Medical Surgical Nursing Practice Test Part 8 (Practice Mode)- Rnpedia

13 Questions | Total Attempts: 976

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Medical Surgical Nursing Practice Test Part 8 (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. 
    Mr. Duffy is admitted to the CCU with a diagnosis of R/O MI. He presented in the ER with a typical description of pain associated with an MI, and is now cold and clammy, pale and dyspneic. He has an IV of D5W running, and is complaining of chest pain. Oxygen therapy has not been started, and he is not on the monitor. He is frightened.1. The nurse is aware of several important tasks that should all be done immediately in order to give Mr. Duffy the care he needs. Which of the following nursing interventions will relieve his current myocardial ischemia?
    • A. 

      Stool softeners, rest

    • B. 

      O2 therapy, analgesia

    • C. 

      Reassurance, cardiac monitoring

    • D. 

      Adequate fluid intake, low-fat diet

  • 2. 
    Mr. Duffy is admitted to the CCU with a diagnosis of R/O MI. He presented in the ER with a typical description of pain associated with an MI, and is now cold and clammy, pale and dyspneic. He has an IV of D5W running, and is complaining of chest pain. Oxygen therapy has not been started, and he is not on the monitor. He is frightened.2. During the first three days that Mr. Duffy is in the CCU, a number of diagnostic blood tests are obtained. Which of the following patterns of cardiac enzyme elevation are most common following an MI?
    • A. 

      SGOT, CK, and LDH are all elevated immediately.

    • B. 

      SGOT rises 4-6 hours after infarction with CK and LDH rising slowly 24 hours later.

    • C. 

      CK peaks first (12-24 hours), followed by the SGOT (peaks in 24-36 hours) and then the LDH (peaks 3-4 days).

    • D. 

      CK peaks first and remains elevated for 1 to 2 weeks.

  • 3. 
    Mr. Duffy is admitted to the CCU with a diagnosis of R/O MI. He presented in the ER with a typical description of pain associated with an MI, and is now cold and clammy, pale and dyspneic. He has an IV of D5W running, and is complaining of chest pain. Oxygen therapy has not been started, and he is not on the monitor. He is frightened.3. On his second day in CCU Mr. Duffy suffers a life-threatening cardiac arrhythmia. Considering his diagnosis, which is the most probable arrhythmia?
    • A. 

      Atrial tachycardia

    • B. 

      Ventricular fibrillation

    • C. 

      Atrial fibrillation

    • D. 

      Heart block

  • 4. 
    Mr. Duffy is admitted to the CCU with a diagnosis of R/O MI. He presented in the ER with a typical description of pain associated with an MI, and is now cold and clammy, pale and dyspneic. He has an IV of D5W running, and is complaining of chest pain. Oxygen therapy has not been started, and he is not on the monitor. He is frightened.4. Mr. Duffy is placed on digitalis on discharge from the hospital. The nurse planning with him for his discharge should educate him as to the purpose and actions of his new medication. What should she or he teach Mr. Duffy to do at home to monitor his reaction to this medication?
    • A. 

      Take his blood pressure

    • B. 

      Take his radial pulse for one minute

    • C. 

      Check his serum potassium (K) level

    • D. 

      Weigh himself everyday

  • 5. 
    5. You decide to discuss glaucoma prevention. Which of the following diagnostic tests should these clients request from their care provider?
    • A. 

      Fluorescein stain

    • B. 

      Snellen’s test

    • C. 

      Tonometry

    • D. 

      Slit lamp

  • 6. 
    6. You also explain common eye changes associated with aging. One of these is presbyopia, which is:
    • A. 

      Refractive error that prevents light rays from coming to a single focus on the retina.

    • B. 

      Poor distant vision

    • C. 

      Poor near vision

    • D. 

      A gradual lessening of the power of accommodation

  • 7. 
    7. Some of the diabetic clients are interested in understanding what is visualized during funduscopic examination. During your discussion you describe the macular area as:
    • A. 

      Head of the optic nerve, seen on the nasal side of the field, lighter in color than the retina.

    • B. 

      The area of central vision, seen on the temporal side of the optic disc, which is quite avascular.

    • C. 

      Area where the central retinal artery and vein appear on the retina.

    • D. 

      Reddish orange in color, sometimes stippled.

  • 8. 
    8. One of the clients has noted a raised yellow plaque on the nasal side of the conjunctiva. You explain that this is called:
    • A. 

      A pinguecula, which is normal slightly raised fatty structure under the conjunctiva that may gradually increase with age.

    • B. 

      Icterus, which may be due to liver disease.

    • C. 

      A pterygium, which will interfere with vision.

    • D. 

      Ciliary flush caused by congestion of the ciliary artery.

  • 9. 
    9. You know that all but one of the following may eventually result in uremia. Which option is not implicated?
    • A. 

      Glomerular disease

    • B. 

      Uncontrolled hypertension

    • C. 

      Renal disease secondary to drugs, toxins, infections, or radiations

    • D. 

      All of the above

  • 10. 
    10. You did the initial assessment on Mr. Kaplan when he came to your unit. What classical signs and symptoms did you note?
    • A. 

      Fruity- smelling breath.

    • B. 

      Weakness, anorexia, pruritus

    • C. 

      Polyuria, polydipsia, polyphagia

    • D. 

      Ruddy complexion

  • 11. 
    11. Numerous drugs have been used on Mr. Kaplan in an attempt to stabilize him. Regarding his diagnosis and management of his drugs, you know that:
    • A. 

      The half-life of many drugs is decreased in uremia; thus dosage may have to be increased to be effective.

    • B. 

      Drug toxicity is a major concern in uremia; individualization of therapy and often a decrease in dose is essential.

    • C. 

      Drug therapy is not usually affected by this diagnosis

    • D. 

      Precautions should be taken with prescription drugs, but most OTC medications are safe for him to use.

  • 12. 
    12. The point of maximum impulse (PMI) is an important landmark in the cardiac exam. Which statement best describes the location of the PMI in the healthy adult?
    • A. 

      Base of the heart, 5th intercostal space, 7-9 cm to the left of the midsternal line.

    • B. 

      Base of the heart, 7th intercostal space, 7-9 cm to the left of the midsternal line.

    • C. 

      Apex of the heart, intercostal space, 7-9 cm to the left of the midsternal line.

    • D. 

      Apex of the heart, intercostal space, 7-9 cm to the left of the midsternal line.

  • 13. 
    13. During the physical examination of the well adult client, the health care provider auscultates the heart. When the stethoscope is placed on the 5th intercostal space along the left sternal border, which valve closure is best evaluated?
    • A. 

      Tricuspid

    • B. 

      Pulmonic

    • C. 

      Aortic

    • D. 

      Mitral