MED SURG COMPREHENSIVE TEST BANK
PREPERATION FOR FINALS ALL YOU NEED FOR A GUARANTEED PASS
1. A nurse is assessing a client who has a long history of smoking and is suspected of having laryngeal cancer. The nurse should anticipate that the client will report that her earliest manifestation was...
med surg comprehensive test bank preperation for finals all you need for a guaranteed pass 2022 2024
med surg comprehensive test bank preperation for finals all you need
med surg comprehensive test
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MED SURG COMPREHENSIVE TEST BANK
PREPERATION FOR FINALS ALL YOU NEED FOR
A GUARANTEED PASS 2022-2024
1. A nurse is assessing a client who has a long history of smoking and is suspected of having
laryngeal cancer. The nurse should anticipate that the client will report that her earliest
manifestation was
a.) dysphagia
b.) hoarseness
c.) dyspnea
d.) weight loss
2. A nurse is caring for a client who is receiving a unit of packed red blood cells. Fifteen minutes
following the start of the transfusion, the nurse notes that the client is febrile, with chills and red-
tinged urine. Which of the following transfusion reactions should the nurse suspect?
a. Febrile
b. Allergic
c. Acute Pain
d. Hemolytic
3. A nurse in a clinic is assessing a client who has AIDS and a significantly decreased CD4-T-
cell count. The nurse should recognize that the client is at risk for developing which of the
following infectious oral conditions? Select one or more:
a. Gingivitis
b. Candidiasis
c. Xerostomia
d. Halitosis
4. A nurse is admitting a client who has acute pancreatitis. Which of the following provider
prescriptions should the nurse anticipate? Select one or more:
a. Mood swings
b. Absence of bowl sounds
c.Hyperthermia
d. Hypotension
e. Weakend gag reflex
f. Polyuria
5. A nurse is caring for an older adult client who has had surgery for an intestinal obstruction and
has an NG tube to wall suction. Which of the following interventions should the nurse include
in the client's postoperative plan of care? Select one or more:
a. Place sequential compression devices on the bilateral lower extremities.
b. Discontinue suction when assessing for peristalsis
, c. Reposition the client from side to side every 2 hr.
d. Irrigate the NG tube with 0.9% sodium chloride irrigation solution.
e. Encourage the use of an incentive spirometer every 2 hr while the client is awake.
6. A nurse is providing teaching to a client who has a new diagnosis of type 2 diabetes mellitus.
The nurse should recognize that the client understands the teaching when he identifies which
of the following as manifestations of hypoglycemia? Select one or more: question
a. Moist, clammy skin
b. Tachycardia
c. Polydipsia
d. Polyuria
e. Blurred vision
7. A nurse is caring for a client who is hospitalized with active pulmonary tuberculosis and is
started on ethambutol therapy. The nurse should understand that which of the following should
be monitored? Select one or more:
a. Visual acuity
b. Skin color
c. Cardiac rhythm
d. Urine output
8. A nurse is assessing a client who is 48 hr postoperative following abdominal surgery. Which
of the following findings should the nurse report to the provider? Select one:
a. Respiratory rate 18/min
b. Straw-colored urine from an indwelling urinary catheter question
c. Yellow-green drainage on the surgical incision
d. Blood pressure 102/66 mm Hg
9. A nurse is caring for a client who is 5 hr postoperative following a transurethral resection of
the prostate (TURP). The nurse notes that the client's indwelling urinary catheter has not
drained in the past hour. Which of the following actions should the nurse take first? Select one
or more:
a. Irrigate the catheter.
b. Adjust the rate of the bladder irrigant.
c. Notify the provider
d. Check the tubing for kinks.
10. A nurse is reviewing the EKG strip of a client who has prolonged vomiting. Which of the
following abnormalities on the client's EKG should the nurse interpret as a sign of
hypokalemia? Select one:
a. Abnormaly prominent U wave
b. Wide QRS
c. Elevated ST segment
d. Inverted P wave
11. A nurse in an emergency department is caring for a client who had a seizure and became
unresponsive after stating she had a sudden, severe headache and vomiting. The client's vital
, signs are as follows: blood pressure of 198/110 mm Hg. pulse of 82/min, respirations of
24/min, and a temperature of 38.2' C (100.8" F). Which of the following neurologic disorders
should the nurse suspect? Select one or more:
a. Thrombotic stroke
b. Hemorrhagic stroke
c. Transient ischemic attack (TIA)
d. Embolic stroke
12. A nurse s admitting a client who has acute pancreatitis. Which of the following provider
prescriptions should the nurse anticipate? Select one:
a. Initiate a low-residue diet:
b. Pantoprazole 80 mg IV bolus twice daily
c. Pancrelipase 500 units/kg P0 three times daily with meals
d. Ambulate twice daily.
13. A nurse is providing instructions for a 52-year-old client who is scheduled for a colonoscopy.
The client reports that he has not had the procedure before and is very arxious about feeling
pain during the procedure. Which of the following responses by the nurse is appropriate? Select
one or more:
a. "Before the examination, your provider will give you a sedative that will make you sleepy."
b. "Don't worry; most clients dislike the prep more than the procedure itself."
c. "After you have signed the consent form, we can talk more about this."
d. I know you're anxious, but this procedure is recommended for people your age."
14. Which priority intervention should the nurse implement for the 38-week gestation client who
is receiving epidural anesthesia? Select one:
a. Assess the client's respiratory rate.
b. Ensure the client has been NPO for 4 hours.
c Pre-hydrate the client with intravenous fluid.
d. Place the client in the fetal position.
15. A nurse is caring for a client who is receiving cisplatin to treat bladder cancer. After several
treatments, the client reports fatigue. Which of the following actions should the nurse take?
Select one or more:
a. Examine the client for hepatomegaly.
b. Evaluate the client for hypercalcemia.
c. Check the results of the client's most recent CBC.
d. Assess the client for a hypersensitivity reaction.
16. A rehabilitation nurse is caring for a client who has had a spinal cord injury that resulted in
paraplegia. After a week on the unit, the nurse notes that the client is withdrawn and
increasingly resistant to rehabilitative efforts by the staff. Which of the following actions
should the nurse take?
, A. Inform the client that privileges are related to participation in therapy
B. Limit visiting hours until the client begins to participate in therapy
C. Allow the client to control the timing and frequency of the therapy
D. Establish a plan of care with client that sets attainable goals
17. A patient has been on the medical floor for 1 week after a vaginal hysterectomy. A urinary
catheter was inserted. Complete blood cell count results have revealed escalating white blood
cell counts. The patient is transferred to the critical care unit when her condition deteriorates.
Septic shock is diagnosed. The medical management of the patient's condition is aimed toward
cone:
a. limiting fluids to minimize the possibility of congestive heart failure.
b. finding and eradicating the cause of infection.
c. administering vasodilator gubstances to increase blood flow to vital organs.
d. discontinuing invasive monitoring as a possible cause of sepsis.
18. A nurse is monitoring a client who was admitted with a severe burn injury and is receiving IV
fluid resuscitation therapy. The nurse should identify a decrease in which of the following
findings as an indication of adequate fluid replacement? Select one:
a. BP
b. Urine output
c. Heart rate
d. Weight
19. A nurse enters a client's room and find the client on the floor having a seizure. Which of the
following a should the nurse take? Select one or more:
a. Place the client on his side.
b. Place the client back in bed.
c. Hold the client's arms and legs from moving.
d. Insert a tongue blade in the client's mouth.
20. A nurse is caring for a client who has Parkinson's disease and is taking diphenhydramine 25
mg PO TID. Which of the following therapeutic outcomes should the nurse expect to see?
Select one or more:
a. Delay in disease progression
b. Relief of depression
c. Improved bladder function
d. Decreased tremors
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