Can You Pass This Medical Surgical Nurse Test? Trivia Quiz

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1.  The nurse is reviewing the laboratory results of the client. In reviewing the results of the RBC count, the nurse understands that the higher the red blood cell count, the :

 

Explanation

Viscosity, a measure of a fluid’s internal resistance to flow, is increased as the number of red cells suspended in plasma.

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About This Quiz
Can You Pass This Medical Surgical Nurse Test? Trivia Quiz - Quiz

Surgery is a complicated process, and there is much that goes into becoming a surgical nurse. The quiz below covers the scope of this Nursing Test IV is parallel to the NP4 NLE Coverage: Medical-Surgical Nursing. Do you think that you have studied enough to pass it? Why don’t you... see moretake up the quiz below and see if you should get a tutor! see less

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2.  The client in the orthopedic unit asks the nurse the reason behind why compact bone is stronger than cancellous bone. Which of the following is the correct response of the nurse?


Explanation

The greater the density of compact bone makes it stronger than the cancellous bone. Compact bone forms from cancellous bone by the addition of concentric rings of bones substances to the marrow spaces of cancellous bone. The large marrow spaces are reduced to haversian canals.

Submit
3. The physician scheduled the client with rheumatoid arthritis for the injection of hydrocortisone into the knee joint. The client asks the nurse why there is a need for this injection. The nurse explains that the most important reason for doing this is to: 


Explanation

Steroids have an anti-inflammatory effect that can reduce arthritic pannus formation.

Submit
4. An older adult client with acute pain is admitted in the hospital. The nurse understands that in managing acute pain of the client during the first 24 hours, the nurse should ensure that: 

 

Explanation

Around-the-clock administration of analgesics is recommended for acute pain in the older adult population; this help to maintain a therapeutic blood level of pain medication.

Submit
5. A client is taking nitroglycerine tablets, the nurse should teach the client the importance of: 


Explanation

Nitroglycerine is sensitive to light and moisture ad must be stored in a dark, airtight container.

Submit
6.  A client is diagnosed with a brain tumor in the occipital lobe. Which of the following will the client most likely experience?

Explanation

The occipital lobe is involve with visual interpretation.

Submit
7. In making a diagnosis of myasthenia gravis Edrophonium HCI (Tensilon) is used. The nurse knows that this drug will cause a temporary increase in: 


Explanation

Tensilon, an anticholinesterase drug, causes temporary relief of symptoms of myasthenia gravis in client who have the disease and is therefore an effective diagnostic aid.

Submit
8.  Which of the following is the most important electrolyte of intracellular fluid? 


Explanation

The concentration of potassium is greater inside the cell and is important in establishing a membrane potential, a critical factor in the cell’s ability to function.

Submit
9. A female client is admitted because of recurrent urinary tract infections. The client asks the nurse why she is prone to this disease. The nurse states that the client is most susceptible because of: 


Explanation

The length of the urethra is shorter in females than in males; therefore microorganisms have a shorter distance to travel to reach the bladder. The proximity of the meatus to the anus in females also increases this incidence.

Submit
10.  The physician advised the client with Hemiparesis to use a cane. The client asks the nurse why cane will be needed. The nurse explains to the client that cane is advised specifically to:


Explanation

Hemiparesis creates instability. Using a cane provides a wider base of support and, therefore greater stability.

Submit
11. The nurse is reviewing the laboratory result of the client. The client’s serum potassium level is 5.8 mEq/L. Which of the following is the initial nursing action? 


Explanation

Vital signs monitor cardiorespiratory status; hyperkalemia causes serious cardiac dysrhythmias.

Submit
12. The nurse is reviewing the laboratory result of the client. An arterial blood gas report indicates the client’s pH is 7.20, PCO2 35 mmHg and HCO3 is 19 mEq/L. The results are consistent with: 


Explanation

A low pH and bicarbonate level are consistent with metabolic acidosis.

Submit
13. A client with diabetes insipidus is taking Desmopressin acetate (DDAVP). To determine if the drug is effective, the nurse should monitor the client’s: 


Explanation

DDAVP replaces the ADH, facilitating reabsorption of water and consequent return of normal urine output and thirst.

Submit
14. A client with cancer of the lung is receiving chemotherapy. The physician orders antibiotic therapy for the client. The nurse understands that chemotherapy destroys rapidly growing leukocytes in the: 


Explanation

Prolonged chemotherapy may slow the production of leukocytes in bone marrow, thus suppressing the activity of the immune system. Antibiotics may be required to help counter infections that the body can no longer handle easily.

Submit
15.  During an assessment, the nurse recognizes that the client has an increased risk for developing cancer of the tongue. Which of the following health history will be a concern?


Explanation

Heavy alcohol ingestion predisposes an individual to the development of oral cancer.

Submit
16.  An 18-year-old college student is brought to the emergency department due to serious motor vehicle accident. Right above-knee-amputation is done. Upon awakening from surgery the client tells the nurse, “What happened to me? I cannot remember anything?” Which of the following would be the appropriate initial nursing response? 


Explanation

This is truthful and provides basic information that may prompt recollection of what happened; it is a starting point.

Submit
17. A client with recurrent urinary tract infections is to be discharged. The client will be taking nitrofurantoin (Macrobid) 50 mg po every evening at home. The nurse provides discharge instructions to the client. Which of the following instructions will be correct? 


Explanation

To prevent crystal formation, the client should have sufficient intake to produce 1000 to 1500 mL of urine daily while taking this drug.

Submit
18. A client with AIDS develops bacterial pneumonia is admitted in the emergency department. The client’s arterial blood gases is drawn and the result is PaO2 80mmHg. then arterial blood gases are drawn again and the level is reduced from 80 mmHg to 65 mmHg. The nurse should; 


Explanation

This decrease in PaO2 indicates respiratory failure; it warrants immediate medical evaluation.

Submit
19. The nurse is reviewing the client’s chart about the ordered medication. The nurse must observe for signs of hyperkalemia when administering: 


Explanation

Aldactone is a potassium-sparing diuretic; hyperkalemia is an adverse effect.

Submit
20. The client with an acute myocardial infarction is hospitalized for almost one week. The client experiences nausea and loss of appetite. The nurse caring for the client recognizes that these symptoms may indicate the: 


Explanation

Toxic levels of Lanoxin stimulate the medullary chemoreceptor trigger zone, resulting in nausea and subsequent anorexia.

Submit
21.  A client with a partial occlusion of the left common carotid artery is scheduled for discharge. The client is still receiving Coumadin. The nurse provided a discharge instruction to the client regarding adverse effects of Coumadin. The nurse should tell the client to consult with the physician if: 


Explanation

Warfarin derivatives cause an increase in the prothrombin time and INR, leading to an increased risk for bleeding. Any abnormal or excessive bleeding must be reported, because it may indicate toxic levels of the drug.

Submit
22. The nurse is assigned to care for a client with diarrhea. Excessive fluid loss is expected. The nurse is aware that fluid deficit can most accurately be assessed by: 


Explanation

Dehydration is most readily and accurately measured by serial assessment of body weight; 1 L of fluid weighs 2.2 pounds.

Submit
23. The client who had transverse colostomy asks the nurse about the possible effect of the surgery on future sexual relationship. What would be the best nursing response? 


Explanation

Surgery on the bowel has no direct anatomic or physiologic effect on sexual performance. However, the nurse should encourage verbalization.

Submit
24. A client is receiving diltiazem (Cardizem). What should the nurse include in a teaching plan aimed at reducing the side effects of this medication? 


Explanation

Changing positions slowly will help prevent the side effect of orthostatic hypotension.

Submit
25. A client is receiving simvastatin (Zocor). The nurse is aware that this medication is effective when there is decrease in: 


Explanation

Therapeutic effects of simvastatin include decreased serum triglyceries, LDL and cholesterol.

Submit
26. The physician reduced the client’s Dexamethasone (Decadron) dosage gradually and to continue a lower maintenance dosage. The client asks the nurse about the change of dosage. The nurse explains to the client that the purpose of gradual dosage reduction is to allow: 


Explanation

Any hormone normally produced by the body must be withdrawn slowly to allow the appropriate organ to adjust and resume production.

Submit
27. Which of the following client has a high risk for developing hyperkalemia? 


Explanation

The kidneys normally eliminate potassium from the body; hyperkalemia may necessitate dialysis.

Submit
28.  A client with Addison’s disease has a blood pressure of 65/60. The nurse understands that decreased blood pressure of the client with Addison’s disease involves a disturbance in the production of:

Explanation

Mineralocorticoids such as aldosterone cause the kidneys to retain sodium ions. With sodium, water is also retained, elevating blood pressure. Absence of this hormone thus causes hypotension.

Submit
29. The physician prescribed Albuterol (Proventil) to the client with severe asthma. After the administration of the medication the nurse should monitor the client for: 


Explanation

Albuterol’s sympathomimetic effect causes cardiac stimulation that may cause tachycardia and palpitation.

Submit
30. The physician prescribes Ibuprofen (Motrin) and hydroxychloroquine sulfate (Plaquenil) for a 58-year-old male client with arthritis. The nurse provides information about toxicity of the hydroxychloroquine. The nurse can determine if the information is clearly understood if the client states: 


Explanation

Visual disturbance are a sign of toxicity because retinopathy can occur with this drug.

Submit
31. Administration of potassium iodide solution is ordered to the client who will undergo a subtotal thyroidectomy. The nurse understands that this medication is given to: 


Explanation

Potassium iodide, which aids in decreasing the vascularity of the thyroid gland, decreases the risk for hemorrhage.

Submit
32. The client is to receive an IV piggyback medication. When preparing the medication the nurse should be aware that it is very important to: 


Explanation

Because IV solutions enter the body’s internal environment, all solutions and medications utilizing this route must be sterile to prevent the introduction of microbes.

Submit
33. A 75-year-old male client tells the nurse that his wife has osteoporosis and asks what chances he had of getting also osteoporosis like his wife. Which of the following is the correct response of the nurse? 

 

Explanation

Osteoporosis is not restricted to women; it is a potential major health problem of all older adults; estimates indicate that half of all women have at least one osteoporitic fracture and the risk in men is estimated between 13% and 25%; a bone mineral density measurement assesses the mass of bone per unit volume or how tightly the bone is packed.

Submit
34. Levodopa is ordered for a client with Parkinson’s disease. Before starting the medication, the nurse should know that: 


Explanation

Levodopa is the metabolic precursor of dopamine. It reduces sympathetic outflow by limiting vasoconstriction, which may result in orthostatic hypotension.

Submit
35. A client is scheduled for bariatric surgery. Preoperative teaching is done. Which of the following statement would alert the nurse that further teaching to the client is necessary? 


Explanation

Clients need to be prepared emotionally for the body image changes that occur after bariatric surgery. Clients generally experience excessive abdominal skin folds after weight stabilizes, which may require a panniculectomy. Body image disturbance often occurs in response to incorrectly estimating one’s size; it is not uncommon for the client to still feel fat no matter how much weight is lost.

Submit
36.  After radiation therapy for cancer of the prostate, the client experienced irritation in the bladder. Which of the following sign of bladder irritability is correct?

Explanation

Dysuria, nocturia, and urgency are all signs an irritable bladder after radiation therapy.

Submit
37.  The nurse is conducting a discharge teaching regarding the prevention of further problems to a client who undergone surgery for carpal tunnel syndrome of the right hand. Which of the following instruction will the nurse includes? 


Explanation

Manual stretching exercises will assist in keeping the muscles and tendons supple and pliable, reducing the traumatic consequences of repetitive activity.

Submit
38. The nurse is assigned to care for a 57-year-old female client who had a cataract surgery an hour ago. The nurse should: 



Explanation

Activities such as rigorous brushing of hair and teeth cause increased intraocular pressure and may lead to hemorrhage in the anterior chamber.

Submit
39. Following an amputation of a lower limb to a male client, the nurse provides an instruction on how to prevent a hip flexion contracture. The nurse should instruct the client to:. 


Explanation

The hips are in extension when the client is prone; this keeps the hips from flexing.

Submit
40. The nurse can determine the effectiveness of carbamazepine (Tegretol) in the management of trigeminal neuralgia by monitoring the client’s: 


Explanation

Carbamazepine ( Tegretol) is administered to control pain by reducing the transmission of nerve impulses in clients with trigeminal neuralgia.

Submit
41.  A client with Addison’s disease is scheduled for discharge. Before the discharge, the physician prescribes hydrocortisone and fludrocortisone. The nurse expects the hydrocortisone to: 

 

Explanation

Hydrocortisone is a glucocorticoid that has anti-inflammatory action and aids in metabolism of carbohydrate, fat, and protein, causing elevation of blood glucose. Thus it enables the body to adapt to stress.

Submit
42. Potassium chloride, 20 mEq, is ordered and to be added in the IV solution of a client in a diabetic ketoacidosis. The primary reason for administering this drug is: 


Explanation

Once treatment with insulin for diabetic ketoacidosis is begun, potassium ions reenter the cell, causing hypokalemia; therefore potassium, along with the replacement fluid, is generally supplied.

Submit
43.  The client is transferred from the operating room to recovery room after an open-heart surgery. The nurse assigned is taking the vital signs of the client. The nurse notified the physician when the temperature of the client rises to 38.8 ºC or 102 ºF because elevated temperatures:

Explanation

The temperature of 102 ºF (38.8ºC) or greater lead to an increased metabolism and cardiac workload.

Submit
44. A female client is brought to the emergency unit. The client is complaining of abdominal cramps. On assessment, client is experiencing anorexia and weight is reduced. The physician’s diagnosis is colitis. Which of the following symptoms of fluid and electrolyte imbalance should the nurse report immediately? 


Explanation

Potassium, the major intracellular cation, functions with sodium and calcium to regulate neuromuscular activity and contraction of muscle fibers, particularly the heart muscle. In hypokalemia these symptoms develop.

Submit
45. Before discharge, the nurse scheduled the client who had a colostomy for colorectal cancer for discharge instruction about resuming activities. The nurse should plan to help the client understands that: 


Explanation

There are few physical restraints on activity postoperatively, but the client may have emotional problems resulting from the body image changes.

Submit
46. Following spinal injury, the nurse should encourage the client to drink fluids to avoid:


Explanation

Clients in the early stage of spinal cord damage experience an atonic bladder, which is characterized by the absence of muscle tone, an enlarged capacity, no feeling of discomfort with distention, and overflow with a large residual. This leads to urinary stasis and infection. High fluid intake limits urinary stasis and infection by diluting the urine and increasing urinary output.

Submit
47. A 38-year-old client with severe hypertension is hospitalized. The physician prescribed a Captopril (Capoten) and Alprazolam (Xanax) for treatment. The client tells the nurse that there is something wrong with the medication and nursing care. The nurse recognizes this behavior is probably a manifestation of the client’s: 


Explanation

Clients adapting to illness frequently feel afraid and helpless and strike out at health team members as a way of maintaining control or denying their fear.

Submit
48. A nurse is caring to an older adult with presbycusis. In formulating nursing care plan for this client, the nurse should expect that hearing loss of the client that is caused by aging to have: 


Explanation

Generally, female voices have a higher pitch than male voices; older adults with presbycusis (hearing loss caused by the aging process) have more difficulty hearing higher-pitched sounds.

Submit
49. The nurse is planning to teach the client about a spontaneous pneumothorax. The nurse would base the teaching on the understanding that:

Explanation

As a person with a tear in the lung inhales, air moves through that opening into the intrapleural and causes partial or complete collapse of the lungs.

Submit
50.  A 55-year-old client is admitted with chest pain that radiates to the neck, jaw and shoulders that occurs at rest, with high body temperature, weak with generalized sweating and with decreased blood pressure. A myocardial infarction is diagnosed. The nurse knows that the most accurate explanation for one of these presenting adaptations is: 


Explanation

Temperature may increase within the first 24 hours and persist as long as a week.

Submit
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 The nurse is reviewing the laboratory results of the client. In ...
 The client in the orthopedic unit asks the nurse the reason...
The physician scheduled the client with rheumatoid arthritis for the...
An older adult client with acute pain is admitted in the hospital. The...
A client is taking nitroglycerine tablets, the nurse should teach the...
 A client is diagnosed with a brain tumor in the occipital lobe. ...
In making a diagnosis of myasthenia gravis Edrophonium HCI (Tensilon)...
 Which of the following is the most important electrolyte of...
A female client is admitted because of recurrent urinary tract...
 The physician advised the client with Hemiparesis to use a...
The nurse is reviewing the laboratory result of the client. The...
The nurse is reviewing the laboratory result of the client. An...
A client with diabetes insipidus is taking Desmopressin acetate...
A client with cancer of the lung is receiving chemotherapy. The...
 During an assessment, the nurse recognizes that the client has...
 An 18-year-old college student is brought to the emergency...
A client with recurrent urinary tract infections is to be discharged....
A client with AIDS develops bacterial pneumonia is admitted in the...
The nurse is reviewing the client’s chart about the ordered...
The client with an acute myocardial infarction is hospitalized for...
 A client with a partial occlusion of the left common carotid...
The nurse is assigned to care for a client with diarrhea. Excessive...
The client who had transverse colostomy asks the nurse about the...
A client is receiving diltiazem (Cardizem). What should the nurse...
A client is receiving simvastatin (Zocor). The nurse is aware that...
The physician reduced the client’s Dexamethasone (Decadron) dosage...
Which of the following client has a high risk for developing...
 A client with Addison’s disease has a blood pressure of 65/60....
The physician prescribed Albuterol (Proventil) to the client with...
The physician prescribes Ibuprofen (Motrin) and hydroxychloroquine...
Administration of potassium iodide solution is ordered to the client...
The client is to receive an IV piggyback medication. When preparing...
A 75-year-old male client tells the nurse that his wife has...
Levodopa is ordered for a client with Parkinson’s disease. Before...
A client is scheduled for bariatric surgery. Preoperative teaching is...
 After radiation therapy for cancer of the prostate, the client ...
 The nurse is conducting a discharge teaching regarding the...
The nurse is assigned to care for a 57-year-old female client who had...
Following an amputation of a lower limb to a male client, the nurse...
The nurse can determine the effectiveness of carbamazepine (Tegretol)...
 A client with Addison’s disease is scheduled for discharge....
Potassium chloride, 20 mEq, is ordered and to be added in the IV...
 The client is transferred from the operating room to recovery...
A female client is brought to the emergency unit. The client is...
Before discharge, the nurse scheduled the client who had a colostomy...
Following spinal injury, the nurse should encourage the client to...
A 38-year-old client with severe hypertension is hospitalized. The...
A nurse is caring to an older adult with presbycusis. In formulating...
The nurse is planning to teach the client about a spontaneous ...
 A 55-year-old client is admitted with chest pain that radiates...
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