Medical Surgical Nursing Practice Test Part 1- Www.Rnpedia.Com

7 Questions | Total Attempts: 5375

SettingsSettingsSettings
Please wait...
Medical Surgical Nursing Practice Test Part 1- Www.Rnpedia.Com

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. You got 30 minutes to finish the exam. Good luck!


Questions and Answers
  • 1. 
    Lisa is newly diagnosed with asthma and is being discharged from the hospital after an episode of status asthmaticus. Discharge teaching should include which of the following:  
    • A. 

      Limitations in sports that will be imposed by the illness

    • B. 

      Specific instructions on staying cal during an attack

    • C. 

      The relationship of symptoms and a specific trigger such as physical exercise

    • D. 

      Incidence of status asthmaticus in children and teens

  • 2. 
    Which of the following symptoms is most characteristic of a client with a cancer of the lung?
    • A. 

      Air hunger

    • B. 

      Exertional dyspnea

    • C. 

      Cough with night sweats

    • D. 

      Persistent changing cough

  • 3. 
    The client has ST segment depression on his 12-lead ECG. The nurse determines that this would indicate the following:
    • A. 

      Necrosis

    • B. 

      Injury

    • C. 

      Ischemia

    • D. 

      Nothing significant

  • 4. 
    Red has just returned from the postanesthesia care unit (PACU) from a hemorrhidectomy. His postoperative orders include sitz baths every morning. The nurse understands that sitz bath is use for:
    • A. 

      Promote healing

    • B. 

      Relive tension

    • C. 

      Lower body temperature

    • D. 

      Cause swelling

  • 5. 
    Trousseau’s sign is associated with which electrolyte imbalance?
    • A. 

      Hyponatremia

    • B. 

      Hypocalcemia

    • C. 

      Hypernatremia

    • D. 

      Hypercalcemia

  • 6. 
    A 36 year old female complains of headache and neck pain. The nurse’s assessments reveal painful flexion of the neck to the chest. The nurse understands that nuchal rigidity is associated with:  
    • A. 

      Brain tumor

    • B. 

      CVA

    • C. 

      Meningitis

    • D. 

      Subdural hematoma

  • 7. 
    The nurse teaching the client about behavioral changes, which can affect development of atherosclerosis, should discuss which of the following as a non-modifiable risk factor for atherosclerosis?  
    • A. 

      Cigarette smoking

    • B. 

      Hyperlipidemia

    • C. 

      Female over 55 years of age

    • D. 

      Sedentary lifestyle

  • 8. 
    A 76 year old man enters the ER with complaints of back pain and feeling fatigued. Upon examination, his blood pressure is 190/100, pulse is 118, and hematocrit and hemoglobin are both low. The nurse palpates the abdomen which is soft, non-tender and auscultates an abdominal pulse. The most likely diagnosis is:
    • A. 

      Buerger’s disease

    • B. 

      CHF

    • C. 

      Secondary hypertension

    • D. 

      Aneurysm

  • 9. 
    Nurse Fiona is caring a patient with Raynaud’s disease. Which of the following outcomes concerning medication regimen is of highest priority?  
    • A. 

      Controlling the pain once vasospasm occur

    • B. 

      Relaxing smooth muscle to avoid vasospasms

    • C. 

      Preventing major disabilities that may occur

    • D. 

      Avoiding lesions on the feet

  • 10. 
    Mr. Roberto Robles complains of a severe headache and is extremely anxious. The nurse checks his vital signs and finds him to have a heart rate of 57 bpm and a blood pressure of 230/110 mmHg. The nurse should also assess for?
    • A. 

      Presence of bowel sounds

    • B. 

      Presence of babinski reflex

    • C. 

      Fecal incontinence

    • D. 

      Urinary catheter patency

  • 11. 
    A 40n year old male patient is complaining of chronic progressive and mental deterioration is admitted to the unit. The nurse recognizes that these characteristics indicate a disease that results in degeneration of the basal ganglia and cerebral cortex. The disease is called:
    • A. 

      Multiple sclerosis

    • B. 

      Myasthenia gravis

    • C. 

      Huntington’s disease

    • D. 

      Guillain-Barre syndrome

  • 12. 
    Dianne Hizon is a 27 year old woman who has been admitted to the ER due to severe vomiting. Her ABG values are pH= 7.50, PaCO2= 85, HCO3= 31, and SaO2= 93%. The nurse interpretation of this ABG analysis is:
    • A. 

      Respiratory acidosis

    • B. 

      Respiratory alkalosis

    • C. 

      Metabolic acidosis

    • D. 

      Metabolic alkalosis

  • 13. 
    Mr. Perkson has a parkinson’s disease and he finds the resting tremor he is experiencing in his right hand very frustrating. The nurse advises him to:  
    • A. 

      Take a warm bath

    • B. 

      Hold an object

    • C. 

      Practice deep breathing

    • D. 

      Take diazepam as needed

  • 14. 
    A shuffling gait is typically associated with the patient who has:
    • A. 

      Parkinson’s disease

    • B. 

      Multiple sclerosis

    • C. 

      Raynaud’s disease

    • D. 

      Myasthenia gravis

  • 15. 
    The priority in preparing the room for a client with a C7 spinal cord injury is having:  
    • A. 

      The halo brace device

    • B. 

      A catheterization tray

    • C. 

      A ventilator on stand by

    • D. 

      The spinal kinetic bed

  • 16. 
    • A. 

      Dehydration

    • B. 

      Protein deficiency

    • C. 

      Bleeding disorders

    • D. 

      Vitamin deficiency

  • 17. 
    A client with rheumatoid arthritis may reveal which of the following assessment data:
    • A. 

      Heberden’s nodes

    • B. 

      Morning stiffness no longer than 30 minutes

    • C. 

      Asymmetric joint swelling

    • D. 

      Swan neck deformities

  • 18. 
    Elsa Santos is a 18 year old student admitted to the ward with a diagnosis of epilepsy. She tells the nurse that she is experiencing a generalized tingling sensation and is “smelling roses”. The nurse understands that Esla is probably experiencing:
    • A. 

      An acute alcohol withdrawal

    • B. 

      An acute CVA

    • C. 

      An aura

    • D. 

      An olfactory hallucination

  • 19. 
    Mr. Lucas, a 63 year old, went to the clinic complaining of hoarseness of voice and a cough. His wife states that his voice has changed in the last few months. The nurse interprets that Mr. Lucas’s symptoms are consistent with which of the following disorders:  
    • A. 

      Chronic sinusitis

    • B. 

      Laryngeal cancer

    • C. 

      Gastroesophageal reflux disease

    • D. 

      Coronary artery disease

  • 20. 
    Sarah complains of a nursing sensation, cramping pain in the top part of her abdomen that becomes worse in the afternoon and sometimes awakes her at night. She reports that when she eats, it helps the pain go away but that pain is now becoming more intense. Which of the following is the best condition for the nurse to draw:
    • A. 

      These symptoms are consistent with an ulcer

    • B. 

      The client probably has indigestion

    • C. 

      A snack before going to bed should be advised

    • D. 

      The client probably developing cholelithiasis

  • 21. 
    Nurse Cynthia is providing a discharge teaching to a client with chronic cirrhosis. His wife asks her to explain why there is so much emphasis on bleeding precautions. Which of the following provides the most appropriate response?
    • A. 

      “The low protein diet will result in reduced clotting.”

    • B. 

      “The increased production of bile decreases clotting factors.”

    • C. 

      “The liver affected by cirrhosis is unable to produce clotting factors.”

    • D. 

      “The required medications reduce clotting factors.”

  • 22. 
    Betty Lee is a 58 year old woman who is being admitted to the medical ward with trigeminal neuralgia. The nurse anticipates that Mr. Lee will demonstrate which of the following major complaints?  
    • A. 

      Excruciating, intermittent, paroxysmal facial pain

    • B. 

      Unilateral facial droop

    • C. 

      Painless eye spasm

    • D. 

      Mildly painful unilateral eye twitching

  • 23. 
    A 38 year old woman returns from a subtotal thryroidectomy for the treatment of hyperthyroidism. Upon assessment, the immediate priority that the nurse would include is:  
    • A. 

      Assess for pain

    • B. 

      Assess for neurological status

    • C. 

      Assess fluid volume status

    • D. 

      Assess for respiratory distress

  • 24. 
    Nurse Shiela is teaching self-care to a client with psoriasis. The nurse should encourage which of the following for his scaled lesion?  
    • A. 

      Importance of follow-up appointments

    • B. 

      Emollients and moisturizers to soften scales

    • C. 

      Keep occlusive dressings on the lesions 24 hours a day

    • D. 

      Use of a clean razor blade each time he shaves

  • 25. 
    A 48 year old woman presents to the hospital complaining of chest pain, tachycardia and dyspnea. On exam, heart sounds are muffled. Which of the following assessment findings would support a diagnosis of cardiac tamponade?
    • A. 

      A deviated trachea

    • B. 

      Absent breath sounds to the lower lobes

    • C. 

      Pulse 40 with inspiration

    • D. 

      Blood pressure 140/80