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MedSurg 1 Final Exam Test Bank 2024/2025
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MedSurg 1 Final Exam Test Bank MedSurg 1 Final Exam Test Bank MedSurg 1 Final Exam Test Bank
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MedSurg 1 Final Exam Test BankA client who can still make decisions has been diagnosed as having early stage Alzheimer's disease. A
low priority goal for the client and family at this stage would be?
A. Helping the family and client identify community support groups
B. Filling out paperwork for power of attorney and living will
C. Setting up a restrictive environment in the house, adding extra locks to the doors
D. Beginning cognitive-enhancing medication such as Aricept - verified answer C
A nurse suspects a client is having a seizure. The priority intervention is to?
A. place the client on the side and ensure the airway is patent
B. bring suction equipment to the bedside
C. initiate oxygen therapy
D. determine whether the client has had seizures in the past - verified answer A
A visiting nurse is making a visit to a home where the wife is caring for her husband who has
Alzheimer's disease and is prone to wander. Which of the following observations by the nurse is
cause for additional instruction for the wife?
A. The car keys are on a key rack by the front door
B. Motion detector alarms are in place on the door of the room where the client sleeps
C. Phone numbers of Safe Return and the local police are posted on the outside of their refrigerator
door in the kitchen
D. The exit doors to the home have slide bolt locks at the bottoms - verified answer A
An older client with Alzheimer's has become agitated and combative toward the health care
personnel on the unit. What is the first action that the nurse should take at this time?
A. Obtain an order for a sedative-hypnotic medication to reduce combative behavior.
B. Attempt to soothe the client's fears and reorient the client to his or her surroundings.
C. Arrange for the client to be transferred to a mental health facility
,D. Obtain an order to place the client's arms in restraints to protect personnel - verified answer B
At what time of day should the nurse encourage a client with Parkinson's disease to schedule the
most demanding physical activities to minimize the effects of hypokinesia?
A. Early in the morning, when the client's energy level is high
B. When family members will be available
C. Immediately after eating
D. To coincide with the peak action of drug therapy - verified answer A
During the nures's assessment of a patient with Parkinson disease, the nurse notes that the pateint
has a masklike face. What functional assessent is a priority?
A. Ability to hear normal voice tones
B. Visual acuity
C. Ability to chew and swallow
D. Ability to sense pain in the facial area - verified answer C
In planning care for the client who has had a stroke, the nurse should obtain a histroy of the client's
functional status before the stroke because?
A. The client can be exptected to regain much of his functioning
B. The information will be used for the planning of their rehabilitation
C. It will help the client recognize his physical limitations
D. Functional status before the stroke will predict the clients recovery of function - verified answer B
Instructions for families to deal with the spatial disorientation of clients with dementia should
include
A. keeping all familiar objects in the home even if some of the objects clutter the environment
B. having objects of attention the same color as the room, for example, a white toilet in a white
bathroom will decrease stimulation and anxiety
C. simplifying rooms but keeping familiar furniture in the same space; removing clutter
, D. being aware that clients in the early stages usually have a few problems with unfamiliar places -
verified answer C
A 40 year-old-patient was diagnosed with Multiple Sclerosis 4 years ago. He is an engineer, married
with 2 children. His wife is a teacher. His chief complaints include increased weakness in his legs,
fatigue, some difficulty in coordination, and occasionally blurred vision. He has been receiving
corticosteroids.
The nurse is assessing the patient, of the following, which statement reflects his psychological
status?
A. "My health insurance is still in effect."
B. "My wife feels overwhelmed."
C. "My legs feel numb."
D. "I don't know what I did to deserve this." - verified answer D
A 40 year-old-patient, was diagnosed with Multiple Sclerosis 4 years ago. He is an engineer, married
with 2 children. His wife is a teacher. His chief complaints include increased weakness in his legs,
fatigue, some difficulty in coordination, and occasionally blurred vision. He has been receiving
corticosteriods. Mr. Tee experienced a remission lasting 3 years after the onset of his disease. His
physician expects him to be able to return to work with a modified schedule. The nurse assisting the
patient to plan a realistic schedule of daily activities, would recommend:
A. schedule work with rest periods throughout the day
B. make arrangements for purchasing a wheelchair
C. try to work on alternate days
D. arrange for his wife to do his self care - verified answer A
The "on-off phenomenon" refers to:
A. abnormal voluntary movements
B. periods of poor mobility, interspersed with period of good mobility
C. medication reaches peak, then the effects quickly wear off
D. stiffening or tightening of body parts - verified answer B
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