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Medical Surgical Nursing
Module 16 • 20 Questions
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Medical Surgical Nursing
Module 16
Question 1
Biochemical market of preeclampsia is
A
S. creatinine
B
S. uric acid
C
Proteinuria
D
S. sodium
Question 2
In acute overdose of paracetamol elimination half life over 4 hours is associated with
A
Coma
B
Ototoxicity
C
Nephrotoxicity
D
Hepatic necrosis
Question 3
The most common cancer associated with AIDS
A
Ewing sarcoma
B
Kaposi sarcoma
C
Breast Cancer
D
Small cell carcinoma
Question 4
What is the term for a device used to take the place of a missing body part-
A
External rotation
B
Abduction
C
Pronation
D
Prosthesis
Question 5
A 25-year-old male is admitted in sickle cell crisis. Which of the following interventions would be of highest priority for this client?
A
Taking hourly blood pressures with mechanical cuff
B
Encouraging fluid intake of at least 200mL per hour
C
Administering Tylenol as ordere
D
Position in high Fowler’s with knee gatch raised
Question 6
The nurse is instructing a client with iron-deficiency anemia. Which of the following meal plans would the nurse expect the client to select?
A
Pork chop, creamed potatoes, corn, and coconut cake
B
Roast beef, gelatin salad, green beans, and peach pie
C
Chicken salad sandwich, coleslaw, French fries, ice cream
D
Egg salad on wheat bread, carrot sticks, lettuce salad, raisin pie
Question 7
A client has autoimmune thrombocytopenic purpura. To determine the client’s response to treatment, the nurse would monitor-
A
Potassium levels
B
White blood cell count
C
Platelet count
D
Partial prothrombin time (PTT)
Question 8
The client with a history of diabetes insipidus is admitted with polyuria, polydipsia, and mental confusion. The priority intervention for this client is-
A
Encourage increased fluid intake.
B
Check the vital signs.
C
Measure the urinary output.
D
Weigh the client.
Question 9
A client with hemophilia has a nosebleed. Which nursing action is most appropriate to control the bleeding?
A
Pinch the soft lower part of the nose.
B
Administer acetaminophen (Tylenol).
C
Place the client in a sitting position.
D
Apply ice packs to the forehead.
Question 10
A client had a total thyroidectomy yesterday. The client is complaining of tingling around the mouth and in the fingers and toes. What would the nurses’ next action be-
A
Assess the dressing for drainage.
B
Check the calcium level.
C
Obtain a crash cart.
D
Assess the blood pressure for hypertension.
Question 11
The nurse is checking the client’s central venous pressure. The nurse should place the zero of the manometer at the:
A
Phlebostatic axis
B
PMI
C
Erb’s point
D
Tail of Spence
Question 12
The nurse caring for a client after a suspected CVA recognizes which nursing diagnosis as the priority?
A
Alteration in cerebral tissue perfusion
B
Sensory perceptual alteration
C
Impaired communication
D
Impaired mobility
Question 13
Which assessment finding in a client with COPD indicates to the nurse that the respiratory problem is chronic?
A
Clubbing of fingers
B
Productive cough
C
Wheezing on exhalation
D
Cyanosis
Question 14
A client with advanced Alzheimer’s disease has been prescribed haloperidol. What clinical manifestation suggests that the client is experiencing side effects from this medication?
A
Tremors
B
Cough
C
Diarrhea
D
Pitting edema
Question 15
A client who had major abdominal surgery is having delayed healing of the wound. Which laboratory test result would most closely correlate with this problem?
A
Increased calcium
B
Decreased creatinine
C
Decreased albumin
D
Increased sodium
Question 16
The nurse recognizes which of the following as the priority nursing diagnosis for the client in thyroid crisis?
A
Risk for imbalanced body temperature
B
Risk for ineffective breathing pattern
C
Risk for decreased cerebral tissue perfusion
D
Activity intolerance
Question 17
Which of the following clients has the highest risk for pulmonary complications after surgery?
A
A 45-year-old with an open cholecystectomy
B
A 24-year-old with open reduction internal fixation of the ulnar
C
A 36-year-old after a hysterectomy
D
A 50-year-old after a lumbar laminectomy
Question 18
Which clinical manifestation during the actual bone marrow transplantation alerts you to the possibility of an adverse reaction?
A
Red urine
B
Fever
C
Hypertension
D
Shortness of breath
Question 19
The nurse is assessing the integumentary system of a dark-skinned individual. Which area would be the most likely to show a skin cancer lesion?
A
Face
B
Arms
C
Chest
D
Palms
Question 20
The nurse notes the following laboratory test results on a 24-hour post-burn client. Which abnormality should be reported to the physician immediately?
A
Arterial pH 7.34
B
Sodium 131mEq/L
C
Potassium 7.5mEq/L
D
Hematocrit 52%
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