Anatomy and Physiology
Fundamentals of Nursing
Medical Surgical Nursing
Community Health Nursing
Previous Exam Questions
Medical Surgical Nursing Test - 18
Medical Surgical Nursing
Test - 18
1. Polio is the primary infection of
Central nervous system
2. A patient with a total hip replacement requires certain equipment for recovery. Which of the following will assist the patient with activities of daily living (ADL)?
3. Damage to the VII cranial nerve (CN VII) results in
Absence of ability to smell
Absence of eye movement
4. A patient has recently been diagnosed with leukemia. Which of the following symptoms would a health care professional expect to see given this diagnosis?
Bradycardia, hypotension, and palpitations
Dyspnea, malaise, and hypotension
Paresthesia, facial rash, and abdominal pain
Bruising, fatigue, and bone pain
5. During an interview with a patient with a diagnosis of Parkinson's disease (PD), which of the following speech patterns will the healthcare provider anticipate?
Clear and rhythmic
Bubbly and spirited
Slow, slurred, and monotone
Pressured and hurried
6. A patient who has a history of chronic bronchitis is admitted to the medical unit. The healthcare provider notes the red blood cell count is elevated. Which of these is the likely contributing factor to this lab result in this patient?
Insensible water loss
Decreased fluid intake
7. A pediatric patient has been diagnosed with right lower lobe pneumonia. Upon auscultation of this lung field, the healthcare provider would expect to hear which breath sound?
8. The nurse is assisting a doctor with the removal of a central venous catheter. To prevent complications, the patient should be instructed to
Turn his head to the right while grasping the siderails.
Turn his head to the left side and hyperextend the neck while looking up.
Perform the Valsalva maneuver as the catheter is pulled.
Take slow, deep breaths as the catheter is advanced.
9. Which of the following conditions most commonly causes acute glomerulonephritis?
A congenital condition leading to renal shutdown
Chronic viral destruction of the glomeruli
Prior infection with Group A Streptococcus within the past 10-14 days
End-stage kidney failure
10. The doctor orders Zofran 8 mg PO t.i.d. The pharmacy sends a 100 ml bottle, labeled 4 mg/tsp. How many ml should be given for each dose?
11. All the following affect pharmacokinetics in the elderly EXCEPT
Reduced hepatic clearance
Decrease in functioning nephrons
Loss of mucosal intestinal surface
Improved blood-brain barrier
12. At her 10-year old daughter's routine physical, a mother reports that her daughter has started to develop breasts and grow pubic hair. The nurse tells them that after signs of puberty appear, menstruation usually occurs within
13. The nurse is instructing a client with newly-diagnosed type 2 diabetes how to use a blood glucose monitor. Which consistent glucose level should the client report to the health care provider?
14. As the nurse prepares to instruct a client who has just been prescribed atorvastatin (Lipitor), which periodic laboratory test should the client receive?
Liver function studies
15. A patient with a fractured hip has been placed in Buck’s traction. Which statement is true regarding this treatment?
Is used primarily to heal fractured hips.
The purpose is to immobilize the leg(s).
Kirschner wires are inserted.
It utilizes a Steinman pin.
16. The healthcare provider would anticipate which of the following as a treatment option for pneumonitis?
Chest tube insertion
17. A patient with pancreatic cancer has undergone a Whipple procedure. During the Whipple procedure, the surgeon will remove the
Pancreas head and gall bladder
Esophagus and jejunum
Stomach and duodenum
Proximal third section of the small intestines
18. While caring for a patient following a laryngectomy, the patient suddenly becomes pale and nonresponsive, with a BP of 90/40. The initial action should be to
Increase the infusion of Dextrose in normal saline (D5NS)
Administer atropine intravenously
Move the emergency cart to the bedside
Place the client in Trendelenburg position
19. Which chair is best for an elderly client who is learning self-care for managing hip pain from rheumatoid arthritis?
A soft sofa to relieve stress on back and hip joints
A wooden rocking chair for back support and therapeutic movement
A straight back chair with a raised seat to decrease flexion
A recliner with a low seat to get in and out more easily
20. The nurse is planning activities for elderly residents in a long-term care facility. Which of the following activities will be MOST effective in meeting the growth and development needs of a person in this age group?
Resident council meetings
Trips outside the facility