MED SURG B ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS WITH WITH
COMPLETE SOLUTIONS (VERIFIED ANSWERS) |
ALREADY GRADED A+
A home health nurse is providing teaching to a client who has a
stage 1 pressure injury on the greater trochanter of his left hip.
Which of the following instructions should the nurse include in
the teaching?
A. Clean the wound daily with an antiseptic
B. Use a donut-shaped pillow when sitting in a chair
C. Change positions every hour
D. Massage the area two times daily Correct Answer C.
Change positions every hour
A nurse at an urgent care clinic is caring for a client who is
experiencing an anaphylactic reaction. After ensuring a patent
airway, which of the following nursing interventions is the
priority?
A. Applying oxygen via face mask
B. Placing the client in Fowler's position
C. Administering epinephrine
D. Initiating an IV infusion of 0.9% sodium chloride Correct
Answer A. Applying oxygen via face mask
A nurse in an emergency department is assessing an older adult
client who has a fractured wrist following a fall. During the
assessment, the client states, "Last week I crashed my car
because my vision suddenly became blurry." Which of the
following actions is the nurse's priority?
,A. Check the client's neurologic status
B. Document the client's statements
C. Prepare the client for a CT scan
D. Teach the client about using safety precautions for falls
Correct Answer A. Check the client's neurologic status
A nurse is administering packed RBCs to a client. Which of the
following assessment findings indicates a hemolytic transfusion
reaction?
A. Anorexia and jaundice
B. Bronchospasm and urticaria
C. Hypertension and bounding pulse
D. Low back pain and apprehension Correct Answer D. Low
back pain and apprehension
A nurse is admitting a client who has active tuberculosis. Which
of the following types of transmission precautions should the
nurse initiate?
A. Airborne
B. Droplet
C. Contact
D. Protective environment Correct Answer A. Airborne
A nurse is assessing a client following the completion of
hemodialysis. Which of the following findings is the nurse's
priority to report to the provider?
A. Temperature 37.2 C (99 F)
B. Blood pressure 100/70 mmHg
C. Weight loss
D. Restlessness Correct Answer D. Restlessness
, A nurse is assessing a client while suctioning the client's
tracheostomy tube. Which of the following findings should
indicate to the nurse the client is experiencing hypoxia?
A. The client starts to cough
B. The client's heart rate increases
C. The client is diaphoretic
D The client's blood pressure decreases Correct Answer B. The
client's heart rate increases
A nurse is assessing a client who has a diagnosis of rheumatoid
arthritis. Which of the following nonpharmacological
interventions should the nurse suggest to the client to reduce
pain?
A. Increase intake of foods containing calcium
B. Alternate application of heat and cold to the affected joints
C. Keep the affected extremities elevated
D. Limit movement of the affected joints Correct Answer B.
Alternate application of heat and cold to the affected joints
A nurse is assessing a client who has advanced lung cancer and
is receiving palliative care. The client has just undergone
thoracentesis. The nurse should expect a reduction in which of
the following common manifestations of advanced cancer?
A. Dyspnea
B. Hemoptysis
C. Mucus production
D. Dysphagia Correct Answer A. Dyspnea
A nurse is assessing a client who has diabetes insipidus. Which
of the following findings should the nurse expect?
A. Low urine specific gravity
CORRECT DETAILED ANSWERS WITH WITH
COMPLETE SOLUTIONS (VERIFIED ANSWERS) |
ALREADY GRADED A+
A home health nurse is providing teaching to a client who has a
stage 1 pressure injury on the greater trochanter of his left hip.
Which of the following instructions should the nurse include in
the teaching?
A. Clean the wound daily with an antiseptic
B. Use a donut-shaped pillow when sitting in a chair
C. Change positions every hour
D. Massage the area two times daily Correct Answer C.
Change positions every hour
A nurse at an urgent care clinic is caring for a client who is
experiencing an anaphylactic reaction. After ensuring a patent
airway, which of the following nursing interventions is the
priority?
A. Applying oxygen via face mask
B. Placing the client in Fowler's position
C. Administering epinephrine
D. Initiating an IV infusion of 0.9% sodium chloride Correct
Answer A. Applying oxygen via face mask
A nurse in an emergency department is assessing an older adult
client who has a fractured wrist following a fall. During the
assessment, the client states, "Last week I crashed my car
because my vision suddenly became blurry." Which of the
following actions is the nurse's priority?
,A. Check the client's neurologic status
B. Document the client's statements
C. Prepare the client for a CT scan
D. Teach the client about using safety precautions for falls
Correct Answer A. Check the client's neurologic status
A nurse is administering packed RBCs to a client. Which of the
following assessment findings indicates a hemolytic transfusion
reaction?
A. Anorexia and jaundice
B. Bronchospasm and urticaria
C. Hypertension and bounding pulse
D. Low back pain and apprehension Correct Answer D. Low
back pain and apprehension
A nurse is admitting a client who has active tuberculosis. Which
of the following types of transmission precautions should the
nurse initiate?
A. Airborne
B. Droplet
C. Contact
D. Protective environment Correct Answer A. Airborne
A nurse is assessing a client following the completion of
hemodialysis. Which of the following findings is the nurse's
priority to report to the provider?
A. Temperature 37.2 C (99 F)
B. Blood pressure 100/70 mmHg
C. Weight loss
D. Restlessness Correct Answer D. Restlessness
, A nurse is assessing a client while suctioning the client's
tracheostomy tube. Which of the following findings should
indicate to the nurse the client is experiencing hypoxia?
A. The client starts to cough
B. The client's heart rate increases
C. The client is diaphoretic
D The client's blood pressure decreases Correct Answer B. The
client's heart rate increases
A nurse is assessing a client who has a diagnosis of rheumatoid
arthritis. Which of the following nonpharmacological
interventions should the nurse suggest to the client to reduce
pain?
A. Increase intake of foods containing calcium
B. Alternate application of heat and cold to the affected joints
C. Keep the affected extremities elevated
D. Limit movement of the affected joints Correct Answer B.
Alternate application of heat and cold to the affected joints
A nurse is assessing a client who has advanced lung cancer and
is receiving palliative care. The client has just undergone
thoracentesis. The nurse should expect a reduction in which of
the following common manifestations of advanced cancer?
A. Dyspnea
B. Hemoptysis
C. Mucus production
D. Dysphagia Correct Answer A. Dyspnea
A nurse is assessing a client who has diabetes insipidus. Which
of the following findings should the nurse expect?
A. Low urine specific gravity
