
|Select |one:
a. The |client's |glucose |control |for |the |past |24 |hours |has |been |good, |but |the |overall |control |is |poor.
,b. The |values |indicate |that |the |client |has |poorly |managed |his |or |her |disease.
c. The |client's |glucose |control |for |the |past |24 |hours |has |been |poor, |but |the |overall |control |is |good.
d. The |values |indicate |that |the |client |has |managed |his |or |her |disease |well.
, Question |4
|Question
|text
A | client | thought | to | be | at | risk | for | distributive | shock | is | given | a | drug | that | constricts | blood | vessels.
| What |effect
does |the |nurse |expect |the |drug |to |have |on |the |client's |mean |arterial |pressure |(MAP)?
|Select |one:
a. Increased |MAP |by |increasing |vascular |volume
b. Decreased |MAP |from |widespread |capillary |leak
c. Decreased |MAP |by |decreasing |vascular |volume
d. Increased |MAP |without |a |change |in |vascular |volume
Question |5
|Question
|text
Which |description |of |respiratory |physiologic |features |is |?
|Select |one:
a. The |epiglottis |closes |during |speech |to |divert |air |movement |into |and |through |the |vocal |cords
|to |produce |sound.
b. Any |problem |with |the |right |lung |interferes |with |gas |exchange |and |perfusion |to |a |greater |degree
|than |a |problem |in |the |left |lung.
c. The |elastic |tissues |of |the |tracheobronchial |tree |are |the |major |structures |responsible |for |gas |exchange.
d. The |left |lung |is |responsible |for |approximately |60% |of |gas |exchange, |and |the |right |lung |is
|responsible |for |60% |of |pulmonary |perfusion.
Question |6
|Question
|text
The |nurse |notes |that |a |client |with |a |history |of |chronic |obstructive |pulmonary |disease |(COPD) |who |is
|receiving |oxygen |therapy |at |2 |L/min |and |had |an |oxygen |saturation |of |88% |1 |hour |ago |now |has
|dyspnea | and
an |oxygen |saturation |of |80%. |Should |the |nurse |increase |the |FiO2?
|Select |one:
a. Yes; |hypoxia |must |be |treated |despite |the |risk |for |oxygen-induced |hypercapnia.
b. No; |increasing |the |FiO2 |will |severely |depress |the |respiratory |rate |by |blunting |the |hypoxic |drive
c. Yes; |the |expected |outcome |for |any |client |with |hypoxia |is |to |achieve |a |saturation |of |at |least |97%.
d. No; |an |oxygen |saturation |of |80% |is |acceptable |for |a |client |with |COPD.
Question |7
|Question
|text
Which | client | being | managed | for | dehydration | does | the | nurse | consider | at | greatest | risk | for
| possible |reduced
kidney |function?
|Select |one:
a. An |80-year-old |man |who |has |benign |prostatic |hyperplasia
b. A |48-year-old |woman |with |established |urinary |incontinence
c. A |45-year-old |man |receiving |oral |and |IV |fluid |therapy
Questions With Correct Answers
Question |1
|Question
|text
A | client | has | a | white | blood | cell | change | in | which | the | number | of | suppressor | T-cells | is | way | below
| normal |and
asks |the |nurse |which |type |of |health |problem(s) |could |be |expected |as |a |result |of |this |deficiency. |What
|is |the
nurse's |best |response?
|Select |one:
a. “Try |to |avoid |crowds |and |people |who |are |ill |because |you |are |now |more |susceptible |to |bacterial
|and |viral |infections.”
b. “You |will |be |more |prone |to |allergic |reactions |when |exposed |to |allergens |or |drugs.”
c. "You |will |need |to |receive |booster |vaccinations |more |often |because |your |ability |to |make |antibodies
|is |reduced.”
d. “Your |risk |for |cancer |development |is |increased.”
Question |2
|Question
|text
The | nurse | is | preparing | a | client | for | discharge | who | developed | an | acute | kidney | injury | during
| coronary |artery
bypass |graft |surgery. |The |nurse |notices |that |the |client |has |a |serum |creatinine |of |1.2 |mg/dL |(106
|mcmol/L) |and |a |glomerular |filtration |rate |(GFR) |of |75 |mL/kg/1.73 |m2. |Which |is |the |priority |nursing
|action?
Select |one:
a. Checking |the |remaining |values |on |the |metabolic |panel |and |informing |the |primary |care |provider |of
|all |results |before |the |client |is |discharged
b. Encouraging |the |client |to |reduce |protein |intake |to |reduce |creatinine |production |until |the |follow-
up |visit |with |the |nephrologist |occurs
c. Reminding |the |client |to |remain |hydrated |by |drinking |500 |mL |of |an |electrolyte-based |solution |daily
d. Educating |the |client |about |the |need |for |follow-up, |including |re-evaluation |of |serum |creatinine
|with |the |primary |care |provider |or |nephrologist |in |8-12 |weeks
Question |3
|Question
|text
The |laboratory |values |of |a |client |who |has |diabetes |mellitus |include |a |fasting |blood |glucose |level |of
82 |mg/dL |(mmol/L) |and |hemoglobin |A1C |of |5.9%. |What |is |the |nurse's |interpretation |of |these |findings?
|Select |one:
a. The |client's |glucose |control |for |the |past |24 |hours |has |been |good, |but |the |overall |control |is |poor.
,b. The |values |indicate |that |the |client |has |poorly |managed |his |or |her |disease.
c. The |client's |glucose |control |for |the |past |24 |hours |has |been |poor, |but |the |overall |control |is |good.
d. The |values |indicate |that |the |client |has |managed |his |or |her |disease |well.
, Question |4
|Question
|text
A | client | thought | to | be | at | risk | for | distributive | shock | is | given | a | drug | that | constricts | blood | vessels.
| What |effect
does |the |nurse |expect |the |drug |to |have |on |the |client's |mean |arterial |pressure |(MAP)?
|Select |one:
a. Increased |MAP |by |increasing |vascular |volume
b. Decreased |MAP |from |widespread |capillary |leak
c. Decreased |MAP |by |decreasing |vascular |volume
d. Increased |MAP |without |a |change |in |vascular |volume
Question |5
|Question
|text
Which |description |of |respiratory |physiologic |features |is |?
|Select |one:
a. The |epiglottis |closes |during |speech |to |divert |air |movement |into |and |through |the |vocal |cords
|to |produce |sound.
b. Any |problem |with |the |right |lung |interferes |with |gas |exchange |and |perfusion |to |a |greater |degree
|than |a |problem |in |the |left |lung.
c. The |elastic |tissues |of |the |tracheobronchial |tree |are |the |major |structures |responsible |for |gas |exchange.
d. The |left |lung |is |responsible |for |approximately |60% |of |gas |exchange, |and |the |right |lung |is
|responsible |for |60% |of |pulmonary |perfusion.
Question |6
|Question
|text
The |nurse |notes |that |a |client |with |a |history |of |chronic |obstructive |pulmonary |disease |(COPD) |who |is
|receiving |oxygen |therapy |at |2 |L/min |and |had |an |oxygen |saturation |of |88% |1 |hour |ago |now |has
|dyspnea | and
an |oxygen |saturation |of |80%. |Should |the |nurse |increase |the |FiO2?
|Select |one:
a. Yes; |hypoxia |must |be |treated |despite |the |risk |for |oxygen-induced |hypercapnia.
b. No; |increasing |the |FiO2 |will |severely |depress |the |respiratory |rate |by |blunting |the |hypoxic |drive
c. Yes; |the |expected |outcome |for |any |client |with |hypoxia |is |to |achieve |a |saturation |of |at |least |97%.
d. No; |an |oxygen |saturation |of |80% |is |acceptable |for |a |client |with |COPD.
Question |7
|Question
|text
Which | client | being | managed | for | dehydration | does | the | nurse | consider | at | greatest | risk | for
| possible |reduced
kidney |function?
|Select |one:
a. An |80-year-old |man |who |has |benign |prostatic |hyperplasia
b. A |48-year-old |woman |with |established |urinary |incontinence
c. A |45-year-old |man |receiving |oral |and |IV |fluid |therapy
