EDITION COMPREHENSIVE PRACTICE
QUESTIONS AND ANSWERS COMPLETE
MEDICAL SURGICAL NURSING EXAM
PREPARATION RESOURCE NGN-STYLE
CLINICAL JUDGMENT, DETAILED
RATIONALES AND NURSING STUDY GUIDE
3. "I need to wear or carry identification that I am taking prednisone."
4. "Prednisone will give me extra protection from colds and flu." - CORRECT
ANSWER -3. "I need to wear or carry identification that I am taking
prednisone."
When teaching the client older than age 50 who is receiving long-term
prednisone therapy, the nurse should recommend which of the following?
1. Take the prednisone with food.
2. Take over-the-counter drugs as needed.
3. Exercise three to four times a week.
4. Eat foods that are low in potassium. - CORRECT ANSWER -1. Take the
prednisone with food.
,The nurse is preparing a teaching plan about increased exercise for a female
client who is receiving long-term corticosteroid therapy. What type of
exercise is most appropriate for this client?
1. Floor exercises.
2. Stretching.
3. Running.
4. Walking. - CORRECT ANSWER -4. Walking
The nurse is teaching a female client with a history of acquired
thrombocytopenia about how to prevent and control hemorrhage. Which
statement indicates that the client needs further instruction?
1. "I can apply direct pressure over small cuts for at least 5 to 10 minutes to
stop a venous bleed."
2. "I can count the number of tissues saturated to detect blood loss during a
nosebleed."
3. "I can take hormones to decrease blood loss during menses."
4. "I can count the number of sanitary napkins to detect excess blood loss
during menses." - CORRECT ANSWER -2. "I can count the number of tissues
saturated to detect blood loss during a nosebleed."
A client has been on long-term prednisone therapy. The nurse should
instruct the client to consume a diet high in which of the following? Select
all that apply.
1. Carbohydrate.
,2. Protein.
3. Trans fat.
4. Potassium.
5. Calcium.
6. Vitamin D. - CORRECT ANSWER -2. Protein.
4. Potassium.
5. Calcium.
6. Vitamin D.
Platelets should not be administered under which of the following
conditions?
1. The platelet bag is cold.
2. The platelets are 2 days old.
3. The platelet bag is at room temperature.
4. The platelets are 12 hours old. - CORRECT ANSWER -1. The platelet bag is
cold.
The nurse is preparing to administer platelets. The nurse should:
1. Check the ABO compatibility.
2. Administer the platelets slowly.
3. Gently rotate the bag.
4. Use a whole blood tubing set. - CORRECT ANSWER -3. Gently rotate the
bag.
, Which of the following indicates that a client has achieved the goal of
correctly demonstrating deep breathing for an upcoming splenectomy? The
client:
1. Breathes in through the nose and out through the mouth.
2. Breathes in through the mouth and out through the nose.
3. Uses diaphragmatic breathing in the lying, sitting, and standing
positions.
4. Takes a deep breath in through the nose, holds it for 5 seconds, and
blows out through pursed lips. - CORRECT ANSWER -4. Takes a deep breath
in through the nose, holds it for 5 seconds, and blows out through pursed
lips.
A client is scheduled for an elective splenectomy. Immediately before the
client goes to surgery, the nurse should determine that the client has:
1. Voided completely.
2. Signed the consent.
3. Vital signs recorded.
4. Name band on wrist - CORRECT ANSWER -3. Vital signs recorded.
When receiving a client from the post anesthesia care unit after a
splenectomy, which should the nurse assess next after obtaining vital signs?
1. Nasogastric drainage.
2. Urinary catheter.