Medical Surgical Nursing Practice Test Part 2 (Exam Mode) By Rnpedia.Com

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1.  Nurse Maureen knows that the positive diagnosis for HIV infection is made based on which of the following:

Explanation

These tests confirm the presence of HIV antibodies that occur in response to the presence of the human immunodeficiency virus (HIV).

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Medical Surgical Nursing Practice Test Part 2 (Exam Mode) By Rnpedia.Com - Quiz

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.... see moreYou got 60 minutes to finish the exam. Good luck! see less

2. Among the following clients, which among them is high risk for potential hazards from the surgical experience?

Explanation

A 67 year old client is greater risk because the older adult client is more likely to have a less-effective immune system.

Submit
3. Nurse hazel receives emergency laboratory results for a client with chest pain and immediately informs the physician. An increased myoglobin level suggests which of the following?

Explanation

Detection of myoglobin is a diagnostic tool to determine whether myocardial damage has occurred.

Submit
4. A male client with tuberculosis asks Nurse Brian how long the chemotherapy must be continued. Nurse Brian’s accurate reply would be:

Explanation

Tubercle bacillus is a drug resistant organism and takes a long time to be eradicated. Usually a combination of three drugs is used for minimum of 6 months and at least six months beyond culture conversion.

Submit
5. Karen has been diagnosed with aplastic anemia. The nurse monitors for changes in which of the following physiologic functions?

Explanation

Aplastic anemia decreases the bone marrow production of RBC’s, white blood cells, and platelets. The client is at risk for bruising and bleeding tendencies.

Submit
6.  Which of the following signs and symptoms would Nurse Maureen include in teaching plan as an early manifestation of laryngeal cancer?

Explanation

Early warning signs of laryngeal cancer can vary depending on tumor location. Hoarseness lasting 2 weeks should be evaluated because it is one of the most common warning signs.

Submit
7. Patricia a 20 year old college student withdiabetes mellitus requests additional information about the advantages of using a pen like insulindelivery devices. The nurse explains that the advantages of these devices over syringes includes:

Explanation

These devices are more accurate because they are easily to used and have improved adherence in insulin regimens by young people because the medication can be administered discreetly.

Submit
8. A client has been diagnosed with hypertension. The nurse priority nursing diagnosis would be:

Explanation

Managing hypertension is the priority for the client with hypertension. Clients with hypertension frequently do not experience pain, deficient volume, or impaired skin integrity. It is the asymptomatic nature of hypertension that makes it so difficult to treat.

Submit
9. Among the following components thorough pain assessment, which is the most significant?

Explanation

Intensity is the major indicative of severity of pain and it is important for the evaluation of the treatment.

Submit
10. Nurse Linda is preparing a client with multiple sclerosis for discharge from the hospital to home. Which of the following instruction is most appropriate?

Explanation

The nurse most positive approach is to encourage the client with multiple sclerosis to stay active, use stress reduction techniques and avoid fatigue because it is important to support the immune system while remaining active.

Submit
11. Nurse Hazel teaches the client with angina about common expected side effects of nitroglycerin including:

Explanation

Because of its widespread vasodilating effects, nitroglycerin often produces side effects such as headache, hypotension and dizziness.

Submit
12. A 65 year old female is experiencing flare up of pruritus. Which of the client’s action could aggravate the cause of flare ups?

Explanation

The use of fragrant soap is very drying to skin hence causing the pruritus.

Submit
13. What is the priority nursing assessment in the first 24 hours after admission of the client with thrombotic CVA?

Explanation

It is crucial to monitor the pupil size and papillary response to indicate changes around the cranial nerves.

Submit
14. An 83-year-old woman has several ecchymotic areas on her right arm. The bruises are probably caused by:

Explanation

Aging process involves increased capillary fragility and permeability. Older adults have a decreased amount of subcutaneous fat and cause an increased incidence of bruise like lesions caused by collection of extravascular blood in loosely structured dermis.

Submit
15. Which of the following findings is the best indication that fluid replacement for the client with hypovolemic shock is adequate?

Explanation

Urine output provides the most sensitive indication of the client’s response to therapy for hypovolemic shock. Urine output should be consistently greater than 30 to 35 mL/hr.

Submit
16.  A client has undergone with penile implant. After 24 hrs of surgery, the client’s scrotum was edematous and painful. The nurse should:

Explanation

Elevation increases lymphatic drainage, reducing edema and pain.

Submit
17. The following are lipid abnormalities. Which of the following is a risk factor for the development of atherosclerosis and PVD?

Explanation

An increased in LDL cholesterol concentration has been documented at risk factor for the development of atherosclerosis. LDL cholesterol is not broken down into the liver but is deposited into the wall of the blood vessels.

Submit
18. A female client is receiving IV Mannitol. An assessment specific to safe administration of the said drug is:

Explanation

The osmotic diuretic mannitol is contraindicated in the presence of inadequate renal function or heart failure because it increases the intravascular volume that must be filtered and excreted by the kidney.

Submit
19. Which of the following complications associated with tracheostomy tube?

Explanation

Tracheostomy tube has several potential complications including bleeding, infection and laryngeal nerve damage.

Submit
20. What is the peak age range in acquiring acute lymphocytic leukemia (ALL)?

Explanation

The peak incidence of Acute Lymphocytic Leukemia (ALL) is 4 years of age. It is uncommon after 15 years of age.

Submit
21. A client has undergone laryngectomy. The immediate nursing priority would be:

Explanation

Patent airway is the most priority; therefore removal of secretions is necessary.

Submit
22. A male client’s left tibia was fractured in an automobile accident, and a cast is applied. To assess for damage to major blood vessels from the fracture tibia, the nurse in charge should monitor the client for:

Explanation

Damage to blood vessels may decrease the circulatory perfusion of the toes, this would indicate the lack of blood supply to the extremity.

Submit
23. Nurse Judith obtains a specimen of clear nasal drainage from a client with a head injury. Which of the following tests differentiates mucus from cerebrospinal fluid (CSF)?

Explanation

The constituents of CSF are similar to those of blood plasma. An examination for glucose content is done to determine whether a body fluid is a mucus or a CSF. A CSF normally contains glucose.

Submit
24. Nurse Maureen is aware that a client who has been diagnosed with chronic renal failure recognizes an adequate amount of high-biologic-value protein when the food the client selected from the menu was:

Explanation

One cup of cottage cheese contains approximately 225 calories, 27 g of protein, 9 g of fat, 30 mg cholesterol, and 6 g of carbohydrate. Proteins of high biologic value (HBV) contain optimal levels of amino acids essential for life.

Submit
25. A male client has undergone spinal surgery, the nurse should:

Explanation

Alteration in sensation and circulation indicates damage to the spinal cord, if these occurs notify physician immediately.

Submit
26. Marina with acute renal failure moves into the diuretic phase after one week of therapy. During this phase the client must be assessed for signs ofdeveloping:

Explanation

In the diuretic phase fluid retained during the oliguric phase is excreted and may reach 3 to 5 liters daily, hypovolemia may occur and fluids should be replaced.

Submit
27. Which of the following stage the carcinogen is irreversible?

Explanation

Progression stage is the change of tumor from the preneoplastic state or low degree of malignancy to a fast growing tumor that cannot be reversed.

Submit
28. Which of the following represents a significant risk immediately after surgery for repair of aortic aneurysm?

Explanation

There is a potential alteration in renal perfusion manifested by decreased urine output. The altered renal perfusion may be related to renal artery embolism, prolonged hypotension, or prolonged aortic cross-clamping during the surgery.

Submit
29. Atropine sulfate (Atropine) is contraindicated in all but one of the following client?

Explanation

Atropine sulfate is contraindicated with glaucoma patients because it increases intraocular pressure.

Submit
30. Nurse Anna is aware that early adaptation of client with renal carcinoma is:

Explanation

Intermittent pain is the classic sign of renal carcinoma. It is primarily due to capillary erosion by the cancerous growth.

Submit
31. While performing a physical assessment of a male client with gout of the great toe, Nurse Vivian should assess for additional tophi (urate deposits) on the:

Explanation

Uric acid has a low solubility, it tends to precipitate and form deposits at various sites where blood flow is least active, including cartilaginous tissue such as the ears.

Submit
32. Nurse Katrina would recognize that the demonstration of crutch walking with tripod gait was understood when the client places weight on the:

Explanation

The palms should bear the client’s weight to avoid damage to the nerves in the axilla.

Submit
33. The nurse is aware the early indicator of hypoxia in the unconscious client is:

Explanation

Restlessness is an early indicator of hypoxia. The nurse should suspect hypoxia in unconscious client who suddenly becomes restless.

Submit
34. Nurse Faith should recognize that fluid shift in an client with burn injury results from increase in the:

Explanation

In burn, the capillaries and small vessels dilate, and cell damage cause the release of a histamine-like substance. The substance causes the capillary walls to become more permeable and significant quantities of fluid are lost.

Submit
35. Karina a client with myasthenia gravis is to receive immunosuppressive therapy. The nurse understands that this therapy is effective because it:

Explanation

Steroids decrease the body’s immune response thus decreasing the production of antibodies that attack the acetylcholine receptors at the neuromuscular junction

Submit
36. Kenneth who has diagnosed with uremic syndrome has the potential to develop complications. Which among the following complications should the nurse anticipates:

Explanation

Elevation of uremic waste products causes irritation of the nerves, resulting in flapping hand tremors.

Submit
37. A 22 year old client suffered from his first tonic-clonic seizure. Upon awakening the client asks the nurse, “What caused me to have a seizure? Which of the following would the nurse include in the primary cause of tonic clonic seizures in adults more the 20 years?

Explanation

Trauma is one of the primary cause of brain damage and seizure activity in adults. Other common causes of seizure activity in adults include neoplasms, withdrawal from drugs and alcohol, and vascular disease.

Submit
38. A client is experiencing spinal shock. Nurse Myrna should expect the function of the bladder to be which of the following?

Explanation

In spinal shock, the bladder becomes completely atonic and will continue to fill unless the client is catheterized.

Submit
39. Halfway through the administration of blood, the female client complains of lumbar pain. After stopping the infusion Nurse Hazel should:

Explanation

The blood must be stopped at once, and then normal saline should be infused to keep the line patent and maintain blood volume.

Submit
40. Nurse Maureen would expect the a client with mitral stenosis would demonstrate symptoms associated with congestion in the:

Explanation

When mitral stenosis is present, the left atrium has difficulty emptying its contents into the left ventricle because there is no valve to prevent back ward flow into the pulmonary vein, the pulmonary circulation is under pressure.

Submit
41.  A client has been diagnosed with Disseminated Intravascular Coagulation (DIC). Which of the following is contraindicated with the client?

Explanation

Disseminated Intravascular Coagulation (DIC) has not been found to respond to oral anticoagulants such as Coumadin.

Submit
42. After a long leg cast is removed, the male client should:

Explanation

Elevation will help control the edema that usually occurs.

Submit
43. Lydia is scheduled for elective splenectomy. Before the clients goes to surgery, the nurse in charge final assessment would be:

Explanation

An elective procedure is scheduled in advance so that all preparations can be completed ahead of time. The vital signs are the final check that must be completed before the client leaves the room so that continuity of care and assessment is provided for.

Submit
44. Mang Jose with rheumatoid arthritis states, “the only time I am without pain is when I lie in bed perfectly still”. During the convalescent stage, the nurse in charge with Mang Jose should encourage:

Explanation

Active exercises, alternating extension, flexion, abduction, and adduction, mobilize exudates in the joints relieves stiffness and pain.

Submit
45. A client is admitted to the hospital with benign prostatic hyperplasia, the nurse most relevant assessment would be:

Explanation

This indicates that the bladder is distended with urine, therefore palpable.

Submit
46. Nurse Katrina should anticipate that all of the following drugs may be used in the attempt to control the symptoms of Meniere’s disease except:

Explanation

Glucocorticoids play no significant role in disease treatment.

Submit
47. Marie with acute lymphocytic leukemia suffers from nausea and headache. These clinical manifestations may indicate all of the following except

Explanation

Acute Lymphocytic Leukemia (ALL) does not cause gastric distention. It does invade the central nervous system, and clients experience headaches and vomiting from meningeal irritation.

Submit
48. Nurse Josie should instruct the client to eat which of the following foods to obtain the best supply of Vitamin B12?

Explanation

Good source of vitamin B12 are dairy products and meats.

Submit
49. Marco who was diagnosed with brain tumor was scheduled for craniotomy. In preventing the development of cerebral edema after surgery, the nurse should expect the use of:

Explanation

Glucocorticoids (steroids) are used for their anti-inflammatory action, which decreases the development of edema.

Submit
50. Nurse Jon assesses vital signs on a client undergone epidural anesthesia. Which of the following would the nurse assess next?

Explanation

The last area to return sensation is in the perineal area, and the nurse in charge should monitor the client for distended bladder.

Submit
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 Nurse Maureen knows that the positive diagnosis for HIV...
Among the following clients, which among them is high risk for...
Nurse ...
A male client with tuberculosis asks Nurse Brian how long the...
Karen has been diagnosed with aplastic anemia. The nurse monitors for...
 Which of the following signs and symptoms would Nurse Maureen...
Patricia a 20 year old college student withdiabetes mellitus...
A client has been diagnosed with hypertension. The nurse priority...
Among the following components thorough pain assessment, which is the...
Nurse Linda is preparing a client with multiple sclerosis for...
Nurse Hazel teaches the client with angina about common expected side...
A 65 year old female is experiencing flare up of pruritus. Which of...
What is the priority nursing assessment in the first 24 hours after...
An 83-year-old woman has several ecchymotic areas on her right arm....
Which of the following findings is the best indication that fluid...
 A ...
The following are lipid abnormalities. Which of the following is a...
A female client is receiving IV Mannitol. An assessment specific to...
Which of the following complications associated with tracheostomy...
What is the peak age range in acquiring acute lymphocytic leukemia...
A client has undergone laryngectomy. The immediate nursing priority...
A male client’s left tibia was fractured in an automobile accident,...
Nurse Judith obtains a specimen of clear nasal drainage from a client...
Nurse ...
A male client has undergone spinal surgery, the nurse should:
Marina with acute renal failure moves into the diuretic phase after...
Which of the following stage the carcinogen is irreversible?
Which of the following represents a significant risk immediately after...
Atropine sulfate (Atropine) is contraindicated in all but one of the...
Nurse Anna is aware that early adaptation of client with renal...
While performing a physical assessment of a male client with gout of...
Nurse Katrina would recognize that the demonstration of crutch walking...
The nurse is aware the early indicator of hypoxia in the unconscious...
Nurse Faith should recognize that fluid shift in an client with burn...
Karina a client with myasthenia gravis is to receive immunosuppressive...
Kenneth ...
A 22 year old client suffered from his first tonic-clonic seizure....
A client is experiencing spinal shock. Nurse Myrna should expect the...
Halfway ...
Nurse Maureen would expect the a client with mitral stenosis would...
 A ...
After a long leg cast is removed, the male client should:
Lydia is scheduled for elective splenectomy. Before the clients goes...
Mang Jose with rheumatoid arthritis states, “the only time...
A client is admitted to the hospital with benign prostatic...
Nurse Katrina should anticipate that all of the following drugs may be...
Marie ...
Nurse Josie should instruct the client to eat which of the following...
Marco who was diagnosed with brain tumor was scheduled for craniotomy....
Nurse Jon assesses vital signs on a client undergone epidural...
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