Med Surg 1 Final Exam Questions And Answers
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ss Answers
1. The day following a below-the-knee amputation. The patient complains of toes cramping in the
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amputated foot. What should the nurse realize the patient is experiencing?
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a. Attention-seeking behavior ss
b. Chronic stump pain ss ss
c. Contractures
d. Phantom limb sensation ss ss
2. When writing a teaching plan about osteoporosis, the nurse should recall that osteoporosis is best
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described as
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a. Avascular necrosis ss
b. Hyperplasia of osteoblasts ss ss
c. Pathologic fractures ss
d. A decrease in bone substance ss ss ss ss
3. A menopausal woman with osteopenia is attending a dietary education class. Which of the following
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foods are recommended?
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a. Cheese and red meat ss ss ss
b. Yogurt and sardines with bones ss ss ss ss
c. Spinach and red meat ss ss ss
d. Low-fat cheese and whole grains ss ss ss ss
4. The nurse assesses a patient's abdomen 4 days after abdominal surgery and notes that bowel
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sounds are absent. This finding most likely suggests which postoperative complication?
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a. Diarrhea
b. Constipation
c. Paralytic ileus ss
d. Small bowel obstruction ss ss
5. After assessing the patient in the emergency department, the nurse determines that the patient has a
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form of arthritis that is a medical emergency. For which type of arthritis should the nurse plan care
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for this patient?
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a. Reactive arthritis ss
b. Osteoarthritis
c. Septic arthritis ss
d. Gouty arthritis ss
6. What is the best technique for obtaining a sterile urine specimen from an indwelling urinary catheter?
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a. Obtain the urine specimen directly from the collection bag. ss ss ss ss ss ss ss ss
b. Withdraw urine through the port using a needless access device. ss ss ss ss ss ss ss ss ss
c. Use antiseptic wipes to cleanse the meatus prior to obtaining the sample.
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d. Briefly disconnect the catheter from the drainage tube to obtain the sample.
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7. Mr. Brown, a 65-year-old carpenter, complains of morning stiffness and pain in both hands and right
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knee upon awakening for the past year. He feels some relief after warning up. On assessment, the
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nurse notices the presence of Heberden’s nodes. Which of the following is most likely
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a. Osteoporosis
b. Rheumatoid arthritis ss
c. Degenerative joint disease ss ss
d. Reiter’s syndrome ss
8. The nurse identifies the diagnosis of Ineffective Protection for a patient with systemic lupus
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, erythematosus. Which intervention should the nurse include when planning the patient’s care?
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a. Practice careful hand hygiene ss ss ss
b. Provide appropriate skin care ss ss ss
c. Monitor laboratory findings ss ss
d. Administer prescribed medications ss ss
9. The nurse receives a call from a client concerned about eliminating brown-colored urine after
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taking nitrofurantoin (Furadantin) for a UTI. Which of the following is the appropriate response
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from the nurse?
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a. “Decrease the medication to half the dose because your urine is too concentrated.”
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b. “Take magnesium hydroxide (Maalox) to lighten the urine color.”
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c. “Discontinue taking the medication and make an appointment for a urine culture.”
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d. “Continue taking the medication. The urine is discolored from the medication.”
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10. During an assessment the nurse determines that a patient with knee pain is at risk for osteoarthritis.
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What did the nurse assess in this patient?
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ss ss ss ss ss ss ss
ss With Complete Solutions 100% Correct ss ss ss ss
ss Answers
1. The day following a below-the-knee amputation. The patient complains of toes cramping in the
ss ss ss ss ss ss ss ss ss ss ss ss ss
amputated foot. What should the nurse realize the patient is experiencing?
ss ss ss ss ss ss ss ss ss ss ss
a. Attention-seeking behavior ss
b. Chronic stump pain ss ss
c. Contractures
d. Phantom limb sensation ss ss
2. When writing a teaching plan about osteoporosis, the nurse should recall that osteoporosis is best
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
described as
ss ss
a. Avascular necrosis ss
b. Hyperplasia of osteoblasts ss ss
c. Pathologic fractures ss
d. A decrease in bone substance ss ss ss ss
3. A menopausal woman with osteopenia is attending a dietary education class. Which of the following
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
foods are recommended?
ss ss ss
a. Cheese and red meat ss ss ss
b. Yogurt and sardines with bones ss ss ss ss
c. Spinach and red meat ss ss ss
d. Low-fat cheese and whole grains ss ss ss ss
4. The nurse assesses a patient's abdomen 4 days after abdominal surgery and notes that bowel
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
sounds are absent. This finding most likely suggests which postoperative complication?
ss ss ss ss ss ss ss ss ss ss ss
a. Diarrhea
b. Constipation
c. Paralytic ileus ss
d. Small bowel obstruction ss ss
5. After assessing the patient in the emergency department, the nurse determines that the patient has a
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
form of arthritis that is a medical emergency. For which type of arthritis should the nurse plan care
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
for this patient?
ss ss ss
a. Reactive arthritis ss
b. Osteoarthritis
c. Septic arthritis ss
d. Gouty arthritis ss
6. What is the best technique for obtaining a sterile urine specimen from an indwelling urinary catheter?
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
a. Obtain the urine specimen directly from the collection bag. ss ss ss ss ss ss ss ss
b. Withdraw urine through the port using a needless access device. ss ss ss ss ss ss ss ss ss
c. Use antiseptic wipes to cleanse the meatus prior to obtaining the sample.
ss ss ss ss ss ss ss ss ss ss ss
d. Briefly disconnect the catheter from the drainage tube to obtain the sample.
ss ss ss ss ss ss ss ss ss ss ss
7. Mr. Brown, a 65-year-old carpenter, complains of morning stiffness and pain in both hands and right
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
knee upon awakening for the past year. He feels some relief after warning up. On assessment, the
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
nurse notices the presence of Heberden’s nodes. Which of the following is most likely
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
a. Osteoporosis
b. Rheumatoid arthritis ss
c. Degenerative joint disease ss ss
d. Reiter’s syndrome ss
8. The nurse identifies the diagnosis of Ineffective Protection for a patient with systemic lupus
ss ss ss ss ss ss ss ss ss ss ss ss ss
, erythematosus. Which intervention should the nurse include when planning the patient’s care?
ss ss ss ss ss ss ss ss ss ss ss ss
a. Practice careful hand hygiene ss ss ss
b. Provide appropriate skin care ss ss ss
c. Monitor laboratory findings ss ss
d. Administer prescribed medications ss ss
9. The nurse receives a call from a client concerned about eliminating brown-colored urine after
ss ss ss ss ss ss ss ss ss ss ss ss ss
taking nitrofurantoin (Furadantin) for a UTI. Which of the following is the appropriate response
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
from the nurse?
ss ss ss
a. “Decrease the medication to half the dose because your urine is too concentrated.”
ss ss ss ss ss ss ss ss ss ss ss ss
b. “Take magnesium hydroxide (Maalox) to lighten the urine color.”
ss ss ss ss ss ss ss ss
c. “Discontinue taking the medication and make an appointment for a urine culture.”
ss ss ss ss ss ss ss ss ss ss ss
d. “Continue taking the medication. The urine is discolored from the medication.”
ss ss ss ss ss ss ss ss ss ss
10. During an assessment the nurse determines that a patient with knee pain is at risk for osteoarthritis.
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What did the nurse assess in this patient?
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