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

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1.  A client has a medical history of rheumatic fever, type 1 (insulin dependent) diabetes mellitus, hypertension, pernicious anemia, and appendectomy. She’s admitted to the hospital and undergoes mitral valve replacement surgery. After discharge, the client is scheduled for a tooth extraction. Which history finding is a major risk factor for infective endocarditis?
A.
B.
C.
D.
2.  A school cafeteria worker comes to the physician’s office complaining of severe scalp itching. On inspection, the nurse finds nail marks on the scalp and small light-colored round specks attached to the hair shafts close to the scalp. These findings suggest that the client suffers from:
A.
B.
C.
D.
3.  Before weaning a client from a ventilator, which assessment parameter is most important for the nurse to review?
A.
B.
C.
D.
4.  Ottorrhea and rhinorrhea are most commonly seen with which type of skull fracture?
A.
B.
C.
D.
5.  A young man was running along an ocean pier, tripped on an elevated area of the decking, and struck his head on the pier railing. According to his friends, “He was unconscious briefly and then became alert and behaved as though nothing had happened.” Shortly afterward, he began complaining of a headache and asked to be taken to the emergency department. If the client’s intracranial pressure (ICP) is increasing, the nurse would expect to observe which of thefollowing signs first?
A.
B.
C.
D.
6.  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.
7.  The nurse is caring for four clients on a stepdown intensive care unit. The client at the highest risk for developing nosocomial pneumonia is the one who:
A.
B.
C.
D.
8.  A client with autoimmune thrombocytopenia and a platelet count of 800/uL develops epistaxis and melena. Treatment with corticosteroids and immunoglobulins has been unsuccessful, and the physician recommends a splenectomy. The client states, “I don’t need surgery—this will go away on its own.” In considering her response to the client, the nurse must depend on the ethical principle of:
A.
B.
C.
D.
9.  A client received burns to his entire back and left arm. Using the Rule of Nines, the nurse can calculate that he has sustained burns on what percentage of his body?
A.
B.
C.
D.
10.  For a client newly diagnosed with radiationinduced thrombocytopenia, the nurse should include which intervention in the plan of care?
A.
B.
C.
D.
11.  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.
12.  The nurse assesses a client with urticaria. The nurse understands that urticaria is another name for:
A.
B.
C.
D.
13.  When assessing the client with celiac disease, the nurse can expect to find which of the following?
A.
B.
C.
D.
14.  A client with type 1 diabetes mellitus has been on a regimen of multiple daily injection therapy. He’s being converted to continuous subcutaneous insulin therapy. While teaching the client bout continuous subcutaneous insulin therapy, the nurse would be accurate in telling him the regimen includes the use of:
A.
B.
C.
D.
15.  Which action should take the highest priority when caring for a client with hemiparesis caused by a cerebrovascular accident (CVA)?
A.
B.
C.
D.
16.  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.
17.  A 20 yr-old woman has just been diagnosed with Crohn’s disease. She has lost 10 lb (4.5 kg) and has cramps and occasional diarrhea. The nurse should include which of the following when doing a nutritional assessment?
A.
B.
C.
D.
18.  Turn and reposition the client a minimum of every 8 hours.
A.
B.
C.
D.
19.  A client with a history of hypertension is diagnosed with primary hyperaldosteronism. This diagnosis indicates that the client’s hypertension is caused by excessive hormone secretion from which organ?
A.
B.
C.
D.
20.  For the first 72 hours after thyroidectomy surgery, the nurse would assess the client for Chvostek’s sign and Trousseau’s sign because they indicate which of the following?
A.
B.
C.
D.
21.  The nurse is performing wound care on a foot ulcer in a client with type 1 diabetes mellitus. Which technique demonstrates surgical asepsis?
A.
B.
C.
D.
22.  The nurse is caring for a client with a fractures hip. The client is combative, confused, and trying to get out of bed. The nurse should:
A.
B.
C.
D.
23.  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.
24.  Which nursing diagnosis is most appropriate for an elderly client with osteoarthritis?
A.
B.
C.
D.
25.  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.
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