TEST BANK NUR 4500 ALL MED SURGE
EXAMS QUESTIONS AND ANSWERS GRADED
A+ LATEST UPDATE 2024-2025
The nurse is planning care for a client with newly diagnosed diabetes
mellitus that requires insulin. Which assessment should the nurse
identify before beginning the teaching session?
Present knowledge related to the skill of injection.
Intelligence and developmental level of the client.
Willingness of the client to learn the injection sites.Financial resources
available for the equipment. - ANSWER-Willingness of the client to learn
the injection sites
When providing discharge teaching for a client with osteoporosis, the
nurse should reinforce which home care activity?
A diet low in phosphates.
Skin inspection for bruising.
Exercise regimen, including swimming.
Elimination of hazards to home safety - ANSWER-Elimination of hazards
to home safety.!!!
Which postmenopausal client's complaint should the nurse refer to the
healthcare provider?
Breasts feel lumpy when palpated.
History of white nipple discharge.
Episodes of vaginal bleeding .Excessive diaphoresis occurs at night. -
ANSWER-Episodes of vaginal bleeding.!!!!
A client with a completed ischemic stroke has a blood pressure of
180/90 mm Hg. Which action should the nurse implement?
,Position the head of the bed (HOB) flat.
Withhold intravenous fluids.
Administer a bolus of IV fluids.
Give an antihypertensive medication. - ANSWER-Give an
antihypertensive medication.!!!!
A client who is HIV positive asks the nurse, "How will I know when I have
AIDS?" Which response is best for the nurse to provide?
"Diagnosis of AIDS is made when you have 2 positive ELISA test results."
"Diagnosis is made when both the ELISA and the Western Blot tests are
positive."
"I can tell that you are afraid of being diagnosed with AIDS. Would you
like for me to call your minister?"
"AIDS is diagnosed when a specific opportunistic infection is found in an
otherwise healthy individual - ANSWER-"AIDS is diagnosed when a
specific opportunistic infection is found in an otherwise healthy
individual.!!!
Despite several eye surgeries, a 78-year-old client who lives alone has
persistent vision problems. The visiting nurse is discussing home safety
hazards with the client. The nurse suggests that the edges of the steps
be painted which color?
Black.
White.
Light green.
Medium yellow. - ANSWER-.
Medium yellow.!!!
The nurse would be correct in withholding a dose of digoxin in a client
with congestive heart failure without specific instruction from the
healthcare provider if the client's
serum digoxin level is 1.5.
blood pressure is 104/68.
serum potassium level is 3.
apical pulse is 68/min. - ANSWER-serum potassium level is 3.!!!
,When teaching diaphragmatic breathing to a client with chronic
obstructive pulmonary disease (COPD), which information should the
nurse provide?
Place a small book or magazine on the abdomen and make it rise while
inhaling deeply.
Purse the lips while inhaling as deeply as possible and then exhale
through the nose.
Wrap a towel around the abdomen and push against the towel while
forcefully exhaling.
Place one hand on the chest, one hand the abdomen and make both
hands move outward. - ANSWER-Place a small book or magazine on the
abdomen and make it rise while inhaling deeply.!!!!
A male client receives a local anesthetic during surgery. During the post-
operative assessment, the nurse notices the client is slurring his speech.
Which action should the nurse take?
Determine the client is anxious and allow him to sleep.
Evaluate his blood pressure, pulse, and respiratory status.
Review the client's pre-operative history for alcohol abuse.
Continue to monitor the client for reactivity to anesthesia.
Submit - ANSWER-Evaluate his blood pressure, pulse, and respiratory
status.!!!
A splint is prescribed for nighttime use by a client with rheumatoid
arthritis. Which statement by the nurse provides the most accurate
explanation for use of the splints?
Prevention of deformities
Avoidance of joint trauma.
Relief of joint inflammation.
Improvement in joint strength.
Submit - ANSWER-Prevention of deformities.!!!
The nurse is planning to initiate a socialization group for older residents
of a long-term facility. Which information would be most useful to the
nurse when planning activities for the group?
, he length of time each group member has resided at the nursing home.
A brief description of each resident's family life.
The age of each group member.
The usual activity patterns of each member of the group. - ANSWER-The
usual activity patterns of each member of the group.
During a health fair, a 72-year-old male client tells the nurse that he is
experiencing shortness of breath. Auscultation reveals crackles and
wheezing in both lungs. Suspecting that the client might have chronic
bronchitis, which classic symptom would the nurse expect this client to
have?
Racing pulse with exertion.
Clubbing of the fingers.
An increased chest diameter.
Productive cough with grayish-white sputum. - ANSWER-Productive
cough with grayish-white sputum.
A client with multiple sclerosis has experienced an exacerbation of
symptoms, including paresthesias, diplopia, and nystagmus. Which
instruction should the nurse provide?
Stay out of direct sunlight.
Restrict intake of high protein foods.
Schedule extra rest periods.
Go to the emergency room immediately.
Submit - ANSWER-Schedule extra rest periods.
The nurse formulates the nursing diagnosis of, "Urinary retention related
to sensorimotor deficit" for a client with multiple sclerosis. Which
nursing intervention should the nurse implement?
Teach the client techniques of intermittent self-catheterization.
Decrease fluid intake to prevent over distention of the bladder.
Use incontinence briefs to maintain hygiene with urinary dribbling.
Explain that anticholinergic drugs will decrease muscle spasticity.
Submit - ANSWER-Teach the client techniques of intermittent self-
catheterization.
EXAMS QUESTIONS AND ANSWERS GRADED
A+ LATEST UPDATE 2024-2025
The nurse is planning care for a client with newly diagnosed diabetes
mellitus that requires insulin. Which assessment should the nurse
identify before beginning the teaching session?
Present knowledge related to the skill of injection.
Intelligence and developmental level of the client.
Willingness of the client to learn the injection sites.Financial resources
available for the equipment. - ANSWER-Willingness of the client to learn
the injection sites
When providing discharge teaching for a client with osteoporosis, the
nurse should reinforce which home care activity?
A diet low in phosphates.
Skin inspection for bruising.
Exercise regimen, including swimming.
Elimination of hazards to home safety - ANSWER-Elimination of hazards
to home safety.!!!
Which postmenopausal client's complaint should the nurse refer to the
healthcare provider?
Breasts feel lumpy when palpated.
History of white nipple discharge.
Episodes of vaginal bleeding .Excessive diaphoresis occurs at night. -
ANSWER-Episodes of vaginal bleeding.!!!!
A client with a completed ischemic stroke has a blood pressure of
180/90 mm Hg. Which action should the nurse implement?
,Position the head of the bed (HOB) flat.
Withhold intravenous fluids.
Administer a bolus of IV fluids.
Give an antihypertensive medication. - ANSWER-Give an
antihypertensive medication.!!!!
A client who is HIV positive asks the nurse, "How will I know when I have
AIDS?" Which response is best for the nurse to provide?
"Diagnosis of AIDS is made when you have 2 positive ELISA test results."
"Diagnosis is made when both the ELISA and the Western Blot tests are
positive."
"I can tell that you are afraid of being diagnosed with AIDS. Would you
like for me to call your minister?"
"AIDS is diagnosed when a specific opportunistic infection is found in an
otherwise healthy individual - ANSWER-"AIDS is diagnosed when a
specific opportunistic infection is found in an otherwise healthy
individual.!!!
Despite several eye surgeries, a 78-year-old client who lives alone has
persistent vision problems. The visiting nurse is discussing home safety
hazards with the client. The nurse suggests that the edges of the steps
be painted which color?
Black.
White.
Light green.
Medium yellow. - ANSWER-.
Medium yellow.!!!
The nurse would be correct in withholding a dose of digoxin in a client
with congestive heart failure without specific instruction from the
healthcare provider if the client's
serum digoxin level is 1.5.
blood pressure is 104/68.
serum potassium level is 3.
apical pulse is 68/min. - ANSWER-serum potassium level is 3.!!!
,When teaching diaphragmatic breathing to a client with chronic
obstructive pulmonary disease (COPD), which information should the
nurse provide?
Place a small book or magazine on the abdomen and make it rise while
inhaling deeply.
Purse the lips while inhaling as deeply as possible and then exhale
through the nose.
Wrap a towel around the abdomen and push against the towel while
forcefully exhaling.
Place one hand on the chest, one hand the abdomen and make both
hands move outward. - ANSWER-Place a small book or magazine on the
abdomen and make it rise while inhaling deeply.!!!!
A male client receives a local anesthetic during surgery. During the post-
operative assessment, the nurse notices the client is slurring his speech.
Which action should the nurse take?
Determine the client is anxious and allow him to sleep.
Evaluate his blood pressure, pulse, and respiratory status.
Review the client's pre-operative history for alcohol abuse.
Continue to monitor the client for reactivity to anesthesia.
Submit - ANSWER-Evaluate his blood pressure, pulse, and respiratory
status.!!!
A splint is prescribed for nighttime use by a client with rheumatoid
arthritis. Which statement by the nurse provides the most accurate
explanation for use of the splints?
Prevention of deformities
Avoidance of joint trauma.
Relief of joint inflammation.
Improvement in joint strength.
Submit - ANSWER-Prevention of deformities.!!!
The nurse is planning to initiate a socialization group for older residents
of a long-term facility. Which information would be most useful to the
nurse when planning activities for the group?
, he length of time each group member has resided at the nursing home.
A brief description of each resident's family life.
The age of each group member.
The usual activity patterns of each member of the group. - ANSWER-The
usual activity patterns of each member of the group.
During a health fair, a 72-year-old male client tells the nurse that he is
experiencing shortness of breath. Auscultation reveals crackles and
wheezing in both lungs. Suspecting that the client might have chronic
bronchitis, which classic symptom would the nurse expect this client to
have?
Racing pulse with exertion.
Clubbing of the fingers.
An increased chest diameter.
Productive cough with grayish-white sputum. - ANSWER-Productive
cough with grayish-white sputum.
A client with multiple sclerosis has experienced an exacerbation of
symptoms, including paresthesias, diplopia, and nystagmus. Which
instruction should the nurse provide?
Stay out of direct sunlight.
Restrict intake of high protein foods.
Schedule extra rest periods.
Go to the emergency room immediately.
Submit - ANSWER-Schedule extra rest periods.
The nurse formulates the nursing diagnosis of, "Urinary retention related
to sensorimotor deficit" for a client with multiple sclerosis. Which
nursing intervention should the nurse implement?
Teach the client techniques of intermittent self-catheterization.
Decrease fluid intake to prevent over distention of the bladder.
Use incontinence briefs to maintain hygiene with urinary dribbling.
Explain that anticholinergic drugs will decrease muscle spasticity.
Submit - ANSWER-Teach the client techniques of intermittent self-
catheterization.
