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Med Surg Final Exam Fall 2020 update
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Med Surg Final Exam Fall 2020update
A nurse works in an allergy clinic. What task performed by the nurse takes priority?
a. Checking emergency equipment each morning
b. Ensuring informed consent is obtained as needed
c. Providing educational materials in several languages
d. Teaching clients how to manage their allergies - correct answer A
A client is in the preoperative holding area prior to surgery. The nurse notes that the client has
allergies to avocados and strawberries. What action by the nurse is best?
A. assess that the client has been NPO as directed
B. communicate this information with dietary staff
C. document the information in the clients chart
D. ensure the information is relayed to the surgical team - correct answer D
the nurse is caring for clients on the medical-surgical unit. What action by the nurse will help prevent
a client from having a type 2 hypersensitivity reaction?
A. administering steroids for severe serum sickness
B. correctly identifying the client prior to a blood transfusion
C. keeping the client free of the offending agent
D. providing a latex-free environment for the client - correct answer B
A nurse suspects a client has serum sickness. Wat laboratory result would the nurse correlate with
this condition?
A. blood urea nitrogen: 12 mg/dL
B. creatinine: 3.2 mg/dL
C. hemoglobin: 8.2 mg/dL
D. White blood cell count: 12,000/mm3 - correct answer B
A client calls the clinic to report exposure to poison ivy and an itchy rash that is not helped with over
the counter antihistamines. What response by the nurse is most appropriate?
,A. antihistamines do not help poison ivy
B. there are different antihistamines to try
C. you should be seen in the clinic right away
D. you will need to take some IV steroids - correct answer A
A client with Sjgrens syndrome reports dry skin, eyes, mouth, and vagina. What nonpharmacologic
comfort measure does the nurse suggest?
A. frequent eyedrops
B. home humidifier
C. strong moisturizer
D. tear duct plugs - correct answer B
A client is receiving plasmapheresis as treatment for goodpastures syndrome. When planning care,
the nurse places highest priority on interventions for which client problem?
A. reduced physical activity related to the diseases effects on the lungs
B. inadequate family coping related to the clients hospitalization
C. inadequate knowledge related to the plasmapheresis process
D. potential for infection related to the site for organism invasion - correct answer D
A nurse has educated a client on an epinephrine auto-injector (EpiPen). what statement by the client
indicates additional instruction is needed?
A. I don't need to go to the hospital after using it
B. I must carry two EpiPens with me at all times
C. I will write the expiration date on my calendar
D. this can be injected right through my clothes - correct answer A
A client having severe allergy symptoms has received several doses of IV antihistamines. What action
by the nurse is most important?
A. assess the clients bedside glucose reading
B. instruct the client not to get up without help
C. monitor the client frequently for tachycardia
D. record the clients intake, output, and weight - correct answer B
,A client is in the hospital and receiving IV antibiotics. when the nurse answers the clients call light,
the client presents an appearance as shown below:
A. administer epienphrine 1:1000, 0.3 mg IV push immediately
B. apply oxygen by facemask at 100% and a pulse oximeter
C. ensure a patent airway while calling the rapid response team
D. reassure the client that these manifestations will go away - correct answer C
A client suffered an episode of anaphylaxis and has been stabilized in the ICU. when assessing the
clients lungs, the nurse hears the following sounds. What medication does the nurse prepare to
administer? (click the audio button to hear the audio)
A. albuterol (proventil) via nebulizer
B. diphenhydramine (benadryl) IM
C. epinephrine 1:10,000 5 mg IV push
D. Methylpredniosolone (solu-Medrol) IV push - correct answer A
the nursing student is studying hypersensitivitiy reactions. which reactions are correctly matched
with their hypersensitivity types? Select all that apply
A. Type 1 examples include hay fever and anaphylaxis
B. type 2 medicated by action of immunoglobulin (IgM)
C. type 3 immune complex deposits in blood vessel walls
D. type 4 examples are poison ivy and transplant rejection
E. type 5 examples include a positive tuberculosis test and sarcoidosis - correct answer A, C, D
A client in the family practice clinic reports a 2-week history of an allergy to something. The nurse
obtains the following assessment and lab data:
physical assessment data lab results reports sore throat, runny nose, headache, posterior pharynx is
reddened, nasal discharge is seen in the back of the throat, nasal discharge is creamy yellow in color,
temperature 100.2F (37.9 C), red watery eyes, WBC count: 13,400/mm3, eosinophil count: 11.5%,
neutrophil count: 82%
About what medications and interventions does the nurse plan to teach this client? select all that
apply
A. elimination of any pets
B. chlorpheniramine (chlor-trimation)
, C. future allergy scratch testing
D. proper use of decongestant nose sprays
E. taking the full dose of antibiotics - correct answer B, C, D, E
While assessing a client, a nurse detects a bluish tinge to the clients palms, soles, and mucous
membranes, which action should the nurse take next?
A. ask the client about current medications he or she is taking
B. use pulse oximetry to assess the clients oxygen saturation
C. auscultate the clients lung fields for adventitious sounds
D. palpate the clients bilateral radial and pedal pulses - correct answer B
A nurse assesses a client who is admitted with inflamed soft-tissue folds around the nail plates.
Which question should the nurse ask to elicit useful information about the possible condition?
A. what do you do for a living?
B. are your nails professionally manicured?
C. do you have diabetes mellitus?
D. have you had a recent fungal infection? - correct answer A
a nurse assesses a client who has multiple areas of ecchymosis on both arms. Which question should
the nurse ask first?
A. are you using lotion on your skin?
B. do you have a family history of this?
C. do your arms itch?
D. what medications are you taking? - correct answer D
after teaching a client who expressed concern about a rash located beneath her breast, a nurse
assesses the clients understanding. Which statement indicates the client has a good understanding
of this condition?
A. this rash is probably due to fluid overload
B. I need to wash this daily with antibacterial soap
C. I can use powder to keep this area dry
D. I will schedule a mammogram as soon as I can - correct answer C
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