Medical-Surgical Nursing Exam 1 2024
1. The nurse is caring for a client who has as a son with a streptococcus
throat infection. Which nurse recommendation would be best to advise the
client to do in order to prevent acquiring the infection?: Frequently wash her
hands and surfaces of the home.
2. The nurse is caring for a client infected with Rocky Mountain spotted
fever. The nurse should ask if the client has experienced which of the
following?: Was bitten by a tick
3. The nurse is caring for a client with a protozoa infection. Which is the
most likely mode of transmission?: Ingestion of contaminated food or water
4. The nurse is caring for a client who is recovering from an allergic
reaction. Which leukocyte level would the nurse expect to be the most
elevated?: Eosinophils
5. The nurse is caring for a client who has an infected wound on the great
toe that is red with a purulent exudate. The nurse expects that this client has
which type of infection?: Localized
6. The client experienced a fall. Nursing assessment reveals that the client
is experiencing tachycardia, hypotension, confusion, tachypnea, and flat
jugular veins. What should be the nurse's first response?: Administer oxygen.
7. The family wants to know why the nurse is putting a urinary catheter in
a client experiencing shock. What is the nurse's best response?: "It will help
monitor how much urine the kidneys are able to produce."
8. A client experiencing shock has had a urinary output of 250 mL in the
last 10 hours. What is the nurse's most appropriate response?: Notify the
physician.
9. Which client is most likely to be experiencing hypovolemic shock?: A
client who had surgery 24 hours ago and who also has a nasogastric tube
10. The physician has ordered arterial blood gases for a client experiencing
shock. The nurse knows that which value indicates shock?: pH 7.32
11. A 63-year-old Arab American male states his left leg is "hot." What is the
nurse's best first response?: Assess for pain
12. The client is complaining of excruciating pain in a foot that has been
amputated. The family tells the nurse that the client is just addicted to pain
medications. What is the nurse's best response?: "He is experiencing phantom
limb pain."
13. A client has had abdominal surgery and has orders to be ambulated three
times a day. Oral pain medication has been ordered for the client. What should
,the nurse do to facilitate ambulation?: Mediate 1 hour prior to ambulating the
client.
14. The client reports frequent use of acetaminophen. How should the nurse
best respond?: "Do you drink alcohol?"
15. A client with chronic pain has been admitted with a fever. The nursing
assessment reveals that the client has a decreased level of consciousness.
What should the nurse ask the family about?: What medications the client has
taken
16. The practical nurse is reviewing the social history from a client
diagnosed with small cell carcinoma of the lung. Which information is
significant for this disease?: The client has smoked two (2) packs of cigarettes a
day for 20 years 17. The practical nurse and an unlicensed assistive personnel
(UAP) are caring for a group of clients on a medical unit. Which information
provided by the UAP warrants immediate intervention by the practical nurse?:
The client receiving
Procrit (epoetin alfa) has a T 99.2ÚF, P 68, R 24, and BP of 198/102
18. The client diagnosed with lung cancer has been told the cancer has
metastasized to the brain. Which intervention should the practical nurse
expect to implement?: Discuss implementing an advance directive
19. The client diagnosed with lung cancer is being discharged. Which
statement made by the client indicates a reiteration of information is
required?: "It doesn't matter if I smoke now. I already have cancer."
20. The practical nurse is interviewing clients at the clinic. Which
information provided by a client warrants further investigation?: The client has
been coughing up blood in the mornings
21. The male client had abdominal surgery and the practical nurse suspects
the client has peritonitis. Which information support the diagnosis of
peritonitis?: Hard, rigid abdomen and white blood cell count 22,000/mm3
22. The client who had abdominal surgery tells the practical nurse, "I felt
something give way in my stomach." Which intervention should the practical
nurse implement first?: Inspect the abdominal wound incision
23. The client is one (1) day postoperative major abdominal surgery. Which
client problem is a priority?: Fluid and electrolyte imbalance
24. The client has an eviscerated abdominal wound. Which intervention
should the practical nurse implement?: Apply sterile normal saline dressing
25. The client is diagnosed with peritonitis. Which information indicates to
the practical nurse the client's condition is improving?: The client has a
decrease in temperature and a soft abdomen
, Medical-Surgical Nursing Exam 1 2024
26. A patient is being released from the hospital with a prescription for
tetracycline. What should the nurse include in patient teaching?
Select all that apply.: Advise limiting exposure to the sun.
Inform patient of the possibility of gastrointestinal upset.
Suggest eating crackers and some juice when taking this medicine.
27. The nurse wants to determine if a patient not fully awake from anesthesia
for a surgical procedure is experiencing pain. What findings should the nurse
use to make this determination?
Select all that apply.: Moaning
Restlessness
Pulling at a body area
Elevated blood pressure
28. A patient is diagnosed with an infection that has spread to the blood
stream. Which term should the nurse use to document this patient's health
problem?: Sepsis
29. The nurse learns that a patient is being admitted with an infectious
disease that is transmited through the air. For which health problems should
the nurse prepare to provide care?
Select all that apply.: Measles
Tuberculosis
Chickenpox
30. A patient is diagnosed with Rocky Mountain spotted fever. What should
the nurse explain as the method by which this disease was transmitted to the
patient?: Ticks
31. A patient returning from the recovery room following abdominal surgery
to drain an abscess has a nonsuction-type drain placed in the wound bed to
allow drainage. Which drain should the nurse expect to see?: Penrose drain
32. A patient has an epidural catheter placed for pain control. Which
medications should the nurse question before providing them to the patient
during routine medication administration?
1. The nurse is caring for a client who has as a son with a streptococcus
throat infection. Which nurse recommendation would be best to advise the
client to do in order to prevent acquiring the infection?: Frequently wash her
hands and surfaces of the home.
2. The nurse is caring for a client infected with Rocky Mountain spotted
fever. The nurse should ask if the client has experienced which of the
following?: Was bitten by a tick
3. The nurse is caring for a client with a protozoa infection. Which is the
most likely mode of transmission?: Ingestion of contaminated food or water
4. The nurse is caring for a client who is recovering from an allergic
reaction. Which leukocyte level would the nurse expect to be the most
elevated?: Eosinophils
5. The nurse is caring for a client who has an infected wound on the great
toe that is red with a purulent exudate. The nurse expects that this client has
which type of infection?: Localized
6. The client experienced a fall. Nursing assessment reveals that the client
is experiencing tachycardia, hypotension, confusion, tachypnea, and flat
jugular veins. What should be the nurse's first response?: Administer oxygen.
7. The family wants to know why the nurse is putting a urinary catheter in
a client experiencing shock. What is the nurse's best response?: "It will help
monitor how much urine the kidneys are able to produce."
8. A client experiencing shock has had a urinary output of 250 mL in the
last 10 hours. What is the nurse's most appropriate response?: Notify the
physician.
9. Which client is most likely to be experiencing hypovolemic shock?: A
client who had surgery 24 hours ago and who also has a nasogastric tube
10. The physician has ordered arterial blood gases for a client experiencing
shock. The nurse knows that which value indicates shock?: pH 7.32
11. A 63-year-old Arab American male states his left leg is "hot." What is the
nurse's best first response?: Assess for pain
12. The client is complaining of excruciating pain in a foot that has been
amputated. The family tells the nurse that the client is just addicted to pain
medications. What is the nurse's best response?: "He is experiencing phantom
limb pain."
13. A client has had abdominal surgery and has orders to be ambulated three
times a day. Oral pain medication has been ordered for the client. What should
,the nurse do to facilitate ambulation?: Mediate 1 hour prior to ambulating the
client.
14. The client reports frequent use of acetaminophen. How should the nurse
best respond?: "Do you drink alcohol?"
15. A client with chronic pain has been admitted with a fever. The nursing
assessment reveals that the client has a decreased level of consciousness.
What should the nurse ask the family about?: What medications the client has
taken
16. The practical nurse is reviewing the social history from a client
diagnosed with small cell carcinoma of the lung. Which information is
significant for this disease?: The client has smoked two (2) packs of cigarettes a
day for 20 years 17. The practical nurse and an unlicensed assistive personnel
(UAP) are caring for a group of clients on a medical unit. Which information
provided by the UAP warrants immediate intervention by the practical nurse?:
The client receiving
Procrit (epoetin alfa) has a T 99.2ÚF, P 68, R 24, and BP of 198/102
18. The client diagnosed with lung cancer has been told the cancer has
metastasized to the brain. Which intervention should the practical nurse
expect to implement?: Discuss implementing an advance directive
19. The client diagnosed with lung cancer is being discharged. Which
statement made by the client indicates a reiteration of information is
required?: "It doesn't matter if I smoke now. I already have cancer."
20. The practical nurse is interviewing clients at the clinic. Which
information provided by a client warrants further investigation?: The client has
been coughing up blood in the mornings
21. The male client had abdominal surgery and the practical nurse suspects
the client has peritonitis. Which information support the diagnosis of
peritonitis?: Hard, rigid abdomen and white blood cell count 22,000/mm3
22. The client who had abdominal surgery tells the practical nurse, "I felt
something give way in my stomach." Which intervention should the practical
nurse implement first?: Inspect the abdominal wound incision
23. The client is one (1) day postoperative major abdominal surgery. Which
client problem is a priority?: Fluid and electrolyte imbalance
24. The client has an eviscerated abdominal wound. Which intervention
should the practical nurse implement?: Apply sterile normal saline dressing
25. The client is diagnosed with peritonitis. Which information indicates to
the practical nurse the client's condition is improving?: The client has a
decrease in temperature and a soft abdomen
, Medical-Surgical Nursing Exam 1 2024
26. A patient is being released from the hospital with a prescription for
tetracycline. What should the nurse include in patient teaching?
Select all that apply.: Advise limiting exposure to the sun.
Inform patient of the possibility of gastrointestinal upset.
Suggest eating crackers and some juice when taking this medicine.
27. The nurse wants to determine if a patient not fully awake from anesthesia
for a surgical procedure is experiencing pain. What findings should the nurse
use to make this determination?
Select all that apply.: Moaning
Restlessness
Pulling at a body area
Elevated blood pressure
28. A patient is diagnosed with an infection that has spread to the blood
stream. Which term should the nurse use to document this patient's health
problem?: Sepsis
29. The nurse learns that a patient is being admitted with an infectious
disease that is transmited through the air. For which health problems should
the nurse prepare to provide care?
Select all that apply.: Measles
Tuberculosis
Chickenpox
30. A patient is diagnosed with Rocky Mountain spotted fever. What should
the nurse explain as the method by which this disease was transmitted to the
patient?: Ticks
31. A patient returning from the recovery room following abdominal surgery
to drain an abscess has a nonsuction-type drain placed in the wound bed to
allow drainage. Which drain should the nurse expect to see?: Penrose drain
32. A patient has an epidural catheter placed for pain control. Which
medications should the nurse question before providing them to the patient
during routine medication administration?
