MEDICAL SURGICAL PROCTORED RETAKE EXAM 2019 WITH
VERIFIED SOLUTIONS/A+ GRADE
A nurse is caring for a client who has a new diagnosis of type 2 diabetes
mellitus. Which of the following instructions should the nurse include in the
teaching? A. "You should consume a diet high in protein." B. "You should
avoid eating foods high in sugar." C. "You can skip meals if you are not
hungry." D. "You should limit your intake of whole grains."
Question 2:
A client with a history of hypertension is being discharged. Which of the
following statements by the client indicates a need for further teaching? A.
"I will take my medication every day at the same time." B. "I will avoid foods
high in salt." C. "I will stop taking my medication once my blood
pressure is normal." D. "I will check my blood pressure regularly."
Question 3:
A nurse is assessing a client who has heart failure and is receiving digoxin.
Which of the following findings is a manifestation of digoxin toxicity? A.
Bradycardia B. Nausea and vomiting C. Tachycardia D. Hypertension
Question 4:
A nurse is caring for a client who has chronic obstructive pulmonary disease
(COPD). Which of the following instructions should the nurse include in the
teaching plan? A. "Pursed-lip breathing can help you manage shortness
of breath." B. "You should drink at least 3 liters of water each day." C. "It is
best to avoid all physical activity." D. "You can increase your oxygen flow
rate if you feel short of breath."
Question 5:
,A client is scheduled for surgery and has been prescribed warfarin. Which of
the following actions should the nurse take? A. Notify the provider about
the client's medication. B. Administer the medication as prescribed. C.
Instruct the client to stop taking the medication the day before surgery. D.
Check the client's blood glucose level before surgery.
Question 6:
A nurse is caring for a client who has cirrhosis of the liver. Which of the
following laboratory values is expected for this client? A. Elevated bilirubin
B. Decreased ammonia C. Decreased AST D. Elevated hemoglobin
Question 7:
A client is receiving chemotherapy for cancer treatment. Which of the
following side effects should the nurse monitor for? A. Hypertension B.
Neutropenia C. Polycythemia D. Hyperkalemia
Question 8:
A nurse is providing discharge teaching to a client who has a new
prescription for an iron supplement. Which of the following instructions
should the nurse include? A. "Take the supplement with milk." B. "Take the
supplement on an empty stomach." C. "Increase your intake of vitamin C
to enhance absorption." D. "Take the supplement at bedtime."
Question 9:
A nurse is planning care for a client who has deep vein thrombosis (DVT).
Which of the following interventions should the nurse include? A. Apply
warm compresses to the affected area. B. Massage the affected limb. C.
Encourage ambulation. D. Keep the affected limb elevated above the heart.
Question 10:
,A client with peptic ulcer disease is being discharged. Which of the
following instructions should the nurse include in the discharge teaching?
A. "Avoid taking NSAIDs." B. "Increase your intake of spicy foods." C.
"Drink coffee with meals." D. "Reduce your intake of protein."
.
Question 11:
A nurse is teaching a client who has a new prescription for a metered-dose
inhaler (MDI). Which of the following instructions should the nurse include?
A. "Shake the inhaler well before use." B. "Inhale deeply and slowly as you
press down on the inhaler." C. "Hold the inhaler 3 inches away from your
mouth." D. "Exhale immediately after inhaling the medication."
Question 12:
A nurse is caring for a client who has a urinary tract infection (UTI). Which
of the following findings should the nurse expect? A. Dysuria B.
Hyperglycemia C. Polyuria D. Hematemesis
Question 13:
A nurse is assessing a client who has acute pancreatitis. Which of the
following findings should the nurse expect? A. Hypertension B. Elevated
serum amylase C. Hypoglycemia D. Decreased lipase levels
Question 14:
, A client is admitted with suspected tuberculosis (TB). Which of the following
isolation precautions should the nurse implement? A. Contact precautions
B. Droplet precautions C. Airborne precautions D. Standard precautions
Question 15:
A nurse is preparing a client for a colonoscopy. Which of the following
actions should the nurse take? A. Instruct the client to avoid liquids the day
before the procedure. B. Administer a bowel prep medication as
prescribed. C. Place the client on bed rest the day before the procedure. D.
Instruct the client to eat a high-fiber diet the day before the procedure.
Question 16:
A client with hyperthyroidism is receiving radioactive iodine therapy. Which
of the following instructions should the nurse include in the discharge
teaching? A. "Avoid exposure to sunlight." B. "Stay away from pregnant
women and small children for one week." C. "Limit fluid intake to
prevent urinary retention." D. "Increase your intake of iodine-rich foods."
Question 17:
A nurse is assessing a client who has left-sided heart failure. Which of the
following findings should the nurse expect? A. Peripheral edema B.
Dyspnea C. Jugular vein distention D. Hepatomegaly
Question 18:
A client with a history of angina is prescribed nitroglycerin tablets. Which of
the following instructions should the nurse provide? A. "Take one tablet
every 10 minutes until the pain subsides." B. "Place the tablet under your
tongue and let it dissolve." C. "Swallow the tablet with a glass of water."
D. "Take the tablet on an empty stomach."
Question 19:
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