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Medical Surgical Nursing Test - 5
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Medical Surgical Nursing
Test - 5
1. Which nursing intervention ensures adequate ventilating exchange after surgery?
Maintain humidified oxygen via nasal cannula
Position client laterally with the neck extended
Assess for hypoventilation by auscultating the lungs
Remove the airway only when client is fully conscious
2. John suddenly experiences a seizure, and Nurse Gina notice that John exhibits uncontrollable jerking movements. Nurse Gina documents that John experienced which type of seizure?
Absence seizure
Tonic seizure
Clonic seizure
Myoclonic seizure
3. Nurse Rachel teaches a client who has been recently diagnosed with hepatitis A about untoward signs and symptoms related to Hepatitis that may develop. The one that should be reported immediately to the physician is:
Yellow urine
Clay-colored stools
Nausea
Restlessness
4. Nurse Lilly has been assigned to a client with Raynaud’s disease. Nurse Lilly realizes that the etiology of the disease is unknown but it is characterized by:
Episodic vasospastic disorder of the aorta
Episodic vasospastic disorder of small veins
Episodic vasospastic disorder of capillaries
Episodic vasospastic disorder of the small arteries
5. Ryan has undergone subtotal gastrectomy. The nurse should expect that nasogastric tube drainage will be what color for about 12 to 24 hours after surgery?
Dark brown
Cloudy white
Bright red
Bile green
6. Myrna a 52-year-old client with a fractured left tibia has a long leg cast and she is using crutches to ambulate. Nurse Joy assesses for which sign and symptom that indicates complication associated with crutch walking?
Weak biceps brachii
Forearm weakness
Triceps muscle spasm
Left leg discomfort
7. Nurse Liza is assigned to care for a client who has returned to the nursing unit after left nephrectomy. Nurse Liza’s highest priority would be…
Able to turn side to side
Temperature
Hourly urine output
Able to sips clear liquid
8. During the first several hours after a cardiac catheterization, it would be most essential for nurse Cherry to…
Elevate clients bed at 45°
Monitor clients temperature every hour
Instruct the client to cough and deep breathe every 2 hours
Frequently monitor client’s apical pulse and blood pressure
9. Which of the following symptoms during the icteric phase of viral hepatitis should the nurse expect the client to inhibit?
Yellow sclera
Watery stool
Shortness of breath
Tarry stool
10. Patrick who is hospitalized following a myocardial infarction asks the nurse why he is taking morphine. The nurse explains that morphine:
Decrease anxiety and restlessness
Helps prevent fibrillation of the heart
Prevents shock and relieves pain
Dilates coronary blood vessels
11. Which of the following antituberculosis drugs can damage the 8th cranial nerve?
Ethambutol hydrochloride (myambutol)
Paraoaminosalicylic acid (PAS)
Streptomycin
Isoniazid (INH)
12. Which of the following compilations should the nurse carefully monitors a client with acute pancreatitis.
Cirrhosis
Peptic ulcer
Myocardial Infarction
Pneumonia
13. Kate who has undergone mitral valve replacement suddenly experiences continuous bleeding from the surgical incision during postoperative period. Which of the following pharmaceutical agents should Nurse Aiza prepare to administer to Kate?
Vitamin C
Coumadin
Protamine Sulfate
Quinidine Sulfate
14. A newly admitted client is diagnosed with Hodgkin’s disease undergoes an excisional cervical lymph node biopsy under local anesthesia. What does the nurse assess first after the procedure?
Incision site
Level of consciousness
Airway
Vital signs
15. 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:
Stridor
Friction rubs
Crackles
Wheezes
16. Nurse Donna is aware that the shift of body fluids associated with Intravenous administration of albumin occurs in the process of:
Filtration
Osmosis
Diffusion
Active transport
17. What would be the primary goal of therapy for a client with pulmonary edema and heart failure?
Improve respiratory status
Peripheral edema decreased
Increase cardiac output
Enhance comfort
18. What would be the primary goal of therapy for a client with pulmonary edema and heart failure?
Increase cardiac output
Peripheral edema decreased
Improve respiratory status
Enhance comfort
19. Pancreatitis is the inflammation of the pancreas that is characterized by recurring or persistent abdominal pain with or without steatorrhea. A nurse is providing dietary information to a client with pancreatitis. All of the following food should be avoided by the client, except:
Coffee
Nuts
Tea
Spicy foods
20. Addison's disease is an endocrine disorder that develops when the adrenal glands are not able to produce enough cortisol. A client with Addison's disease is receiving fludrocortisone acetate. The nurse knows that the therapeutic effect of this is to:
Maintain electrolyte balance
Activate parathyroid production
Stimulate thyroid gland production
Activate the immune response
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