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Medical Surgical Nursing Practice Test Part 5 (practice Mode)- Rnpedia

13 Questions
Medical Surgical Nursing Practice Test Part 5 (practice Mode)- Rnpedia

Mark the letter of the letter of choice then click on the next button. Answer will be revealed after each question. No time limit to finish the exam. Good luck!

Questions and Answers
  • 1. 
    3. A male client brings a list of his prescribed medications to the clinic. During the initial assessment, he tells the nurse that he has been experiencing delayed ejaculation. Which drug class is associated with this problem?
    • A. 

      Anticoagulants

    • B. 

      Antibiotics

    • C. 

      Antihypertens ive

    • D. 

      Steroids

  • 2. 
    Situation: Larry was admitted at Manila Doctor's Hospital because of a second-degree burn wound. 4. Before debriding a second-degree burn wound in the left  lower leg, the nurse should do which of the following?
    • A. 

      Apply Lindane (Kwell) to the affected area

    • B. 

      Medicate the client with narcotic analgesic

    • C. 

      Administer acylovir (Zovirax) IV

    • D. 

      Apply a topical antimicrobial ointment

  • 3. 
    Situation: Larry was admitted at Manila Doctor's Hospital because of a second-degree burn wound.5. Larry’s anterior trunk, both front upper extremities, both lower extremities sustained second and third degree burn. Estimate the total percentage of body surface area burned using the Rule of Nines.
    • A. 

      60%

    • B. 

      63%

    • C. 

      62%

    • D. 

      61%

  • 4. 
    Situation . Hearing, impairment appears to be common among elderly patients. But also occurs among children. 6. To assess the degree of hearing impairment of a 70-year-old client. Which communication approach would you initiate?
    • A. 

      Use verbal communication and observe the response

    • B. 

      Give message to client in writing

    • C. 

      Asks a family member about the client's

    • D. 

      Post a sign "Patient deaf"

  • 5. 
    Situation . Hearing, impairment appears to be common among elderly patients. But also occurs among children.8. One of your client's has just undergone an ear surgery. Which of the following would be inappropriate in planning for his care?
    • A. 

      Administration of anti-emetics and analgesics as ordered

    • B. 

      Daily irrigation of the ear canal

    • C. 

      Walking with assistance at least 24 hours after operation

    • D. 

      Teaching the patient to avoid sneezing, coughing and nose blowing

  • 6. 
    Situation . Hearing, impairment appears to be common among elderly patients. But also occurs among children.9. Which of the following conditions would an irrigation of the  ear canal be appropriate intervention?
    • A. 

      Foreign body in the ear canal

    • B. 

      Serious otitis

    • C. 

      Impacted cerumen

    • D. 

      Tympanic membrane perforation

  • 7. 
    Situation . Hearing, impairment appears to be common among elderly patients. But also occurs among children. 10. Children who have undetected hearing loss are likely to  exhibit which of the following:
    • A. 

      Indifference and lack of interest in the environment

    • B. 

      Hyperactivity

    • C. 

      An increased interest in reading

    • D. 

      Hand gestures while speaking

  • 8. 
    Situation . One of the main fools of the nursing profession is the use of therapeutic communication. The following situation would require you of your communication skills. 11. A patient who is diagnosed to have terminal illness tells  you. "I’m really scared. Am I dying?" What could be your most  appropriate response?
    • A. 

      "Tell me about what you think."

    • B. 

      "I'm sure you are scared; other clients in your situation feel the same way."

    • C. 

      "You should be careful not to let your family know you're scared"

    • D. 

      "Why are you scared?"

  • 9. 
    Situation . One of the main fools of the nursing profession is the use of therapeutic communication. The following situation would require you of your communication skills.13. A 58-year-old male client tells the office nurse that his wife does not let him change his colostomy bag himself. Which response by the nurse indicates as understanding of the situation?
    • A. 

      "Your wife's need to help you is a reality you should accept"

    • B. 

      "Do you think your wife might benefit from counseling?"

    • C. 

      "You feel you need privacy when changing your colostomy?"

    • D. 

      "Have you discussed the situation with your doctor?"

  • 10. 
    A 42-year-old client admitted with an acute myocardial infarction asks to see his chart. What should the nurse do first?  
    • A. 

      Allow the client to view his chart

    • B. 

      Contact the supervisor and physician for approval

    • C. 

      Ask the client if he has concerns about his care

    • D. 

      Tell the client that he isn't permitted to view his chart.

  • 11. 
    A registered nurse who works in the preoperative area of the operating room notices that a client is scheduled for a partial mastectomy and axillary lymph node removal the following week. The nurse should make sure, that the client is well educated about her surgery by: 
    • A. 

      Taking with the nursing staff at the physician's office to find out what the client has been taught and her level of understanding

    • B. 

      Making sure that the post-anesthesia recovery unit nurses know what to teach the patient before discharge

    • C. 

      Providing all of the preoperative teaching before surgery

    • D. 

      Having the post-operative nurses teach the patient because she'll be too anxious before surgery

  • 12. 
    Situation . Hearing, impairment appears to be common among elderly patients. But also occurs among children. While you are mating your routine rounds you were told that there is a client in the 1CU who is in respirator and who lip- reads. To establish relationship with him, communication is best accomplished by: 
    • A. 

      Speaking slowly but aloud

    • B. 

      Writing messages

    • C. 

      Gesturing while speaking

    • D. 

      Using simple "charade" approach or strategy

  • 13. 
    Situation : One of the main fools of the nursing profession is the use of therapeutic communication. The following situation would require you of your communication skills.The nurse assessing a male client who has been admitted  for treatment of alcoholism. Which question by the nurse is  least appropriate? 
    • A. 

      "How much do you think?"

    • B. 

      "What other drugs do you use?" .

    • C. 

      "How is your general health?"

    • D. 

      "Why do you drink so much?"

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