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Medical Surgical Nursing
Module 18 • 20 Questions
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Medical Surgical Nursing
Module 18
Question 1
Polio is the primary infection of
A
Gastrointestinal system
B
Respiratory system
C
Urinary system
D
Central nervous system
Question 2
A patient with a total hip replacement requires certain equipment for recovery. Which of the following will assist the patient with activities of daily living (ADL)?
A
TENS unit
B
Abduction pillow
C
High-seat commode
D
Recliner
Question 3
Damage to the VII cranial nerve (CN VII) results in
A
Absence of ability to smell
B
Absence of eye movement
C
Tinnitus
D
Facial pain
Question 4
A patient has recently been diagnosed with leukemia. Which of the following symptoms would a health care professional expect to see given this diagnosis?
A
Bradycardia, hypotension, and palpitations
B
Dyspnea, malaise, and hypotension
C
Paresthesia, facial rash, and abdominal pain
D
Bruising, fatigue, and bone pain
Question 5
During an interview with a patient with a diagnosis of Parkinson's disease (PD), which of the following speech patterns will the healthcare provider anticipate?
A
Clear and rhythmic
B
Bubbly and spirited
C
Slow, slurred, and monotone
D
Pressured and hurried
Question 6
A patient who has a history of chronic bronchitis is admitted to the medical unit. The healthcare provider notes the red blood cell count is elevated. Which of these is the likely contributing factor to this lab result in this patient?
A
Insensible water loss
B
Chronic hypoxia
C
Decreased fluid intake
D
Hypercapnia
Question 7
A pediatric patient has been diagnosed with right lower lobe pneumonia. Upon auscultation of this lung field, the healthcare provider would expect to hear which breath sound?
A
Wheezes
B
Crackles
C
Stridor
D
Rhonchi
Question 8
The nurse is assisting a doctor with the removal of a central venous catheter. To prevent complications, the patient should be instructed to
A
Turn his head to the right while grasping the siderails.
B
Turn his head to the left side and hyperextend the neck while looking up.
C
Perform the Valsalva maneuver as the catheter is pulled.
D
Take slow, deep breaths as the catheter is advanced.
Question 9
Which of the following conditions most commonly causes acute glomerulonephritis?
A
A congenital condition leading to renal shutdown
B
Chronic viral destruction of the glomeruli
C
Prior infection with Group A Streptococcus within the past 10-14 days
D
End-stage kidney failure
Question 10
The doctor orders Zofran 8 mg PO t.i.d. The pharmacy sends a 100 ml bottle, labeled 4 mg/tsp. How many ml should be given for each dose?
A
5 ml
B
10 ml
C
2 ml
D
8 ml
Question 11
All the following affect pharmacokinetics in the elderly EXCEPT
A
Reduced hepatic clearance
B
Decrease in functioning nephrons
C
Loss of mucosal intestinal surface
D
Improved blood-brain barrier
Question 12
At her 10-year old daughter's routine physical, a mother reports that her daughter has started to develop breasts and grow pubic hair. The nurse tells them that after signs of puberty appear, menstruation usually occurs within
A
40 months
B
30 months
C
10 months
D
20 months
Question 13
The nurse is instructing a client with newly-diagnosed type 2 diabetes how to use a blood glucose monitor. Which consistent glucose level should the client report to the health care provider?
A
250 mg/dL
B
450 mg/dL
C
150 mg/dL
D
350 mg/dL
Question 14
As the nurse prepares to instruct a client who has just been prescribed atorvastatin (Lipitor), which periodic laboratory test should the client receive?
A
Bleeding times
B
Renal panels
C
Liver function studies
D
A1c levels
Question 15
A patient with a fractured hip has been placed in Buck’s traction. Which statement is true regarding this treatment?
A
Is used primarily to heal fractured hips.
B
The purpose is to immobilize the leg(s).
C
Kirschner wires are inserted.
D
It utilizes a Steinman pin.
Question 16
The healthcare provider would anticipate which of the following as a treatment option for pneumonitis?
A
Corticosteroid administration
B
Albuterol nebulization
C
Chest tube insertion
D
Emergency thoracotomy
Question 17
A patient with pancreatic cancer has undergone a Whipple procedure. During the Whipple procedure, the surgeon will remove the
A
Pancreas head and gall bladder
B
Esophagus and jejunum
C
Stomach and duodenum
D
Proximal third section of the small intestines
Question 18
While caring for a patient following a laryngectomy, the patient suddenly becomes pale and nonresponsive, with a BP of 90/40. The initial action should be to
A
Increase the infusion of Dextrose in normal saline (D5NS)
B
Administer atropine intravenously
C
Move the emergency cart to the bedside
D
Place the client in Trendelenburg position
Question 19
Which chair is best for an elderly client who is learning self-care for managing hip pain from rheumatoid arthritis?
A
A soft sofa to relieve stress on back and hip joints
B
A wooden rocking chair for back support and therapeutic movement
C
A straight back chair with a raised seat to decrease flexion
D
A recliner with a low seat to get in and out more easily
Question 20
The nurse is planning activities for elderly residents in a long-term care facility. Which of the following activities will be MOST effective in meeting the growth and development needs of a person in this age group?
A
Reminiscence therapy
B
Resident council meetings
C
Trips outside the facility
D
Strengthening classes
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