Medical Surgical Nursing Practice Test Part 5 (practice Mode)- Www.rnpedia.com

50 Questions  I  By Rnpedia on May 15, 2012
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1.  50. A client with myasthenia gravis has been receiving Neostigmine (Prostigmin). This drug acts by:
A.
B.
C.
D.
2.  Situation . Hearing, impairment appears to be common among elderly patients. But also occurs among children. 7. 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.
B.
C.
D.
3.  24. An adult has chronic lower back pain and receives hot pack three times a week. The nurse knows that the treatment is given for which of the following reasons?
A.
B.
C.
D.
4.  35. The nurse prepares to palpate a clients maxillary sinues. For this procedure, where should the nurse place the hands?
A.
B.
C.
D.
5.  36. A client who receives general anesthesia returns from  surgery. Postoperatively, which nursing diagnosis takes highest priority for this client?
A.
B.
C.
D.
6.  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.
B.
C.
D.
7.  20. The nurse caring for an adult client who is receiving TPN will need to be monitored for which of the following metabolic complications?
A.
B.
C.
D.
8.  40. The nurse assesses the client's home environment for the safe use crutches. Which one of the following would pose the greatest hazard to the client's safe use of crutches at home?
A.
B.
C.
D.
9.  38. A patient classification system where patients need close attention and complete care in most activities and requires frequent and complex treatments and medications:
A.
B.
C.
D.
10.  45. A client has been diagnosed as having bladder cancer, and a cystectomy and an ileal conduit are scheduled. Preoperatively, the nurse plans to:
A.
B.
C.
D.
11.  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.
B.
C.
D.
12.  22. A man has sprained his ankle. The physician would order cold applied to the injured area to.
A.
B.
C.
D.
13.  42. Which of the following statements, if made by a patient who has had a basal cell carcinoma removed, would indicate to  the nurse the need for further instruction?
A.
B.
C.
D.
14.  32. An adult ha a left, above the knee amputation two weeks ago. The nurse places him in a prone position tree times a day because:
A.
B.
C.
D.
15.  37. After a client receives an IM injection, he complains of a burning pain in the injection site. Which nursing action whould be best to take at this time?
A.
B.
C.
D.
16.  16. The nurse is caring for a client whose arterial blood gases indicate metabolic acidosis. The nurse knows that of the  following, the least likely to cause metabolic acidosis is:
A.
B.
C.
D.
17.  28. A man who has been in an MVA is going into shock. Before placing the client in a modified trendelenburg position, the nurse should assess the client for:
A.
B.
C.
D.
18.  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.
B.
C.
D.
19.  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.
B.
C.
D.
20.  47. A client has been diagnosed as having bladder cancer, and a cystectomy and an ileal conduit are scheduled. Preoperatively, the nurse plans to:
A.
B.
C.
D.
21.  46. To gain access to a vein and an artery, an external shunt may be used for clients who require hemodialysis. The most serious problem with an external shunt is.
A.
B.
C.
D.
22.  25. A patient classification system where patients minimal therapy and less frequent observation
A.
B.
C.
D.
23.  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.
B.
C.
D.
24.  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.
B.
C.
D.
25.  49. The nurse should know that, following a fracture of the neck of the femur, the desirable position for the
A.
B.
C.
D.
26.  43. A patient who has a diagnosis is metastatic cancer of the kidney is told by the physician that the kidney needs to be removed. The patient asks the nurse. "What should I do?"Which of the following responses by the nurse would be most therapeutic?
A.
B.
C.
D.
27.  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.
B.
C.
D.
28.  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.12. The nurse assessing a male client who has been admitted  for treatment of alcoholism. Which question by the nurse is  least appropriate?
A.
B.
C.
D.
29.  31. The nurse knows which of the following is the proper  technique for medical asepsis?
A.
B.
C.
D.
30.  44. Which of the following conditions, reported to a nurse by a 20 year old male patient, would indicate a risk for development  of testicular cancer?
A.
B.
C.
D.
31.  1. A 42-year-old client admitted with an acute myocardial infarction asks to see his chart. What should the nurse do first?
A.
B.
C.
D.
32.  17. The nurse is caring for a client who is receiving IV fluids, Which observation the nurse makes best indicates that the IV  has infiltrated?
A.
B.
C.
D.
33.  15. You are encouraging your patient for major cancer operation to verbalize her fears. She remarked," I am afraid to  do". Your appropriate response is
A.
B.
C.
D.
34.  14. An 87 year old widow was hospitalized for treatment of chronic renal disease. She lives with her daughter and son-in- law and their family, who are very supportive. She is now ready for discharge. The doctor has ordered high carbohydrates, low-protein, low sodium diet for her and the family has asked for assistance in planning low-sodium diet meals. Which of the following choices best reflects the pre-discharge information the nurse should provide for the client's family regarding low-sodium diet?
A.
B.
C.
D.
35.  48. Intramedullary nailing is used in the treatment of:
A.
B.
C.
D.
36.  21. Total parenteral nutrition is ordered for an adult. Which nutrient is not likely to be in the solution?
A.
B.
C.
D.
37.  29. The nurse enter a room and finds a fire. Which is the best initial action?
A.
B.
C.
D.
38.  30. The nurse is to open a sterile package from central supply.  Which is the correct direction to open the first lap?
A.
B.
C.
D.
39.  34. An adult is supine. Which of the ff. can the nurse to to prevent external rotation of the legs?
A.
B.
C.
D.
40.  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.
B.
C.
D.
41.  26. The nurse is to apply a dressing to a stage II pressure ulcer. Which of the following dressing is best?
A.
B.
C.
D.
42.  39. An observation consistent with complete-airway obstruction is:
A.
B.
C.
D.
43.  33. A woman is to have a pelvic exam. Which of the following should the nurse have the client do first?
A.
B.
C.
D.
44.  41. A patient who has kaposis sarcoma has all of the following nursing diagnoses. To which one should the nurse give priority?
A.
B.
C.
D.
45.  18 A 27 y.o adult is admitted for treatment of Crohn's disease. Which information is most significant when the nurse assesses nurtritional health?
A.
B.
C.
D.
46.  23. An adult is to have a tepid sponge bath to lower his fever. What temperature should the nurse make the water?
A.
B.
C.
D.
47.  27. The client has been placed in the trendelenburg position. The nurse knows the effects of this position to the client include which of the following.
A.
B.
C.
D.
48.  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.
B.
C.
D.
49.  2. 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.
B.
C.
D.
50.  19. ASA (aspirin) is being administered to a client. The nurse understands that the most common mechanism of action for nonnarcotic analgesic is their ability to:
A.
B.
C.
D.
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