170 Nursezone Medical-surgical Nursing Application Exam Part 2 (76 To 100)

25 Questions | By Nsgzonemedsurg | Last updated: Mar 21, 2022 | Total Attempts: 58

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Medical Surgical Nursing Quizzes & Trivia

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1.

SITUATION: Members of the public have become more knowledgeable about high blood pressure, are more likely to visit a health care provider for hypertension, and are more likely to follow medical advice After taking a client’s blood pressure twice, 10 minutes apart, in one hour while the client is seated, the nurse in the blood pressure screening clinic records the two blood pressures of 172/104 and 164/98. The nurse’s priority is to:
- A.
  
  Place the client in recumbent position and call the paramedics for transport to the hospital
- B.
  
  Refer the client to a nutritionist after providing health teaching about a low-sodium diet
- C.
  
  Take the blood pressure in the other arm and then schedule a physician’s appointment for the client as soon as possible
- D.
  
  Talk with the client to assess whether there is stress in the client’s life and refer to counseling service
2.

SITUATION: Members of the public have become more knowledgeable about high blood pressure, are more likely to visit a health care provider for hypertension, and are more likely to follow medical advice A nurse is obtaining a medical history of a client with secondary hypertension. The client stated all modifiable risk factors that he has. These modifiable risk factors are the following, except:
- A.
  
  Non-consumption of dairy products, and most fruits like banana, apple and some green leafy vegetables
- B.
  
  The client is a male American who grew in the Philippines
- C.
  
  He has a pear shaped built and is overweight
- D.
  
  He has a type A personality
3.

SITUATION: Members of the public have become more knowledgeable about high blood pressure, are more likely to visit a health care provider for hypertension, and are more likely to follow medical advice The patient with hypertension is taking hydrochlorothiazide. The following nursing assessment indicate effectiveness of the medication, except:
- A.
  
  A blood pressure reading of 105/86 mmHg
- B.
  
  Edema grade of 1 compared to the baseline which is grade 3
- C.
  
  Tenting of skin when pinched gently
- D.
  
  Potassium level of 4.5 mEq/L
4.

SITUATION: Members of the public have become more knowledgeable about high blood pressure, are more likely to visit a health care provider for hypertension, and are more likely to follow medical advice A 43 year old male client was rushed to the hospital by paramedics because of a malignant hypertension secondary to myocardial infarction. The client is complaining of midsternal pain. Nurse Gina is aware that the drug of choice to control pain associated with myocardial infarction is:
- A.
  
  Morphine
- B.
  
  Demerol
- C.
  
  Xanax
- D.
  
  Lidocaine
5.

SITUATION: Members of the public have become more knowledgeable about high blood pressure, are more likely to visit a health care provider for hypertension, and are more likely to follow medical advice A nurse is preparing a health teaching for a client who has just recovered from a hypertensive crisis. Which statement of the client denotes understanding of the teaching regarding calorie-restriction diet?
- A.
  
  “I can eat while doing something else. Multitasking is a good habit”
- B.
  
  “I never eat something before going to parties”
- C.
  
  “I drink one to two glasses of water before drinking an alcoholic beverage”
- D.
  
  “I am restricted from drinking coffee or tea”
6.

SITUATION: An engineering instructor was brought to the emergency department after seeing him lying on the floor of the men’s comfort room. He is suspected of having a myocardial infarction Nurse Flora will assess for which of the following elevations in isoenzyme values reported with the creatinine kinase level?
- A.
  
  BB
- B.
  
  MM
- C.
  
  MB
- D.
  
  MK
7.

SITUATION: An engineering instructor was brought to the emergency department after seeing him lying on the floor of the men’s comfort room. He is suspected of having a myocardial infarction When preparing a client for cardiac catheterization, the nurse should advise the client that:
- A.
  
  The client will be NPO 6 to 8 hours before the procedure
- B.
  
  Complete sedation will be maintained during the procedure
- C.
  
  It will take 15 minutes for the procedure
- D.
  
  Ambulation will be permitted within one hour after the procedure
8.

SITUATION: An engineering instructor was brought to the emergency department after seeing him lying on the floor of the men’s comfort room. He is suspected of having a myocardial infarction The nurse is aware that adequate oxygenation is essential during the early postoperative period after open heart surgery because:
- A.
  
  An increased respiratory rate adds to postoperative pain
- B.
  
  Hypoxia can stimulate dangerous dysrhythmias
- C.
  
  Hypoxia can precipitate respiratory alkalosis
- D.
  
  Clients have closed chest drainage in place
9.

SITUATION: An engineering instructor was brought to the emergency department after seeing him lying on the floor of the men’s comfort room. He is suspected of having a myocardial infarction A client has been transferred from a coronary care unit to a general medical unit with cardiac monitoring via telemetry. A nurse plans to allow for which of the following client activities?
- A.
  
  Ad lib activities because the client is monitored
- B.
  
  Bathroom privileges and self-care activities
- C.
  
  Strict bed rest for 24 hours after transfer
- D.
  
  Unsupervised hallway ambulation with distances under 200 feet
10.

SITUATION: An engineering instructor was brought to the emergency department after seeing him lying on the floor of the men’s comfort room. He is suspected of having a myocardial infarction Nurse Remy notes a bilateral +2 edema in the lower extremities of a client with myocardial infarction who was admitted 2 days ago. The nurse would plan to do which of the following next?
- A.
  
  Request a sodium restriction of 1 g/day from the physician
- B.
  
  Change the time of diuretic administration from morning to evening
- C.
  
  Order daily weights starting on the following morning
- D.
  
  Review the intake and output records for the last 2 days
11.

SITUATION: Peripheral arterial occlusive diseases are caused primarily by atherosclerosis. Other causes include embolism, thrombosis, trauma, vasospasm, inflammation, and autoimmunity A male client is admitted to the hospital for the care of leg ulcers. He is homeless. He has large irregularly shaped ulcers. It is located in the lower outer leg and it has a beefy red base. What type of ulcer is present?
- A.
  
  Arterial ulcers
- B.
  
  Both venous and arterial ulcers
- C.
  
  Venous stasis ulcers
- D.
  
  None of the above
12.

SITUATION: Peripheral arterial occlusive diseases are caused primarily by atherosclerosis. Other causes include embolism, thrombosis, trauma, vasospasm, inflammation, and autoimmunity Jack, a diagnosed diabetic, has just had a below-the-knee amputation. He is a 28 year old single male patient. He eats only a little portion of his meals and avoids interactions especially with female visitors and medical staff. Nurse Joy makes a diagnosis of ineffective individual coping related to a reaction or response to change in body image. The following are appropriate interventions for this diagnosis, except:
- A.
  
  Listen to the client, and comfort misconceptions about the rehabilitation
- B.
  
  Your stump looks healthy. You know you could use aesthetic prosthetics when the stump heals completely” as stated by the nurse
- C.
  
  If possible, arrange for the client to meet with an amputee
- D.
  
  The nurse listens to the client as he says, “I will never be accepted on my previous job” and the nurse suggests the advantages of prosthetics
13.

SITUATION: Peripheral arterial occlusive diseases are caused primarily by atherosclerosis. Other causes include embolism, thrombosis, trauma, vasospasm, inflammation, and autoimmunity A nurse is performing an admission assessment on a client with a diagnosis of Reynaud’s disease. The nurse assesses for associated signs and symptoms by:
- A.
  
  Checking for a rash on the digits
- B.
  
  Palpating for diminished or absent peripheral pulses
- C.
  
  Palpating for a rapid or irregular peripheral pulse
- D.
  
  Observing for softening of the nails or nail beds
14.

SITUATION: Peripheral arterial occlusive diseases are caused primarily by atherosclerosis. Other causes include embolism, thrombosis, trauma, vasospasm, inflammation, and autoimmunity The health care provider prescribes bed rest for a client in whom a deep vein thrombosis develops after a surgery. Form the following list, select all appropriate nursing interventions to include in this client’s plan of care: 1. Place in Fowler’s position for eating; 2. Encourage increased oral intake of water daily; 3. Encourage coughing with deep breathing; 4. Place thigh-length elastic stockings on the client; 5. Encourage the intake of dark, green leafy vegetables; 6. Place sequential compression boots on the client
- A.
  
  2, 3, 4
- B.
  
  1, 2, 6
- C.
  
  2, 3, 4
- D.
  
  1, 2, 3
15.

SITUATION: Peripheral arterial occlusive diseases are caused primarily by atherosclerosis. Other causes include embolism, thrombosis, trauma, vasospasm, inflammation, and autoimmunity The nurse is caring for a client with a stump. She notes that the stump has redness and blistering. Which statement of the client will denote that he hasn’t understood the teaching reading stump care?
- A.
  
  “Why did these blisters develop? I examine my foot religiously in the morning”
- B.
  
  “I always clean my stump with mild soap, and I make sure that I put some alcohol in it before I put my stump socks”
- C.
  
  “Upon arising in the morning, I immediately put on the prosthesis and keep it on all day”
- D.
  
  “I exercise regularly to prevent weakness on my extremities”
16.

SITUATION: Mr. Baker, a computer analyst, came to the Philippines for a business trip. In the dining hall of his hotel he suddenly felt a pressure and burning on his chest. The symptoms were accompanied by indigestion Nurse Gemma auscultates the patient’s heart. During auscultation, she would expect the first heart sound (S1) to be the loudest at the:
- A.
  
  Right lateral border
- B.
  
  Left lateral border
- C.
  
  Apex of the heart
- D.
  
  Top of the heart
17.

SITUATION: Mr. Baker, a computer analyst, came to the Philippines for a business trip. In the dining hall of his hotel he suddenly felt a pressure and burning on his chest. The symptoms were accompanied by indigestion The nurse assesses the patient’s pain. Which statement by the client is most suggestive of angina pectoris?
- A.
  
  “The pain worsened when I took a deep breath”
- B.
  
  “The pain resolved after I ate a sandwich”
- C.
  
  “The pain lasted for about 45 minutes”
- D.
  
  “The pain occurred after my meal”
18.

SITUATION: Mr. Baker, a computer analyst, came to the Philippines for a business trip. In the dining hall of his hotel he suddenly felt a pressure and burning on his chest. The symptoms were accompanied by indigestion Mr. Baker is a white, obese, male client. He was brought to the emergency room and was diagnosed with hypercholesterolemia. Besides his race and gender, the nurse determines the client’s other major risk factor for Coronary Artery Disease (CAD). The nurse should assess for:
- A.
  
  A history of diabetes mellitus
- B.
  
  Elevated high-density lipoprotein (HDL) levels
- C.
  
  A history of ischemic heart disease
- D.
  
  Alcoholism
19.

SITUATION: Mr. Baker, a computer analyst, came to the Philippines for a business trip. In the dining hall of his hotel he suddenly felt a pressure and burning on his chest. The symptoms were accompanied by indigestion Nurse Gemma asks about smoking history while conducting a hospital admission for a client with coronary artery disease. What is the most important element of the smoking history for this assessment?
- A.
  
  Brand of cigarettes used
- B.
  
  Number of pack years
- C.
  
  Desire to quit smoking
- D.
  
  Number of past attempts to quit smoking
20.

SITUATION: Mr. Baker, a computer analyst, came to the Philippines for a business trip. In the dining hall of his hotel he suddenly felt a pressure and burning on his chest. The symptoms were accompanied by indigestion Which action should nurse Gemma take when administering a new blood pressure medication to a patient?
- A.
  
  Administer the medication and inform the patient that the physician will later explain the medication
- B.
  
  Inform the client about a new medication only if he asks about it
- C.
  
  Inform the patient about the new medication, including its name, use, reason for the change
- D.
  
  Administer the medication to the client after she explains its name and use
21.

SITUATION: Mr. Toni, is a 60 year old male who is a chronic smoker and an alcoholic. He is brought to the emergency room due to a crushing chest pain. He is very anxious and is sweating profusely A nurse places cardiac monitoring leads on a client who is at risk for premature ventricular contractions (PVCs). The nurse assesses the client’s heart rhythm to detect PVCs by looking for:
- A.
  
  QRS complexes that are short and narrow
- B.
  
  Inverted P waves before the QRS complex
- C.
  
  A P wave preceding every QRS complex
- D.
  
  Premature beats followed by a compensatory pause
22.

SITUATION: Mr. Toni, is a 60 year old male who is a chronic smoker and an alcoholic. He is brought to the emergency room due to a crushing chest pain. He is very anxious and is sweating profusely Specifically, cardiac catheterization is performed to, except:
- A.
  
  Obtain a clear picture of cardiac anatomy before heart surgery
- B.
  
  Obtain pressures within the heart chambers and the great vessels
- C.
  
  Obtains endocardial biopsy specimens
- D.
  
  To differentiate ischemia from dilated cardiomyopathy
23.

SITUATION: Mr. Toni, is a 60 year old male who is a chronic smoker and an alcoholic. He is brought to the emergency room due to a crushing chest pain. He is very anxious and is sweating profusely The first several hours after cardiac catheterization, it is vital for the nurse to:
- A.
  
  Monitor the client’s apical pulse and blood pressure frequently
- B.
  
  Encourage the client to cough and deep breath every 2 hours
- C.
  
  Check the client’s temperature every hour until it returns to normal
- D.
  
  Keep the feet of the client elevated at 45 degrees
24.

SITUATION: Mr. Toni, is a 60 year old male who is a chronic smoker and an alcoholic. He is brought to the emergency room due to a crushing chest pain. He is very anxious and is sweating profusely Mr. Toni returns from cardiac catheterization and is to remain supine position for 6 hours with the affected leg straight. These measures prevent:
- A.
  
  Headache with disorientation
- B.
  
  Orthostatic hypotension
- C.
  
  Bleeding at the arterial puncture site
- D.
  
  Infiltration of radiopaque dye into the tissue
25.

SITUATION: Mr. Toni, is a 60 year old male who is a chronic smoker and an alcoholic. He is brought to the emergency room due to a crushing chest pain. He is very anxious and is sweating profusely After 30 minutes of lying in bed, the patient post cardiac catheterization complains of tingling sensations in the affected leg. The nurse’s priority intervention would be to:
- A.
  
  Evaluate the affected leg for signs of inflammation
- B.
  
  Compare the femoral, popliteal, and pedal pulses in both legs
- C.
  
  Obtain the temperature, pulse, respirations, and blood pressure
- D.
  
  Assess for bleeding in the catheter insertion site