Medical Surgical Nurse Certification QUESTIONS AND ANSWERS(SCORES 100%)
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Medical Surgical Certification
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Medical Surgical Certification
Medical Surgical Nurse Certification
A nurse is reviewing the medical record of a client who is receiving heparin therapy for treatment of DVT. Which of the following interventions should the nurse anticipate taking if the client's aPTT is 96 seconds?a. Increase the heparin infusion flow rate by...
medical surgical nurse certification questions and answersscores 100
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Medical Surgical Nurse Certification
A nurse is reviewing the medical record of a client who is receiving heparin therapy for treatment of
DVT. Which of the following interventions should the nurse anticipate taking if the client's aPTT is 96
seconds?a. Increase the heparin infusion flow rate by 2 mL/hrb. continue to monitor the heparin
infusion as prescribedc. request a prothrombin timed. stop the heparin infusion Correct Answer: d
A nurse is providing teaching for a client who is 2 days post-op following a heart transplant. Which of the
following statements should the nurse include in the teaching?a. "you may no longer be able to feel
chest pain."b. "your level of activity tolerance will not change."c. "after 6 months, you will no longer
need to restrict your sodium intake."d. "you will be able to stop taking immunosuppressants after 12
months." Correct Answer: a
A nurse is assess a client in the emergency room who has a bradydysrhythmia. Which of the following
findings should the nurse expect?A. confusionB. friction rubC. hypertensionD. dry skin Correct Answer:
a
A nurse in the emergency department is caring for a client who had an anterior MI. The client's history
reveals she is 1 week post-op open cholecystectomy. The nurse should recognize that which of the
following interventions is contraindicated?A. administering IV morphine sulfateB. administering oxygen
at 2 :/min via nasal cannulaC. helping the client to the bedside commodeD. assisting with thrombolytic
therapy Correct Answer: d
A nurse is caring for a client who has endocarditis. Which of the following findings should the nurse
recognize as a potential complication?A. ventricular depolarizationB. Guillain-Barre syndromC.
myelodysplastic syndromeD. Valvular disease Correct Answer: D
A nurse is caring for a client who presents to the ER with a BP of 254/138 mmHg. The nurse recognizes
that the client is in a hypertensive crisis. Which of the following actions should the nurse take first?A.
obtain blood samples for laboratory testingB. Tell the client to report vision changesC. Place the head of
the bed at 45 degreesD. initiate an IV Correct Answer: C
a nurse is caring for a client who has HF and is experiencing AF. The nurse should plan to monitor for
and report which of the following findings to the provider immediately?a. slurred speechb. irregular
pulsec. dependent edemad. persistent fatigue Correct Answer: a
A nurse is assessing a client who has left-sided HF. Which of the following manifestations should the
nurse expect to find?a. inc abdominal girthb. weak peripheral pulsesc. jugular vein distentiond.
dependent edema Correct Answer: b
a nurse is caring for a client who is being treated for HF and has prescriptions for digoxin and
furosemide. The nurse should plan to monitor for which of the following as an adverse effect of these
medications?a. SOBb. lightheadednessc. dry coughd. metallic taste Correct Answer: b
a nurse is monitoring a client following coronary artery bypass graft surgery. Which of the following
findings can indicate cardiac tamponade?a. sternal instabilityb. inc WBC countc. BP 140/82 mmHg on
, inspiration and 154/90 mmHg on expirationd. sinus rhythm with occasional premature atrial contraction
and HR 88/min Correct Answer: c
A nurse is preparing a client for coroncary angiography. The nurse should report which of the following
findings to the provider prior to the procedure?a. hemoglobin 14.4 g/dLb. history of peripheral arterial
diseasec. urine output 200 mL/4 hrd. previous allergic reaction to shellfish Correct Answer: d
A nurse is caring for a client following insertion of a permanent pacemaker. Which of the following client
statements indicates a potential complication of the insertion procedure?a. "I can't get rid of these
hiccups."b. "I feel dizzy when i stand."c. "My incision site stings."d. "I have a headache." Correct Answer:
a
A nurse is providing discharge teaching for a client who has a prescription for the transdermal
nitroglycerin patch. Which of the following instructions should the nurse include in the teaching?a. apply
the new patch to the same site as the previous patchb. place the patch on an area of skin away from
skin folds and jointsc. keep the patch on 24 hr per dayd. replace the patch at the onset of angina Correct
Answer: b
A nurse is caring for a client in the first hour following an aortic aneurysm repair. Which of the following
findings can indicate shock and should be reported to the provider?a. serosanguinous drainage on
dressingb. severe pain with coughingc. urine output of 20 mL/hrd. increase in temp from 36.C (98.2F)-
37.5C (99.5F) Correct Answer: c
A nurse caring for a client following an abdominal aortic aneurysm resection. Which of the following is
the priority assessment for this client?a. neck vein distentionb. bowel soundsc. peripheral edemad.
urine output Correct Answer: d
A nurse is watching a client's ECG monitor and notes that the client's rhythm has changed from a normal
sinus rhythm to supraventricular tachycardia. The client is conscious with a HR of 200-210 bpm and has
a faint radial pulse. The nurse should anticipate assisting with which of the following interventions?a.
delivery of precordial thumpb. vagal stimulationc. administration of atropine IVd. defibrillation Correct
Answer: b
A nurse is providing discharge teaching for a client who has HF. The nurse should instruct the client to
report which of the following findings immediately to the provider?a. weight gain of 2 lb in 24 hrb. inc of
10 mmHg in systolic BPc. dyspnea with exertiond. dizziness when rising quickly Correct Answer: a
A nurse is admitting a client who has a leg ulcer and a history of DM. The nurse should use which of the
following focused assessments to help differentiate between an arterial ulcer and a venous stasis ulcer?
a. explore the clients family history of peripheral vascular diseaseb. note the presence or absence of
pain at the ulcer sitec. inquire about the presence or absence of claudicationd. ask if the client has had a
recent infection Correct Answer: c
A nurse is reviewing the laboratory results of several clients who have peripheral arterial disease. The
nurse should plan to provide dietary teaching for the client who has which laboratory values?a.
Cholesterol 180 mg/dL, HDL 70 mg/dL, LDL 90 mg/dLb. Cholesterol 185 mg/dL, HDL 50 mg/dL, LDL 120
mg/dLc. Cholesterol 190 mg/dL, HDL 25 mg/dL, LDL 160 mg/dLd. Cholesterol 195 mg/dL, HDL 55 mg/dL,
LDL 125 mg/dL Correct Answer: c
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