Medical Surgical Nursing Test II (practice)- Www.rnpedia.com

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1.  A client with a history of an anterior wall myocardial infarction is being transferred from the coronary care unit (CCU) to the cardiac stepdown unit (CSU). While giving report to the CSU nurse, the CCU nurse says, “His pulmonary artery wedge pressures have been in the high normal range.” The CSU nurse should be especially observant for:
A.
B.
C.
D.
2.  A client is chronically short of breath and yet has normal lung ventilation, clear lungs, and an arterial oxygen saturation (SaO2) 96% or better. The client most likely has:
A.
B.
C.
D.
3.  A client is hospitalized with a diagnosis of chronic renal failure. An arteriovenous fistula was created in his left arm for hemodialysis. When preparing the client for discharge, the nurse should reinforce which dietary instruction?
A.
B.
C.
D.
4.  When assessing the client with celiac disease, the nurse can expect to find which of the following?
A.
B.
C.
D.
5.  Ottorrhea and rhinorrhea are most commonly seen with which type of skull fracture?
A.
B.
C.
D.
6.  The nurse is reviewing the laboratory results of a client with rheumatoid arthritis. Which of the following laboratory results should the nurse expect to find?
A.
B.
C.
D.
7.  A client experiences problems in body temperature regulation associated with a skin impairment. Which gland is most likely involved?
A.
B.
C.
D.
8.  Because diet and exercise have failed to control a 63 yr-old client’s blood glucose level, the client is prescribed glipizide (Glucotrol). After oral administration, the onset of action is:
A.
B.
C.
D.
9.  A client with a solar burn of the chest, back, face, and arms is seen in urgent care. The nurse’s primary concern should be:
A.
B.
C.
D.
10.  Emergency medical technicians transport a 28 yr-old iron worker to the emergency department. They tell the nurse, “He fell from a two-story building. He has a large contusion on his left chest and a hematoma in the left parietal area. He has compound fracture of his left femur and he’s comatose. We intubated him and he’s maintaining an arterial oxygen saturation of 92% by pulse oximeter with a manual-resuscitation bag.” Which intervention by the nurse has thehighest priority?
A.
B.
C.
D.
11.  The nurse is assessing a postcraniotomy client and finds the urine output from a catheter is 1500 ml for the 1st hour and the same for the 2nd hour. The nurse should suspect:
A.
B.
C.
D.
12.  The nurse is caring for client with a new donor site that was harvested to treat a new burn. The nurse position the client to:
A.
B.
C.
D.
13.  The nurse is caring for a client who underwent a subtotal gastrectomy 24 hours earlier. The client has a nasogastric (NG) tube. The nurse should:
A.
B.
C.
D.
14.  A 62 yr-old client diagnosed with pyelonephritis and possible septicemia has had five urinary tract infections over the past two years. She’s fatigued from lack of sleep; urinates frequently, even during the night; and has lost weight recently. Test reveal the following: sodium level 152 mEq/L, osmolarity 340 mOsm/L, glucose level 125 mg/dl, and potassium level 3.8 mEq/L. which of the following nursing diagnoses is most appropriate for this client?
A.
B.
C.
D.
15.  A woman whose husband was recently diagnosed with active pulmonary tuberculosis (TB) is a tuberculin skin test converter. Management of her care would include:
A.
B.
C.
D.
16.  A client with three children who is still I the child bearing years is admitted for surgical repair of a prolapsed bladder. The nurse would find that the client understood the surgeon’s preoperative teaching when the client states:
A.
B.
C.
D.
17.  For a client newly diagnosed with radiationinduced thrombocytopenia, the nurse should include which intervention in the plan of care?
A.
B.
C.
D.
18.  A client is admitted with a diagnosis of meningitis caused by Neisseria meningitides. The nurse should institute which type of isolation precautions?
A.
B.
C.
D.
19.  When instructions should be included in the discharge teaching plan for a client after thyroidectomy for Grave’s disease?
A.
B.
C.
D.
20.  A client is admitted to the health care facility with active tuberculosis. The nurse should include which intervention in the plan of care?
A.
B.
C.
D.
21.  In an industrial accident, client who weighs 155 lb (70.3 kg) sustained full-thickness burns over 40% of his body. He’s in the burn unit receiving fluid resuscitation. Which observation shows that the fluid resuscitation is benefiting the client?
A.
B.
C.
D.
22.  Which action should take the highest priority when caring for a client with hemiparesis caused by a cerebrovascular accident (CVA)?
A.
B.
C.
D.
23.  Before weaning a client from a ventilator, which assessment parameter is most important for the nurse to review?
A.
B.
C.
D.
24.  The nurse is providing home care instructions to a client who has recently had a skin graft. Which instruction is most important for the client to remember?
A.
B.
C.
D.
25.  Which statement is true about crackles?
A.
B.
C.
D.
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