Medical Surgical Nursing Practice Test Part 9 (Practice Mode)- Www.Rnpedia.Com

19 Questions | Total Attempts: 845

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Medical Surgical Nursing Practice Test Part 9 (Practice Mode)- Www.Rnpedia.Com

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. 
    The nursing care plan for a toddler diagnosed with Kawasaki Disease (mucocutaneous lymph node syndrome) should be based on the high risk for development of which problem?
    • A. 

      Chronic vessel plaque formation

    • B. 

      Pulmonary embolism

    • C. 

      Occlusions at the vessel bifurcations

    • D. 

      Coronary artery aneurysms

  • 2. 
    A nurse has just received a medication order which is not legible. Which statement best reflects assertive communication?
    • A. 

      I cannot give this medication as it is written. I have no idea of what you mean."

    • B. 

      "Would you please clarify what you have written so I am sure I am reading it correctly?"

    • C. 

      "I am having difficulty reading your handwriting. It would save me time if you would be more careful."

    • D. 

      "Please print in the future so I do not have to spend extra time attempting to read your writing."

  • 3. 
    The nurse is discussing negativism with the parents of a 30 month-old child. How should the nurse tell the parents to best respond to this behavior? 
    • A. 

      Reprimand the child and give a 15 minute "time out"

    • B. 

      Maintain a permissive attitude for this behavior

    • C. 

      Use patience and a sense of humor to deal with this behavior

    • D. 

      Assert authority over the child through limit setting

  • 4. 
    An ambulatory client reports edema during the day in his feet and an ankle that disappears while sleeping at night. What is the most appropriate follow-up question for the nurse to ask?
    • A. 

      "Have you had a recent heart attack?"

    • B. 

      "Do you become short of breath during your normal daily activities?"

    • C. 

      "How many pillows do you use at night to sleep comfortably?"

    • D. 

      "Do you smoke?"

  • 5. 
    The nurse is planning care for a client during the acute phase of a sickle cell vaso-occlusive crisis. Which of the following actions would be most appropriate? 
    • A. 

      Fluid restriction 1000cc per day

    • B. 

      Ambulate in hallway 4 times a day

    • C. 

      Administer analgesic therapy as ordered

    • D. 

      Encourage increased caloric intake

  • 6. 
    While working with an obese adolescent, it is important for the nurse to recognize that obesity in adolescents is most often associated with what other behavior? 
    • A. 

      Sexual promiscuity

    • B. 

      Poor body image

    • C. 

      Dropping out of school

    • D. 

      Drug experimentation

  • 7. 
    A nurse admits a 3 week-old infant to the special care nursery with a diagnosis of bronchopulmonary dysplasia. As the nurse reviews the birth history, which data would be most consistent with this diagnosis? 
    • A. 

      Gestational age assessment suggested growth retardation

    • B. 

      Meconium was cleared from the airway at delivery

    • C. 

      Phototherapy was used to treat Rh incompatibili

    • D. 

      The infant received mechanical ventilation for 2 weeks

  • 8. 
    Parents of a 6 month-old breast fed baby ask the nurse about increasing the baby's diet. Which of the following should be added first? 
    • A. 

      Cereal

    • B. 

      Eggs

    • C. 

      Meat

    • D. 

      Juice

  • 9. 
    A victim of domestic violence states, "If I were better, I would not have been beat." Which feeling best describes what the victim may be experiencing?
    • A. 

      Fear

    • B. 

      Helplessness

    • C. 

      Self-blame

    • D. 

      Rejection

  • 10. 
    The nurse is assessing the mental status of a client admitted with possible organic brain disorder. Which of these questions will best assess the function of the client's recent memory? 
    • A. 

      "Name the year." "What season is this?" (pause for answer after each question)

    • B. 

      "Subtract 7 from 100 and then subtract 7 from that." (pause for answer) "Now continue to subtract 7 from the new number."

    • C. 

      "I am going to say the names of three things and I want you to repeat them after me: blue, ball, pen."

    • D. 

      "What is this on my wrist?" (point to your watch) Then ask, "What is the purpose of it?"

  • 11. 
    Which oxygen delivery system would the nurse apply that would provide the highest concentrations of oxygen to the client? 
    • A. 

      Venturi mask

    • B. 

      Partial rebreather mask

    • C. 

      Non-rebreather mask

    • D. 

      Simple face mask

  • 12. 
    Which client is at highest risk for developing a pressure ulcer? 
    • A. 

      23 year-old in traction for fractured femur

    • B. 

      72 year-old with peripheral vascular disease, who is unable to walk without assistance

    • C. 

      75 year-old with left sided paresthesia and is incontinent of urine and stool

    • D. 

      30 year-old who is comatose following a ruptured aneurysm

  • 13. 
    Which contraindication should the nurse assess for prior to giving a child immunization? 
    • A. 

      Mild cold symptoms

    • B. 

      Chronic asthma

    • C. 

      Depressed immune system

    • D. 

      Allergy to eggs

  • 14. 
    A nurse and client are talking about the client’s progress toward understanding his behavior under stress. This is typical of which phase in the therapeutic relationship? 
    • A. 

      Pre-interaction

    • B. 

      Orientation

    • C. 

      Working

    • D. 

      Termination

  • 15. 
    A nurse is eating in the hospital cafeteria when a toddler at a nearby table chokes on a piece of food and appears slightly blue. The appropriate initial action should be to 
    • A. 

      Begin mouth to mouth resuscitation

    • B. 

      Give the child water to help in swallowing

    • C. 

      Perform 5 abdominal thrusts

    • D. 

      Call for the emergency response team

  • 16. 
    The emergency room nurse admits a child who experienced a seizure at school. The father comments that this is the first occurrence, and denies any family history of epilepsy. What is the best response by the nurse? 
    • A. 

      "Do not worry. Epilepsy can be treated with medications."

    • B. 

      "The seizure may or may not mean your child has epilepsy."

    • C. 

      "Since this was the first convulsion, it may not happen again."

    • D. 

      "Long term treatment will prevent future seizures."

  • 17. 
    A nurse is caring for a client who had a closed reduction of a fractured right wrist followed by the application of a fiberglass cast 12 hours ago. Which finding requires the nurse’s immediate attention? 
    • A. 

      Capillary refill of fingers on right hand is 3 seconds

    • B. 

      Skin warm to touch and normally colored

    • C. 

      Client reports prickling sensation in the right hand

    • D. 

      Slight swelling of fingers of right hand

  • 18. 
    Included in teaching the client with tuberculosis taking INH about follow-up home care, the nurse should emphasize that a laboratory appointment for which of the following lab tests is critical? 
    • A. 

      Kidney function

    • B. 

      Blood sugar

    • C. 

      Cardiac enzymes

    • D. 

      Liver function

  • 19. 
    The nurse is caring for a 2 year-old who is being treated with chelation therapy, calcium disodium edetate, for lead poisoning. The nurse should be alert for which of the following side effects? 
    • A. 

      Neurotoxicity

    • B. 

      Hepatomegaly

    • C. 

      Nephrotoxicity

    • D. 

      Ototoxicity