Practice Test III- Medical Surgical Nursing

50 Questions | By Rnpedia | Updated: Mar 22, 2022 | Attempts: 26276

Questions

Settings

Practice Test III- Medical Surgical Nursing - Quiz

Welcome to the third test on Medical-Surgical Nursing, here you are going to face 50 important questions on various medical topics such as cardiac problems, cancer, anemia, etc. So, this test is essential for those preparing for NCLEX or other nursing examss. Let's get started.

Questions and Answers

1.

Marco who was diagnosed with a brain tumor was scheduled for craniotomy. In preventing the development of cerebral edema after surgery, the nurse should expect the use of:
- A.
  
  Diuretics
- B.
  
  Antihypertensive
- C.
  
  Steroids
- D.
  
  Anticonvulsants
2.

Halfway through the administration of blood, the female client complains of lumbar pain. After stopping the infusion Nurse Hazel should:
- A.
  
  Increase the flow of normal saline
- B.
  
  Assess the pain further
- C.
  
  Notify the blood bank
- D.
  
  Obtain vital signs
3.

Nurse Maureen knows that the positive diagnosis for HIV infection is made based on which of the following:
- A.
  
  A history of high risk sexual behaviors
- B.
  
  Positive ELISA and western blot tests
- C.
  
  Identification of an associated opportunistic infection
- D.
  
  Evidence of extreme weight loss and high fever
4.

Nurse Maureen is aware that a client who has been diagnosed with chronic renal failure recognizes an adequate amount of high-biologic-value protein when the food the client selected from the menu was:
- A.
  
  Raw carrots
- B.
  
  Apple juice
- C.
  
  Whole wheat bread
- D.
  
  Cottage cheese
5.

Kenneth who was diagnosed with the uremic syndrome has the potential to develop complications. Which among the following complications should the nurse anticipates:
- A.
  
  Flapping hand tremors
- B.
  
  An elevated hematocrit level
- C.
  
  Hypotension
- D.
  
  Hypokalemia
6.

A client is admitted to the hospital with benign prostatic hyperplasia, the nurse most relevant assessment would be:
- A.
  
  Flank pain radiating in the groin
- B.
  
  Distention of the lower abdomen
- C.
  
  Perineal edema
- D.
  
  Urethral discharge
7.

A client has undergone with a penile implant. After 24 hrs of surgery, the client’s scrotum was edematous and painful. The nurse should:
- A.
  
  Assist the client with sitz bath
- B.
  
  Apply war soaks in the scrotum
- C.
  
  Elevate the scrotum using a soft support
- D.
  
  Prepare for a possible incision and drainage
8.

Nurse Hazel receives emergency laboratory results for a client with chest pain and immediately informs the physician. An increased myoglobin level suggests which of the following?
- A.
  
  Liver disease
- B.
  
  Myocardial damage
- C.
  
  Hypertension
- D.
  
  Cancer
9.

Nurse Maureen expecting a client with mitral stenosis would demonstrate symptoms associated with congestion in the:
- A.
  
  Right atrium
- B.
  
  Superior vena cava
- C.
  
  Aorta
- D.
  
  Pulmonary
10.

A client has been diagnosed with hypertension. The nurse priority nursing diagnosis would be:
- A.
  
  Ineffective health maintenance
- B.
  
  Impaired skin integrity
- C.
  
  Deficient fluid volume
- D.
  
  Pain
11.

Nurse Hazel teaches the client with angina about common expected side effects of nitroglycerin including:
- A.
  
  High blood pressure
- B.
  
  Stomach cramps
- C.
  
  Headache
- D.
  
  Shortness of breath
12.

The following are lipid abnormalities. Which of the following is a risk factor for the development of atherosclerosis and PVD?
- A.
  
  High levels of low density lipid (LDL) cholesterol
- B.
  
  High levels of high density lipid (HDL) cholesterol
- C.
  
  Low concentration triglycerides
- D.
  
  Low levels of LDL cholesterol
13.

Which of the following represents a significant risk immediately after surgery for repair of aortic aneurysm?
- A.
  
  Potential wound infection
- B.
  
  Potential ineffective coping
- C.
  
  Potential electrolyte balance
- D.
  
  Potential alteration in renal perfusion
14.

Nurse Josie should instruct the client to eat which of the following foods to obtain the best supply of Vitamin B12?
- A.
  
  Dairy products
- B.
  
  Vegetables
- C.
  
  Grains
- D.
  
  Broccoli
15.

Karen has been diagnosed with aplastic anemia. The nurse monitors for changes in which of the following physiologic functions?
- A.
  
  Bowel function
- B.
  
  Peripheral sensation
- C.
  
  Bleeding tendencies
- D.
  
  Intake and out put
16.

Lydia is scheduled for elective splenectomy. Before the clients go to surgery, the nurse in charge final assessment would be:
- A.
  
  Signed consent
- B.
  
  Vital signs
- C.
  
  Name band
- D.
  
  Empty bladder
17.

What is the peak age range in acquiring acute lymphocytic leukemia (ALL)?
- A.
  
  4 to 12 years
- B.
  
  20 to 30 years
- C.
  
  40 to 50 years
- D.
  
  60 to 70 years
18.

Marie with acute lymphocytic leukemia suffers from nausea and headache. These clinical manifestations may indicate all of the following except:
- A.
  
  Effects of radiation
- B.
  
  Chemotherapy side effects
- C.
  
  Meningeal irritation
- D.
  
  Gastric distension
19.

A client has been diagnosed with Disseminated Intravascular Coagulation (DIC). Which of the following is contraindicated with the client?
- A.
  
  Administering Heparin
- B.
  
  Administering Coumadin
- C.
  
  Treating the underlying cause
- D.
  
  Replacing depleted blood products
20.

Which of the following findings is the best indication that fluid replacement for the client with hypovolemic shock is adequate?
- A.
  
  Urine output greater than 30 ml/hr
- B.
  
  Respiratory rate of 21 breaths/minute
- C.
  
  Diastolic blood pressure greater than 90 mmHg
- D.
  
  Systolic blood pressure greater than 110 mmHg
21.

Which of the following signs and symptoms would Nurse Maureen include in teaching plan as an early manifestation of laryngeal cancer?
- A.
  
  Stomatitis
- B.
  
  Airway obstruction
- C.
  
  Hoarseness
- D.
  
  Dysphagia
22.

Karina a client with myasthenia gravis is to receive immunosuppressive therapy. The nurse understands that this therapy is effective because of it:
- A.
  
  Promotes the removal of antibodies that impair the transmission of impulses
- B.
  
  Stimulates the production of acetylcholine at the neuromuscular junction
- C.
  
  Decreases the production of autoantibodies that attack the acetylcholine receptors
- D.
  
  Inhibits the breakdown of acetylcholine at the neuromuscular junction
23.

A female client is receiving IV Mannitol. An assessment specific to the safe administration of the said drug is:
- A.
  
  Vital signs q4h
- B.
  
  Weighing daily
- C.
  
  Urine output hourly
- D.
  
  Level of consciousness q4h
24.

Patricia a 20-year-old college student with diabetes mellitus requests additional information about the advantages of using a pen-like insulin delivery devices. The nurse explains that the advantages of these devices over syringes include:
- A.
  
  Accurate dose delivery
- B.
  
  Shorter injection time
- C.
  
  Lower cost with reusable insulin cartridges
- D.
  
  Use of smaller gauge needle
25.

A male client’s left tibia fractures in an automobile accident, and a cast is applied. To assess for damage to major blood vessels from the fractured tibia, the nurse in charge should monitor the client for:
- A.
  
  Swelling of the left thigh
- B.
  
  Increased skin temperature of the foot
- C.
  
  Prolonged reperfusion of the toes after blanching
- D.
  
  Increased blood pressure