Medical-Surgical Nursing Exam 1 WITH
COMPLETE SOLUTION
The hnurse his hcaring hfor ha hclient hwho hhas has ha hson hwith ha hstreptococcus hthroat hinfection.
hWhich hnurse hrecommendation hwould hbe hbest hto hadvise hthe hclient hto hdo hin horder hto hprevent
hacquiring hthe hinfection? h- hCorrect h hAnswer h- hFrequently hwash hher hhands hand hsurfaces hof hthe
hhome.
The hnurse his hcaring hfor ha hclient hinfected hwith hRocky hMountain hspotted hfever. hThe hnurse hshould
hask hif hthe hclient hhas hexperienced hwhich hof hthe hfollowing? h- hCorrect h hAnswer h- hWas hbitten hby
ha htick
The hnurse his hcaring hfor ha hclient hwith ha hprotozoa hinfection. hWhich his hthe hmost hlikely hmode hof
htransmission? h- hCorrect h hAnswer h- hIngestion hof hcontaminated hfood hor hwater
The hnurse his hcaring hfor ha hclient hwho his hrecovering hfrom han hallergic hreaction. hWhich hleukocyte
hlevel hwould hthe hnurse hexpect hto hbe hthe hmost helevated? h- hCorrect h hAnswer h- hEosinophils
The hnurse his hcaring hfor ha hclient hwho hhas han hinfected hwound hon hthe hgreat htoe hthat his hred
hwith ha hpurulent hexudate. hThe hnurse hexpects hthat hthis hclient hhas hwhich htype hof hinfection? h-
hCorrect h hAnswer h- hLocalized
The hclient hexperienced ha hfall. hNursing hassessment hreveals hthat hthe hclient his hexperiencing
htachycardia, hhypotension, hconfusion, htachypnea, hand hflat hjugular hveins. hWhat hshould hbe hthe
hnurse's hfirst hresponse? h- hCorrect h hAnswer h- hAdminister hoxygen.
The hfamily hwants hto hknow hwhy hthe hnurse his hputting ha hurinary hcatheter hin ha hclient
hexperiencing hshock. hWhat his hthe hnurse's hbest hresponse? h- hCorrect h hAnswer h- h"It hwill hhelp
hmonitor hhow hmuch hurine hthe hkidneys hare hable hto hproduce."
A hclient hexperiencing hshock hhas hhad ha hurinary houtput hof h250 hmL hin hthe hlast h10 hhours. hWhat
his hthe hnurse's hmost happropriate hresponse? h- hCorrect h hAnswer h- hNotify hthe hphysician.
Which hclient his hmost hlikely hto hbe hexperiencing hhypovolemic hshock? h- hCorrect h hAnswer h- hA
hclient hwho hhad hsurgery h24 hhours hago hand hwho halso hhas ha hnasogastric htube
,The hphysician hhas hordered harterial hblood hgases hfor ha hclient hexperiencing hshock. hThe hnurse
hknows hthat hwhich hvalue hindicates hshock? h- hCorrect h hAnswer h- hpH h7.32
A h63-year-old hArab hAmerican hmale hstates hhis hleft hleg his h"hot." hWhat his hthe hnurse's hbest hfirst
hresponse? h- hCorrect h hAnswer h- hAssess hfor hpain
The hclient his hcomplaining hof hexcruciating hpain hin ha hfoot hthat hhas hbeen hamputated. hThe hfamily
htells hthe hnurse hthat hthe hclient his hjust haddicted hto hpain hmedications. hWhat his hthe hnurse's hbest
hresponse? h- hCorrect h hAnswer h- h"He his hexperiencing hphantom hlimb hpain."
A hclient hhas hhad habdominal hsurgery hand hhas horders hto hbe hambulated hthree htimes ha hday. hOral
hpain hmedication hhas hbeen hordered hfor hthe hclient. hWhat hshould hthe hnurse hdo hto hfacilitate
hambulation? h- hCorrect h hAnswer h- hMediate h1 hhour hprior hto hambulating hthe hclient.
The hclient hreports hfrequent huse hof hacetaminophen. hHow hshould hthe hnurse hbest hrespond? h-
hCorrect h hAnswer h- h"Do hyou hdrink halcohol?"
A hclient hwith hchronic hpain hhas hbeen hadmitted hwith ha hfever. hThe hnursing hassessment hreveals
hthat hthe hclient hhas ha hdecreased hlevel hof hconsciousness. hWhat hshould hthe hnurse hask hthe hfamily
habout? h- hCorrect h hAnswer h- hWhat hmedications hthe hclient hhas htaken
The hpractical hnurse his hreviewing hthe hsocial hhistory hfrom ha hclient hdiagnosed hwith hsmall hcell
hcarcinoma hof hthe hlung. hWhich hinformation his hsignificant hfor hthis hdisease? h- hCorrect h hAnswer h-
hThe hclient hhas hsmoked htwo h(2) hpacks hof hcigarettes ha hday hfor h20 hyears
The hpractical hnurse hand han hunlicensed hassistive hpersonnel h(UAP) hare hcaring hfor ha hgroup hof
hclients hon ha hmedical hunit. hWhich hinformation hprovided hby hthe hUAP hwarrants himmediate
hintervention hby hthe hpractical hnurse? h- hCorrect h hAnswer h- hThe hclient hreceiving hProcrit h(epoetin
halfa) hhas ha hT h99.2˚F, hP h68, hR h24, hand hBP hof h198/102
The hclient hdiagnosed hwith hlung hcancer hhas hbeen htold hthe hcancer hhas hmetastasized hto hthe
hbrain. hWhich hintervention hshould hthe hpractical hnurse hexpect hto himplement? h- hCorrect h hAnswer
h- hDiscuss himplementing han hadvance hdirective
The hclient hdiagnosed hwith hlung hcancer his hbeing hdischarged. hWhich hstatement hmade hby hthe
hclient hindicates ha hreiteration hof hinformation his hrequired? h- hCorrect h hAnswer h- h"It hdoesn't
hmatter hif hI hsmoke hnow. hI halready hhave hcancer."
The hpractical hnurse his hinterviewing hclients hat hthe hclinic. hWhich hinformation hprovided hby ha hclient
hwarrants hfurther hinvestigation? h- hCorrect h hAnswer h- hThe hclient hhas hbeen hcoughing hup hblood hin
hthe hmornings
The hmale hclient hhad habdominal hsurgery hand hthe hpractical hnurse hsuspects hthe hclient hhas
hperitonitis. hWhich hinformation hsupport hthe hdiagnosis hof hperitonitis? h- hCorrect h hAnswer h- hHard,
hrigid habdomen hand hwhite hblood hcell hcount h22,000/mm3
, The hclient hwho hhad habdominal hsurgery htells hthe hpractical hnurse, h"I hfelt hsomething hgive hway hin
hmy hstomach." hWhich hintervention hshould hthe hpractical hnurse himplement hfirst? h- hCorrect h
hAnswer h- hInspect hthe habdominal hwound hincision
The hclient his hone h(1) hday hpostoperative hmajor habdominal hsurgery. hWhich hclient hproblem his ha
hpriority? h- hCorrect h hAnswer h- hFluid hand helectrolyte himbalance
The hclient hhas han heviscerated habdominal hwound. hWhich hintervention hshould hthe hpractical hnurse
himplement? h- hCorrect h hAnswer h- hApply hsterile hnormal hsaline hdressing
The hclient his hdiagnosed hwith hperitonitis. hWhich hinformation hindicates hto hthe hpractical hnurse hthe
hclient's hcondition his himproving? h- hCorrect h hAnswer h- hThe hclient hhas ha hdecrease hin htemperature
hand ha hsoft habdomen
A hpatient his hbeing hreleased hfrom hthe hhospital hwith ha hprescription hfor htetracycline. hWhat hshould
hthe hnurse hinclude hin hpatient hteaching? h
Select hall hthat happly. h- hCorrect h hAnswer h- hAdvise hlimiting hexposure hto hthe hsun.
Inform hpatient hof hthe hpossibility hof hgastrointestinal hupset.
Suggest heating hcrackers hand hsome hjuice hwhen htaking hthis hmedicine.
The hnurse hwants hto hdetermine hif ha hpatient hnot hfully hawake hfrom hanesthesia hfor ha hsurgical
hprocedure his hexperiencing hpain. hWhat hfindings hshould hthe hnurse huse hto hmake hthis
hdetermination? h
Select hall hthat happly. h- hCorrect h hAnswer h- hMoaning
Restlessness
Pulling hat ha hbody harea
Elevated hblood hpressure
A hpatient his hdiagnosed hwith han hinfection hthat hhas hspread hto hthe hblood hstream. hWhich hterm
hshould hthe hnurse huse hto hdocument hthis hpatient's hhealth hproblem? h- hCorrect h hAnswer h- hSepsis
COMPLETE SOLUTION
The hnurse his hcaring hfor ha hclient hwho hhas has ha hson hwith ha hstreptococcus hthroat hinfection.
hWhich hnurse hrecommendation hwould hbe hbest hto hadvise hthe hclient hto hdo hin horder hto hprevent
hacquiring hthe hinfection? h- hCorrect h hAnswer h- hFrequently hwash hher hhands hand hsurfaces hof hthe
hhome.
The hnurse his hcaring hfor ha hclient hinfected hwith hRocky hMountain hspotted hfever. hThe hnurse hshould
hask hif hthe hclient hhas hexperienced hwhich hof hthe hfollowing? h- hCorrect h hAnswer h- hWas hbitten hby
ha htick
The hnurse his hcaring hfor ha hclient hwith ha hprotozoa hinfection. hWhich his hthe hmost hlikely hmode hof
htransmission? h- hCorrect h hAnswer h- hIngestion hof hcontaminated hfood hor hwater
The hnurse his hcaring hfor ha hclient hwho his hrecovering hfrom han hallergic hreaction. hWhich hleukocyte
hlevel hwould hthe hnurse hexpect hto hbe hthe hmost helevated? h- hCorrect h hAnswer h- hEosinophils
The hnurse his hcaring hfor ha hclient hwho hhas han hinfected hwound hon hthe hgreat htoe hthat his hred
hwith ha hpurulent hexudate. hThe hnurse hexpects hthat hthis hclient hhas hwhich htype hof hinfection? h-
hCorrect h hAnswer h- hLocalized
The hclient hexperienced ha hfall. hNursing hassessment hreveals hthat hthe hclient his hexperiencing
htachycardia, hhypotension, hconfusion, htachypnea, hand hflat hjugular hveins. hWhat hshould hbe hthe
hnurse's hfirst hresponse? h- hCorrect h hAnswer h- hAdminister hoxygen.
The hfamily hwants hto hknow hwhy hthe hnurse his hputting ha hurinary hcatheter hin ha hclient
hexperiencing hshock. hWhat his hthe hnurse's hbest hresponse? h- hCorrect h hAnswer h- h"It hwill hhelp
hmonitor hhow hmuch hurine hthe hkidneys hare hable hto hproduce."
A hclient hexperiencing hshock hhas hhad ha hurinary houtput hof h250 hmL hin hthe hlast h10 hhours. hWhat
his hthe hnurse's hmost happropriate hresponse? h- hCorrect h hAnswer h- hNotify hthe hphysician.
Which hclient his hmost hlikely hto hbe hexperiencing hhypovolemic hshock? h- hCorrect h hAnswer h- hA
hclient hwho hhad hsurgery h24 hhours hago hand hwho halso hhas ha hnasogastric htube
,The hphysician hhas hordered harterial hblood hgases hfor ha hclient hexperiencing hshock. hThe hnurse
hknows hthat hwhich hvalue hindicates hshock? h- hCorrect h hAnswer h- hpH h7.32
A h63-year-old hArab hAmerican hmale hstates hhis hleft hleg his h"hot." hWhat his hthe hnurse's hbest hfirst
hresponse? h- hCorrect h hAnswer h- hAssess hfor hpain
The hclient his hcomplaining hof hexcruciating hpain hin ha hfoot hthat hhas hbeen hamputated. hThe hfamily
htells hthe hnurse hthat hthe hclient his hjust haddicted hto hpain hmedications. hWhat his hthe hnurse's hbest
hresponse? h- hCorrect h hAnswer h- h"He his hexperiencing hphantom hlimb hpain."
A hclient hhas hhad habdominal hsurgery hand hhas horders hto hbe hambulated hthree htimes ha hday. hOral
hpain hmedication hhas hbeen hordered hfor hthe hclient. hWhat hshould hthe hnurse hdo hto hfacilitate
hambulation? h- hCorrect h hAnswer h- hMediate h1 hhour hprior hto hambulating hthe hclient.
The hclient hreports hfrequent huse hof hacetaminophen. hHow hshould hthe hnurse hbest hrespond? h-
hCorrect h hAnswer h- h"Do hyou hdrink halcohol?"
A hclient hwith hchronic hpain hhas hbeen hadmitted hwith ha hfever. hThe hnursing hassessment hreveals
hthat hthe hclient hhas ha hdecreased hlevel hof hconsciousness. hWhat hshould hthe hnurse hask hthe hfamily
habout? h- hCorrect h hAnswer h- hWhat hmedications hthe hclient hhas htaken
The hpractical hnurse his hreviewing hthe hsocial hhistory hfrom ha hclient hdiagnosed hwith hsmall hcell
hcarcinoma hof hthe hlung. hWhich hinformation his hsignificant hfor hthis hdisease? h- hCorrect h hAnswer h-
hThe hclient hhas hsmoked htwo h(2) hpacks hof hcigarettes ha hday hfor h20 hyears
The hpractical hnurse hand han hunlicensed hassistive hpersonnel h(UAP) hare hcaring hfor ha hgroup hof
hclients hon ha hmedical hunit. hWhich hinformation hprovided hby hthe hUAP hwarrants himmediate
hintervention hby hthe hpractical hnurse? h- hCorrect h hAnswer h- hThe hclient hreceiving hProcrit h(epoetin
halfa) hhas ha hT h99.2˚F, hP h68, hR h24, hand hBP hof h198/102
The hclient hdiagnosed hwith hlung hcancer hhas hbeen htold hthe hcancer hhas hmetastasized hto hthe
hbrain. hWhich hintervention hshould hthe hpractical hnurse hexpect hto himplement? h- hCorrect h hAnswer
h- hDiscuss himplementing han hadvance hdirective
The hclient hdiagnosed hwith hlung hcancer his hbeing hdischarged. hWhich hstatement hmade hby hthe
hclient hindicates ha hreiteration hof hinformation his hrequired? h- hCorrect h hAnswer h- h"It hdoesn't
hmatter hif hI hsmoke hnow. hI halready hhave hcancer."
The hpractical hnurse his hinterviewing hclients hat hthe hclinic. hWhich hinformation hprovided hby ha hclient
hwarrants hfurther hinvestigation? h- hCorrect h hAnswer h- hThe hclient hhas hbeen hcoughing hup hblood hin
hthe hmornings
The hmale hclient hhad habdominal hsurgery hand hthe hpractical hnurse hsuspects hthe hclient hhas
hperitonitis. hWhich hinformation hsupport hthe hdiagnosis hof hperitonitis? h- hCorrect h hAnswer h- hHard,
hrigid habdomen hand hwhite hblood hcell hcount h22,000/mm3
, The hclient hwho hhad habdominal hsurgery htells hthe hpractical hnurse, h"I hfelt hsomething hgive hway hin
hmy hstomach." hWhich hintervention hshould hthe hpractical hnurse himplement hfirst? h- hCorrect h
hAnswer h- hInspect hthe habdominal hwound hincision
The hclient his hone h(1) hday hpostoperative hmajor habdominal hsurgery. hWhich hclient hproblem his ha
hpriority? h- hCorrect h hAnswer h- hFluid hand helectrolyte himbalance
The hclient hhas han heviscerated habdominal hwound. hWhich hintervention hshould hthe hpractical hnurse
himplement? h- hCorrect h hAnswer h- hApply hsterile hnormal hsaline hdressing
The hclient his hdiagnosed hwith hperitonitis. hWhich hinformation hindicates hto hthe hpractical hnurse hthe
hclient's hcondition his himproving? h- hCorrect h hAnswer h- hThe hclient hhas ha hdecrease hin htemperature
hand ha hsoft habdomen
A hpatient his hbeing hreleased hfrom hthe hhospital hwith ha hprescription hfor htetracycline. hWhat hshould
hthe hnurse hinclude hin hpatient hteaching? h
Select hall hthat happly. h- hCorrect h hAnswer h- hAdvise hlimiting hexposure hto hthe hsun.
Inform hpatient hof hthe hpossibility hof hgastrointestinal hupset.
Suggest heating hcrackers hand hsome hjuice hwhen htaking hthis hmedicine.
The hnurse hwants hto hdetermine hif ha hpatient hnot hfully hawake hfrom hanesthesia hfor ha hsurgical
hprocedure his hexperiencing hpain. hWhat hfindings hshould hthe hnurse huse hto hmake hthis
hdetermination? h
Select hall hthat happly. h- hCorrect h hAnswer h- hMoaning
Restlessness
Pulling hat ha hbody harea
Elevated hblood hpressure
A hpatient his hdiagnosed hwith han hinfection hthat hhas hspread hto hthe hblood hstream. hWhich hterm
hshould hthe hnurse huse hto hdocument hthis hpatient's hhealth hproblem? h- hCorrect h hAnswer h- hSepsis
