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Test bank for MEDICAL SURGICAL NURSING: Exam Set questions with verified answers
Test bank for MEDICAL SURGICAL NURSING: Exam Set questions with verified answers
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Test bank for MEDICAL SURGICALNURSING: Exam Set questions with
verified answers
1. A 1 year old with tetralogy of Fallot turns blue during temper tantrum. What will the nurse
do first?
2.
3. a. Place the child in the knee chest position
4. b. Assess for irregular heart rate
5. c. Listen for an increased respiratory rate
6. d. Explain to the child the need to calm down - ANS-A. Place the child in the knee chest
position
7. A 16 year old boy reports to the school nurse with headaches and stiff neck. Which sign
or symptom would alert the nurse that a child may have bacterial meningitis?
8.
9. a. A fixed and dilated pupils
10. b. Frequent urination
11. c. Sunset eyes
12. d. Sunlight is too bright - ANS-d. Sunlight is too bright
13. A 5 year old child is at the pediatric clinic for a well child visit. Which symptom alerts the
healthcare provider that this child might have acute lymphoblastic leukemia (ALL).
14.
15. a. joint pain and swelling
16. b. anorexia and weight loss
17. c. abdominal pain, nausea, vomiting
18. d. lethargy, bruises, and lymphadenopathy - ANS-d. lethargy, bruises, and
lymphadenopathy
19. A 6 month old infant is brought to ER in severe respiratory distress. A diagnosis of
respiratory syncytial virus (RSV) is made and infant is admitted to the pediatric ward.
What instruction should be included in the nursing plan of care?
20.
21. a. Place in a warm, dry environment
22. b. Allow parents and siblings to visit
23. c. Maintain standard and contact precautions
24. d. Administer prescribed antibiotic immediately. - ANS-c. Maintain standard and contact
precautions
25. A 6 year old child is admitted to the hospital with pneumonia. What is the priority need
that must be included in the nursing care plan for this child?
,26.
27. a. Rest
28. b. Exercise
29. c. Nutrition
30. d. Elimination - ANS-a. Rest
31. A 6 year old child is being transferred to recovery room. The assigned nurse is assisting
the child to the bed after tonsillectomy. How will the nurse place the child until fully
wake?
32.
33. a. Fowlers position
34. b. Semi Fowler's position
35. d. Supine position
36. d. Right lateral recumbent - ANS-d. Right lateral recumbent
37. A 6 year old child is getting a diagnostic work up for nephrotic syndrome. Which lab
results would the nurse expects to see?
38.
39. a. Proteinuria, hypoalbuminemia, hypercholesterolemia
40. b. Hematuria, proteinuria, hyperalbuminemia
41. c. Neutropenia, hematuria, hypocholesterolemia
42. d. Proteinuria, hyperalbuminemia, hypocholesterolemia - ANS-a. Proteinuria,
hypoalbuminemia, hypercholesterolemia
43. A 9 month old infant with iron deficiency anemia is given ferrous sulfate therapy. Which
assessment would best help the nurse determine that the infant is actually taking it
daily?
44.
45. a. The reticulocyte count will decrease
46. b. The infant will develop diarrhea
47. c. The stools will appear black
48. d. The infant will be more irritable than the last visit - ANS-c. The stools will appear black
49. A 9 year old boy is admitted to the hospital. The boy is being treated with salicylates for
the migratory polyarthritis accompanying the diagnosis of rheumatic fever. Which of the
following activities performed by the child would give a best sign that the medication is
effective.
50.
51. a. Listening to story of his mother
52. b. Listening to the music in radio
53. c. Playing mini piano
54. d. Watching movies in the DVD mini player - ANS-c. Playing mini piano
55. A 9 year old child is admitted in the mergency department with the diagnosis of
rheumatic fever. According to Jones criteria, which group of signs and symptoms
indicate rheumatic fever?
56.
57. a. Fever, vesicles, seizures
58. b. Fever, joint pains, carditis
, 59. c. Polyarthritis, joint pains, diarrhea
60. d. Erythema marginatum, chorea, leucopenia - ANS-b. Fever, joint pains, carditis
61. A child diagnosed with acute glomerulonephritis will most likely have the history of:
62.
63. a. A sibling diagnosed with the same disease
64. b. Hemorrhaged or history of bruising easily
65. c. Hearing loss with impaired speech development
66. d. Recent illness such as strep throat - ANS-d. Recent illness such as strep throat
67. A child diagnosed with sickle cell anemia. Which test will the nurse expect the primary
health care provider to prescribe for his client?
68.
69. a. Hemoglobin level
70. b. Leukocyte level
71. c. Thrombocyte level
72. d. Metabolic screening test - ANS-a. Hemoglobin level
73. A client has just been admitted to the unit with massive proteinuria. Based on these
findings, the nurse suspects which condition?
74.
75. a. Nephritic syndrome
76. b. urinary tract infection
77. c. Nephrotic syndrome
78. d. Acute glomerulonephritis - ANS-c. Nephrotic syndrome
79. A client's newborn is diagnosed with Tetralogy of Fallot. When explaining this condition
to the client, which of the following defects would the nurse's description include?
80.
81. a) Atrial septal defect
82. b) Overriding of the aorta
83. c) Stenosis of the aorta
84. d) Left ventricular hypertrophy - ANS-a) Atrial septal defect
85. A group of nurses is reviewing the diagnosis of cystic fibrosis. With regard to the effect of
this disease on the body, which parts of the body (besides lungs) are most affected by
this disease?
86.
87. a. Brain and spinal cord
88. b. Pancreas and liver
89. c. Heart and blood vessles
90. d. Kidney and bladder - ANS-b. Pancreas and liver
91. A group of nursing students are reviewing the medications used to treat asthma. the
students demonstrate understanding of the information when they identify which agent
as appropriate for an acute episode of bronchospasm?
92.
93. a. Metoprolol
94. b. Albuterol;
95. c. Ipratropium
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