200 Nursezone Medical-surgical Nursing Final Coaching Part 1 (51 To 75)

25 Questions | Total Attempts: 122

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Medical Surgical Nursing Quizzes & Trivia

Questions and Answers
  • 1. 
    SITUATION: As nurses, we should be prepared to care for patients with different cardiovascular problems   A client is admitted to the hospital with right-sided heart failure. When assessing him for jugular vein distention, the nurse should position him:
    • A. 

      Flat on his back

    • B. 

      Sitting upright

    • C. 

      Lying on his side with the head of bed flat

    • D. 

      Lying on his back with the head of the bed elevated at 30 to 45 degrees

  • 2. 
    SITUATION: As nurses, we should be prepared to care for patients with different cardiovascular problems   A client is suspected of having myocardial infarction. When providing care for the client, the nurse avoids which route when taking a temperature?
    • A. 

      Rectal

    • B. 

      Anally

    • C. 

      Axillary

    • D. 

      Tympanic

  • 3. 
    SITUATION: As nurses, we should be prepared to care for patients with different cardiovascular problems   A 45 year old man is recovering from surgical repair of dissecting aortic aneurysm. The nurse should evaluate the client for signs of bleeding or recurrent dissection. These signs include:
    • A. 

      Hypotension and tachycardia, decreased urine output

    • B. 

      Hematuria and decreased urine output

    • C. 

      Increased urine output and bradycardia

    • D. 

      Hypotension and bradycardia

  • 4. 
    SITUATION: As nurses, we should be prepared to care for patients with different cardiovascular problems   Mr. Rimorin who suffered an acute myocardial infarction is anxious because he is going to be transferred from the intensive care unit to the coronary ward. The patient asks the charge nurse if he can have the same nurse care for him every day. how should the nurse respond?
    • A. 

      “It’s very important for you to receive care from a variety of nurses so you can evaluate your care”

    • B. 

      “We’ll try to assign you the same nurse as often as possible”

    • C. 

      “It’s our policy to rotate client care assignments to ensure quality car for everyone”

    • D. 

      “Different nurses will be assigned to you each day to avoid your becoming dependent on one nurse”

  • 5. 
    SITUATION: As nurses, we should be prepared to care for patients with different cardiovascular problems   Arby, a new nursing graduate is attending an agency orientation regarding the nursing model of practice implemented in the health care facility. The nurse is told that the nursing model is a team nursing approach. The nurse understands that planning care delivery will be based on which charact4eristic of this type of nursing model of practice?
    • A. 

      A task approach method is used to provide care to clients

    • B. 

      Managed care concepts and tools are used in providing client care

    • C. 

      An RN leads nursing personnel in providing care to a group of clients

    • D. 

      A single RN is responsible for providing nursing care to a group of clients

  • 6. 
    SITUATION: Mrs. Thomas is admitted to a hospital with a diagnosis of Diabetic Ketoacidosis (DKA). The initial blood glucose level was 950 mg/dl. A continuous intravenous infusion of regular insulin is initiated along with intravenous rehydration with normal saline. The serum glucose level is now 240 mg/dl   Diabetic ketoacidosis is a life-threatening complication of which type of diabetes?
    • A. 

      Gestational diabetes

    • B. 

      Type 1 diabetes mellitus

    • C. 

      Type 2 diabetes mellitus

    • D. 

      Diabetes insipidus

  • 7. 
    SITUATION: Mrs. Thomas is admitted to a hospital with a diagnosis of Diabetic Ketoacidosis (DKA). The initial blood glucose level was 950 mg/dl. A continuous intravenous infusion of regular insulin is initiated along with intravenous rehydration with normal saline. The serum glucose level is now 240 mg/dl   Nurse Gilda would next prepare to administer which of the following?
    • A. 

      Intravenous fluids containing 5% dextrose

    • B. 

      NPH insulin subcutaneously

    • C. 

      An ampule of 50% dextrose

    • D. 

      Phenytoin (Dilantin) for the prevention of seizures

  • 8. 
    SITUATION: Mrs. Thomas is admitted to a hospital with a diagnosis of Diabetic Ketoacidosis (DKA). The initial blood glucose level was 950 mg/dl. A continuous intravenous infusion of regular insulin is initiated along with intravenous rehydration with normal saline. The serum glucose level is now 240 mg/dl   Which finding would a nurse expect to note as confirming this diagnosis?
    • A. 

      Elevated blood glucose level and a low potassium level and a low plasma bicarbonate

    • B. 

      Decreased urine output

    • C. 

      Increased respirations and an increase in pH

    • D. 

      Comatose state

  • 9. 
    SITUATION: Mrs. Thomas is admitted to a hospital with a diagnosis of Diabetic Ketoacidosis (DKA). The initial blood glucose level was 950 mg/dl. A continuous intravenous infusion of regular insulin is initiated along with intravenous rehydration with normal saline. The serum glucose level is now 240 mg/dl   Nurse Gina provides instruction to a client newly diagnosed with type 1 DM. She recognizes accurate understanding of measures to prevent diabetic ketoacidosis when the client states:
    • A. 

      “I will stop taking insulin if I’m too sick to eat”

    • B. 

      “I will decrease my insulin dose during times of illness”

    • C. 

      “I will notify my physician if my blood glucose level is greater than 250 mg/dl”

    • D. 

      “I will adjust my insulin dose according to the level of glucose in my urine”

  • 10. 
    SITUATION: Mrs. Thomas is admitted to a hospital with a diagnosis of Diabetic Ketoacidosis (DKA). The initial blood glucose level was 950 mg/dl. A continuous intravenous infusion of regular insulin is initiated along with intravenous rehydration with normal saline. The serum glucose level is now 240 mg/dl   Nurse Gilda gives an inaccurate dose of a medication to the client. Following assessment of the client, she completes an incident report. She notifies the Nursing supervisor of the medication error and calls the physician to report the occurrence. The nurse who administered the inaccurate medication dose understands that the:
    • A. 

      Error will result in suspension

    • B. 

      Incident report is a method of promoting quality care and risk management

    • C. 

      Incident will be reported to the board of nursing

    • D. 

      Incident will be documented in the personnel file

  • 11. 
    SITUATION: A nurse is participating in a health screening clinic and is preparing teaching materials about colorectal cancer   The nurse plans to include which of the following in a list of risk factors for colorectal cancer?
    • A. 

      Age over 30 years

    • B. 

      High fiber, low fat diet

    • C. 

      Distant relative with colorectal cancer

    • D. 

      Personal history of ulcerative colitis or gastrointestinal polyps

  • 12. 
    SITUATION: A nurse is participating in a health screening clinic and is preparing teaching materials about colorectal cancer   The client diagnosed with cancer is told that surgery followed by chemotherapy will be necessary. The client states to the nurse, “I have read a lot about complimentary therapies. Do you think that I should try it?” The nurse responds by making which most appropriate statement?
    • A. 

      “No, because it will interact with the chemotherapy”

    • B. 

      “You need to ask your physician about it”

    • C. 

      “I would try anything that I could if I had cancer”

    • D. 

      “There are many different forms of complementary therapies. Let’s talk about these therapies”

  • 13. 
    SITUATION: A nurse is participating in a health screening clinic and is preparing teaching materials about colorectal cancer   The client with an intestinal tumor is scheduled for a bowel resection and creation of colostomy. The nurse caring for this client will provide which most appropriate nursing intervention?
    • A. 

      Instruct to eat high residue diet for 1 to 2 days before surgery

    • B. 

      Administer laxatives and enemas as prescribed

    • C. 

      Monitor stool characteristics

    • D. 

      Restrict dark colored foods

  • 14. 
    SITUATION: A nurse is participating in a health screening clinic and is preparing teaching materials about colorectal cancer   The client had a new colostomy created two days earlier. The client is beginning to pass malodorous flatus from the stoma. The nurse interprets that:
    • A. 

      This indicates inadequate preoperative bowel preparation

    • B. 

      This is a normal expected event

    • C. 

      The client is experiencing early signs of ischemic bowel

    • D. 

      The client should not have the nasogastric tube removed

  • 15. 
    SITUATION: A nurse is participating in a health screening clinic and is preparing teaching materials about colorectal cancer   The client who has undergone creation of a colostomy has a nursing diagnosis disturbed body image. The nurse would evaluate that the client is making the most significant progress toward identified goals if the client:
    • A. 

      Watches the nurse empty the ostomy bag

    • B. 

      Looks at the ostomy site

    • C. 

      Reads the ostomy product literature

    • D. 

      Practices cutting the ostomy appliance

  • 16. 
    SITUATION: The goals of treatment for hepatitis include resting the inflamed liver to reduce metabolic demand and increasing the blood supply, thus promoting cellular regeneration and preventing complication   Doctor Gano has determined that the client with hepatitis has contracted the infection from contaminated food. The nurse understands that this client is most likely experiencing what type of hepatitis?
    • A. 

      Hepatitis A

    • B. 

      Hepatitis B

    • C. 

      Hepatitis C

    • D. 

      Hepatitis D

  • 17. 
    SITUATION: The goals of treatment for hepatitis include resting the inflamed liver to reduce metabolic demand and increasing the blood supply, thus promoting cellular regeneration and preventing complication   The client diagnosed with hepatitis B is admitted to the hospital. All of the following are standard precautions to be initiated, except:
    • A. 

      Needle precautions

    • B. 

      Strict hand washing

    • C. 

      Screening blood donors

    • D. 

      Wearing a mask in the clients room

  • 18. 
    SITUATION: The goals of treatment for hepatitis include resting the inflamed liver to reduce metabolic demand and increasing the blood supply, thus promoting cellular regeneration and preventing complication   Nurse Tina is caring for a dark skinned client who has a diagnosis of acute viral hepatitis. The nurse assess for jaundice by checking which specific area?
    • A. 

      Flexor surfaces of the extremities

    • B. 

      Hard palate of the mouth

    • C. 

      Nail beds

    • D. 

      Skin

  • 19. 
    SITUATION: The goals of treatment for hepatitis include resting the inflamed liver to reduce metabolic demand and increasing the blood supply, thus promoting cellular regeneration and preventing complication   The nurse is caring for a client suspected with hepatitis A. Which statement when given by client indicates sign of Hepatitis A?
    • A. 

      “Lately I’ve been passing out dark stools”

    • B. 

      “I have noticed that I gained weight”

    • C. 

      “I feel so weak”

    • D. 

      “My stomach aches specifically at the left side”

  • 20. 
    SITUATION: The goals of treatment for hepatitis include resting the inflamed liver to reduce metabolic demand and increasing the blood supply, thus promoting cellular regeneration and preventing complication   The client admitted to the hospital with viral Hepatitis is complaining of “no appetite” and “losing his taste for food.” To provide adequate nutrition, the nurse would instruct the client to:
    • A. 

      Eat a good supper when anorexia is not as severe

    • B. 

      Eat less often preferably only 3 large meals daily

    • C. 

      Increase intake of fluids including juices

    • D. 

      Select foods high in fat

  • 21. 
    SITUATION: Nurse Ferdinand, a nurse in the emergency department receives a telephone call from emergency medical services and is told that several victims who survived a plane crash and are suffering from cold exposure will be transported to the hospital   The initial nursing action of Nurse Ferdinand is which of the following?
    • A. 

      Supply the trauma rooms with bottles of sterile water and normal saline

    • B. 

      Call the laundry department and ask them to send as many warm blankets as possible to the emergency room

    • C. 

      Call the nursing supervisor to activate the agency disaster plan

    • D. 

      Call the intensive care unit to request that nurses be sent to the emergency room

  • 22. 
    SITUATION: Nurse Ferdinand, a nurse in the emergency department receives a telephone call from emergency medical services and is told that several victims who survived a plane crash and are suffering from cold exposure will be transported to the hospital   Nurse Adrian is assessing the motor function of an unconscious client brought to the emergency room. The nurse would plan to use which of the following to test the client’s peripheral response to pain?
    • A. 

      Sternal rub

    • B. 

      Pressure on the orbital rim

    • C. 

      Squeezing of the sternocleidomastoid muscle

    • D. 

      Nail bed pressure

  • 23. 
    SITUATION: Nurse Ferdinand, a nurse in the emergency department receives a telephone call from emergency medical services and is told that several victims who survived a plane crash and are suffering from cold exposure will be transported to the hospital   One of the victims was brought to the emergency room due to severe head injury and multiple fractures and is unconscious. An emergency craniotomy is required. Regarding informed consent for the surgical procedure, which of the following is the best action?
    • A. 

      Ask the EMS team to sign the informed consent

    • B. 

      Call the police to identify the client and locate the family

    • C. 

      Transport the victim to the operating room for surgery

    • D. 

      Obtain a court order for the surgical procedure

  • 24. 
    SITUATION: Nurse Ferdinand, a nurse in the emergency department receives a telephone call from emergency medical services and is told that several victims who survived a plane crash and are suffering from cold exposure will be transported to the hospital   The client underwent a supratentoral craniotomy due to his head injury. Which of the following actions done by the post anesthesia care unit nurse is contraindicated?
    • A. 

      Maintain mechanical ventilation and slight hyperventilation for the first 24 to 48 hours as prescribed to prevent increase in ICP

    • B. 

      Monitor vital signs and neurological status every 30 minutes to 1 hour

    • C. 

      Monitor the head dressing frequently for signs of drainage

    • D. 

      Position the patient flat in bed without head elevation

  • 25. 
    SITUATION: Nurse Ferdinand, a nurse in the emergency department receives a telephone call from emergency medical services and is told that several victims who survived a plane crash and are suffering from cold exposure will be transported to the hospital   The nurse is evaluating the status of the client who had craniotomy 3 days ago. The nurse would suspect the client is developing meningitis as a complication of surgery if the client exhibits:
    • A. 

      A positive Brudzinki’s sign

    • B. 

      A negative Kernig’s sign

    • C. 

      Absence of nuchal rigidity

    • D. 

      A Glasgow Coma Scale score of 15

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