Medical Surgical Nursing Practice Test Part 10 (Exam Mode) By Rnpedia.Com

13 Questions | Total Attempts: 1040

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Medical Surgical Nursing Practice Test Part 10 (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. 
    The nurse would evaluate that the client understands his home care instructions after scleral buckling for a detached retina if he says his activity should include:
    • A. 

      Avoiding abrupt movements of the head

    • B. 

      Exercising the eye muscles each day

    • C. 

      Turning the entire head rather than just the eyes for sight

    • D. 

      Avoiding activities requiring good depth perception

  • 2. 
    Lomotil has been prescribed to treat a client’s diarrhea. The nurse should teach the client to report which of the following common side effects? 
    • A. 

      Urinary retention

    • B. 

      Diaphoresis

    • C. 

      Hypotension

    • D. 

      Lethargy

  • 3. 
    Nitroglycerin is also available in ointment or paste form. Before applying nitroglycerin ointment, the nurse should:
    • A. 

      Cleanse the skin with alcohol where the ointment will be placed.

    • B. 

      Obtain the client’s pulse rate and rhyth

    • C. 

      Remove the ointment previously applied

    • D. 

      Instruct the client to expect pain relief in the next 15 minutes

  • 4. 
    While a client with hypertension is being assessed, he says to the nurse, “I really don’t know why I am here. I feel fine and haven’t had any  symptoms.” The nurse would explain to the client that symptoms of hypertension: 
    • A. 

      Are often not present

    • B. 

      Signify a high risk of stroke

    • C. 

      Occur only with malignant hypertension

    • D. 

      Appear after irreversible kidney damage has occurred

  • 5. 
    For a neurologically injured client, the nurse would best assess motor strength by: 
    • A. 

      Comparing equality of hand grasps

    • B. 

      Observing spontaneous movements

    • C. 

      Observing the client feed himself

    • D. 

      Asking him to signal if he feels pressure applied to his feet

  • 6. 
    Morphine 8 mg IM has been ordered for a client. The ampule label reads 15 mg/mL. How many milliliters will the nurse give? 
    • A. 

      0.45 mL

    • B. 

      0.53 mL

    • C. 

      0.66 mL

    • D. 

      0.75 mL

  • 7. 
    The correct procedure for auscultating the client’s abdomen for bowel sounds would include: 
    • A. 

      Alpating the abdomen first to determine correct stethoscope placement

    • B. 

      Encouraging the client to cough to stimulate movement of fluid and air through the abdomen

    • C. 

      Placing the client on the left side to aid auscultation

    • D. 

      Listening for 5minutes in all four quadrants to confirm absence of bowel sound

  • 8. 
    A client is admitted to the hospital with a diagnosis of a right hip fracture. She complains of right hip pain and cannot move her right leg. Which of the following assessments made by the nurse indicates that the client has a typical sign of hip fracture? The client’s right leg is: 
    • A. 

      Rotated internally

    • B. 

      Held in a flexed positio

    • C. 

      Adducted

    • D. 

      Shorter than the leg on the unaffected side

  • 9. 
    The nurse assesses the client’s understanding of the relationship between body position and gastroesophageal reflux. Which response would indicate that the client understands measures to avoid problems with reflux while sleeping? 
    • A. 

      I can elevate the foot of the bed 4 to 6 inches

    • B. 

      I can sleep on my stomach with my head turned to the left

    • C. 

      I can sleep on my back without a pillow under my head

    • D. 

      I can elevate the head of the bed 4 to 6 inches

  • 10. 
    Which of the following would be an appropriate nursing diagnosis for a hospitalized client with bacterial pneumonia and shortness of breath? 
    • A. 

      Ineffective cardiopulmonary tissue perfusion related to myocardial damage

    • B. 

      Risk for self-care deficit related to fatigue

    • C. 

      Deficient fluid volume related to nausea and vomiting

    • D. 

      Disturbed thought processes related to inadequate relief of chest pain

  • 11. 
    Theophylline ethylenediamide is administered to a client with COPD to: 
    • A. 

      Reduce bronchial secretions

    • B. 

      Relax bronchial smooth muscle

    • C. 

      Strengthen myocardial contractions

    • D. 

      Decrease alveolar elasticity

  • 12. 
    Which of the following lab results would be unexpected in a client with chronic renal failure? 
    • A. 

      Serum potassium 6.0 mEq/L

    • B. 

      Serum creatinine 9 mg/dL

    • C. 

      BUN 15 mg/dL

    • D. 

      Serum phosphate 5.2 mg/dL.

  • 13. 
    Which of the following criteria are acceptable for a rescuer to discontinue CPR? 
    • A. 

      When it is obvious that the victim will not survive

    • B. 

      When the rescuer is exhausted

    • C. 

      After 30 minutes of CPR without a pulse rate

    • D. 

      When the family requests discontinuation