Medical-Surgical Final Practice (50
questions) with verified solutions
a |nurse |is |planning |care |for |a |client |who |has |- |correct |answer |-
A |nurse |is |monitoring |a |client |following |a |thyroidectomy. |Which |of |the |following |findings |should |the |
nurse |identify |as |an |indication |of |hypoparathyroidism? |- |correct |answer |-Involuntary |muscle |spasms |
(occurs |if |the |parathyroid |glands |are |damaged |or |removed |during |a |thyroidectomy. |Muscle |twitching |
and |paresthesias |can |result |due |to |decreased |parathyroid |hormone |levels |and |calcium |deficiency.)
A |nurse |is |reinforcing |discharge |teaching |with |a |client |who |has |a |new |permanent |pacemaker. |Which |
of |the |following |statements |by |the |client |indicates |an |understanding |of |the |teaching? |- |correct |
answer |-"I |should |check |my |heart |rate |each |day."•
A |nurse |is |reinforcing |discharge |teaching |about |improving |gas |exchange |with |a |client |who |has |
emphysema. |Which |of |the |following |information |should |the |nurse |include |in |the |teaching? |- |correct |
answer |-Use |pursed-lip |breathing |during |periods |of |dyspnea.
A |nurse |is |reinforcing |teaching |with |a |client |who |has |a |new |diagnosis |of |multiple |sclerosis |(MS). |The |
client |asks |the |nurse |about |the |usual |course |of |MS. |Which |of |the |following |responses |should |the |
nurse |make? |- |correct |answer |-"Acute |episodes |are |usually |followed |by |remissions, |which |can |last |
varying |lengths |of |time."
a |nurse |in |an |emergency |department |is |caring |for |a |client |who |reports |developing |severe |right |eye |
pain |with |a |gritty |sensation |while |sawing |wood. |Whats |priority? |- |correct |answer |-Ask |the |client |
about |first |aid |performed |at |the |scene
A |nurse |is |preparing |to |administer |timolol |eye |drops |for |a |client |who |has |glaucoma. |When |instilling |
the |medication, |which |of |the |following |actions |should |the |nurse |take? |- |correct |answer |-Apply |
pressure |to |puncta |after |instillation |of |the |medication.
, A |nurse |is |caring |for |a |client |who |has |a |stage |III |pressure |ulcer |on |his |heel. |When |preparing |to |
irrigate |the |wound, |which |of |the |following |actions |should |the |nurse |take |rst? |- |correct |answer |-Check
|the |client's |pain |level
A |nurse |is |caring |for |a |client |who |begins |having |a |tonic-clonic |seizure |while |sitting |in |a |chair |at |the |
bedside. |Which |of |the |following |actions |should |the |nurse |take |first? |- |correct |answer |-Lower |the |
client |to |the |floor.
A |nurse |is |caring |for |a |client |who |has |type |1 |diabetes |mellitus |and |a |capillary |blood |glucose |reading |
of |48 |mg/dL. |Which |of |the |following |findings |should |the |nurse |expect? |- |correct |answer |-Diaphoresis
A |client |who |has |a |blood |glucose |level |below |70 |mg/dL |to |exhibit |indications |of |hypoglycemia. |
Including |weakness, |hunger, |diaphoresis, |nausea, |shakiness, |and |confusion.
A |nurse |is |reinforcing |teaching |with |a |client |who |is |scheduled |for |a |sigmoid |colon |resection |with |
colostomy. |Which |of |the |following |statements |by |the |client |indicates |a |need |for |further |teaching? |- |
correct |answer |-"My |diet |will |have |to |change |to |a |soft |diet |after |surgery."•
( |After |surgery, |the |client's |diet |quickly |returns |to |a |regular |diet |and |there |are |not |any |food |
restrictions.)
A |nurse |is |reviewing |a |client's |laboratory |report. |The |client's |ABG |levels |are |pH |7.5, |PaCO |32 |mm |HG, |
and |HCO |24 |mEq/L. |The |nurse |should |determine |that |the |client |has |which |of |the |following |acid-base |
imbalances? |- |correct |answer |-Respiratory |alkalosis
(The |nurse |should |identify |that |the |client's |pH |is |elevated |above |the |expected |reference |range |of |
7.35 |to |7.45, |indicating |alkalosis. |The |nurse |should |then |identify |that |the |client's |PaCO |is |low, |below |
the |expected |reference |range |of |35 |to |45 |mm |Hg, |which |indicates |a |respiratory |origin. |The |nurse |
should |conclude |that |the |client's |elevated |pH |and |decreased |PaCO |indicate |respiratory |alkalosis.)
A |nurse |in |an |urgent |care |clinic |is |collecting |data |from |a |client |who |sustained |a |fall. |Which |of |the |
following |findings |should |the |nurse |identify |as |an |indication |of |a |skull |fracture? |- |correct |answer |-
Clear |fluid |coming |from |the |nares.
(cerebrospinal |fluid)
A |nurse |is |reinforcing |teaching |with |a |client |about |preventing |the |transmission |of |hepatitis |A. |The |
nurse |should |identify |that |hepatitis |A |is |transmitted |by |which |of |the |following |routes? |- |correct |
answer |-Fecal-oral |contamination
questions) with verified solutions
a |nurse |is |planning |care |for |a |client |who |has |- |correct |answer |-
A |nurse |is |monitoring |a |client |following |a |thyroidectomy. |Which |of |the |following |findings |should |the |
nurse |identify |as |an |indication |of |hypoparathyroidism? |- |correct |answer |-Involuntary |muscle |spasms |
(occurs |if |the |parathyroid |glands |are |damaged |or |removed |during |a |thyroidectomy. |Muscle |twitching |
and |paresthesias |can |result |due |to |decreased |parathyroid |hormone |levels |and |calcium |deficiency.)
A |nurse |is |reinforcing |discharge |teaching |with |a |client |who |has |a |new |permanent |pacemaker. |Which |
of |the |following |statements |by |the |client |indicates |an |understanding |of |the |teaching? |- |correct |
answer |-"I |should |check |my |heart |rate |each |day."•
A |nurse |is |reinforcing |discharge |teaching |about |improving |gas |exchange |with |a |client |who |has |
emphysema. |Which |of |the |following |information |should |the |nurse |include |in |the |teaching? |- |correct |
answer |-Use |pursed-lip |breathing |during |periods |of |dyspnea.
A |nurse |is |reinforcing |teaching |with |a |client |who |has |a |new |diagnosis |of |multiple |sclerosis |(MS). |The |
client |asks |the |nurse |about |the |usual |course |of |MS. |Which |of |the |following |responses |should |the |
nurse |make? |- |correct |answer |-"Acute |episodes |are |usually |followed |by |remissions, |which |can |last |
varying |lengths |of |time."
a |nurse |in |an |emergency |department |is |caring |for |a |client |who |reports |developing |severe |right |eye |
pain |with |a |gritty |sensation |while |sawing |wood. |Whats |priority? |- |correct |answer |-Ask |the |client |
about |first |aid |performed |at |the |scene
A |nurse |is |preparing |to |administer |timolol |eye |drops |for |a |client |who |has |glaucoma. |When |instilling |
the |medication, |which |of |the |following |actions |should |the |nurse |take? |- |correct |answer |-Apply |
pressure |to |puncta |after |instillation |of |the |medication.
, A |nurse |is |caring |for |a |client |who |has |a |stage |III |pressure |ulcer |on |his |heel. |When |preparing |to |
irrigate |the |wound, |which |of |the |following |actions |should |the |nurse |take |rst? |- |correct |answer |-Check
|the |client's |pain |level
A |nurse |is |caring |for |a |client |who |begins |having |a |tonic-clonic |seizure |while |sitting |in |a |chair |at |the |
bedside. |Which |of |the |following |actions |should |the |nurse |take |first? |- |correct |answer |-Lower |the |
client |to |the |floor.
A |nurse |is |caring |for |a |client |who |has |type |1 |diabetes |mellitus |and |a |capillary |blood |glucose |reading |
of |48 |mg/dL. |Which |of |the |following |findings |should |the |nurse |expect? |- |correct |answer |-Diaphoresis
A |client |who |has |a |blood |glucose |level |below |70 |mg/dL |to |exhibit |indications |of |hypoglycemia. |
Including |weakness, |hunger, |diaphoresis, |nausea, |shakiness, |and |confusion.
A |nurse |is |reinforcing |teaching |with |a |client |who |is |scheduled |for |a |sigmoid |colon |resection |with |
colostomy. |Which |of |the |following |statements |by |the |client |indicates |a |need |for |further |teaching? |- |
correct |answer |-"My |diet |will |have |to |change |to |a |soft |diet |after |surgery."•
( |After |surgery, |the |client's |diet |quickly |returns |to |a |regular |diet |and |there |are |not |any |food |
restrictions.)
A |nurse |is |reviewing |a |client's |laboratory |report. |The |client's |ABG |levels |are |pH |7.5, |PaCO |32 |mm |HG, |
and |HCO |24 |mEq/L. |The |nurse |should |determine |that |the |client |has |which |of |the |following |acid-base |
imbalances? |- |correct |answer |-Respiratory |alkalosis
(The |nurse |should |identify |that |the |client's |pH |is |elevated |above |the |expected |reference |range |of |
7.35 |to |7.45, |indicating |alkalosis. |The |nurse |should |then |identify |that |the |client's |PaCO |is |low, |below |
the |expected |reference |range |of |35 |to |45 |mm |Hg, |which |indicates |a |respiratory |origin. |The |nurse |
should |conclude |that |the |client's |elevated |pH |and |decreased |PaCO |indicate |respiratory |alkalosis.)
A |nurse |in |an |urgent |care |clinic |is |collecting |data |from |a |client |who |sustained |a |fall. |Which |of |the |
following |findings |should |the |nurse |identify |as |an |indication |of |a |skull |fracture? |- |correct |answer |-
Clear |fluid |coming |from |the |nares.
(cerebrospinal |fluid)
A |nurse |is |reinforcing |teaching |with |a |client |about |preventing |the |transmission |of |hepatitis |A. |The |
nurse |should |identify |that |hepatitis |A |is |transmitted |by |which |of |the |following |routes? |- |correct |
answer |-Fecal-oral |contamination
