MED SURG VS 2 REVISED / MED SURG VS 2 REVISED: LATEST-2022, A COMPLETE DOCUMENT FOR EXAM
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Course
NURSING NUR2212
Institution
Miami Dade College, Miami
MED SURG VS 2 REVISED / MED SURG VS 2 REVISED: LATEST-2022, A COMPLETE DOCUMENT FOR EXAMMED SURG VS 2 REVISED / MED SURG VS 2 REVISED: LATEST-2022, A COMPLETE DOCUMENT FOR EXAM
1.) The nurse is teaching a client about the anti-ulcer medication Ranitidine. Which statement
best describes the action of the drug?
–Blocks the effects of histamine causing decreased secretion of acid
2.) A client who is 36 weeks gestation is admitted with severe preeclampsia. After a ??? was
administered a IV infusion of magnesium sulfate at a rate of 2g/hr. What finding warrants
immediate intervention by the nurse?
- Urine output of 20 ml/hr
3.) What I the nurse’s priority goal when providing for a 2 year old child experiencing a
seizure?
- Manage the airway
4.) Which intervention should the nurse include in the plan of care for a client with
leukocytosis?
- Monitor temperature regularly
5.) The nurse is preparing to discharge an older female client who is at risk for hypercalcemia.
What should the nurse include in the client’s discharge teaching? Select all that apply
A. Report any muscle twitching or seizures
B. Take vitamin D with calcium daily
C. Avoid seafood, particularly shellfish
D. Low-fat yogurt is a good source of calcium
E. Keep a diet record to monitor calcium intake
6.) The husband of a client with advanced ovarian cancer wants his wife to have every
treatment available. When the husband leaves, the client tells the nurse that she has had
enough chemotherapy and wants to stop all chemotherapy but knows her husband will
sign the consent from for more treatment. The nurse’s response would include which
information? Select all that apply
A. The husband cannot sign the consent for the client, her signature is required
B. The client’s specific wishes should be discussed with her healthcare provider
C. Counseling should be sought to resolve the husband’s desire to control his wife
D. The healthcare team will formulate a plan to keep the client comfortable
E. The client should seek a second medical opinion before deciding to stop treatment
7.) The nurse is preparing a 50 ml dose of 50% dextrose IV for a client with insulin shock. How
would you administer the medication?
- Push the undiluted dextrose slowly through the current infusing IV
8.) The daughter of an older female tells the clinic nurse that she is no longer able ??? and
has lost the ability to perform ADL’s due to aging. What options are best for the female
client’s mother? Select all that apply
- Long term care facility
- Home health agency
, 9.) A client with polycystic kidney disease is receiving antibiotics for an infected cyst. Which
action should the nurse implement?
- Teach the client how to use a dry heating pad over the painful area
10.)A male client with cancer who is receiving antineoplastic drugs is admitted to the hospital.
Which finding most often manifests this condition?
- Ecchymosis and hematemesis
11.)A community health nurse is concerned about the spread of communicable diseases in the
community. What action should the nurse take to promote success of a healthcare ???
- Establish trust with community leaders and respect cultural and family values
12.)A 7 year old boy is brought to the clinic because of facial edema. He reports that he has
cloudy, tea colored urine. The parents state their son had a sore throat 2 weeks ago. The
nurse takes the child’s vital signs and weight. What intervention should the nurse
implement next?
- Obtain a urine specimen per routine urinalysis
13.) The nurse teaches an adolescent male client how to use a metered dose inhaler as seen in
the picture. What instruction should the nurse provide?
- Move the device 1-2 inches away from the mouth
14.) A nurse is caring for 4 clients. Client A, who has emphysema, Client B who has
postoperative hemoglobin of 8.7, Client C is newly admitted with potassium levels of ???,
and Client D who had an appendectomy who has a WBC count of 15,000. What
intervention should the nurse implement?
- Determine the availability of 2 units of packed red blood cells in the blood bank for client for
client B.
15.) A 3 year old boy with a congenital heart defect is brought to the clinic by his mother.
During the assessment, the mother asks the nurse why her child is in the 5 th percentile in
growth. What is the best response for the nurse to provide?
- His smaller size is probably due to the heart disease
16.) A client with hypertension receives a prescription for enalapril, an angiotensin converter
enzyme. Which instruction should the nurse include in the medication teaching plan?
- Report increased bruising or bleeding
17.) A client in her first trimester of pregnancy complains of nausea. Which compliments
should the nurse suggest?
o Drink chamomile tea at breakfast and in the evening
18.) The nurse is evaluating the health teaching of a female client with condyloma acuminata
warts. What response indicates that the teaching has been effective?
- “I need to have regular pap smears.”
19.)When administering ceftriaxone sodium (Rocephin) IV to a client before ???, what would
be the most immediate intervention by the nurse?
- Stridor
20.)A client with superficial burns to the face, neck, and hands resulting from a house fire
presents to the ER. Which assessment finding indicates to the nurse that the client should
be monitored for carbon monoxide poisoning?
- Mucous membranes cherry red color
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