Practice Test III- Medical Surgical Nursing
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.
- 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.
- 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.
- 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.
- A.
Liver disease
- B.
Myocardial damage
- C.
Hypertension
- D.
Cancer
- 9.
- A.
Right atrium
- B.
Superior vena cava
- C.
Aorta
- D.
Pulmonary
- 10.
- 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.
- 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.
- 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.
Administering Heparin
- B.
Administering Coumadin
- C.
Treating the underlying cause
- D.
Replacing depleted blood products
- 20.
- 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.
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.
Swelling of the left thigh
- B.
Increased skin temperature of the foot
- C.
Prolonged reperfusion of the toes after blanching
- D.
Increased blood pressure
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