Med-surge 2
- 1.
The nurse is teaching a community health class about health promotion techniques. Which statement by a student indicates a strategy to help prevent the development of osteoarthritis?
- A.
I will have a family tree done
- B.
I will switch to low-tar cigarettes
- C.
I will keep my BMI below 24
- D.
I will start jogging twice a week
Correct Answer
C. I will keep my BMI below 24 -
- 2.
The nurse is working with a client who will be taking 20 mg of prednisone daily for RA. Which precautions does the nurse give the client taking this med?
- A.
Take medication at bedtime it will make you sleepy
- B.
Eat a high-fiber diet with lots of lean meats
- C.
Wash your face twice a day with an antibacterial soap
- D.
Take a calcium and vitamin D supplements daily
Correct Answer
D. Take a calcium and vitamin D supplements daily -
- 3.
A client returns to the med-surge unit after a total hip replacement with a large wedge pillow between his legs. The client's daughter asks the nurse why the pillow is in place. What is the nurse's best response?
- A.
It will keep the new hip from becoming dislocated
- B.
It will help prevent nerve damage and foot drop
- C.
It will prevent bedsores from developing
- D.
It will prevent him from climbing out of bed
Correct Answer
A. It will keep the new hip from becoming dislocated -
- 4.
The nurse is caring for a client who is 1 day post-op from total hip replacement. The nurse is instructing the client about how to perform quadriceps-setting exercises correctly. Which direction does the nurse provide to the client?
- A.
Straighten legs and push back of knees into the mattress
- B.
Bend each knee and rapidly point your toes downward and then upward
- C.
Straighten your legs and bring each leg separately off the mattress 6 inches
- D.
Raise each leg 10 inches off the bed, keep it straight and make ankle circles
Correct Answer
A. Straighten legs and push back of knees into the mattress -
- 5.
The home care nurse is making a follow up visit to a client who had a total hip replacement surgery 2 weeks ago. Which client statement indicates a need for clarification regarding post-op routine?
- A.
I take 200 mg of Motrin at bedtime so I can sleep
- B.
Each day, I try to increase my walking at least by 10 minutes
- C.
Now that my hip doesn't hurt, I can cross my legs like a lady
- D.
My daughter helps me put on my TED hose every day
Correct Answer
C. Now that my hip doesn't hurt, I can cross my legs like a lady -
- 6.
The nurse is caring for a patient who has right total knee replacement surgery 3 days ago. During the assessment, the nurse notes that the client's right lower leg is twice the size of the left. What is the nurse's priority intervention?
- A.
Assess the client's respiratory status
- B.
Check the client's pedal pulses
- C.
Apply TED stockings
- D.
Elevate the client's right leg
Correct Answer
A. Assess the client's respiratory status -
- 7.
A client is suspected to have RA. Which manifestations does the nurse assess most carefully for?
- A.
Numbness and tingling in the client's fingers
- B.
Client has cool feet, with peak pedal pulses
- C.
Crepitus when the client moves the shoulders
- D.
Low grade fever, fatigue, anorexia with weight loss
Correct Answer
D. Low grade fever, fatigue, anorexia with weight loss -
- 8.
The nurse is caring for a patient who has had hip replacement surgery 2 days before. The patient reports sever pain at the surgical site despite having received 2 vicodin 2 hours previously. The client is requesting IV pain meds. What is the priority intervention?
- A.
Reassure the client that the vicodin will work soon
- B.
Apply a large ice bag to the operative site
- C.
Assess the surgical site for signs of infection
- D.
Administer 2 more vicodin tablets
Correct Answer
C. Assess the surgical site for signs of infection -
- 9.
The nurse provides discharge teaching for a client to prevent gout attacks. Which statement indicates that additional teaching is required?
- A.
Citrus juices and milk may keep me from having kidney stones
- B.
If I get a headache, I will take Tylenol instead of aspirin
- C.
I hate to start limiting my fluid intake so much
- D.
I will keep a food symptom diary for a few weeks
Correct Answer
C. I hate to start limiting my fluid intake so much -
- 10.
The nurse is teaching a client how to reduce the pain that she often experiences with fibromyalgia. Which statement does the nurse include?
- A.
Make sure that you get enough sleep every night
- B.
Avoid exercising when your muscles
- C.
Stay out of the sun as much as possible
- D.
Wear gloves outdoors in cooler temperature
Correct Answer
A. Make sure that you get enough sleep every night -
- 11.
A client with chronic had a total knee replacement this morning and has a continuous passive motion machine. What activity related to CPM does the nurse delegate to the UAP?
- A.
Teaching the client's family the rationale for the CPM
- B.
Assessing the client's response to the CPM
- C.
Placing the controls out of the reach of confused clients
- D.
Assessing neurovascular status of the leg in the CPM
Correct Answer
C. Placing the controls out of the reach of confused clients -
- 12.
A client with chronic gout takes Benemid and comes to the clinic with frequent severe headaches and a new gout flare. The client is frustrated because the gout was previously controlled. What question is most helpful?
- A.
Have you switched from wine to beer lately?
- B.
Are you following your diet?
- C.
Do you know what triggers your gout?
- D.
What do you take for your headaches?
Correct Answer
D. What do you take for your headaches? -
- 13.
The nurse is caring for a female client who has a history of chronic fatigue syndrome. Which finding is the nurse surprised to see in the client's record?
- A.
Multiple tender lymph nodes
- B.
Newly red, swollen, warm knee
- C.
Serum creatinine, 0.9mg/dL
- D.
Hemoglobin, 7.2 g/dL
Correct Answer
D. Hemoglobin, 7.2 g/dL -
- 14.
The nurse is working with a client who has severe RA in her hands. The clients states she is frustrated at mealtime because it is difficult for her to manage cups and silverware. What is the best response?
- A.
Let's see if OT can provide you with some utensils
- B.
I'll have the techs set up your meal trays while you are in the hospital
- C.
Let's see if PT can suggest some muscle strengthening tips
- D.
I'll arrange for a home nurse asst. to help with meals after discharge
Correct Answer
A. Let's see if OT can provide you with some utensils -
- 15.
The nurse is caring for an older client who had his hip replaced 2 days prior. Which assessment is the best indicator that he does not need pain meds at this time?
- A.
The client's vitals are stable
- B.
The client received 2 pain pills 2 hours ago
- C.
The client is sleeping quietly
- D.
The client states he has no pain
Correct Answer
D. The client states he has no pain -
- 16.
The nurse is caring for a client with severe RA. She becomes combative and abusive to the staff when she is unable to perform personal care independently. What is the best statement the nurse can make at this time?
- A.
You seem frustrated. Would like to try to dress again in a few minutes?
- B.
I will have to restrain your hands if you cannot keep them to yourself
- C.
I will ask your doctor for a psych to talk about your anger
- D.
Would you like me to get an order of a med to help settle you down?
Correct Answer
A. You seem frustrated. Would like to try to dress again in a few minutes? -
- 17.
The nurse is caring for a young woman at a primary health clinic. Which assessment finding leads the nurse to question the client about risk factors for HIV
- A.
Unable to become pregnant for 2 years
- B.
Very heavy periods and breakthrough bleeding
- C.
Six vaginal yeast infections in the last 12 months
- D.
Severe cramping and irregular periods
Correct Answer
C. Six vaginal yeast infections in the last 12 months -
- 18.
The nurse is caring for a client with AIDS who has just been diagnosed with cryptococcal meningitis. What is the best intervention for this client?
- A.
Initiate resp. isolation for the next 72 hours
- B.
Administer IV Pentam
- C.
Initiate seizure precautions with padded siderails
- D.
Thicken the client's liquids to honey consistency
Correct Answer
C. Initiate seizure precautions with padded siderails -
- 19.
A client with AIDS has been admitted with fever, night sweats, and weight loss of 6 pounds in 2 weeks. His PPD test placed 3 days ago is negative. What action is most appropriate?
- A.
Initiate a 3 day calorie count
- B.
Facilitate a chest x-ray
- C.
Start an IV of NS
- D.
Place on airborne precautions
Correct Answer
D. Place on airborne precautions -
- 20.
The nurse is caring for a client newly diagnosed as HIV+ who will be taking Fuzeon. Which precaution is most importnant for the nurse to communicate to this patient?
- A.
Take this med with a snack or meal
- B.
Rotate sites of the injection
- C.
Do not drive or operate heavy machinery while taking this med
- D.
Stop taking if you have a fever
Correct Answer
B. Rotate sites of the injection -
- 21.
The nurse is teaching a client how to prevent transmitting HIV to his partner. Which statement indicates further teaching is needed?
- A.
Water based lubes are best to prevent condom breakage
- B.
I can throw condoms in the trash after using them
- C.
The condom needs to stay on until I withdraw
- D.
I will store condoms in my wallet
Correct Answer
D. I will store condoms in my wallet -
- 22.
The nurse is teaching a client with AIDS how to avoid infection at home. Which statement indicates additional teaching is needed?
- A.
I will run my toothbrush in the dishwasher every evening
- B.
I will make sure to have my own tube of toothpaste
- C.
I will be sure to eat lots of fresh fruits and veggies everyday
- D.
I will wash my hands when I get home from work
Correct Answer
C. I will be sure to eat lots of fresh fruits and veggies everyday -
- 23.
A client with selective IgA deficiency has an order for an infusion of IV IgG. What is the nurses best action?
- A.
Call the physician to clarify the order
- B.
Start a second line for the antibiotics
- C.
Review the client's renal panel before staring med
- D.
Obtain baseline VS and another after 15 minutes
Correct Answer
A. Call the physician to clarify the order -
- 24.
The nurse is caring for an HIV patient. The client has become confused over the shift and the pupils are no longer reacting to light. The nurse anticipates an order for which med?
- A.
Pentam
- B.
Nizoral
- C.
Bactrim
- D.
Deltazone
Correct Answer
D. Deltazone -
- 25.
When obtaining a sexual history from a client in the clinic, the nurse notes that the client appears uncomfortable and pauses for a long time before answering the questions. What is the nurse's best response?
- A.
These are making you uncomfortable, we'll finish next time
- B.
Take your time, I realize this is a private subject to talk about
- C.
I am sorry that my questions are making you uncomfortable
- D.
Don't worry. We'll be done with these questions in no time.
Correct Answer
B. Take your time, I realize this is a private subject to talk about -
- 26.
The nurse asks a young adult client if she is sexually active. The client asks why she needs to know. What is the best response?
- A.
I have to fill in answers to all questions on the health history form
- B.
If you are sexually active we should talk about ways to prevent HIV
- C.
I will notify your partner is you have a STD
- D.
I just need to make sure that your are providing reliable information
Correct Answer
B. If you are sexually active we should talk about ways to prevent HIV -
- 27.
What intervention does the nurse implement to provide for client safety during intradermal allergy testing?
- A.
Stay with the client and ensure that emergency equipment is in the room.
- B.
Apply oxygen by mask or cannula before injecting test agent
- C.
Pretreat the skin area to be tested with a cortisone-based cream
- D.
Cover the exam table with plastic or ultrafine mesh
Correct Answer
A. Stay with the client and ensure that emergency equipment is in the room. -
- 28.
A client is receiving an IV infusion of an antibiotic. The client calls the nurse about feeling uneasy and uncomfortable owing to congestion. Which action by the nurse is most appropriate?
- A.
Have another nurse call the rapid response team
- B.
Slow the IV infusion rate
- C.
Elevate the head of the bed to 45 degrees
- D.
Prepare to administer benedryl
Correct Answer
A. Have another nurse call the rapid response team -
- 29.
Which intervention is most important for the nurse to teach the client who is recovering from an allergic reaction to a bee sting?
- A.
Keep bendryl available
- B.
Avoid contact with allergen
- C.
Wear a medical alert bracelet
- D.
How to use an EpiPen
Correct Answer
D. How to use an EpiPen -
- 30.
A client with angioedema of the lower face needs the nurse to assess what next?
- A.
Pulse ox
- B.
Chest wall symmetry
- C.
Breath sounds
- D.
Airway patency
Correct Answer
D. Airway patency -
- 31.
A mother brings her child to the clinic requesting genetic testing to determine whether her child suffers from the same multiple allergies as herself. What is the nurse's most appropriate response?
- A.
Have the mother list her allergies and symptoms
- B.
Ask the mother about specific symptoms the child may have had
- C.
Provide a referral to an allergist so the child can be tested
- D.
Refer to a geneticist to have the child tested
Correct Answer
B. Ask the mother about specific symptoms the child may have had -
- 32.
How does the type V hypersensitivity reaction differ from other reactions?
- A.
It results in more severe tissue damage than is caused by other types
- B.
It produces a stimulatory response in normal tissues
- C.
It is an immediate response rather than a delayed response
- D.
It is cell mediated rather than antibodies
Correct Answer
B. It produces a stimulatory response in normal tissues -
- 33.
A nurse suspects a client to have serum sickness. For which manifestation does the nurse assess the client?
- A.
Joint pain
- B.
Allergic Rhinitis
- C.
Stridor
- D.
Wheezing
Correct Answer
A. Joint pain -
- 34.
A client undergoing radiation therapy says "I will be glad when this is over and I don't have to worry about my skin". What is the most appropriate response?
- A.
You can get prescription lotions to reduce the effects of radiation
- B.
Unfortunately your skin will be permanently damaged from the radiation
- C.
You're having problems with your skin? That is unusual, let me take a look
- D.
You need to protect your skin from the sun for at least a year afterward
Correct Answer
D. You need to protect your skin from the sun for at least a year afterward -
- 35.
A client is scheduled to undergo radiation therapy for breast cancer asks why 6 weeks of daily treatment is necessary. What is the best response?
- A.
Research has shown that more cancer is killed in small doses over a longer period of time
- B.
Your cancer is widespread and requires more than usual amount
- C.
Giver larger doses for radiation for a short amount of time has worse side effects
- D.
It is likely that your hair will fall out
Correct Answer
A. Research has shown that more cancer is killed in small doses over a longer period of time -
- 36.
What is the priority problem for a client experiencing chemo-induced anemia?
- A.
Fatigue related to decreased oxygenation
- B.
Body Image problems related to skin color changes
- C.
Inadequate nutrition related to anorexia
- D.
Risk for injury related to fatigue
Correct Answer
D. Risk for injury related to fatigue -
- 37.
A client has late-stage colon cancer with metastasis to the spine and bones. What nursing intervention is best to add the the care plan to address a priority problem?
- A.
Provide 6 small meals and day with snacks
- B.
Give the client pain meds around the clock
- C.
Ensure that the client gets adequate rest
- D.
Offer prune juice twice a day
Correct Answer
B. Give the client pain meds around the clock -
- 38.
The nurse prioritizes which intervention in a client with xerostomia secondary to radiation therapy to the neck area?
- A.
Monitoring vitals every 4 hours
- B.
Applying lotions and oils to the affected areas
- C.
Providing oral care after meals and at bedtime
- D.
Wearing a hat to decrease heat loss
Correct Answer
C. Providing oral care after meals and at bedtime -
- 39.
A client and his family are waiting on results determining if a client has an infection. They are becoming anxious. What is the most important assessment the nurse should make of the client and his family?
- A.
Use of appropriate coping mechanisms for anxiety
- B.
Understanding the infectious disease process
- C.
Understand diagnostic procedures
- D.
Understanding insurance
Correct Answer
B. Understanding the infectious disease process -
- 40.
What client is most at a increased risk of developing an infection?
- A.
Adolescent using analgesics for migraines
- B.
Young adult who wears contacts
- C.
Adult with type 1 DM
- D.
Adult with hypersensitivity to latex
Correct Answer
C. Adult with type 1 DM -
- 41.
A client comes to the ED with a fever, diarrhea, and general malaise. What info does the nurse give immediately to the health care provider?
- A.
The client having just returned from a 14 day trip to Asia
- B.
Allergy to aspirin
- C.
A blood transfusion 12 years ago
- D.
Blood pressure of 110/90
Correct Answer
A. The client having just returned from a 14 day trip to Asia -
- 42.
An older adult client is admitted with an infection. Upon assessment the client is slightly confused. VS are as follows: T 99.2 BP 100/60 HR 100 RR 20. What action is most appropriate?
- A.
Assess the client's pain level and treat if needed
- B.
Preform a mini-mental
- C.
Assess the client for other signs of infection
- D.
Document and continue to monitor
Correct Answer
C. Assess the client for other signs of infection -
- 43.
A client has scabies. In addition to standard precautions which info is most important to communicate with visitors and health care providers?
- A.
Keep head covered when providing care
- B.
Do not allow children to visit
- C.
Wear a mask when within 3 feet
- D.
Wear gloves when entering the room
Correct Answer
D. Wear gloves when entering the room -
- 44.
A client has be admitted for the second time to treat TB. Which referral does the nurse initiate?
- A.
Visiting nurses to arrange directly observed therapy on dismissal
- B.
Psych nurse liaison to assess for noncompliance
- C.
Social worker to see if client can afford meds
- D.
Infection control nurse to arrange for testing of drug resistance
Correct Answer
A. Visiting nurses to arrange directly observed therapy on dismissal -
- 45.
The nurse is teaching a client with RA about joint protection principles. What info is included?
- A.
Sit most often in a reclining chair
- B.
Use assistive-adaptive devices
- C.
Bend at your knees to lift objects
- D.
Use smaller joints to rest larger ones
- E.
Hold objects with two hands, not one.
Correct Answer(s)
B. Use assistive-adaptive devices
C. Bend at your knees to lift objects
E. Hold objects with two hands, not one. -
- 46.
The nurse caring for a patient with a sealed radiation implant for cervical cancer. What activities are appropriate?
- A.
Keep door open for frequent observation
- B.
Dispose of dirty linen in a red "biohazard bag"
- C.
Wear a lead apron while providing care
- D.
Inform supervisor of the nurse's positive pregnancy test
- E.
Obtain the dosimeter badge from the nurse going off shift
Correct Answer(s)
C. Wear a lead apron while providing care
D. Inform supervisor of the nurse's positive pregnancy test -
- 47.
The nurse is caring for an older adult client who will be discharged after being hospitalized for a total hip replacement. Which statement indicates that arrangements may have to be made to have the client's meds supervised at home?
- A.
I prepare all my pills for the week and will place them in a labeled medi-set
- B.
My wife takes iron too so we will take our meds together
- C.
If my legs get swollen I will take an extra coumadin
- D.
I will take my coumadin every day pill everyday just before the news
Correct Answer
C. If my legs get swollen I will take an extra coumadin -
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Feb 26, 2014Quiz Edited by
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Feb 24, 2014Quiz Created by
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