NUR 242 Med Surg : Exam 1 Review
1. The LPN/LVN is in the patient room while the charge nurse is
obtaining the patient’s
signature on the surgical consent form. The pt states , “ I didn’t
really understand
what my surgeon explained , but I trust him completely . “ Which
response by the
charge nurse is correct?
2. The client tells you during the preoperative history that he is a
three pack per day
cigarette smoker. This information alerts you to which potential
complication during the
intraoperative and postoperative periods?
3. The nurse is providing care for a client in a sickle cell crisis who
has effective pain
management. Which of the following is the priority nursing
diagnosis at this point in the client's care?
4. When a nurse is providing care for a client who has been
diagnosed with rubeola (measles), the nurse should implement
which precaution method?
5. A patient is diagnosed with delirium. What is the primary focus in
managing this condition?
6.The nurse is preparing to give multiple prescribed medications to
an older adult client. Which serum laboratory test value would the
nurse review as the priority prior to medication administration?
7. A client being discharged after hip replacement says, "I am going
to use hypnosis instead of medication to manage my pain. I believe
in mind over body." Which nursing response is appropriate?
8.A client who had a hip replacement 2 days ago, reports having
pain rated as a 7 on a pain scale of 0-10. What nursing intervention
is the highest priority?
, 9.Which activity does the RN on a large medical-surgical unit assign
to the LPN/LVN?
10.The nurse is caring for a client who is scheduled to have surgery
the following day. It is most important for the nurses to promptly
notify the anesthesia provider if the client?
11. The nurse is instructing a client on how to use a cane. Which of
the following instructions
should the nurse give the client? Answer: Move the cane and weak leg
together and then the
stronger leg.
12. Which client does the RN in the rehabilitation unit plan to assess first?
Answer: A 56 year old with a spinal cord injury and new-onset redness over
the sacral area.
13. The nurse assesses a client's wound 24 hours postoperatively. Which
finding requires the
nurse to contact the surgeon? Answer: warmth and swelling around the
incision.
14. The nurse is removing a peripherally inserted central catheter (PICC)
from an assigned client.
Which of the following actions indicates appropriate technique for removal of
the line? Answer:
Placing the client supine or Trendelenburg position prior to removal of the
PICC.
15. The nurse is caring for assigned clients. Which of the following clients is
at greatest risk for
development of an infection?
Answer: The client who is 40 years old and is malnourished due to chronic
alcoholism.
16.The nurse working in a long-term care (LTC) facility is admitting clients.
Answer: It is appropriate for the nurse to place a client who has active
pulmonary tuberculosis
1. The LPN/LVN is in the patient room while the charge nurse is
obtaining the patient’s
signature on the surgical consent form. The pt states , “ I didn’t
really understand
what my surgeon explained , but I trust him completely . “ Which
response by the
charge nurse is correct?
2. The client tells you during the preoperative history that he is a
three pack per day
cigarette smoker. This information alerts you to which potential
complication during the
intraoperative and postoperative periods?
3. The nurse is providing care for a client in a sickle cell crisis who
has effective pain
management. Which of the following is the priority nursing
diagnosis at this point in the client's care?
4. When a nurse is providing care for a client who has been
diagnosed with rubeola (measles), the nurse should implement
which precaution method?
5. A patient is diagnosed with delirium. What is the primary focus in
managing this condition?
6.The nurse is preparing to give multiple prescribed medications to
an older adult client. Which serum laboratory test value would the
nurse review as the priority prior to medication administration?
7. A client being discharged after hip replacement says, "I am going
to use hypnosis instead of medication to manage my pain. I believe
in mind over body." Which nursing response is appropriate?
8.A client who had a hip replacement 2 days ago, reports having
pain rated as a 7 on a pain scale of 0-10. What nursing intervention
is the highest priority?
, 9.Which activity does the RN on a large medical-surgical unit assign
to the LPN/LVN?
10.The nurse is caring for a client who is scheduled to have surgery
the following day. It is most important for the nurses to promptly
notify the anesthesia provider if the client?
11. The nurse is instructing a client on how to use a cane. Which of
the following instructions
should the nurse give the client? Answer: Move the cane and weak leg
together and then the
stronger leg.
12. Which client does the RN in the rehabilitation unit plan to assess first?
Answer: A 56 year old with a spinal cord injury and new-onset redness over
the sacral area.
13. The nurse assesses a client's wound 24 hours postoperatively. Which
finding requires the
nurse to contact the surgeon? Answer: warmth and swelling around the
incision.
14. The nurse is removing a peripherally inserted central catheter (PICC)
from an assigned client.
Which of the following actions indicates appropriate technique for removal of
the line? Answer:
Placing the client supine or Trendelenburg position prior to removal of the
PICC.
15. The nurse is caring for assigned clients. Which of the following clients is
at greatest risk for
development of an infection?
Answer: The client who is 40 years old and is malnourished due to chronic
alcoholism.
16.The nurse working in a long-term care (LTC) facility is admitting clients.
Answer: It is appropriate for the nurse to place a client who has active
pulmonary tuberculosis
