CANADIAN PN EXAM: MEDICAL-SURGICAL
NURSING FINAL EXAM 2025|0RIGINAL QUESTIONS
AND ANSWERS|GRADED A+
Fred Kingsley, a 52-year-old country and western singer, has been diagnosed
with vocal cord polyps, requiring surgical laser removal. What is the practical
nurses priority assessment in Mr. Kingsley's immediate postoperative period?
Hemorrhage.
Rationale:->>>The throat is a vascular area, and even with laser surgery, there
is a recognized danger for hemorrhage. It may occur quickly and is the most
immediate life-threatening post surgical complication.
Fred Kingsley, a 52-year-old country and western singer, has been diagnosed
with vocal cord polyps, requiring surgical laser removal. What is the
recommended postoperative position for Mr. Kingsley?
Semi-Fowlers with the neck flexed.
Positioning the client in a semi Fowlers with the neck flexed helps prevent
pooling of secretions in the mouth and allows easier breathing and less chance of
choking, coughing, and aspirating. Clients often put themselves into high Fowlers
position for comfort and ease of breathing.
Fred Kingsley, a 52-year-old country and western singer, has been diagnosed
with vocal cord polyps, requiring surgical laser removal. What nursing action can
best alleviate Mr. Kingsleys throat discomfort?
Giving him acetaminophen, Tylenol, elixir or pills.
,Acetaminophen, Tylenol, elixir or pills is the analgesic of choice and should be
given around the clock. Sometimes rinsing the mouth out with viscous lidocaine
is effective to decrease pain in the throat.
Consuela Gomez, age 58, moved to Canada from Mexico 10 years ago. For the
past few months, she has been experiencing fatigue, cough, and occasional blood
tinged sputum. The practical nurse administers a montoux tuberculin skin test,
and this is Gomez returns to the clinic for the test to be read. Mrs. Gomez's
montoux test yields and in duration area of 10 mm. What is the most accurate
interpretation of a 10 mm result?
She has been exposed to M tuberculosis or has been vaccinated with Bacille
Calmette-Guérin.
This is a positive reaction. It indicates the presence of tuberculosis, TB, Infection
but does not show weather the infection is active or dormant. People who have
been vaccinated with the bacille Calmette geirin will have positive skin tests due
to exposure to the vaccine.
Consuela Gomez, age 58, moved to Canada from Mexico 10 years ago. For the
past few months, she has been experiencing fatigue, cough, and occasional blood
tinged sputum. The practical nurse administers a montoux tuberculin skin test,
and this is Gomez returns to the clinic for the test to be read. Which of the
following tests is most reliable to confirm a diagnosis of tuberculosis, TB, for
Mrs. Gomez?
Acid-fast bacilli in a sputum smear.
, The demonstration of tubercle bacilli bacteriologically is essential for establishing
a diagnosis.
Consuela Gomez, age 58, moved to Canada from Mexico 10 years ago. For the
past few months, she has been experiencing fatigue, cough, and occasional blood
tinged sputum. The practical nurse administers a montoux tuberculin skin test,
and this is Gomez returns to the clinic for the test to be read. Mrs. Gomez is
started on a multiple drug regime. The practical nurse teaches Mrs. Gomez about
the medication's. Which of the following drugs have side effects of autotoxicity
and nephrotoxicity?
Streptomycin.
Side effects of streptomycin include auto toxicity affecting the eighth cranial
nerve, nephrotoxicity, and hypersensitivity.
Consuela Gomez, age 58, moved to Canada from Mexico 10 years ago. For the
past few months, she has been experiencing fatigue, cough, and occasional blood
tinged sputum. The practical nurse administers a montoux tuberculin skin test,
and this is Gomez returns to the clinic for the test to be read. The practical nurse
discusses with Mrs. Gomez the importance of adherence to her medication
regime. How long will Mrs. Gomez be required to take the pharmacological
treatment for TB?
6-9 months.
A problem with adherence to therapy for tuberculosis has been the length of time
medication must be taken. 6 to 9 months of therapy have proven to be effective.
NURSING FINAL EXAM 2025|0RIGINAL QUESTIONS
AND ANSWERS|GRADED A+
Fred Kingsley, a 52-year-old country and western singer, has been diagnosed
with vocal cord polyps, requiring surgical laser removal. What is the practical
nurses priority assessment in Mr. Kingsley's immediate postoperative period?
Hemorrhage.
Rationale:->>>The throat is a vascular area, and even with laser surgery, there
is a recognized danger for hemorrhage. It may occur quickly and is the most
immediate life-threatening post surgical complication.
Fred Kingsley, a 52-year-old country and western singer, has been diagnosed
with vocal cord polyps, requiring surgical laser removal. What is the
recommended postoperative position for Mr. Kingsley?
Semi-Fowlers with the neck flexed.
Positioning the client in a semi Fowlers with the neck flexed helps prevent
pooling of secretions in the mouth and allows easier breathing and less chance of
choking, coughing, and aspirating. Clients often put themselves into high Fowlers
position for comfort and ease of breathing.
Fred Kingsley, a 52-year-old country and western singer, has been diagnosed
with vocal cord polyps, requiring surgical laser removal. What nursing action can
best alleviate Mr. Kingsleys throat discomfort?
Giving him acetaminophen, Tylenol, elixir or pills.
,Acetaminophen, Tylenol, elixir or pills is the analgesic of choice and should be
given around the clock. Sometimes rinsing the mouth out with viscous lidocaine
is effective to decrease pain in the throat.
Consuela Gomez, age 58, moved to Canada from Mexico 10 years ago. For the
past few months, she has been experiencing fatigue, cough, and occasional blood
tinged sputum. The practical nurse administers a montoux tuberculin skin test,
and this is Gomez returns to the clinic for the test to be read. Mrs. Gomez's
montoux test yields and in duration area of 10 mm. What is the most accurate
interpretation of a 10 mm result?
She has been exposed to M tuberculosis or has been vaccinated with Bacille
Calmette-Guérin.
This is a positive reaction. It indicates the presence of tuberculosis, TB, Infection
but does not show weather the infection is active or dormant. People who have
been vaccinated with the bacille Calmette geirin will have positive skin tests due
to exposure to the vaccine.
Consuela Gomez, age 58, moved to Canada from Mexico 10 years ago. For the
past few months, she has been experiencing fatigue, cough, and occasional blood
tinged sputum. The practical nurse administers a montoux tuberculin skin test,
and this is Gomez returns to the clinic for the test to be read. Which of the
following tests is most reliable to confirm a diagnosis of tuberculosis, TB, for
Mrs. Gomez?
Acid-fast bacilli in a sputum smear.
, The demonstration of tubercle bacilli bacteriologically is essential for establishing
a diagnosis.
Consuela Gomez, age 58, moved to Canada from Mexico 10 years ago. For the
past few months, she has been experiencing fatigue, cough, and occasional blood
tinged sputum. The practical nurse administers a montoux tuberculin skin test,
and this is Gomez returns to the clinic for the test to be read. Mrs. Gomez is
started on a multiple drug regime. The practical nurse teaches Mrs. Gomez about
the medication's. Which of the following drugs have side effects of autotoxicity
and nephrotoxicity?
Streptomycin.
Side effects of streptomycin include auto toxicity affecting the eighth cranial
nerve, nephrotoxicity, and hypersensitivity.
Consuela Gomez, age 58, moved to Canada from Mexico 10 years ago. For the
past few months, she has been experiencing fatigue, cough, and occasional blood
tinged sputum. The practical nurse administers a montoux tuberculin skin test,
and this is Gomez returns to the clinic for the test to be read. The practical nurse
discusses with Mrs. Gomez the importance of adherence to her medication
regime. How long will Mrs. Gomez be required to take the pharmacological
treatment for TB?
6-9 months.
A problem with adherence to therapy for tuberculosis has been the length of time
medication must be taken. 6 to 9 months of therapy have proven to be effective.
