Welcome to Scribd, the world's digital library. Read, publish, and share books and documents. See more
Download
Standard view
Full view
of .
Save to My Library
Look up keyword
Like this
1Activity
0 of .
Results for:
No results containing your search query
P. 1
Untitled

Untitled

Ratings: (0)|Views: 17 |Likes:
Published by Mayla G. De Vela

More info:

Published by: Mayla G. De Vela on May 24, 2012
Copyright:Attribution Non-commercial

Availability:

Read on Scribd mobile: iPhone, iPad and Android.
download as TXT, PDF, TXT or read online from Scribd
See more
See less

07/19/2013

pdf

text

original

 
MedicalSurgicalNursingPracticeTestPart11.Mrs.Chuaa78yearoldclientisadmittedwiththediagnosisofmildchronicheartfailure.Thenurseexpectstohearwhenlisteningtoclient’slungsindicativeofchronicheartfailurewouldbe:a.Stridorb.Cracklesc.Wheezesd.Frictionrubs2.Patrickwhoishospitalizedfollowingamyocardialinfarctionasksthenursewhyheistakingmorphine.Thenurseexplainsthatmorphine:a.Decreaseanxietyandrestlessnessb.Preventsshockandrelievespainc.Dilatescoronarybloodvesselsd.Helpspreventfibrillationoftheheart3.Whichofthefollowingshouldthenurseteachtheclientaboutthesignsofdigitalistoxicity?a.Increasedappetiteb.Elevatedbloodpressurec.Skinrashoverthechestandbackd.Visualdisturbancessuchasseeingyellowspots4.NurseTrishateachesaclientwithheartfailuretotakeoralFurosemideinthemorning.Thereasonforthisistohelp…a.Retardrapiddrugabsorptionb.Excreteexcessivefluidsaccumulatedatnightc.Preventssleepdisturbancesduringnightd.Preventionofelectrolyteimbalance5.Whatwouldbetheprimarygoaloftherapyforaclientwithpulmonaryedemaandheartfailure?a.Enhancecomfortb.Increasecardiacoutputc.Improverespiratorystatusd.Peripheraledemadecreased6.NurseLindaiscaringforaclientwithheadinjuryandmonitoringtheclientwithdecerebrateposturing.Whichofthefollowingisacharacteristicofthistypeofposturing?a.Upperextremityflexionwithlowerextremityflexionb.Upperextremityflexionwithlowerextremityextensionc.Extensionoftheextremitiesafterastimulusd.Flexionoftheextremitiesafterstimulus7.AfemaleclientistakingCascaraSagrada.NurseBettyinformstheclientthatthefollowingmaybeexperiencedassideeffectsofthismedication:a.GIbleedingb.Pepticulcerdiseasec.Abdominalcrampsd.Partialbowelobstruction8.Dr.Marquezordersacontinuousintravenousnitroglycerininfusionfortheclientsufferingfrommyocardialinfarction.Whichofthefollowingisthemostessentialnursingaction?a.Monitoringurineoutputfrequentlyb.Monitoringbloodpressureevery4hoursc.Obtainingserumpotassiumlevelsdailyd.Obtaininginfusionpumpforthemedication9.DuringtheseconddayofhospitalizationoftheclientafteraMyocardialInfarction.Whichofthefollowingisanexpectedoutcome?a.Abletoperformself-careactivitieswithoutpainb.Severechestpainc.CanrecognizetheriskfactorsofMyocardialInfarctiond.CanParticipateincardiacrehabilitationwalkingprogram10.A68yearoldclientisdiagnosedwitharight-sidedbrainattackandisadmittedtothehospital.Incaringforthisclient,thenurseshouldplanto:a.Applicationofelasticstockingstopreventflaccidbymuscleb.Usehandrollandextendtheleftupperextremityonapillowtopreventcontractionsc.Useabedcradletopreventdorsiflexionoffeetd.Dopassiverangeofmotionexercise11.NurseLizaisassignedtocareforaclientwhohasreturnedtothenursingunitafterleftnephrectomy.NurseLiza’shighestprioritywouldbe…a.Hourlyurineoutputb.Temperaturec.Abletoturnsidetosided.Abletosipsclearliquid12.A64yearoldmaleclientwithalonghistoryofcardiovascularproblemincludinghypertensionandanginaistobescheduledforcardiaccatheterization.Duringprecardiaccatheterizationteaching,NurseCherryshouldinformtheclientthattheprimarypurposeoftheprocedureis…..a.TodeterminetheexistenceofCHDb.Tovisualizethediseaseprocessinthecoronaryarteriesc.Toobtaintheheartchamberspressured.Tomeasureoxygencontentofdifferentheartchambers13.Duringthefirstseveralhoursafteracardiaccatheterization,itwouldbemostessentialfornurseCherryto…a.Elevateclientsbedat45°b.Instructtheclienttocoughanddeepbreatheevery2hoursc.Frequentlymonitorclient’sapicalpulseandbloodpressured.Monitorclientstemperatureeveryhour14.Katewhohasundergonemitralvalvereplacementsuddenlyexperiencescontinuousbleedingfromthesurgicalincisionduringpostoperativeperiod.WhichofthefollowingpharmaceuticalagentsshouldNurseAizapreparetoadministertoKate?a.ProtamineSulfateb.QuinidineSulfatec.VitaminCd.Coumadin15.Inreducingtheriskofendocarditis,gooddentalcareisanimportantmeasure.Topromotegooddentalcareinclientwithmitralstenosisinteachingplanshouldincludeproperuseof…a.Dentalflossb.Electrictoothbrushc.Manualtoothbrushd.Irrigationdevice16.Amongthefollowingsignsandsymptoms,whichwouldmostlikelybepresentinaclientwithmitralgurgitation?a.Alteredlevelofconsciousnessb.ExceptionalDyspneac.Increasecreatinephospholinaseconcentrationd.Chestpain17.Kriswithahistoryofchroni
 
cinfectionoftheurinarysystemcomplainsofurinaryfrequencyandburningsensation.Tofigureoutwhetherthecurrentproblemisinrenalorigin,thenurseshouldassesswhethertheclienthasdiscomfortorpaininthe…a.Urinarymeatusb.PainintheLabiumc.Suprapubicaread.Rightorleftcostovertebralangle18.NursePerryisevaluatingtherenalfunctionofamaleclient.Afterdocumentingurinevolumeandcharacteristics,NursePerryassesseswhichsignsasthebestindicatorofrenalfunction.a.Bloodpressureb.Consciousnessc.Distensionofthebladderd.Pulserate19.Johnsuddenlyexperiencesaseizure,andNurseGinanoticethatJohnexhibitsuncontrollablejerkingmovements.NurseGinadocumentsthatJohnexperiencedwhichtypeofseizure?a.Tonicseizureb.Absenceseizurec.Myoclonicseizured.Clonicseizure20.SmokingcessationiscriticalstrategyfortheclientwithBurgher’sdisease,NurseJasminanticipatesthatthemaleclientwillgohomewithaprescriptionforwhichmedication?a.Paracetamolb.Ibuprofenc.Nitroglycerind.Nicotine(Nicotrol)21.NurseLillyhasbeenassignedtoaclientwithRaynaud’sdisease.NurseLillyrealizesthattheetiologyofthediseaseisunknownbutitischaracterizedby:a.Episodicvasospasticdisorderofcapillariesb.Episodicvasospasticdisorderofsmallveinsc.Episodicvasospasticdisorderoftheaortad.Episodicvasospasticdisorderofthesmallarteries22.NurseJamieshouldexplaintomaleclientwithdiabetesthatself-monitoringofbloodglucoseispreferredtourineglucosetestingbecause…a.Moreaccurateb.Canbedonebytheclientc.Itiseasytoperformd.Itisnotinfluencedbydrugs23.Jessieweighed210poundsonadmissiontothehospital.After2daysofdiuretictherapy,Jessieweighs205.5pounds.ThenursecouldestimatetheamountoffluidJessiehaslost…a.0.3Lb.1.5Lc.2.0Ld.3.5L24.NurseDonnaisawarethattheshiftofbodyfluidsassociatedwithIntravenousadministrationofalbuminoccursintheprocessof:a.Osmosisb.Diffusionc.Activetransportd.Filtration25.Myrnaa52yearoldclientwithafracturedlefttibiahasalonglegcastandsheisusingcrutchestoambulate.NurseJoyassessesforwhichsignandsymptomthatindicatescomplicationassociatedwithcrutchwalking?a.Leftlegdiscomfortb.Weakbicepsbrachiic.Tricepsmusclespasmd.Forearmweakness26.Whichofthefollowingstatementsshouldthenurseteachtheneutropenicclientandhisfamilytoavoid?a.Performingoralhygieneaftereverymealb.Usingsuppositoriesorenemasc.Performingperinealhygieneaftereachbowelmovementd.Usingafiltermask27.Afemaleclientisexperiencingpainfulandrigidabdomenandisdiagnosedwithperforatedpepticulcer.Asurgeryhasbeenscheduledandanasogastrictubeisinserted.Thenurseshouldplacetheclientbeforesurgeryina.Simspositionb.Supinepositionc.Semi-fowlerspositiond.Dorsalrecumbentposition28.Whichnursinginterventionensuresadequateventilatingexchangeaftersurgery?a.Removetheairwayonlywhenclientisfullyconsciousb.Assessforhypoventilationbyauscultatingthelungsc.Positionclientlaterallywiththeneckextendedd.Maintainhumidifiedoxygenvianasalcanula29.Georgewhohasundergonethoracicsurgeryhaschesttubeconnectedtoawater-sealdrainagesystemattachedtosuction.Presenceofexcessivebubblingisidentifiedinwater-sealchamber,thenurseshould…a.“Strip”thechesttubecatheterb.Checkthesystemforairleaksc.Recognizethesystemisfunctioningcorrectlyd.Decreasetheamountofsuctionpressure30.Aclientwhohasbeendiagnosedofhypertensionisbeingtaughttorestrictintakeofsodium.Thenursewouldknowthattheteachingsareeffectiveiftheclientstatesthat…a.Icaneatcelerysticksandcarrotsb.Icaneatbroiledscallopsc.Icaneatshreddedwheatcereald.Icaneatspaghettionryebread31.Amaleclientwithahistoryofcirrhosisandalcoholismisadmittedwithseveredyspnearesultedtoascites.Thenurseshouldbeawarethattheascitesismostlikelytheresultofincreased…a.Pressureintheportalveinb.Productionofserumalbuminc.Secretionofbilesaltsd.Interstitialosmoticpressure32.AnewlyadmittedclientisdiagnosedwithHodgkin’sdiseaseundergoesanexcisionalcervicallymphnodebiopsyunderlocalanesthesia.Whatdoesthenurseassessfirstaftertheprocedure?a.Vitalsignsb.Incisionsitec.Airwayd.Levelofconsciousness33.Aclienthas15%bloodloss.Whichofthefollowingnursingassessmentfindingsindicateshypovolemicshock?a.Systolicbloodpressurelessthan90mmHgb.Pupilsunequallydilatedc.Respiratoryrateof4breath/mind.Pulseratelessthan60bp
 
m34.NurseLucyisplanningtogivepreoperativeteachingtoaclientwhowillbeundergoingrhinoplasty.Whichofthefollowingshouldbeincluded?a.Resultsofthesurgerywillbeimmediatelynoticeablepostoperativelyb.Normalsalinenosedropswillneedtobeadministeredpreoperativelyc.Aftersurgery,nasalpackingwillbeinplace8to10daysd.Aspirincontainingmedicationsshouldnotbetaken14daysbeforesurgery35.PaulisadmittedtothehospitalduetometabolicacidosiscausedbyDiabeticketoacidosis(DKA).Thenurseprepareswhichofthefollowingmedicationsasaninitialtreatmentforthisproblem?a.Regularinsulinb.Potassiumc.Sodiumbicarbonated.Calciumgluconate36.Dr.MarqueztellsaclientthatanincreaseintakeoffoodsthatarerichinVitaminEandbeta-caroteneareimportantforhealthierskin.Thenurseteachestheclientthatexcellentfoodsourcesofbothofthesesubstancesare:a.Fishandfruitjamb.Orangesandgrapefruitc.Carrotsandpotatoesd.Spinachandmangoes37.AclienthasGastroesophagealRefluxDisease(GERD).Thenurseshouldteachtheclientthataftereverymeals,theclientshould…a.Restinsittingpositionb.Takeashortwalkc.Drinkplentyofwaterd.Liedownatleast30minutes38.Aftergastroscopy,anadaptationthatindicatesmajorcomplicationwouldbe:a.Nauseaandvomitingb.Abdominaldistentionc.IncreasedGImotilityd.Difficultyinswallowing39.Aclientwhohasundergoneacholecystectomyasksthenursewhetherthereareanydietaryrestrictionsthatmustbefollowed.NurseHilarywouldrecognizethatthedietaryteachingwaswellunderstoodwhentheclienttellsafamilymemberthat:a.“Mostpeopleneedtoeatahighproteindietfor12monthsaftersurgery”b.“Ishouldnoteatthosefoodsthatupsetmebeforethesurgery”c.“IshouldavoidfattyfoodsaslongasIlive”d.“Mostpeoplecantolerateregulardietafterthistypeofsurgery”40.NurseRachelteachesaclientwhohasbeenrecentlydiagnosedwithhepatitisAaboutuntowardsignsandsymptomsrelatedtoHepatitisthatmaydevelop.Theonethatshouldbereportedimmediatelytothephysicianis:a.Restlessnessb.Yellowurinec.Nausead.Clay-coloredstools41.Whichofthefollowingantituberculosisdrugscandamagethe8thcranialnerve?a.Isoniazid(INH)b.Paraoaminosalicylicacid(PAS)c.Ethambutolhydrochloride(myambutol)d.Streptomycin42.TheclientasksNurseAnniethecausesofpepticulcer.NurseAnnierespondsthatrecentresearchindicatesthatpepticulcersaretheresultofwhichofthefollowing:a.Geneticdefectingastricmucosab.Stressc.Diethighinfatd.Helicobacterpyloriinfection43.Ryanhasundergonesubtotalgastrectomy.Thenurseshouldexpectthatnasogastrictubedrainagewillbewhatcolorforabout12to24hoursaftersurgery?a.Bilegreenb.Brightredc.Cloudywhited.Darkbrown44.NurseJoanisassignedtocomeforclientwhohasjustundergoneeyesurgery.NurseJoanplanstoteachtheclientactivitiesthatarepermittedduringthepostoperativeperiod.Whichofthefollowingisbestrecommendedfortheclient?a.Watchingcircusb.Bendingoverc.WatchingTVd.Liftingobjects45.Aclientsufferedfromalowerleginjuryandseekstreatmentintheemergencyroom.Thereisaprominentdeformitytotheloweraspectoftheleg,andtheinjuredlegappearsshorterthattheotherleg.Theaffectedlegispainful,swollenandbeginningtobecomeecchymotic.Thenurseinterpretsthattheclientisexperiencing:a.Fractureb.Strainc.Spraind.Contusion46.NurseJennyisinstillinganoticsolutionintoanadultmaleclientleftear.NurseJennyavoidsdoingwhichofthefollowingaspartoftheprocedurea.Pullingtheauriclebackwardandupwardb.Warmingthesolutiontoroomtemperaturec.Pacingthetipofthedropperontheedgeofearcanald.Placingclientinsidelyingposition47.NurseBeashouldinstructthemaleclientwithanileostomytoreportimmediatelywhichofthefollowingsymptom?a.Absenceofdrainagefromtheileostomyfor6ormorehoursb.Passageofliquidstoolinthestomac.Occasionalpresenceofundigestedfoodd.Atemperatureof37.6°C48.Jerryhasdiagnosedwithappendicitis.Hedevelopsafever,hypotensionandtachycardia.Thenursesuspectswhichofthefollowingcomplications?a.Intestinalobstructionb.Peritonitisc.Bowelischemiad.Deficientfluidvolume49.Whichofthefollowingcompilationsshouldthenursecarefullymonitorsaclientwithacutepancreatitis.a.MyocardialInfarctionb.Cirrhosisc.Pepticulcerd.Pneumonia50.Whichofthefollowingsymptomsduringtheictericphaseofviralhepatitisshouldthenurseex

You're Reading a Free Preview

Download
/*********** DO NOT ALTER ANYTHING BELOW THIS LINE ! ************/ var s_code=s.t();if(s_code)document.write(s_code)//-->