Quiz: Medical-surgical Nursing
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Medical-surgical nursing is known as the foundation of nursing practice. Nurses practicing under this title are concerned with the care of adult patients who are in a broad range of medical conditions. And as for the USA, it is the single largest nursing specialty practicing in the country. This is a brief practice test on the same with twenty-five basic questions.
- 1.
- A.
Tea
- B.
Nuts
- C.
Coffee
- D.
Spicy foods
- 2.
- A.
Stimulate thyroid gland production
- B.
Activate parathyroid production
- C.
Maintain electrolyte balance
- D.
Activate the immune response
- 3.
- A.
2.5 cm
- B.
4.5 cm
- C.
2.5 cm
- D.
4.5 cm
- 4.
- A.
Glucose tablets and subcutaneous glucagon should be made available.
- B.
If the client is exercising, the evening dose of NPH insulin can be discontinued.
- C.
Urine should be monitored for presence of acetone.
- D.
Assess for signs of coma and drowsiness.
- 5.A nurse prepares discharge instructions for a patient with chronic syndrome of inappropriate antidiuretic hormone (SIADH). Which statement indicates that the patient understands these instructions?
- A.
I will use a refractometer to check the specific gravity of my urine. If the result gradually rises, I will consult my physician.
- B.
I’ll check my pulse every morning and will contact my doctor if it’s rapid or irregular.
- C.
I have to avoid too much sodium intake. I will read all food tablets to make sure I don’t get too much of it in my diet.
- D.
I will weigh every day and I will log it in a notebook. I will call my physician whenever I gain 2 lbs or more in a day without changing my eating habits.
- 6.
- A.
Increased appetite, weight loss, hyperdefecation..
- B.
Increased urination, weight loss, increased thirst.
- C.
Decreased appetite, weight gain, constipation.
- D.
Increased urination, weight gain, and purplish red striae.
- 7.
- A.
½ inch
- B.
¼ inch
- C.
1/8 inch
- D.
1/16 inch
- 8.
- A.
Removing the head of the pancreas, most of the duodenum, portion of the bile duct and sometimes a portion of the stomach.
- B.
Removing the duodenum, portion of liver and sometimes the portion of bile duct.
- C.
Removing the head of pancreas, portion of liver and stomach.
- D.
Remove the majority of pancreas and stomach.
- 9.
- A.
Melena more common than hematemesis.
- B.
Decreased acid secretion.
- C.
Recurrence unlikely after surgery.
- D.
Has a malignancy potential (occurs in approximately 10% of clients).
- 10.Hiatal hernia is a condition in which the upper portion of the stomach protrudes into the chest cavity through the opening of the diaphragm called the esophageal hiatus. A nurse is instructing a patient with hiatal hernia about the fluids that the client can drink that will less likely produce irritation to the gastric mucosa. Which of the following is the correct response of the nurse?
- A.
Tomato juice
- B.
Pineapple juice
- C.
Apple juice
- D.
Grapefruit juice
- 11.
- A.
When I can swallow food without vomiting.
- B.
When I’m comfortable eating solid food.
- C.
When my GI system is completely healed.
- D.
When my bowels begin to function again, and I begin to pass gas.
- 12.
- A.
Lying down after meals
- B.
Drinking water after meals
- C.
Stay in upright position after meals
- D.
Bend over after meals
- 13.The appendix is a small pouch attached to the large intestine. Appendicitis is characterized by inflammation of the appendix. A patient with appendicitis is at risk for developing:
- A.
Hemorrhage
- B.
Pulmonary edema
- C.
Peritonitis
- D.
Bowel obstruction
- 14.The physician prescribes an order for the nurse to discontinue a patient’s nasogastric tube. Before removing the tube, the nurse should:
- A.
Aspirate gastric contents to make sure that the residual volume is less than 50 ml
- B.
Assess for client’s bowel sounds
- C.
Make sure that the client is able to swallow and chew food
- D.
Determine the integrity of the taste buds
- 15.An ileostomy is a stoma that has been constructed by bringing the loop of the small intestine out on the surface of the skin. When assessing the client with a new ileostomy, the nurse knows that the effluent from the ileostomy should be:
- A.
Soft stool
- B.
Pasty to soft stool
- C.
Liquid to pastry stool
- D.
Well-formed stool
- 16.A client has a sliding esophageal hernia. The physician prescribes an H2-receptor antagonist. The nurse explains that H2 receptor antagonist works by:
- A.
Neutralizing the gastric acid.
- B.
Inhibiting secretion of gastric acid by the parietal cells.
- C.
Coating the mucus membrane of the esophagus and stomach.
- D.
Decreasing the pressure in the lower esophageal sphincter (LES).
- 17.
- A.
Avoid high-fiber foods
- B.
Restrict the amount of fluid intake
- C.
Limit the calorie intake
- D.
Encourage the patient to increase fluid intake
- 18.A colostomy was created in a client who was diagnosed with colon cancer. During the first day post-op, the nurse does not find any measurable fecal drainage from the patient’s colostomy. What should the nurse do?
- A.
Continue the current plan of care
- B.
Call the doctor immediately
- C.
Irrigate the stoma
- D.
Encourage the patient to increase fluid intake
- 19.
- A.
Neutral position
- B.
Flat for 3 hours and elevated for 1 hour
- C.
Elevated on pillows continuously for 24 to 48 hours
- D.
Elevated for 3 hours, and then flat for 1 hour
- 20.Triage is used as a system to sort the injured so that the highest number of patients can be helped. A nurse is assigned to classify different illness and injuries into a different color-coding system. She saw a victim with a red tag. This tag indicates that the victim:
- A.
Needs medical care at some point, after more critical injuries have been treated.
- B.
Cannot survive without immediate treatment but has a chance of survival.
- C.
Requires observation, the condition is stable for the moment and, not in immediate danger of death. They still need hospital care and would be treated immediately under normal circumstances.
- D.
Is decreased and injuries are so extensive that they will not be able to survive given the available care.
- 21.Poisoning results from the ingestion, inhalation, or absorption of agents that cause chemical actions that injure the body. Your neighbor called asking what she should do after her 4-year old daughter swallowed some meiotic acid. What advice should you give her?
- A.
Give her some Ipecac.
- B.
Feed her some burnt bread.
- C.
Give her some aspirin.
- D.
Make her drink lots of water.
- 22.Personal protective equipment is used to reduce the exposure to hazards. A nurse is preparing to change linens and clean a client who was incontinent of urine. The nurse wears which of the following protective items?
- A.
Gowns, shoe cover, gloves, and eyewear
- B.
Mask and gloves
- C.
Gowns and gloves
- D.
Mask, gown and gloves
- 23.A client with an acute respiratory infection is admitted to the hospital with a diagnosis of sinus tachycardia. The nurse develops a plan of care for the client and includes which intervention?
- A.
Limit oral and intravenous.
- B.
Provide client with short, frequent walks.
- C.
Eliminate sources of caffeine.
- D.
Measuring the client’s pulse once each shift.
- 24.Sepsis is a severe illness caused by an overwhelming infection of the bloodstream by toxin producing bacteria. What is the most common portal of entry for microorganisms associated with sepsis?
- A.
Respiratory tract
- B.
GI tract skin
- C.
Skin
- D.
Urinary tract
- 25.In an emergency situation like the occurrence of fire, which of the following should be done first by the nurse?
- A.
Extinguish the fire.
- B.
Call the fire department and report the situation.
- C.
Rescue the client and transfer to a safe place.
- D.
Contain the fire.
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