Medical Surgical Nursing Practice Exam II (Exam Mode) By Rnpedia.Com

50 Questions | Total Attempts: 522

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Medical Surgical Nursing Practice Exam II (Exam Mode) By Rnpedia.Com

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Questions and Answers
  • 1. 
    1. During which stage of pressure ulcer development does the ulcer extend into the subcutaneous tissue?
    • A. 

      Stage I A stage I pressure ulcer is an area of nonblanchable erythema, tissue swelling, and congestion, and the patient complains of discomfort.

    • B. 

      Stage IV A stage IV pressure ulcer extends into the underlying structure, including the muscle and possibly the bone.

    • C. 

      Stage III Clinically, a deep crater with or without undermining of adjacent tissues is noted.

    • D. 

      Stage II A stage II ulcer exhibits a break in the skin through the epidermis or dermis.

  • 2. 
    2. During which stage of pressure ulcer development does the ulcer extend into the underlying structures, including the muscle and possibly the bone?
    • A. 

      Stage III

    • B. 

      Stage IV

    • C. 

      Stage II

    • D. 

      Stage I

  • 3. 
    3. Which type of incontinence is associated with weakened perineal muscles that permit leakage of urine when intra-abdominal pressure is increased?
    • A. 

      Urge incontinence

    • B. 

      Reflex (neurogenic) incontinence

    • C. 

      Stress incontinence

    • D. 

      Functional incontinence

  • 4. 
    4. Ageism refers to
    • A. 

      Bias against older people based solely on chronological age

    • B. 

      Fear of old age.

    • C. 

      Loss of memory.

    • D. 

      Benign senescent forgetfulness.

  • 5. 
    5. When assessing the older adult, the nurse anticipates increase in which of the follow components of respiratory status?
    • A. 

      Cough efficiency

    • B. 

      Residual lung volume

    • C. 

      Vital capacity

    • D. 

      Gas exchange and diffusing capacity

  • 6. 
    6. According to the classification of hypertension diagnosed in the older adult, hypertension that can be attributed to an underlying cause is termed
    • A. 

      Primary.

    • B. 

      Essential.

    • C. 

      Isolated systolic.

    • D. 

      Secondary.

  • 7. 
    7. Which of the following terms refers to the decrease in lens flexibility that occurs with age, resulting in the near point of focus getting farther away?
    • A. 

      Cataract

    • B. 

      Glaucoma

    • C. 

      Presbyopia

    • D. 

      Presbycusis

  • 8. 
    8. Which of the following states is characterized by a decline in intellectual functioning?
    • A. 

      Delusion

    • B. 

      Dementia

    • C. 

      Depression

    • D. 

      Delirium

  • 9. 
    9. When a person who has been taking opioids becomes less sensitive to their analgesic properties, that person is said to have developed a (an)
    • A. 

      Balanced analgesia.

    • B. 

      Tolerance.

    • C. 

      Addiction.

    • D. 

      Dependence.

  • 10. 
    10. Prostaglandins are chemical substances thought to
    • A. 

      Reduce the perception of pain.

    • B. 

      Inhibit the transmission of pain.

    • C. 

      Increase sensitivity of pain receptors.

    • D. 

      Inhibit the transmission of noxious stimuli

  • 11. 
    11. Which of the following principles or guidelines accurately informs the nurse regarding placebos?
    • A. 

      Placebos should never be used to test the person’s truthfulness about pain.

    • B. 

      A placebo effect is an indication that the person does not have pain.

    • C. 

      A placebo should be used as the first line of treatment for the patient.

    • D. 

      A positive response to a placebo indicates that the person’s pain is not real.

  • 12. 
    12. Regarding tolerance and addiction, the nurse understands that
    • A. 

      Tolerance to opioids is uncommon.

    • B. 

      Addiction to opioids commonly develops.

    • C. 

      The nurse must be primarily concerned about development of addiction by the patient in pain.

    • D. 

      Although patients may need increasing levels of opioids, they are not addicted.

  • 13. 
    13. The preferred route of administration of medication in the most acute care situations is which of the following routes?
    • A. 

      Epidural

    • B. 

      Subcutaneous

    • C. 

      Intramuscular

    • D. 

      Intravenous

  • 14. 
    14. Mu opioids have which of the following effects on respiratory rate:
    • A. 

      Depression, only

    • B. 

      Stimulation, then depression

    • C. 

      No change

    • D. 

      Stimulation, only

  • 15. 
    15. Which of the following electrolytes is a major cation in body fluid?
    • A. 

      Potassium

    • B. 

      Chloride

    • C. 

      Bicarbonate

    • D. 

      Phosphate

  • 16. 
    16. Which of the following electrolytes is a major anion in body fluid?
    • A. 

      Calcium

    • B. 

      Chloride

    • C. 

      Potassium

    • D. 

      Sodium

  • 17. 
    17. Oncotic pressure refers to
    • A. 

      The osmotic pressure exerted by proteins.

    • B. 

      The number of dissolved particles contained in a unit of fluid.

    • C. 

      the excretion of substances such as glucose through increased urine output.

    • D. 

      The amount of pressure needed to stop flow of water by osmosis.

  • 18. 
    18. Which of the following solutions is hypotonic?
    • A. 

      Lactated Ringer’s solution.

    • B. 

      0.9% NaCl.

    • C. 

      0.45% NaCl.

    • D. 

      5% NaCl.

  • 19. 
    19. The normal serum value for potassium is
    • A. 

      3.5-5.5 mEq/L.

    • B. 

      135-145 mEq/L.

    • C. 

      96-106 mEq/L.

    • D. 

      8.5-10.5 mg/dL.

  • 20. 
    20. In which type of shock does the patient experiences a mismatch of blood flow to the cells?
    • A. 

      Cardiogenic

    • B. 

      Hypovolemic

    • C. 

      Septic

    • D. 

      Distributive

  • 21. 
    21. Which stage of shock is best described as that stage when the mechanisms that regulate blood pressure fail to sustain a systolic pressure above 90 mm Hg?
    • A. 

      Progressive

    • B. 

      Refractory

    • C. 

      Compensatory

    • D. 

      Irreversible

  • 22. 
    22. When the nurse observes that the patient’s systolic blood pressure is less than 80–90 mm Hg, respirations are rapid and shallow, heart rate is over 150 beats per minute, and urine output is less than 30 cc per hour, the nurse recognizes that the patient is demonstrating which stage of shock?
    • A. 

      Irreversible

    • B. 

      Compensatory

    • C. 

      Progressive

    • D. 

      Refractory

  • 23. 
    23. Which of the following vasoactive drugs used in treating shock results in reduced preload and afterload, reducing oxygen demand of the heart?
    • A. 

      Methoxamine (Vasoxyl)

    • B. 

      Epinephrine (adrenaline)

    • C. 

      Nitroprusside (Nipride)

    • D. 

      Dopamine (Intropin)

  • 24. 
    24. The nurse anticipates that the immunosuppressed patient is at greatest risk for which type of shock?
    • A. 

      Cardiogenic

    • B. 

      Anaphylactic

    • C. 

      Septic

    • D. 

      Neurogenic

  • 25. 
    25. Which of the following colloids is expensive but rapidly expands plasma volume?
    • A. 

      Albumin

    • B. 

      Dextran

    • C. 

      Lactated Ringers

    • D. 

      Hypertonic Saline