Medical Surgical Nursing Practice Test Part 6 (Practice Mode)- Rnpedia

13 Questions | Total Attempts: 1660

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Medical Surgical Nursing Practice Test Part 6 (Practice Mode)- Rnpedia

Mark the letter of the letter of choice then click on the next button. Answer will be revealed after each question. No time limit to finish the exam. Good luck!


Questions and Answers
  • 1. 
    A client with myasthenia gravis ask the nurse why the disease has occurred. The nurse bases the reply on the knowledge that there is:
    • A. 

      A genetic in the production acetylcholine

    • B. 

      A reduced amount of neurotransmitter acetylcholine

    • C. 

      A decreased number of functioning acetylcholine receptor sites

    • D. 

      An inhibition of the enzyme ACHE leaving the end plates folded

  • 2. 
    A client with an inflamed sciatic nerve is to have a conventional transcutaneous electrical nerve stimulation (TENS) device applied to the painful nerve pathway. When operating the TENS unit the nurse should
    • A. 

      Maintain the same dial setting everyday

    • B. 

      Turn the machine several times a day for 10 to 20 minutes

    • C. 

      Adjust the TENS dial until the client perceives pain relief and comfort

    • D. 

      Apply the color-coded electrodes anywhere it is comfortable for the client

  • 3. 
    Although no cause has been determined for scleroderma, it is thought to be caused by:
    • A. 

      Autoimmunity

    • B. 

      Ocular motility

    • C. 

      Increased amino acid metabolism

    • D. 

      Defective sebaceous gland formation

  • 4. 
    The nurse must help the client with pemphigus vulgaris deal with the resulting:
    • A. 

      Infertility

    • B. 

      Paralysis

    • C. 

      Skin lesions

    • D. 

      Impaired digestion

  • 5. 
    The nurse should explain to the client with psoriasis that treatment usually involves:
    • A. 

      Avoiding exposure to the sum

    • B. 

      Topical application of steroids

    • C. 

      Potassium permanganate baths

    • D. 

      Debridement of necrotic plaques

  • 6. 
    The nurses should assess a client with psoriasis
    • A. 

      Pruritic lesions

    • B. 

      Multiple petechiae

    • C. 

      Shiny, scaly lesions

    • D. 

      Erythematous macules

  • 7. 
     A urine specimen for ketones should be removed from a client's retention catheter by:
    • A. 

      Disconnecting the catheter and draining it into a clean container

    • B. 

      Cleansing the drainage valve and removing it from the catheter bag

    • C. 

      Wiping the catheter with alcohol and draining it into a sterile test tube

    • D. 

      Using a sterile syringe to remove it from clamped, cleansed catheter

  • 8. 
    Following an abdominal cholecystectomy, the nurse should assess for signs of respiratory complications because the:
    • A. 

      Incision is in close proximity to the diaphragm

    • B. 

      Length of time required for surgery is prolonged

    • C. 

      Client's resistance is lowered because of bile in the blood

    • D. 

      Bloodstream is invaded by microorganisms from the biliary tract

  • 9. 
    The nurse assess the client with cholecystitis for the development of obstructive jaundice, which would be evidenced by:
    • A. 

      Inadequate absorption of fat-soluble K

    • B. 

      Light amber urine, dark brown stools, yellow skin

    • C. 

      Dark-colored urine, clay colored stools, itchy skin

    • D. 

      Straw-colored urine, putty-colored stools, yellow sclerae

  • 10. 
    A client with cholelithiasis experience discomfort after ingesting fatty foods because. 
    • A. 

      Fatty foods are hard to digest

    • B. 

      Bile flow into the intestine is obstructed

    • C. 

      The liver is manufacturing inadequate bile

    • D. 

      There is inadequate closure of the Ampulla of Vater

  • 11. 
    The chief complaint in a client with Vincent's Angina is:
    • A. 

      Chest pain

    • B. 

      Shortness of breath

    • C. 

      Shoulder discomfort

    • D. 

      Bleeding oral ulcerations

  • 12. 
    Clients with fractured mandibles usually have them immobilized with wires. The life-threatening problem that can develop postoperatively is:
    • A. 

      Infection

    • B. 

      Vomiting

    • C. 

      Osteomyelitis

    • D. 

      Bronchospasm

  • 13. 
    As a result of fractured ribs, the client may develop:
    • A. 

      Scoliosis

    • B. 

      Paradoxical respiration

    • C. 

      Obstructive lung-disease

    • D. 

      Hernation of the diaphragm