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

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1.  A 52 yr-old female tells the nurse that she has found a painless lump in her right breast during her monthly self-examination. Which assessment finding would strongly suggest that this client’s lump is cancerous?
A.
B.
C.
D.
2.  Parathyroid hormone (PTH) has which effects on the kidney?
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.  A client experiences problems in body temperature regulation associated with a skin impairment. Which gland is most likely involved?
A.
B.
C.
D.
5.  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.
6.  The nurse is formulating a teaching plan for a client who has just experienced a transient ischemic attack (TIA). Which fact should the nurse include in the teaching plan?
A.
B.
C.
D.
7.  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.
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8.  A client who recently had a cerebrovascular accident requires a cane to ambulate. When teaching about cane use, the rationale for holding a cane on the uninvolved side is to:
A.
B.
C.
D.
9.  While in skilled nursing facility, a client contracted scabies, which is diagnosed the day after discharge. The client is living at her  daughter’s home with six other persons. During her visit to the clinic, she asks a staff nurse, “What should my family do?” the most accurate response from the nurse is:
A.
B.
C.
D.
10.  When caring for a client with esophageal varices, the nurse knows that bleeding in this disorder usually stems from:
A.
B.
C.
D.
11.  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.
12.  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.
13.  The nurse is caring for a client who has just had a modified radical mastectomy with immediate reconstruction. She’s in her 30s and has tow children. Although she’s worried about her future, she seems to be adjusting well to her diagnosis. What should the nurse do to supporther coping?
A.
B.
C.
D.
14.  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.
15.  Which statement is true about crackles?
A.
B.
C.
D.
16.  Which nursing diagnosis is most appropriate for an elderly client with osteoarthritis?
A.
B.
C.
D.
17.  The nurse is caring for a client who is to undergo a lumbar puncture to assess for the presence of blood in the cerebrospinal fluid (CSF) and to measure CSF pressure. Which result would indicate n abnormality?
A.
B.
C.
D.
18.  A Client is scheduled to have a descending colostomy. He’s very anxious and has many questions regarding the surgical procedure, care of stoma, and lifestyle changes. It would be most appropriate for the nurse to make a referral to which member of the health care team?
A.
B.
C.
D.
19.  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.
20.  The nurse is caring for a client who ahs had an above the knee amputation. The client refuses to look at the stump. When the nurse attempts to speak with the client about his surgery, he tells the nurse that he doesn’t wish to discuss it. The client also refuses to have his family visit. The nursing diagnosis that best describes the client’s problem is:
A.
B.
C.
D.
21.  For a client newly diagnosed with radiationinduced thrombocytopenia, the nurse should include which intervention in the plan of care?
A.
B.
C.
D.
22.  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.
23.  After a cerebrovascular accident, a 75 yr old client is admitted to the health care facility. The client has left-sided weakness and an absent gag reflex. He’s incontinent and has a tarry stool. His blood pressure is 90/50 mm Hg, and his hemoglobin is 10 g/dl. Which of the following is a priority for this client?
A.
B.
C.
D.
24.  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.
25.  A client with a head injury is being monitored for increased intracranial pressure (ICP). His blood pressure is 90/60 mmHG and the ICP is 18 mmHg; therefore his cerebral perfusion pressure (CPP) is:
A.
B.
C.
D.
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