Medical-Surgical Nursing Study Guide
Questions with Accurate Answers
A 60- year-old patient requests a Zostavax vaccination. Which health history
needs further investigation before Zostavax is administered? correct answer Is
being treated for an autoimmune disease
A mother reports that her child has dry skin with itching that seems to worsen at
night. What nonpharmacologic interventions does the nurse teach to the mother?
correct answer -Keep the child's fingernails short and filed to reduce skin damage
-Place mittens or splints on the child's hands at night if the scratching is causing
skin tears
-Read the child a relaxing and familiar story to reduce stress
A patient had surgery 5 days ago. What is the best way for the nurse to determine
the current state of healing or deterioration of the patient's surgical wound?
correct answer Compare existing wound fractures to those previously
documented
A patient has a partial-thickness wound. How long does the nurse anticipate the
healing by epithelilization will take? correct answer 5-7 days
A patient has a stage III pressure ulcer over the left trochanter that has a thick
exudate. The wound bed is visible and beefy red, and the edges are surrounded
with swollen pink tissue. The exudate has an odor. How does the nurse determine
which dressing is best for this wound? correct answer Obtains an order to consult
certified wound care specialist
, A patient has been prescribed acetretin (Soriatane) for psoriasis. What
information foes the nurse tell the patient about this drug? correct answer Strict
birth control measures are necessary
A patient is diagnosed with chronic plaque psoriasis and is prescribed a topical
therapy of anthralin (Lasan). What does the nurse teach the patient about proper
use of this drug? correct answer Check for local tissue reaction
A patient is prescribed a topical steroid for treatment of contact dermatitis.
Which instruction does the nurse provide to the patient about this drug? correct
answer Moisten dressings with warm tap water' place over topical steroids for
short periods
A patient on the unit has herpes zoster. Which staff members would be the best
to assign to the care of this patient? correct answer Staff members who have had
chicken pox
A patient receiving negative pressure wound therapy (NPWT) should be
monitored closely for what potential complication? correct answer Bleeding
A patient reported painless, raised vesicles that itched. Within a few days, there
was bleeding in the center and then it sank inwards. Now it looks black and
leathery. Which question does the nurse ask in order to elicit more informtion
about the patient's condition? correct answer "Do you work with or around
animals?"
A thin, malnourished patient requires emergency abdominal surgery. After the
surgery, in order to promote wound healing, what does the nurse encourage?
correct answer High-quality protein diet
Questions with Accurate Answers
A 60- year-old patient requests a Zostavax vaccination. Which health history
needs further investigation before Zostavax is administered? correct answer Is
being treated for an autoimmune disease
A mother reports that her child has dry skin with itching that seems to worsen at
night. What nonpharmacologic interventions does the nurse teach to the mother?
correct answer -Keep the child's fingernails short and filed to reduce skin damage
-Place mittens or splints on the child's hands at night if the scratching is causing
skin tears
-Read the child a relaxing and familiar story to reduce stress
A patient had surgery 5 days ago. What is the best way for the nurse to determine
the current state of healing or deterioration of the patient's surgical wound?
correct answer Compare existing wound fractures to those previously
documented
A patient has a partial-thickness wound. How long does the nurse anticipate the
healing by epithelilization will take? correct answer 5-7 days
A patient has a stage III pressure ulcer over the left trochanter that has a thick
exudate. The wound bed is visible and beefy red, and the edges are surrounded
with swollen pink tissue. The exudate has an odor. How does the nurse determine
which dressing is best for this wound? correct answer Obtains an order to consult
certified wound care specialist
, A patient has been prescribed acetretin (Soriatane) for psoriasis. What
information foes the nurse tell the patient about this drug? correct answer Strict
birth control measures are necessary
A patient is diagnosed with chronic plaque psoriasis and is prescribed a topical
therapy of anthralin (Lasan). What does the nurse teach the patient about proper
use of this drug? correct answer Check for local tissue reaction
A patient is prescribed a topical steroid for treatment of contact dermatitis.
Which instruction does the nurse provide to the patient about this drug? correct
answer Moisten dressings with warm tap water' place over topical steroids for
short periods
A patient on the unit has herpes zoster. Which staff members would be the best
to assign to the care of this patient? correct answer Staff members who have had
chicken pox
A patient receiving negative pressure wound therapy (NPWT) should be
monitored closely for what potential complication? correct answer Bleeding
A patient reported painless, raised vesicles that itched. Within a few days, there
was bleeding in the center and then it sank inwards. Now it looks black and
leathery. Which question does the nurse ask in order to elicit more informtion
about the patient's condition? correct answer "Do you work with or around
animals?"
A thin, malnourished patient requires emergency abdominal surgery. After the
surgery, in order to promote wound healing, what does the nurse encourage?
correct answer High-quality protein diet
