Anatomy and Physiology
Fundamentals of Nursing
Medical Surgical Nursing
Community Health Nursing
Previous Exam Questions
Medical Surgical Nursing Test - 4
Medical Surgical Nursing
Test - 4
1. A female client is experiencing painful and rigid abdomen and is diagnosed with perforated peptic ulcer. A surgery has been scheduled and a nasogastric tube is inserted. The nurse should place the client before surgery in
Dorsal recumbent position
2. Which of the following symptoms during the icteric phase of viral hepatitis should the nurse expect the client to inhibit?
Shortness of breath
3. A client suffered from a lower leg injury and seeks treatment in the emergency room. There is a prominent deformity to the lower aspect of the leg, and the injured leg appears shorter than the other leg. The affected leg is painful, swollen and beginning to become ecchymotic. The nurse interprets that the client is experiencing:
4. Mrs. Chua a 78-year-old client is admitted with the diagnosis of mild chronic heart failure. The nurse expects to hear when listening to client’s lungs indicative of chronic heart failure would be:
5. Patrick who is hospitalized following a myocardial infarction asks the nurse why he is taking morphine. The nurse explains that morphine:
Dilates coronary blood vessels
Prevents shock and relieves pain
Decrease anxiety and restlessness
Helps prevent fibrillation of the heart
6. A female client is taking Cascara Sagrada. Nurse Betty informs the client that the following maybe experienced as side effects of this medication:
Partial bowel obstruction
Peptic ulcer disease
7. Nurse Lucy is planning to give preoperative teaching to a client who will be undergoing rhinoplasty. Which of the following should be included?
Aspirin-containing medications should not be taken 14 days before surgery
After surgery, nasal packing will be in place 8 to 10 days
Normal saline nose drops will need to be administered preoperatively
Results of the surgery will be immediately noticeable postoperatively
8. Paul is admitted to the hospital due to metabolic acidosis caused by Diabetic ketoacidosis (DKA). The nurse prepares which of the following medications as an initial treatment for this problem?
9. A client who has been diagnosed with hypertension is being taught to restrict intake of sodium. The nurse would know that the teachings are effective if the client states that…
I can eat spaghetti on rye bread
I can eat shredded wheat cereal
I can eat broiled scallops
I can eat celery sticks and carrots
10. During the first several hours after a cardiac catheterization, it would be most essential for nurse Cherry to…
Frequently monitor client’s apical pulse and blood pressure
Instruct the client to cough and deep breathe every 2 hours
Elevate clients bed at 45°
Monitor clients temperature every hour
11. A 68-year-old client is diagnosed with a right-sided brain attack and is admitted to the hospital. In caring for this client, the nurse should plan to:
Use a bed cradle to prevent dorsiflexion of feet
Use hand roll and extend the left upper extremity on a pillow to prevent contractions
Do passive range of motion exercise
Application of elastic stockings to prevent flaccid by muscle
12. Among the following signs and symptoms, which would most likely be present in a client with mitral regurgitation?
Increase creatine phosphokinase concentration
Altered level of consciousness
13. What would be the primary goal of therapy for a client with pulmonary edema and heart failure?
Peripheral edema decreased
Improve respiratory status
Increase cardiac output
14. Which of the following should the nurse teach the client about the signs of digitalis toxicity?
Elevated blood pressure
Skin rash over the chest and back
Visual disturbances such as seeing yellow spots
15. Nurse Linda is caring for a client with head injury and monitoring the client with decerebrate posturing. Which of the following is a characteristic of this type of posturing?
Extension of the extremities after a stimulus
Upper extremity flexion with lower extremity extension
Upper extremity flexion with lower extremity flexion
Flexion of the extremities after stimulus
16. Jerry has diagnosed with appendicitis. He develops a fever, hypotension, and tachycardia. The nurse suspects which of the following complications?
Deficient fluid volume
17. In reducing the risk of endocarditis, good dental care is an important measure. To promote good dental care in client with mitral stenosis in teaching plan should include proper use of…
18. Dr. Marquez orders a continuous intravenous nitroglycerin infusion for the client suffering from myocardial infarction. Which of the following is the most essential nursing action?
Obtaining infusion pump for the medication
Obtaining serum potassium levels daily
Monitoring blood pressure every 4 hours
Monitoring urine output frequently
19. Nurse Perry is evaluating the renal function of a male client. After documenting urine volume and characteristics, Nurse Perry assesses which signs as the best indicator of renal function.
Distension of the bladder
20. George who has undergone thoracic surgery has chest tube connected to a water-seal drainage system attached to suction. Presence of excessive bubbling is identified in water-seal chamber, the nurse should…
Recognize the system is functioning correctly
Check the system for air leaks
“Strip” the chest tube catheter
Decrease the amount of suction pressure