RAJIV GANDHI COLLEGE OF NURSING

BSC NURSING 2ND YEAR

MEDICAL SURGICAL NURSING
Question Nurse Maureen knows that the positive diagnosis of HIV infection is made
based on which of the following:
Type multiple_choice
Option A history of high-risk sexual incorrect
behaviors.
Option Positive ELISA and western blot correct
tests
Option Identification of an associated incorrect
opportunistic infection
Option Evidence of extreme weight incorrect
loss and high fever
Solution Positive ELISA and western blot tests
Marks 2 0.5

Question Kenneth who was diagnosed with uremic syndrome has the potential to
develop complications. Which among the following complications should
the nurse anticipates:
Type multiple_choice
Option Flapping hand tremors correct
Option An elevated hematocrit level incorrect
Option Hypotension incorrect
Option Hypokalemia incorrect
Solution Flapping hand tremors
Marks 2 0.5

Question A client is admitted to the hospital with benign prostatic hyperplasia, the
nurse most relevant assessment would be:
Type multiple_choice
Option Flank pain radiating in the groin incorrect
Option Distention of the lower correct
abdomen
Option Perineal edema incorrect
Option Urethral discharge incorrect
Solution Distention of the lower abdomen
Marks 2 0.5

Question Protusion of intestine through a weakened area in the abdominal muscle or wall
is termed as
Type multiple_choice
Option Volvulus incorrect
Option Tumor incorrect
Option Hernia correct
Option None of the above incorrect
Solution Hernia
Marks 2 0.5

Question A client has undergone with penile implant. After 24 hrs of surgery, the client’s
scrotum was edematous and painful. The nurse should:
Type multiple_choice
Option Assist the client with sitz bath incorrect
Option Apply war soaks into the scrotum incorrect
Option Elevate the scrotum using a soft correct
support
Option Prepare for a possible incision and incorrect
drainage
Solution Elevate the scrotum using a soft support
Marks 2 0.5

Question The term stenosis is used for:

Type multiple_choice
Option Junction of 2 vessels incorrect
Option Narrowing or constriction of a correct
vessel
Option Dilation of artery incorrect
Option Both b and c incorrect
Solution Narrowing or constriction of a vessel
Marks 2 0.5

Question Nurse Hazel receives emergency laboratory results for a client with chest pain
and immediately informs the physician. An increased myoglobin level suggests
which of the following?
Type multiple_choice
Option Liver disease incorrect
Option Myocardial damage correct
Option Hypertension incorrect
Option Cancer incorrect
Solution Myocardial damage
Marks 2 0.5

Question Inflamattion of stomach is known as

Type multiple_choice
Option Appendicitis incorrect
Option Stomatitis incorrect
Option Gingivitis incorrect
Option Gastritis correct
Solution Gastritis
Marks 2 0.5

Question Nurse Maureen would expect a client with mitral stenosis would demonstrate
symptoms associated with congestion in the:
Type multiple_choice
Option Right atrium incorrect
Option Superior vena cava incorrect
Option Aorta incorrect
Option Pulmonary correct
Solution Pulmonary
Marks 2 0.5

Question The amount of blood ejected from the ventricle per heart beat is termed as

Type multiple_choice
Option Systolic volume incorrect
Option Stroke volume correct
Option Diastolic volume incorrect
Option Both A and B incorrect
Solution Stroke volume
Marks 2 0.5

Question Nurse Hazel teaches the client with angina about common expected side effects
of nitroglycerin including:
Type multiple_choice
Option High blood pressure incorrect
Option Stomach cramps incorrect
Option headache correct
Option weakness incorrect
Solution Headache
Marks 2 0.5

Question The physiological state in which there is inadequate blood flow to tissues and
cells of the body is known as
Type multiple_choice
Option Shock correct
Option Allergy incorrect
Option Stroke incorrect
Option None of the above incorrect
Solution Shock
Marks 2 0.5

Question The following are lipid abnormalities. Which of the following is a risk factor for
the development of atherosclerosis and PVD?
Type multiple_choice
Option High levels of low-density lipid correct
(LDL) cholesterol
Option High levels of high-density lipid incorrect
(HDL) cholesterol
Option Low concentration triglycerides incorrect
Option Low levels of LDL cholesterol incorrect
Solution High levels of low-density lipid (LDL) cholesterol
Marks 2 0.5

Question Nurse Josie should instruct the client to eat which of the following foods to
obtain the best supply of Vitamin B12?
Type multiple_choice
Option dairy products correct
Option vegetables incorrect
Option Grains incorrect
Option Broccoli incorrect
Solution dairy products
Marks 2 0.5

Question Karen has been diagnosed with aplastic anemia. The nurse monitors for changes
in which of the following physiologic functions?
Type multiple_choice
Option Bowel function incorrect
Option Peripheral sensation incorrect
Option Bleeding tendencies correct
Option Intake and output incorrect
Solution Bleeding tendencies
Marks 2 0.5

Question Hakima is scheduled for elective splenectomy. Before the client goes to surgery,
the nurse in charge final assessment would be:
Type multiple_choice
Option Signed consent incorrect
Option Vital sign correct
Option name band incorrect
Option empty bladders incorrect
Solution Vital sign
Marks 2 0.5

Question Which of the following is the liver function test

Type multiple_choice
Option Serum concentration of incorrect
protein
Option pigment studies incorrect
Option SGPT and SGOT incorrect
Option All of the above correct
Solution All of the above
Marks 2 0.5

Question Which of the following findings is the best indication that fluid replacement for
the client with hypovolemic shock is adequate?
Type multiple_choice
Option Urine output greater than correct
30ml/hr
Option Respiratory rate of 21 incorrect
breaths/minute
Option Diastolic blood pressure greater incorrect
than 90 mmHg
Option Systolic blood pressure greater incorrect
than 110 mmHg
Solution Urine output greater than 30ml/hr
Marks 2 0.5

Question Nurse Katrina would recognize that the demonstration of crutch walking with
tripod gait was understood when the client places weight on the:
Type multiple_choice
Option Palms of the hands and axillary incorrect
regions
Option Palms of the hand correct
Option Axillary regions incorrect
Option Feet, which are set apart incorrect
Solution Palms of the hand
Marks 2 0.5
Question A male client has undergone spinal surgery, the nurse should:

Type multiple_choice
Option Observe the client’s bowel incorrect
movement and voiding patterns
Option Log-roll the client to prone incorrect
position
Option Assess the client’s feet for correct
sensation and circulation
Option Encourage client to drink plenty of incorrect
fluids
Solution Assess the client’s feet for sensation and circulation
Marks 2 0.5

Question What is the priority nursing assessment in the first 24 hours after admission of
the client with thrombotic CVA?
Type multiple_choice
Option Pupil size and pupillary correct
response
Option Cholesterol level incorrect
Option Echocardiogram incorrect
Option Bowel sounds incorrect
Solution Pupil size and pupillary response
Marks 2 0.5

Question Which of the following complications associated with tracheostomy tube?

Type multiple_choice
Option Increased cardiac output incorrect
Option Acute respiratory distress incorrect
syndrome (ARDS)
Option Increased blood pressure incorrect
Option Damage to laryngeal nerves correct
Solution Damage to laryngeal nerves
Marks 2 0.5

Question A client has undergone laryngectomy. The immediate nursing priority would be:

Type multiple_choice
Option Keep trachea free of secretionscorrect
Option Monitor for signs of infection incorrect
Option Provide emotional support incorrect
Option Promote means of communication incorrect
Solution Keep trachea free of secretions
Marks 2 0.5

Question Enthioven's triangle related to which of the following:

Type multiple_choice
Option CT scan incorrect
Option ECG correct
Option ECHO incorrect
Option MRI incorrect
Solution ECG
Marks 2 0.5

Question Trousseau;s sign associated with which electrolyte imbalance

Type multiple_choice
Option Hypokalemia incorrect
Option Hypocalcemia correct
Option Hypernatremia incorrect
Option hyponatremia incorrect
Solution Hypocalcemia
Marks 2 0.5

Question What is the primary nursing dianosis for a client with a bowel obstruction

Type multiple_choice
Option Ineffective tissue perfusion incorrect
Option Pain incorrect
Option Constipation incorrect
Option Deficient fluid volume correct
Solution Deficient fluid volume
Marks 2 0.5

Question Projectile vomitting is a feature of:

Type multiple_choice
Option Appendicitis incorrect
Option Congenital megacolon incorrect
Option pyloric stenosis correct
Option duodnal atresia incorrect
Solution pyloric stenosis
Marks 2 0.5
Question There are a number of risk factors associated with coronary artery disease. Which
of the following is a modifiable risk factor?
Type multiple_choice
Option Obesity correct
Option Heredity correct
Option Gender incorrect
Option Age incorrect
Solution Heredity
Marks 2 0.5

Question A patient who has been diagnosed with vasospastic disorder (Raynaud’s disease)
complains of cold and stiffness in the fingers. Which of the following descriptions
is most likely to fit the patient?
Type multiple_choice
Option An adolescent male incorrect
Option An elderly woman incorrect
Option A young woman correct
Option An elderly man incorrect
Solution A young woman
Marks 2 0.5

Question A patient admitted to the hospital with myocardial infarction develops severe
pulmonary edema. Which of the following symptoms should the nurse expect the
patient to exhibit?
Type multiple_choice
Option Slow, deep respirations incorrect
Option Stridor incorrect
Option Bradycardia incorrect
Option Air hunger correct
Solution Air hunger
Marks 2 0.5

Question A nurse calls a physician with the concern that a patient has developed a
pulmonary embolism. Which of the following symptoms has the nurse most likely
observed?
Type multiple_choice
Option The patient is somnolent with incorrect
decreased response to the
family
Option The patient suddenly complains of correct
chest pain and shortness of breath
Option The patient has developed a wet incorrect
cough and the nurse hears
 crackles on auscultation of the
lungs
Option The patient has a fever, chills, and incorrect
loss of appetite
Solution The patient suddenly complains of chest pain and shortness of breath
Marks 2 0.5

Question A nurse is assessing a clinic patient with a diagnosis of hepatitis A. Which of the
following is the most likely route of transmission?
Type multiple_choice
Option Sexual contact with an infected incorrect
partner
Option Contaminated food correct
Option Blood transfusion incorrect
Option Illegal drug use incorrect
Solution Contaminated food
Marks 2 0.5

Question A patient is admitted to the hospital with a diagnosis of primary

hyperparathyroidism. A nurse checking the patient’s lab results would expect
which of the following changes in laboratory findings?
Type multiple_choice
Option Elevated serum calcium. correct
Option Low serum parathyroid hormone incorrect
(PTH).
Option Elevated serum vitamin D. incorrect
Option Low urine calcium incorrect
Solution Elevated serum calcium.
Marks 2 0.5

Question The most common, preventable complication of abdominal surgery is:

Type multiple_choice
Option atelectasis correct
Option fluid and electrolyte imbalance. incorrect
Option thrombophlebitis incorrect
Option urinary retention incorrect
Solution Atelectasis
Marks 2 0.5

Question What is the complication of liver biopsy

Type multiple_choice
Option Appendicitis incorrect
Option Bleeding correct
Option Laryngitis incorrect
Option Pain incorrect
Solution Bleeding
Marks 2 0.5

Question A client with a fractured hip is being taught correct use of the walker. The nurse
is aware that the correct use of the walker is achieved if the:
Type multiple_choice
Option Palms rest lightly on the correct
handles
Option Elbows are flexed 0° incorrect
Option Client walks to the front of the incorrect
walker
Option Client carries the walker incorrect
Solution Palms rest lightly on the handles
Marks 2 0.5

Question The nurse is aware that the best way to prevent postoperative wound infection in
the surgical client is to:
Type multiple_choice
Option Administer a prescribed incorrect
antibiotic
Option Wash her hands for 2 minutes correct
before care
Option Wear a mask when providing care incorrect
Option Ask the client to cover her mouth incorrect
when she coughs
Solution Wash her hands for 2 minutes before care
Marks 2 0.5

Question The nurse knows that a 60-year-old female client’s susceptibility to osteoporosis
is most likely related to:
Type multiple_choice
Option Lack of exercise incorrect
Option Hormonal disturbances correct
Option Lack of calcium incorrect
Option Genetic predisposition incorrect
Solution Hormonal disturbances
Marks 2 0.5
Question The client is admitted with left-sided congestive heart failure. In assessing the
client for edema, the nurs
Type multiple_choice
Option Feet incorrect
Option Neck correct
Option Hands incorrect
Option Sacrum incorrect
Solution Neck
Marks 2 0.25