Medical Surgical Nursing Practice Test Part 4 (Exam Mode) By Rnpedia.Com

13 Questions | Total Attempts: 6333

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Medical Surgical Nursing Practice Test Part 4 (Exam Mode) By Rnpedia.Com

Mark the letter of the letter of choice then click on the next button. Score will be posted as soon as the you are done with the quiz. You got 60 minutes to finish the exam. Good luck!


Questions and Answers
  • 1. 
    A client is receiving NPH insulin 20 units subq at 7:00 AM daily, at 3 PM how would the nurse finds if the client were having a hypoglycemic reaction?
    • A. 

      Feel the client and bed for dampness

    • B. 

      Observe client kussmaul respirations

    • C. 

      Smell client’s breathe for acetone odor

    • D. 

      Check client’s pupils for dilation

  • 2. 
    Postoperative thyroidectomy nursing care includes which measures?
    • A. 

      Have the client speak every 5-10 mins if hoarseness is present

    • B. 

      Provide a low calcium diet to prevent hypercalcemia

    • C. 

      Check the dressing all the back of the neck for bleeding

    • D. 

      Apply a soft cervical collar to restrict neck movement

  • 3. 
    What would the nurse note as typical findings on the assessment of a client with acute pancreatitis?
    • A. 

      Steatorrhea, abd. Pain, fever

    • B. 

      Fever, hypoglycemia, DHN

    • C. 

      Melena, persistent vomiting, hyperactive bowel sounds

    • D. 

      Hypoactive bowel sounds, decreased amylase and lipase levels

  • 4. 
    A client is found to be comatose and hypoglycemic with a blood suger level 50 mg/dl. What nursing action is implemented first?
    • A. 

      Infuse 1000 ml of D5W over a 12-hour period

    • B. 

      Administer 50% glucose IV

    • C. 

      Check the client’s urine for the presence of sugar and acetone

    • D. 

      Encourage the client to drink orange juice with added sugar

  • 5. 
    Which medication will the nurse have available for the emergency treatment of tetany in the client who has had a thyroidectomy?
    • A. 

      Calcium chloride

    • B. 

      Potassium chloride

    • C. 

      Magnesium sulfate

    • D. 

      Sodium bicarbonate

  • 6. 
    What is the primary action of insulin in the body?
    • A. 

      Enhances the transport of glucose across cell walls

    • B. 

      Aids in the process of gluconeogenesis

    • C. 

      Stimulates the pancreatic beta cells

    • D. 

      Decreases the intestinal absorption of glucose

  • 7. 
    What will the nurse teach the diabetic client regarding exercise in his /her treatment program?
    • A. 

      During exercise the body will use carbohydrates for energy production, which in turn will decrease the need for insulin

    • B. 

      With an increase in activity the body will utilize more carbohydrates; therefore more insulin will be required.

    • C. 

      The increase in activity results in an increase in the utilization of insulin; therefore the client should decrease his/her carbohydrate intake

    • D. 

      Exercise will improve pancreatic circulation and stimulate the islet of Langerhans to increase the production of intrinsic insulin

  • 8. 
    The nurse is caring for a client who has exophthalmos associated with her thyroid disease. What is the cause of exophthalmos?
    • A. 

      Fluid edema in the retro-orbital tissues which force the eyes to protrude

    • B. 

      Impaired vision, which causes the client to squint in order to see

    • C. 

      Increased eye lubrication, which makes the client blink less

    • D. 

      Decrease in extraocular eye movements, which results in the “thyroid stare.”

  • 9. 
    What is characteristic symptom of hypoglycemia that should alert nurse to an early insulin reaction?
    • A. 

      Diaphoresis

    • B. 

      Drowsiness

    • C. 

      Severe thirst

    • D. 

      Coma

  • 10. 
    • A. 

      Drink only water after midnight and come to the clinic early in the morning

    • B. 

      Eat a normal breakfast and be at the clinic 2 hours because of the multiple blood draws

    • C. 

      Expect to be at the clinic for several hours because of the multiple blood draws

    • D. 

      Come to the clinic at the earliest convenience to have blood drawn

  • 11. 
    A client has been inhalation vasopressin therapy. What will the nurse evaluate to determine the therapeutic response to this medication?
    • A. 

      Urine specific gravity

    • B. 

      Blood glucose

    • C. 

      Vital signs

    • D. 

      Oxygen saturation levels

  • 12. 
    A client with diagnosis of type 2 diabetes has been ordered a course of prednisone for her severe arthritic pain. An expected change that requires close monitoring by the nurse is;
    • A. 

      Increased blood glucose level

    • B. 

      Increased platelet aggregation

    • C. 

      Increased ceatinine clearance

    • D. 

      Increased ketone level in urine

  • 13. 
    The nurse performing an assessment on a client who has been receiving long-term steroid therapy would expect to find:
    • A. 

      Jaundice

    • B. 

      Flank pain

    • C. 

      Bulging eyes

    • D. 

      Central obesity