2019 Med Surg A – 90 Questions And Answers
a nurse is caring for a client with DKA. Which of the following laboratory findings should the
nurse expect? Correct Answer - BUN 32
A nurse and an AP are caring for a client with bacterial meningitis. The nurse should give the AP
which of the following instructions? Correct Answer - Wear a mask
A nurse is providing instruction to a patient with type 2 DM and a new prescription for
metformin. which statement by the client indicates an understanding of the teaching. Correct
Answer - I should take this with food.
A nurse in a providers office is assessing a client who has hypertension and takes propanolol.
Which finding should indicate an adverse reaction to this medicine. Correct Answer -
report of a night cough - indication of heart failure.
A nurse is caring for client with a leg cast and is returning demonstration. place in order the steps
Correct Answer - The client should first place their body weight on the crutches. Next, they
should advance the unaffected leg onto the stair. Third, they should shift their weight from the
crutches to the unaffected leg. Last, they should bring the crutches and the affected leg up to the
stair.
A nurse in an emergency department is caring for a client who is experiencing a thyroid storm.
Which manifestations should the nurse expect?(SATA) Correct Answer - **Fever is
correct.
Nonpitting edema is incorrect.
**Hypertension is correct.
**Tachycardia is correct.
Hypoglycemia is incorrect.
a nurse is caring for a client who has anorexia, low grade fever, night sweats, and a productive
cough. Which action should the nurse take first? Correct Answer - initiate airborne
precautions
A nurse is caring for a client who has a closed head injuryand an intraventricular catheter placed.
which finding indicates the client is experiencing increased intracranial pressure? Correct
Answer - Flat jugular veins is incorrect.
A Glasgow Coma Scale score of 15 is incorrect.
**Sleepiness exhibited by the client is correct.
**Widening pulse pressure is correct.
**Decerebrate posturing is correct
A nurse is caring for a client who is having a seizure. Which intervention is the nurse priority?
Correct Answer - Turn the patient to the side.
, The greatest risk to this client is hypoxia from an impaired airway. Therefore, the priority
intervention the nurse should take is to place the client in a side-lying position to prevent
aspiration.
a nurse is providing discharge instructions to a client who has a partial thickness burn on the
hand. Which of the following instructions should the nurse include? Correct Answer -
wrap the fingers individually
to allow for functional use of the hand while healing occurs. The nurse should also instruct the
client to perform range-of-motion exercises to each finger every hour while awake to promote
function of the injured hand.
a home health nurse is assigned to a to a client who was recently discharged from a rehabilitation
center after experiencing a right hemispheric stroke. which neurologic deficits should the nurse
expect to find when assessing the patient. Correct Answer - **Visual spatial deficits is
correct.
**Left hemianopsia is correct.
**One-sided neglect is correct.
An older adult client is brought to an emergency department by a family member. Which of the
following assessment findings should cause the nurse to suspect that the client has hypertonic
dehydration? Correct Answer - Urine specific gravity is 1.045
a nurse is assessing a client who has had a suspected stroke. The nurse should place the priority
on which finding? Correct Answer - Dysphagia
a nurse is providing teaching to a client who has a gastric ulcer and a new prescription for
omeprazole. the nurse should instruct the client that the medication provides relief by which of
the following actions. Correct Answer - suppressing gastric acid production.
a nurse is providing discharge instrucitons to a a client following an upper GI series with barium
contrast. Which of the following information should the nurse provide? Correct Answer -
increase fluid intake.
a nurse is caring for a client with type 1 diabetes mellitus and has had acute bronchitis for the
past 3 days. Which of the following should the nurse include when instructing the client.
Correct Answer - Take insulin even if you are unable to eat.
A nurse is caring for a client who has bilateral pneumonia and a KaO2 of 85%. the client has
dyspnea with a productive cough and is using accessory muscles to breath. Which of the
following actions should the nurse take first.? Correct Answer - place the patient in high
fowlers.
a nurse is providing teaching to a client who is recieving chemotherapy and has a new
prescription for epoetin alfa. which of the following client statements indicates understanding of
a nurse is caring for a client with DKA. Which of the following laboratory findings should the
nurse expect? Correct Answer - BUN 32
A nurse and an AP are caring for a client with bacterial meningitis. The nurse should give the AP
which of the following instructions? Correct Answer - Wear a mask
A nurse is providing instruction to a patient with type 2 DM and a new prescription for
metformin. which statement by the client indicates an understanding of the teaching. Correct
Answer - I should take this with food.
A nurse in a providers office is assessing a client who has hypertension and takes propanolol.
Which finding should indicate an adverse reaction to this medicine. Correct Answer -
report of a night cough - indication of heart failure.
A nurse is caring for client with a leg cast and is returning demonstration. place in order the steps
Correct Answer - The client should first place their body weight on the crutches. Next, they
should advance the unaffected leg onto the stair. Third, they should shift their weight from the
crutches to the unaffected leg. Last, they should bring the crutches and the affected leg up to the
stair.
A nurse in an emergency department is caring for a client who is experiencing a thyroid storm.
Which manifestations should the nurse expect?(SATA) Correct Answer - **Fever is
correct.
Nonpitting edema is incorrect.
**Hypertension is correct.
**Tachycardia is correct.
Hypoglycemia is incorrect.
a nurse is caring for a client who has anorexia, low grade fever, night sweats, and a productive
cough. Which action should the nurse take first? Correct Answer - initiate airborne
precautions
A nurse is caring for a client who has a closed head injuryand an intraventricular catheter placed.
which finding indicates the client is experiencing increased intracranial pressure? Correct
Answer - Flat jugular veins is incorrect.
A Glasgow Coma Scale score of 15 is incorrect.
**Sleepiness exhibited by the client is correct.
**Widening pulse pressure is correct.
**Decerebrate posturing is correct
A nurse is caring for a client who is having a seizure. Which intervention is the nurse priority?
Correct Answer - Turn the patient to the side.
, The greatest risk to this client is hypoxia from an impaired airway. Therefore, the priority
intervention the nurse should take is to place the client in a side-lying position to prevent
aspiration.
a nurse is providing discharge instructions to a client who has a partial thickness burn on the
hand. Which of the following instructions should the nurse include? Correct Answer -
wrap the fingers individually
to allow for functional use of the hand while healing occurs. The nurse should also instruct the
client to perform range-of-motion exercises to each finger every hour while awake to promote
function of the injured hand.
a home health nurse is assigned to a to a client who was recently discharged from a rehabilitation
center after experiencing a right hemispheric stroke. which neurologic deficits should the nurse
expect to find when assessing the patient. Correct Answer - **Visual spatial deficits is
correct.
**Left hemianopsia is correct.
**One-sided neglect is correct.
An older adult client is brought to an emergency department by a family member. Which of the
following assessment findings should cause the nurse to suspect that the client has hypertonic
dehydration? Correct Answer - Urine specific gravity is 1.045
a nurse is assessing a client who has had a suspected stroke. The nurse should place the priority
on which finding? Correct Answer - Dysphagia
a nurse is providing teaching to a client who has a gastric ulcer and a new prescription for
omeprazole. the nurse should instruct the client that the medication provides relief by which of
the following actions. Correct Answer - suppressing gastric acid production.
a nurse is providing discharge instrucitons to a a client following an upper GI series with barium
contrast. Which of the following information should the nurse provide? Correct Answer -
increase fluid intake.
a nurse is caring for a client with type 1 diabetes mellitus and has had acute bronchitis for the
past 3 days. Which of the following should the nurse include when instructing the client.
Correct Answer - Take insulin even if you are unable to eat.
A nurse is caring for a client who has bilateral pneumonia and a KaO2 of 85%. the client has
dyspnea with a productive cough and is using accessory muscles to breath. Which of the
following actions should the nurse take first.? Correct Answer - place the patient in high
fowlers.
a nurse is providing teaching to a client who is recieving chemotherapy and has a new
prescription for epoetin alfa. which of the following client statements indicates understanding of
