Medical-Surgical Nursing Exam 1test
with correct answesr
A 2-day postoperative patient is receiving 1000 mL normal saline over 10 hours. The
patient has an intake of 4 ounces of orange juice, one 8-ounce cup of coffee, 3 cups of
water, and 1 cup of tea. This patient has a total intake of _________ mL over the 12-
hour period. - CORRECT ANSWERS-2520
A 63-year-old Arab American male states his left leg is "hot." What is the nurse's best
first response? - CORRECT ANSWERS-Assess for pain
A client experiencing shock has had a urinary output of 250 mL in the last 10 hours.
What is the nurse's most appropriate response? - CORRECT ANSWERS-Notify the
physician.
A client has had abdominal surgery and has orders to be ambulated three times a day.
Oral pain medication has been ordered for the client. What should the nurse do to
facilitate ambulation? - CORRECT ANSWERS-Mediate 1 hour prior to ambulating the
client.
A client with chronic pain has been admitted with a fever. The nursing assessment
reveals that the client has a decreased level of consciousness. What should the nurse
ask the family about? - CORRECT ANSWERS-What medications the client has taken
A college student is brought into the emergency department with possible frostbite of
both feet after losing consciousness in a snow drift while walking home from a party.
What actions should the nurse take at this time?
Select all that apply. - CORRECT ANSWERS-Handle the feet gently.
Elevate the feet to heart level.
Cover the feet with dry sterile gauze.
A community is experiencing an epidemic of chickenpox within school age children. The
nurse should realize that which of the following factors results in a more than 80%
infection rate among those exposed? - CORRECT ANSWERS-The causative virus has
three modes of transmission.
,A family member of a patient in shock says that being in shock should not be that critical
because it can be treated. What should the nurse explain about the major body damage
caused by shock? - CORRECT ANSWERS-Inadequate oxygen delivered to cells
A high school football player suffered an injury while playing and is brought to the
emergency room. The primary survey shows an alert patient with patent airway,
breathing, a carotid pulse, and skin color within normal limits. The patient reports, "I
can't flex my foot or point my toes." On which area should the nurse expect diagnostic
tests to focus for this patient? - CORRECT ANSWERS-The lower back
A nurse is wearing a fit-tested, high-efficiency particulate air respirator when entering
the room of a patient. For which patient is the nurse preparing to provide care? -
CORRECT ANSWERS-A 36-year-old with tuberculosis
A patient diagnosed with hypovolemic shock has an estimated blood loss of 500 mL,
250 mL of emesis, and 250 mL of insensible water losses. The health care provider
prescribes the patient to receive 3 mL of 0.9% normal saline via IV infusion to replace
each mL of fluid loss to be infused over 24 hours. How many mL of the fluid should the
patient receive each hour? Calculate to the nearest whole number. - CORRECT
ANSWERS-125
A patient experiencing painful back spasms plans to stop taking prescribed pain
medication and resume weekly massage therapy sessions. How should the nurse
respond to this patient's plan? - CORRECT ANSWERS-"Massage therapy should be
used in addition to the pain medication."
A patient has an epidural catheter placed for pain control. Which medications should the
nurse question before providing them to the patient during routine medication
administration?
Select all that apply. - CORRECT ANSWERS-Aspirin 325 mg by mouth once a day
Warfarin (Coumadin) 2.5 mg by mouth every evening
A patient has been receiving 10 mg morphine IV every 4 to 6 hours for postoperative
pain. At discharge, the patient rates the pain as a 4 on a 0-10 scale. On a prescription to
be given to the patient at discharge, the physician has written morphine 10 mg by mouth
four times a day as needed. What should the nurse do first? - CORRECT ANSWERS-
Contact the physician regarding the prescription.
A patient is being released from the hospital with a prescription for tetracycline. What
should the nurse include in patient teaching?
Select all that apply. - CORRECT ANSWERS-Advise limiting exposure to the sun.
, Inform patient of the possibility of gastrointestinal upset.
Suggest eating crackers and some juice when taking this medicine.
A patient is being treated for anaphylactic shock caused by a hornet sting. What should
the nurse ensure occurs before the patient is discharged? - CORRECT ANSWERS-
Receive a prescription for epinephrine auto-injector.
A patient is demonstrating manifestations of an opioid overdose. Which drug should the
nurse expect to be prescribed for this patient? - CORRECT ANSWERS-Naloxone
(Narcan)
A patient is diagnosed with a type of cancer that affects the skin and urinary system.
What term should the nurse use to describe this type of cancer? - CORRECT
ANSWERS-Carcinoma
A patient is diagnosed with an illness caused by a prion. The nurse should plan patient
care for which diseases process? - CORRECT ANSWERS-Creutzfeldt-Jakob syndrome
A patient is diagnosed with an infection that has spread to the blood stream. Which term
should the nurse use to document this patient's health problem? - CORRECT
ANSWERS-Sepsis
A patient is diagnosed with conjunctivitis. The nurse should explain that the patient was
infected via which mechanism? - CORRECT ANSWERS-Vehicle-borne
A patient is diagnosed with distributive shock. What should the nurse explain to the
family as the cause of this type of shock? - CORRECT ANSWERS-Excessive dilation of
venules and arterioles
A patient is diagnosed with Rocky Mountain spotted fever. What should the nurse
explain as the method by which this disease was transmitted to the patient? -
CORRECT ANSWERS-Ticks
A patient is diagnosed with shingles. What organism should the nurse explain as
causing this health problem in the patient? - CORRECT ANSWERS-Varicella zoster
A patient is diagnosed with the Epstein-Barr virus. Epstein-Barr put the patient at
increased risk for which type of cancer? - CORRECT ANSWERS-Lymphoma
A patient is diagnosed with the most common type of distributive shock. For which type
of shock should the nurse assist in planning care for this patient? - CORRECT
ANSWERS-Septic shock
A patient is experiencing a drop in blood pressure. What should the nurse expect to
assess in this patient?
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