Styne
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Med Surg Test Bank
The student nurse studying the gastrointestinal system understands that chyme refers to what? 
a. Hormones that reduce gastric acidity 
b. Liquefied food ready for digestion 
c. Nutrients after being absorbed 
d. Secretions that help digest food Correct Answers b 
 
A client scheduled for a percutaneous transhepatic cholangiography (PTC) denies allergies to medication. 
What action by the nurse is best? 
a. Ask the client about shellfish allergies. 
b. Document this information on the chart. 
c....
- Exam (elaborations)
- • 38 pages •
The student nurse studying the gastrointestinal system understands that chyme refers to what? 
a. Hormones that reduce gastric acidity 
b. Liquefied food ready for digestion 
c. Nutrients after being absorbed 
d. Secretions that help digest food Correct Answers b 
 
A client scheduled for a percutaneous transhepatic cholangiography (PTC) denies allergies to medication. 
What action by the nurse is best? 
a. Ask the client about shellfish allergies. 
b. Document this information on the chart. 
c....
Lewis 10th Chapter 23 Integumentary Problems nclex
A patient presents with a flat, dry, scaly area on the eyebrows that is treated with a chemical peel. What should the nurse include in the discharge teaching? 
 
a. Metastasis of this type of lesion is rare. 
b. The patient has an increased risk for melanoma. 
c. Recurrence of the premalignant lesion is possible. 
d. Untreated lesions may metastasize to regional lymph nodes. Correct Answers c. Recurrence of the premalignant lesion is possible. 
The flat or elevated dry scaly area is actinic ke...
- Exam (elaborations)
- • 15 pages •
A patient presents with a flat, dry, scaly area on the eyebrows that is treated with a chemical peel. What should the nurse include in the discharge teaching? 
 
a. Metastasis of this type of lesion is rare. 
b. The patient has an increased risk for melanoma. 
c. Recurrence of the premalignant lesion is possible. 
d. Untreated lesions may metastasize to regional lymph nodes. Correct Answers c. Recurrence of the premalignant lesion is possible. 
The flat or elevated dry scaly area is actinic ke...
Medical-Surgical Nursing Lewis Chapter 4
What are the general goals of patient teaching? Correct Answers include health promotion, disease prevention, management of illness, and appropriate selection and use of treatment options 
 
What are some of the adult learning principles applied to patient teaching? Correct Answers - need to know 
- readiness to learn 
- prior experience 
- motivation to learn 
- orientation to learning 
- self concept 
 
Stages of change in Transtheoretical Model Correct Answers - pre contemplation 
- contempl...
- Exam (elaborations)
- • 7 pages •
What are the general goals of patient teaching? Correct Answers include health promotion, disease prevention, management of illness, and appropriate selection and use of treatment options 
 
What are some of the adult learning principles applied to patient teaching? Correct Answers - need to know 
- readiness to learn 
- prior experience 
- motivation to learn 
- orientation to learning 
- self concept 
 
Stages of change in Transtheoretical Model Correct Answers - pre contemplation 
- contempl...
Lewis Chapter 43: Liver, Pancreas, and Biliary Tract Problems
c. Alcohol abuse 
 
The patient with alcohol abuse could develop pancreatitis as a complication, which would increase the serum amylase (normal 30-122 U/L) and serum lipase (normal 31-186 U/L) levels as shown. Correct Answer A 54-year-old patient admitted with diabetes mellitus, malnutrition, osteomyelitis, and alcohol abuse has a serum amylase level of 280 U/L and a serum lipase level of 310 U/L. To what diagnosis does the nurse attribute these findings? 
 
a. Malnutrition 
b. Osteomyelitis 
c...
- Exam (elaborations)
- • 25 pages •
c. Alcohol abuse 
 
The patient with alcohol abuse could develop pancreatitis as a complication, which would increase the serum amylase (normal 30-122 U/L) and serum lipase (normal 31-186 U/L) levels as shown. Correct Answer A 54-year-old patient admitted with diabetes mellitus, malnutrition, osteomyelitis, and alcohol abuse has a serum amylase level of 280 U/L and a serum lipase level of 310 U/L. To what diagnosis does the nurse attribute these findings? 
 
a. Malnutrition 
b. Osteomyelitis 
c...
Medical surgical nursing- Chapter 1
Define medical-surgical nursing Correct Answers specialty practice area in which nurses promote, restore, or maintain optimal health for patients from 18 to older than 100 yrs 
 
What does AMSN stand for Correct Answers Academy of Medical- surgical nursing 
 
What is another name for medical- surgical nursing Correct Answers Adult health nursing 
 
When is the term "client" used rather than patient Correct Answers in NCLEX Examination Challenge questions 
 
What are the roles of a nurse in a m...
- Exam (elaborations)
- • 14 pages •
Define medical-surgical nursing Correct Answers specialty practice area in which nurses promote, restore, or maintain optimal health for patients from 18 to older than 100 yrs 
 
What does AMSN stand for Correct Answers Academy of Medical- surgical nursing 
 
What is another name for medical- surgical nursing Correct Answers Adult health nursing 
 
When is the term "client" used rather than patient Correct Answers in NCLEX Examination Challenge questions 
 
What are the roles of a nurse in a m...
Lewis: MED-SURG: Chapter 50: Endocrine Problems
A patient suspected of having acromegaly has an elevated plasma growth hormone (GH) level. In acromegaly, what would the nurse also expect the patient's diagnostic results to indicate? a. Hyperinsulinemia b. Plasma glucose of <70 mg/dL (3.9 mmol/L) 
c. Decreased GH levels with an oral glucose challenge test d. Elevated levels of plasma insulin-like growth factor-1 (IGF-1) Correct Answers d. A normal response to growth hormone (GH) secretion 
is stimulation of the liver to produce somatomedin...
- Exam (elaborations)
- • 30 pages •
A patient suspected of having acromegaly has an elevated plasma growth hormone (GH) level. In acromegaly, what would the nurse also expect the patient's diagnostic results to indicate? a. Hyperinsulinemia b. Plasma glucose of <70 mg/dL (3.9 mmol/L) 
c. Decreased GH levels with an oral glucose challenge test d. Elevated levels of plasma insulin-like growth factor-1 (IGF-1) Correct Answers d. A normal response to growth hormone (GH) secretion 
is stimulation of the liver to produce somatomedin...
Lewis Chapter 56 - Acute Intracranial Problems
When family members ask the nurse about the purpose of the ventriculostomy system being used for intracranial pressure monitoring for a patient, which response by the nurse is best? 
 
a. "This type of monitoring system is complex and highly skilled staff are needed." 
b. "The monitoring system helps show whether blood flow to the brain is adequate." 
c. "The ventriculostomy monitoring system helps check for alterations in cerebral perfusion pressure." 
d. "This monitoring system has mult...
- Exam (elaborations)
- • 40 pages •
When family members ask the nurse about the purpose of the ventriculostomy system being used for intracranial pressure monitoring for a patient, which response by the nurse is best? 
 
a. "This type of monitoring system is complex and highly skilled staff are needed." 
b. "The monitoring system helps show whether blood flow to the brain is adequate." 
c. "The ventriculostomy monitoring system helps check for alterations in cerebral perfusion pressure." 
d. "This monitoring system has mult...
medical surgical testbank
Exam 1 Correct Answers fluid and electrolyres 
acid base 
thermoregulation 
 
Chapter 17: Fluid, Electrolyte, and Acid-Base Imbalances Correct Answers --- 
 
1. The nurse obtains all of the following assessment data about a patient with deficient fluid volume caused by a massive burn injury. Which of the following assessment data will be of greatest concern? 
 
a. 
 
The blood pressure is 90/40 mm Hg. 
 
b. 
 
Urine output is 30 ml over the last hour. 
 
c. 
 
Oral fluid intake is 100 ml for the...
- Exam (elaborations)
- • 61 pages •
Exam 1 Correct Answers fluid and electrolyres 
acid base 
thermoregulation 
 
Chapter 17: Fluid, Electrolyte, and Acid-Base Imbalances Correct Answers --- 
 
1. The nurse obtains all of the following assessment data about a patient with deficient fluid volume caused by a massive burn injury. Which of the following assessment data will be of greatest concern? 
 
a. 
 
The blood pressure is 90/40 mm Hg. 
 
b. 
 
Urine output is 30 ml over the last hour. 
 
c. 
 
Oral fluid intake is 100 ml for the...
Med-Surg: Lewis: Chapter 28: Lower Respiratory Problems
To promote airway clearance in a patient with pneumonia, what should the nurse instruct the patient to do (select all that apply)? 
 
A. Maintain adequate fluid intake. 
B. Splint the chest when coughing. 
C. Maintain a 30-degree elevation. 
D. Maintain a semi-Fowler's position. 
E. Instruct patient to cough at end of exhalation. Correct Answers A. Maintain adequate fluid intake. 
B. Splint the chest when coughing. 
E. Instruct patient to cough at end of exhalation. 
 
Maintaining adequate flui...
- Exam (elaborations)
- • 34 pages •
To promote airway clearance in a patient with pneumonia, what should the nurse instruct the patient to do (select all that apply)? 
 
A. Maintain adequate fluid intake. 
B. Splint the chest when coughing. 
C. Maintain a 30-degree elevation. 
D. Maintain a semi-Fowler's position. 
E. Instruct patient to cough at end of exhalation. Correct Answers A. Maintain adequate fluid intake. 
B. Splint the chest when coughing. 
E. Instruct patient to cough at end of exhalation. 
 
Maintaining adequate flui...
Chapter 37: Vascular Disorders Lewis: Medical-Surgical Nursing, 10th Edition
A patient in the outpatient clinic has a new diagnosis of peripheral artery disease (PAD). Which group of drugs will the nurse plan to include when teaching about PAD management? 
a. Statins 
b. Antibiotics 
c. Thrombolytics 
d. Anticoagulants Correct Answers ANS: A 
Research indicates that statin use by patients with PAD improves multiple outcomes. There is no research that supports the use of the other drug categories in PAD. 
 
Peripheral artery disease (PAD) involves thickening of artery wa...
- Exam (elaborations)
- • 20 pages •
A patient in the outpatient clinic has a new diagnosis of peripheral artery disease (PAD). Which group of drugs will the nurse plan to include when teaching about PAD management? 
a. Statins 
b. Antibiotics 
c. Thrombolytics 
d. Anticoagulants Correct Answers ANS: A 
Research indicates that statin use by patients with PAD improves multiple outcomes. There is no research that supports the use of the other drug categories in PAD. 
 
Peripheral artery disease (PAD) involves thickening of artery wa...