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

50 Questions | Total Attempts: 1154

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Medical Surgical Nursing Quizzes & Trivia

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. 
    Marco who was diagnosed with 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 has diagnosed with 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 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 would expect the 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 goes 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 30ml/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 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 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 includes:
    • 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 is fractures in an automobile accident, and a cast is applied. To assess for damage to major blood vessels from the fracture 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