MEDSURG WIKKHUM EXAM
QUESTIONS WITH CORRECT SOLUTION
A qnurse qis qcaring qfor qa qclient qwho qis qtaking qlithium
and qreports qpersistent qnausea qand qvomiting qfor q2
days. qWhich qof qthe qfollowing qlaboratory qvalues qshould
the qnurse qreport qto qthe qprovider?
a) qPotassium q4.0 qmEq/L
b) qLithium q0.9 qmEq/L
c) qBUN q12 qmg/dL
d) qSodium q132 qmEq/L q- q✔✔D. qSodium q132 qmEq/L
A qnurse qis qcaring qfor qa qclient qwho qhas qcancer qand qhas
a qWBC qcount qof q4,000/mm3. qWhich qof qthe qfollowing
actions qshould qthe qnurse qtake?
a) qCleanse qthe qclient's qtoothbrush qwith qhydrogen
peroxide.
b) qInstruct qthe qclient qto quse qa qdisposable qrazor qto
shave.
c) qDecrease qthe qclient's qprotein qintake.
d) qEncourage qthe qclient qto qeat qunpasteurized
dairy qproducts. q- q✔✔A. qCleanse qthe qclient's qtoothbrush qwith qhydrogen
peroxide.
A qnurse qenters qa qclient's qroom qand qsees qsmoke qcoming qfrom qthe qbathroom.
qWhich qof qthe qfollowing
actions qshould qthe qnurse qtake qfirst?
a) qActivate qthe qfire qalarm qsystem.
b) qUse qa qfire qextinguisher qat qthe qsource qof qthe
smoke.
c) qAssist qthe qclient qto qa qnearby qcommon qarea.
d) qClose qthe qdoors qto qthe qroom qand qto qthe
bathroom. q- q✔✔C. qAssist qthe qclient qto qa qnearby qcommon qarea.
A qnurse qis qcontributing qto qthe qplan qof qcare qfor qa qclient qwho qreports qdifficulty
qeating qdue qto qchronic qarthritis.
Which qof qthe qfollowing qinterventions qshould qthe qnurse qinclude qin qthe qplan?
a) qApply qfoam qhandles qto qthe qclient's qeating
utensils.
b) qObtain qa qreferral qfor qphysical qtherapy.
c) qHave qan qassistive qpersonnel qfeed qthe qclient.
d) qAsk qthe qprovider qfor qa qprescription qfor qa
,pureed qdiet. q- q✔✔A. qApply qfoam qhandles qto qthe qclient's qeating qutensils.
A qnurse qis qobtaining qa qmedication qhistory qfrom qa qclient qwho qis qto qstart qtaking
qnitroglycerin qfor qchest qdiscomfort qwith qactivity. qWhich qof qthe qfollowing qmedications
qshould qthe qnurse qinstruct qthe qclient qto qavoid qtaking qwithin q24 qhr qof qusing
qnitroglycerin?
a) qAtorvastatin
b) qMetformin
c) qSildenafil
d) qOmeprazole q- q✔✔C. qSildenafil
A qnurse qis qpreparing qto qobtain qa qpostprandial qblood qglucose qlevel qfrom qa qclient
qwho qhas qdiabetes qmellitus. qWhich qof qthe qfollowing qactions qshould qthe qnurse
qtake?
a) qApply qthe qfirst qdrop qof qblood qto qthe qtest qstrip.
b) qClean qthe qclient's qfinger qwith
hexachlorophene.
c) qPrick qthe qcentral qtip qof qthe qclient's qfinger.
d) qHold qthe qclient's qfinger qin qa qdependent
position. q- q✔✔D. qHold qthe qclient's qfinger qin qa qdependent
position.
A qnurse qis qreinforcing qteaching qwith qa qclient qabout qbreast qself-examinations.
qWhich qof qthe qfollowing qstatements qby qthe qclient qindicates qan qunderstanding qof
qthe qteaching?
a) q"It qis qcommon qfor qone qbreast qto qbe qlarger qthan
the qother."
b) q"It qis qcommon qfor qthe qskin qon qmy qbreasts qto
dimple."
c) q"I qwill qperform qbreast qexams qthe qday qmy
period qbegins."
d) q"I qwill qperform qbreast qexams qevery qother
month." q- q✔✔A. q"It qis qcommon qfor qone qbreast qto qbe qlarger qthan
the qother."
A qnurse qis qreinforcing qteaching qwith qa qclient qwho qhas qa qnew qileostomy. qWhich qof
qthe qfollowing qstatements qby qthe qclient qindicates qan qunderstanding qof qthe
qteaching?
a) q"I qwill qneed qto qempty qthe qbag qevery q4 qto q6
hours."
b) q"I qwill quse qmoisturizing qsoap qto qclean qaround
the qstoma qbefore qapplying qthe qbag."
c) q"I qwill quse qa qskin qsealant qbefore qI qapply qthe
bag."
d) q"I qwill qcut qthe qwafer qopening qone-fourth qof qan
, inch qlarger qthan qthe qstoma." q- q✔✔C. q"I qwill quse qa qskin qsealant qbefore qI qapply
qthe
bag."
A qnurse qis qassisting qin qthe qplan qof qcare qfor qa qclient qwho qis qdehydrated qand qis
qreceiving qIV qfluid qreplacement. qWhich qof qthe qfollowing qinterventions qshould qthe
qnurse qcontribute qto qthe qplan qof qcare?
a) qOffer qoral qfluids qevery q4 qhr.
b) qCheck qfor qneck qvein qdistention.
c) qLimit qoral qfluids qprior qto qbedtime.
d) qMonitor qpulse qpressure qevery q6 qhr. q- q✔✔B. qCheck qfor qneck qvein qdistention.
A qnurse qis qcaring qfor qa qyoung qadult qclient qwho qhas qtesticular qcancer qand
qexpresses qconcern qabout qtheir qsexual qfunction qfollowing qan qorchiectomy qof qthe
qinvolved qtesticle. qWhich qof qthe qfollowing qresponses qshould qthe qnurse qmake?
a) q"I'm qsure qany qpartner qwill qunderstand qthat qyou
have qno qcontrol qover qthis."
b) q"There qare qother qways qto qexpress qintimacy
besides qintercourse."
c) q"You qshould qfocus qon qrecovering qfrom qyour
cancer qright qnow."
d) q"The qremoval qof qa qsingle qtesticle qwill qnot
prevent qyou qfrom qhaving qan qerection." q- q✔✔D. q"The qremoval qof qa qsingle qtesticle
qwill qnot
prevent qyou qfrom qhaving qan qerection."
A qnurse qis qcollecting qdata qfrom qa qclient qwho qhas qhyperthyroidism qand qis qtaking
qpropylthiouracil. qWhich qof qthe qfollowing qstatements qby qthe qclient qindicates qthe
qmedication qis qeffective?
a) q"I qno qlonger qfeel qnervous."
b) q"I qno qlonger qtake qa qstool qsoftener."
c) q"I qhave qless qoily qskin."
d) q"I qcontinue qto qlose qweight." q- q✔✔A. q"I qno qlonger qfeel qnervous."
A qnurse qis qplanning qcare qfor qa qclient qwho qis qreceiving qradiation qtherapy qto qtreat
qthroat qcancer qand qreports qa qchange qin qthe qtaste qof qfood. qWhich qof qthe qfollowing
qinterventions qshould qthe qnurse qinclude qin qthe qplan qof qcare?
a) qOffer qartificial qsaliva qfrequently.
b) qAdd qhoney qto qsweeten qfruit qsmoothies.
c) qHeat qfood qbefore qserving.
d) qProvide qthree qlarge qmeals qdaily. q- q✔✔C. qHeat qfood qbefore qserving.
A qnurse qworking qthe qnight qshift qis qcaring qfor qan qolder qadult qclient qwho qhas
qdementia qand qis qat qrisk qfor qfalls. qWhich qof qthe qfollowing qactions qshould qthe
qnurse qtake?
a) qRaise qall qfour qside qrails qwhile qthe qclient qis qin
QUESTIONS WITH CORRECT SOLUTION
A qnurse qis qcaring qfor qa qclient qwho qis qtaking qlithium
and qreports qpersistent qnausea qand qvomiting qfor q2
days. qWhich qof qthe qfollowing qlaboratory qvalues qshould
the qnurse qreport qto qthe qprovider?
a) qPotassium q4.0 qmEq/L
b) qLithium q0.9 qmEq/L
c) qBUN q12 qmg/dL
d) qSodium q132 qmEq/L q- q✔✔D. qSodium q132 qmEq/L
A qnurse qis qcaring qfor qa qclient qwho qhas qcancer qand qhas
a qWBC qcount qof q4,000/mm3. qWhich qof qthe qfollowing
actions qshould qthe qnurse qtake?
a) qCleanse qthe qclient's qtoothbrush qwith qhydrogen
peroxide.
b) qInstruct qthe qclient qto quse qa qdisposable qrazor qto
shave.
c) qDecrease qthe qclient's qprotein qintake.
d) qEncourage qthe qclient qto qeat qunpasteurized
dairy qproducts. q- q✔✔A. qCleanse qthe qclient's qtoothbrush qwith qhydrogen
peroxide.
A qnurse qenters qa qclient's qroom qand qsees qsmoke qcoming qfrom qthe qbathroom.
qWhich qof qthe qfollowing
actions qshould qthe qnurse qtake qfirst?
a) qActivate qthe qfire qalarm qsystem.
b) qUse qa qfire qextinguisher qat qthe qsource qof qthe
smoke.
c) qAssist qthe qclient qto qa qnearby qcommon qarea.
d) qClose qthe qdoors qto qthe qroom qand qto qthe
bathroom. q- q✔✔C. qAssist qthe qclient qto qa qnearby qcommon qarea.
A qnurse qis qcontributing qto qthe qplan qof qcare qfor qa qclient qwho qreports qdifficulty
qeating qdue qto qchronic qarthritis.
Which qof qthe qfollowing qinterventions qshould qthe qnurse qinclude qin qthe qplan?
a) qApply qfoam qhandles qto qthe qclient's qeating
utensils.
b) qObtain qa qreferral qfor qphysical qtherapy.
c) qHave qan qassistive qpersonnel qfeed qthe qclient.
d) qAsk qthe qprovider qfor qa qprescription qfor qa
,pureed qdiet. q- q✔✔A. qApply qfoam qhandles qto qthe qclient's qeating qutensils.
A qnurse qis qobtaining qa qmedication qhistory qfrom qa qclient qwho qis qto qstart qtaking
qnitroglycerin qfor qchest qdiscomfort qwith qactivity. qWhich qof qthe qfollowing qmedications
qshould qthe qnurse qinstruct qthe qclient qto qavoid qtaking qwithin q24 qhr qof qusing
qnitroglycerin?
a) qAtorvastatin
b) qMetformin
c) qSildenafil
d) qOmeprazole q- q✔✔C. qSildenafil
A qnurse qis qpreparing qto qobtain qa qpostprandial qblood qglucose qlevel qfrom qa qclient
qwho qhas qdiabetes qmellitus. qWhich qof qthe qfollowing qactions qshould qthe qnurse
qtake?
a) qApply qthe qfirst qdrop qof qblood qto qthe qtest qstrip.
b) qClean qthe qclient's qfinger qwith
hexachlorophene.
c) qPrick qthe qcentral qtip qof qthe qclient's qfinger.
d) qHold qthe qclient's qfinger qin qa qdependent
position. q- q✔✔D. qHold qthe qclient's qfinger qin qa qdependent
position.
A qnurse qis qreinforcing qteaching qwith qa qclient qabout qbreast qself-examinations.
qWhich qof qthe qfollowing qstatements qby qthe qclient qindicates qan qunderstanding qof
qthe qteaching?
a) q"It qis qcommon qfor qone qbreast qto qbe qlarger qthan
the qother."
b) q"It qis qcommon qfor qthe qskin qon qmy qbreasts qto
dimple."
c) q"I qwill qperform qbreast qexams qthe qday qmy
period qbegins."
d) q"I qwill qperform qbreast qexams qevery qother
month." q- q✔✔A. q"It qis qcommon qfor qone qbreast qto qbe qlarger qthan
the qother."
A qnurse qis qreinforcing qteaching qwith qa qclient qwho qhas qa qnew qileostomy. qWhich qof
qthe qfollowing qstatements qby qthe qclient qindicates qan qunderstanding qof qthe
qteaching?
a) q"I qwill qneed qto qempty qthe qbag qevery q4 qto q6
hours."
b) q"I qwill quse qmoisturizing qsoap qto qclean qaround
the qstoma qbefore qapplying qthe qbag."
c) q"I qwill quse qa qskin qsealant qbefore qI qapply qthe
bag."
d) q"I qwill qcut qthe qwafer qopening qone-fourth qof qan
, inch qlarger qthan qthe qstoma." q- q✔✔C. q"I qwill quse qa qskin qsealant qbefore qI qapply
qthe
bag."
A qnurse qis qassisting qin qthe qplan qof qcare qfor qa qclient qwho qis qdehydrated qand qis
qreceiving qIV qfluid qreplacement. qWhich qof qthe qfollowing qinterventions qshould qthe
qnurse qcontribute qto qthe qplan qof qcare?
a) qOffer qoral qfluids qevery q4 qhr.
b) qCheck qfor qneck qvein qdistention.
c) qLimit qoral qfluids qprior qto qbedtime.
d) qMonitor qpulse qpressure qevery q6 qhr. q- q✔✔B. qCheck qfor qneck qvein qdistention.
A qnurse qis qcaring qfor qa qyoung qadult qclient qwho qhas qtesticular qcancer qand
qexpresses qconcern qabout qtheir qsexual qfunction qfollowing qan qorchiectomy qof qthe
qinvolved qtesticle. qWhich qof qthe qfollowing qresponses qshould qthe qnurse qmake?
a) q"I'm qsure qany qpartner qwill qunderstand qthat qyou
have qno qcontrol qover qthis."
b) q"There qare qother qways qto qexpress qintimacy
besides qintercourse."
c) q"You qshould qfocus qon qrecovering qfrom qyour
cancer qright qnow."
d) q"The qremoval qof qa qsingle qtesticle qwill qnot
prevent qyou qfrom qhaving qan qerection." q- q✔✔D. q"The qremoval qof qa qsingle qtesticle
qwill qnot
prevent qyou qfrom qhaving qan qerection."
A qnurse qis qcollecting qdata qfrom qa qclient qwho qhas qhyperthyroidism qand qis qtaking
qpropylthiouracil. qWhich qof qthe qfollowing qstatements qby qthe qclient qindicates qthe
qmedication qis qeffective?
a) q"I qno qlonger qfeel qnervous."
b) q"I qno qlonger qtake qa qstool qsoftener."
c) q"I qhave qless qoily qskin."
d) q"I qcontinue qto qlose qweight." q- q✔✔A. q"I qno qlonger qfeel qnervous."
A qnurse qis qplanning qcare qfor qa qclient qwho qis qreceiving qradiation qtherapy qto qtreat
qthroat qcancer qand qreports qa qchange qin qthe qtaste qof qfood. qWhich qof qthe qfollowing
qinterventions qshould qthe qnurse qinclude qin qthe qplan qof qcare?
a) qOffer qartificial qsaliva qfrequently.
b) qAdd qhoney qto qsweeten qfruit qsmoothies.
c) qHeat qfood qbefore qserving.
d) qProvide qthree qlarge qmeals qdaily. q- q✔✔C. qHeat qfood qbefore qserving.
A qnurse qworking qthe qnight qshift qis qcaring qfor qan qolder qadult qclient qwho qhas
qdementia qand qis qat qrisk qfor qfalls. qWhich qof qthe qfollowing qactions qshould qthe
qnurse qtake?
a) qRaise qall qfour qside qrails qwhile qthe qclient qis qin
