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201 Nursezone Medical-surgical Nursing Final Coaching Part 2 (1 To 25)

25 Questions
Medical Surgical Nursing Quizzes & Trivia
Questions and Answers
  • 1. 
    SITUATION: Nurses frequently manage skin disorders independently; therefore, a thorough knowledge of the use of topical medication and therapies is crucial. Because much of the needed skin care is provided by the client or family member, the nurse must use excellent teaching skills to convey the necessary self-care information   Nurse See is implementing a teaching plan to a group of adolescents regarding the causes of acne. Which of the following is the most appropriate nursing statement regarding the cause of this disorder?
    • A. 

      “Acne is caused by oily skin”

    • B. 

      “The actual cause is not known”

    • C. 

      “Acne is caused as a result of exposure to heat and humidity”

    • D. 

      “Acne is caused by ending chocolate”

  • 2. 
    SITUATION: Nurses frequently manage skin disorders independently; therefore, a thorough knowledge of the use of topical medication and therapies is crucial. Because much of the needed skin care is provided by the client or family member, the nurse must use excellent teaching skills to convey the necessary self-care information   A client is using Isotretinoin (accutane). The nurse provide instruction to the client regarding administration of the medication. Which statement of the client would indicate a need for further teaching regarding the use of this medication?
    • A. 

      “A need to use emollients and lip balm for my dry skin and lips”

    • B. 

      “The medication may cause dryness and burning in my eyes”

    • C. 

      “I need to continue to take my vitamin A supplements”

    • D. 

      “I will need to return for a blood test to check my triglyceride level”

  • 3. 
    SITUATION: Nurses frequently manage skin disorders independently; therefore, a thorough knowledge of the use of topical medication and therapies is crucial. Because much of the needed skin care is provided by the client or family member, the nurse must use excellent teaching skills to convey the necessary self-care information   A clinic nurse is reviewing healthcare records of clients scheduled to be seen by a dermatologist. The nurse determines that which of the following individuals is at the greatest risk for development of an integumentary disorder?
    • A. 

      An older female

    • B. 

      Adolescent

    • C. 

      An outdoor construction worker

    • D. 

      A physical education teacher

  • 4. 
    SITUATION: Nurses frequently manage skin disorders independently; therefore, a thorough knowledge of the use of topical medication and therapies is crucial. Because much of the needed skin care is provided by the client or family member, the nurse must use excellent teaching skills to convey the necessary self-care information   A nurse is caring for a client with cellulitis (inflammation of the tissues) of the lower left leg. The nurse anticipates that which of the following will be prescribed for the client?
    • A. 

      Alternating hot to cold compresses continuously

    • B. 

      Intermittent heat lamp for treatment 4 times daily

    • C. 

      Cold compress to the affected area

    • D. 

      Warm compress to the affected area

  • 5. 
    SITUATION: Nurses frequently manage skin disorders independently; therefore, a thorough knowledge of the use of topical medication and therapies is crucial. Because much of the needed skin care is provided by the client or family member, the nurse must use excellent teaching skills to convey the necessary self-care information   The nursing staff is seating in the lounge taking their morning break. A nursing assistant tells the group that she thinks that the wife of a client has herpes. The nursing assistant proceeds to tell the nursing staff that she contracted it from her husband who is supposedly a drug addict. Which legal tort has the nursing attendant violated?
    • A. 

      Negligence

    • B. 

      Assault

    • C. 

      Libel

    • D. 

      Slander

  • 6. 
    SITUATION: The Community Health Nurse conducts a health promotion program regarding testicular cancer to community members   The nurse determines that further information needs to be provided if a community member states that which of the following is a sign of testicular cancer?
    • A. 

      Painless testicular swelling

    • B. 

      Alopecia

    • C. 

      Heavy sensation in the scrotum

    • D. 

      Back pain

  • 7. 
    SITUATION: The Community Health Nurse conducts a health promotion program regarding testicular cancer to community members   A nurse is instructing a client to perform a testicular self examination. The nurse instruct the client:
    • A. 

      That testicular self-examinations should be done at least every 6 months

    • B. 

      To gently feel the testicles with one finger to feel for a growth

    • C. 

      That the best time for the examination is during a shower

    • D. 

      To examine the testicles while lying down that the best time for the examination is after a shower

  • 8. 
    SITUATION: The Community Health Nurse conducts a health promotion program regarding testicular cancer to community members   Mr. Theodore approached the nurse and reports a lump the size and shape of a pea when he performed testicular self examination. The most appropriate nursing statement to the client would be? “That’s important to report even though it might not be serious” “That could be cancer. I’ll ask the doctor to examine you” “Let me know if it gets bigger next month” “Lumps like that are normal; don’t worry?”
    • A. 

      “That’s important to report even though it might not be serious”

    • B. 

      “That could be cancer. I’ll ask the doctor to examine you”

    • C. 

      “Let me know if it gets bigger next month”

    • D. 

      “Lumps like that are normal; don’t worry?”

  • 9. 
    SITUATION: The Community Health Nurse conducts a health promotion program regarding testicular cancer to community members   The mode of treatment for the client with prostate cancer is hormone therapy. The nurse understands that the goal of this form of treatment is to:
    • A. 

      Increase prostaglandin levels

    • B. 

      Increase testosterone level

    • C. 

      Increase the amount of circulating androgens

    • D. 

      Limit the amount of circulating androgens

  • 10. 
    SITUATION: The Community Health Nurse conducts a health promotion program regarding testicular cancer to community members   A client has undergone prostatectomy. The nurse provides discharge instructions to the client and tells the client to:
    • A. 

      Avoid lifting objects heavier than 20 lbs for at least 6 weeks

    • B. 

      Restrict fluid intake to prevent incontinence

    • C. 

      Avoid driving the car for 1 week

    • D. 

      Notify the physician if small blood clots are noticed during urination

  • 11. 
    SITUATION: Cancer therapy has progressed rapidly in the last half of the century. Many cancers once considered incurable are now controlled with a variety of combination therapies   A client is suspected of an ovarian tumor. She is scheduled for pelvic ultrasound. The nurse provides which pre-procedure instruction to the client?
    • A. 

      Wear comfortable clothing and shoes for the procedure

    • B. 

      Drinking 6 to 8 glasses of water without voiding before the test

    • C. 

      Eat a light breakfast only

    • D. 

      Maintain an NPO status before the procedure

  • 12. 
    SITUATION: Cancer therapy has progressed rapidly in the last half of the century. Many cancers once considered incurable are now controlled with a variety of combination therapies   A nurse assesses a client with advanced ovarian cancer. She recognizes which symptom as typical of the disease?
    • A. 

      Abnormal bleeding

    • B. 

      Diarrhea

    • C. 

      Abdominal distention

    • D. 

      Hypermenorrhea

  • 13. 
    SITUATION: Cancer therapy has progressed rapidly in the last half of the century. Many cancers once considered incurable are now controlled with a variety of combination therapies   Lilo, a hospice nurse, visits a client dying of ovarian cancer. During the visit, the client tells the nurse “If I can just live long enough to attend my daughter’s graduation, I’ll be ready to die.” Which phase of coping is this client experiencing?
    • A. 

      Anger

    • B. 

      Depression

    • C. 

      Bargaining

    • D. 

      Denial

  • 14. 
    SITUATION: Cancer therapy has progressed rapidly in the last half of the century. Many cancers once considered incurable are now controlled with a variety of combination therapies   A client will be undergoing hysterectomy. The nurse would include which of the following activities in the nursing care plan for the client on the day of surgery?
    • A. 

      Have the client void immediately before the surgery

    • B. 

      Report immediately any slight increase in BP or pulse

    • C. 

      Verify that the client has not eaten for the last 24 hours

    • D. 

      Avoid oral hygiene and rinsing with mouthwash

  • 15. 
    SITUATION: Cancer therapy has progressed rapidly in the last half of the century. Many cancers once considered incurable are now controlled with a variety of combination therapies   The nurse reviews the client’s health record and notes that the client has latex allergy. She develops a plan of care for the preoperative client. Which intervention would be included?
    • A. 

      Apply a cloth barrier to the client’s arm under a BP cuff when taking the BP

    • B. 

      Use medications that are from ampules with rubber stoppers

    • C. 

      Avoid using medication from glass ampules

    • D. 

      Avoid using IV tubing that is made of polyvinylchloride

  • 16. 
    SITUATION: Because diabetes is chronic, nursing management focuses on teaching the client and family how to manage the disorder on a day-to-day basis and how to assess for complications   Mr. Hernandez, a 45 year old bachelor is newly diagnosed with diabetes mellitus and has been stabilized with insulin injections daily. A nurse prepares a discharge teaching plan regarding the insulin. The teaching plan should reinforce which of the following concepts?
    • A. 

      Systematically rotate insulin injection sites

    • B. 

      Always keep insulin vials refrigerated

    • C. 

      Ketones in the urine signify a need for less insulin

    • D. 

      Increase the amount of insulin before unusual exercise

  • 17. 
    SITUATION: Because diabetes is chronic, nursing management focuses on teaching the client and family how to manage the disorder on a day-to-day basis and how to assess for complications   Nurse Helen teaches a patient with DM about differentiating between hypoglycemia and ketoacidosis. Patient demonstrates that she understands the teaching by stating that glucose will be needed if which of the following symptoms develop?
    • A. 

      Polyuria

    • B. 

      Blurred vision

    • C. 

      Shakiness

    • D. 

      Fruity breath color

  • 18. 
    SITUATION: Because diabetes is chronic, nursing management focuses on teaching the client and family how to manage the disorder on a day-to-day basis and how to assess for complications   Nurse Elena is monitoring a client receiving chlorpropamide (Diabinase). She knows that which of the following is not a therapeutic outcome for this client?
    • A. 

      A decrease in polyuria

    • B. 

      A fasting blood glucose of 110 mg/dl

    • C. 

      A decrease in polyphagia

    • D. 

      A glycosylated hemoglobin of 10%

  • 19. 
    SITUATION: Because diabetes is chronic, nursing management focuses on teaching the client and family how to manage the disorder on a day-to-day basis and how to assess for complications   Elena notes that a client with type 1 DM has lipodystrophy on both upper thighs. The nurse would appropriately inquire if the client:
    • A. 

      Cleanses the skin with alcohol before each injection

    • B. 

      Rotates sites for injection

    • C. 

      Aspirates for blood before injection in the subcutaneous tissue

    • D. 

      Administers the insulin at a 45 degree angle

  • 20. 
    SITUATION: Because diabetes is chronic, nursing management focuses on teaching the client and family how to manage the disorder on a day-to-day basis and how to assess for complications   Nurse Genie is instructing a client how to mix regular insulin and NPH insulin in the same syringe. Which of the following actions, if done by the client denotes need for further teaching?
    • A. 

      Injects air into NPH insulin vial first

    • B. 

      Injects an amount of air equal to the desired dose of insulin into the vial

    • C. 

      Withdraws the NPH insulin first

    • D. 

      Withdraws the regular insulin first

  • 21. 
    SITUATION: Because diabetes is chronic, nursing management focuses on teaching the client and family how to manage the disorder on a day-to-day basis and how to assess for complications   A client post hypophysectomy is complaining of thirst and urinary frequency. The initial nursing action would be to:
    • A. 

      Document the complaints

    • B. 

      Increase fluid intake

    • C. 

      Assess urine specific gravity

    • D. 

      Assess for urinary glucose

  • 22. 
    SITUATION: Because diabetes is chronic, nursing management focuses on teaching the client and family how to manage the disorder on a day-to-day basis and how to assess for complications   A nurse is caring for a patient after hypophysectomy. The nurse notices clear nasal drainage from the client’s nostril. The initial nursing action would be to:
    • A. 

      Continue to observe drainage

    • B. 

      Test the drainage for CSF

    • C. 

      Lower the head of the bed

    • D. 

      Obtain a culture of the drainage

  • 23. 
    SITUATION: Because diabetes is chronic, nursing management focuses on teaching the client and family how to manage the disorder on a day-to-day basis and how to assess for complications   After several diagnostic tests, a patient is diagnosed with diabetes insipidus. Nurse Diana performs assessment of the patient, knowing that which symptom is indicative of this disorder?
    • A. 

      Diarrhea

    • B. 

      Polydipsia

    • C. 

      Weight gain

    • D. 

      Fatigue

  • 24. 
    SITUATION: Because diabetes is chronic, nursing management focuses on teaching the client and family how to manage the disorder on a day-to-day basis and how to assess for complications   A client, diagnosed with diabetes insipidus, is receiving vasopressin. The nurse monitors the client, knowing that which of the following is the therapeutic effect of the medication?
    • A. 

      Decrease Gastrointestinal tract smooth muscle tone and contraction

    • B. 

      Increase urine output

    • C. 

      Increase reabsorption of water by the renal tubules

    • D. 

      Vasodilation of blood vessels

  • 25. 
    SITUATION: Because of the complexity of brain disorders and the emotional reactions of the client and family members to these problems, neurologic nursing is one of the most challenging areas of nursing practice   Vasopressin (pitressin) is prescribed for a client with diabetes insipidus. Nurse Gino is particularly cautious in monitoring the client in receiving this medication if the client has which of the following pre-existing conditions?
    • A. 

      Depression

    • B. 

      Endometriosis

    • C. 

      Coronary artery disease

    • D. 

      Pheochromocytoma