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Medical Surgical Nursing
Module 4 • 20 Questions
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Medical Surgical Nursing
Module 4
Question 1
A female client is experiencing painful and rigid abdomen and is diagnosed with perforated peptic ulcer. A surgery has been scheduled and a nasogastric tube is inserted. The nurse should place the client before surgery in
A
Dorsal recumbent position
B
Semi-fowlers position
C
Sims position
D
Supine position
Question 2
Which of the following symptoms during the icteric phase of viral hepatitis should the nurse expect the client to inhibit?
A
Yellow sclera
B
Watery stool
C
Tarry stool
D
Shortness of breath
Question 3
A client suffered from a lower leg injury and seeks treatment in the emergency room. There is a prominent deformity to the lower aspect of the leg, and the injured leg appears shorter than the other leg. The affected leg is painful, swollen and beginning to become ecchymotic. The nurse interprets that the client is experiencing:
A
Contusion
B
Sprain
C
Strain
D
Fracture
Question 4
Mrs. Chua a 78-year-old client is admitted with the diagnosis of mild chronic heart failure. The nurse expects to hear when listening to client’s lungs indicative of chronic heart failure would be:
A
Friction rubs
B
Wheezes
C
Crackles
D
Stridor
Question 5
Patrick who is hospitalized following a myocardial infarction asks the nurse why he is taking morphine. The nurse explains that morphine:
A
Dilates coronary blood vessels
B
Prevents shock and relieves pain
C
Decrease anxiety and restlessness
D
Helps prevent fibrillation of the heart
Question 6
A female client is taking Cascara Sagrada. Nurse Betty informs the client that the following maybe experienced as side effects of this medication:
A
Partial bowel obstruction
B
Abdominal cramps
C
GI bleeding
D
Peptic ulcer disease
Question 7
Nurse Lucy is planning to give preoperative teaching to a client who will be undergoing rhinoplasty. Which of the following should be included?
A
Aspirin-containing medications should not be taken 14 days before surgery
B
After surgery, nasal packing will be in place 8 to 10 days
C
Normal saline nose drops will need to be administered preoperatively
D
Results of the surgery will be immediately noticeable postoperatively
Question 8
Paul is admitted to the hospital due to metabolic acidosis caused by Diabetic ketoacidosis (DKA). The nurse prepares which of the following medications as an initial treatment for this problem?
A
Potassium
B
Sodium bicarbonate
C
Regular insulin
D
Calcium gluconate
Question 9
A client who has been diagnosed with hypertension is being taught to restrict intake of sodium. The nurse would know that the teachings are effective if the client states that…
A
I can eat spaghetti on rye bread
B
I can eat shredded wheat cereal
C
I can eat broiled scallops
D
I can eat celery sticks and carrots
Question 10
During the first several hours after a cardiac catheterization, it would be most essential for nurse Cherry to…
A
Frequently monitor client’s apical pulse and blood pressure
B
Instruct the client to cough and deep breathe every 2 hours
C
Elevate clients bed at 45°
D
Monitor clients temperature every hour
Question 11
A 68-year-old client is diagnosed with a right-sided brain attack and is admitted to the hospital. In caring for this client, the nurse should plan to:
A
Use a bed cradle to prevent dorsiflexion of feet
B
Use hand roll and extend the left upper extremity on a pillow to prevent contractions
C
Do passive range of motion exercise
D
Application of elastic stockings to prevent flaccid by muscle
Question 12
Among the following signs and symptoms, which would most likely be present in a client with mitral regurgitation?
A
Increase creatine phosphokinase concentration
B
Exertional Dyspnea
C
Altered level of consciousness
D
Chest pain
Question 13
What would be the primary goal of therapy for a client with pulmonary edema and heart failure?
A
Peripheral edema decreased
B
Improve respiratory status
C
Increase cardiac output
D
Enhance comfort
Question 14
Which of the following should the nurse teach the client about the signs of digitalis toxicity?
A
Elevated blood pressure
B
Skin rash over the chest and back
C
Visual disturbances such as seeing yellow spots
D
Increased appetite
Question 15
Nurse Linda is caring for a client with head injury and monitoring the client with decerebrate posturing. Which of the following is a characteristic of this type of posturing?
A
Extension of the extremities after a stimulus
B
Upper extremity flexion with lower extremity extension
C
Upper extremity flexion with lower extremity flexion
D
Flexion of the extremities after stimulus
Question 16
Jerry has diagnosed with appendicitis. He develops a fever, hypotension, and tachycardia. The nurse suspects which of the following complications?
A
Bowel ischemia
B
Peritonitis
C
Intestinal obstruction
D
Deficient fluid volume
Question 17
In reducing the risk of endocarditis, good dental care is an important measure. To promote good dental care in client with mitral stenosis in teaching plan should include proper use of…
A
Manual toothbrush
B
Electric toothbrush
C
Dental floss
D
Irrigation device
Question 18
Dr. Marquez orders a continuous intravenous nitroglycerin infusion for the client suffering from myocardial infarction. Which of the following is the most essential nursing action?
A
Obtaining infusion pump for the medication
B
Obtaining serum potassium levels daily
C
Monitoring blood pressure every 4 hours
D
Monitoring urine output frequently
Question 19
Nurse Perry is evaluating the renal function of a male client. After documenting urine volume and characteristics, Nurse Perry assesses which signs as the best indicator of renal function.
A
Pulse rate
B
Distension of the bladder
C
Blood pressure
D
Consciousness
Question 20
George who has undergone thoracic surgery has chest tube connected to a water-seal drainage system attached to suction. Presence of excessive bubbling is identified in water-seal chamber, the nurse should…
A
Recognize the system is functioning correctly
B
Check the system for air leaks
C
“Strip” the chest tube catheter
D
Decrease the amount of suction pressure
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