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Test bank for Exam 1 Medical surgical (ch. 1,2,6,7,8) questions and verified answers
Test bank for Exam 1 Medical surgical (ch. 1,2,6,7,8) questions and verified answers
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Exam 1 Medical surgical (ch. 1,2,6,7,8)1. a cancer patient who reports ongoing, constant moderate pain with short periods of
sever pain during dressing changes is
2. a. probably exaggerating his pain
3. b. best treated by referral for surgical treatment of his pain
4. c. best treated by receiving a long-acting and a short-acting opioid
5. d. best treated by regularly scheduled short-acting opioids plus acetaminophen - ANS-c
6. A nurse in a health care clinic is evaluating the level of wellness for clients using the
health/wellness/illness continuum tool. Which of the following clients is measured at the
center of the continuum?
7. A. A college student who has influenza
8. B. An older adult who is newly diagnosed with type 2 diabetes mellitus
9. C. A new mother who has a urinary tract infection
10. D. A young male who has a long history of well-controlled rheumatoid arthritis - ANS-D
11. A nurse is admitting a toddler to the hospital after and acetaminophen overdose which of
the following medications should the nurse anticipate administering to this client
12. A. Acetylcysteine
13. B. Pegfilgrastim
14. C. Misoprostol
15. D. Naltrexone - ANS-A
16. A nurse is assessing a client who has salicylism which of the following findings should
the nurse expect (select all apply )
17. A. Dizziness
18. B. diarrhea
19. C. jaundice
20. D. Tinnitus
21. E. headache - ANS-A,D,E
22. A nurse is assessing a client who is reporting pain despite analgesia. The nurse can best
assess the intensity of the client's pain by
23. A. asking what precipitates the pain.
24. B. questioning the client about the location of the pain.
25. C. offering the client a pain scale to measure his pain.
26. D. using open-ended questions to identify the sensation. - ANS-C
27. A nurse is assessing the pain level of a client who has come to the emergency
department reporting severe abdominal pain. The nurse asks the client whether he has
nausea and has been vomiting. The nurse is assessing which of the following?
28. A. Presence of associated symptoms
29. B. Location of the pain
30. C. Pain quality
31. D. Aggravating and relieving factors - ANS-A
,32. A nurse is caring for a client who has and stage cancer and is receiving morphine the
clients daughter asks why the provider prescribed myethylnaltrexone which of the
following responses to the nurse make
33. A. The medication will increase your mothers respirations
34. B. Medication will prevent dependent on the morphine
35. C. The medication to relieve your mothers constipation
36. D. Medication works with the morphine to increased pain relief - ANS-C
37. A nurse is caring for a client who is admitted to undergo a surgical procedure which of
the following pre-existing conditions can be a contraindication for the use of ketamine as
an intravenous anesthetic
38. A. Peptic ulcer disease
39. B. Breast cancer
40. C. Diabetes mellitus
41. D. Schizophrenia - ANS-D
42. A nurse is caring for a client who is receiving moderate sedation with diazepam IV the
client is oversedated which of the following medications should the nurse anticipate
administering to this client
43. A. Ketamine
44. B. Naltrexone
45. C. Flumazenil
46. D. Fluvoxamine - ANS-C. Flumazenil
47. A nurse is caring for a client who is receiving morphine via a patient-controlled analgesia
(PCA) infusion device after abdominal surgery. Which of the following statements
indicates that the client knows how to use the device?
48. A. "I'll wait to use the device until it's absolutely necessary."
49. B. "I'll be careful about pushing the button so I don't get an overdose."
50. C. "I should tell the nurse if the pain doesn't stop after I use this device."
51. D. "I will ask my son to push the dose button when I am sleeping." - ANS-C
52. A nurse is caring for a client who receives a local anesthetic of light Okane during the
repair of the skin laceration which of the following adverse reactions should the nurse
monitor for the client
53. A. Seizures
54. B. TachyCardia
55. C. hypertension
56. D. fever - ANS-A
57. A nurse is caring for a client who takes peroxidation to treat post dramatic stress
disorder he reports that he grinds his teeth during the night the nurse should identify
which of the following interventions to manage bruxism (select all that apply)
58. A. Concurrent administration of buspirone
59. B. administration of a different SSRI
60. C. use of a mouth guard
61. D. changing to a different class of anti-depressant medication
62. E. increasing the dose of paroxetine - ANS-A,C,D
, 63. A nurse is caring for a client who was just told she has breast cancer and the nurse
evaluates the client's response. Which of the following statements by the client reflects a
lack of understanding of an illness perspective?
64. A."I have no family history of breast cancer."
65. B."I need a second opinion there is no lump."
66. C."I am glad we live in the city near several large hospitals."
67. D."I will schedule surgery next week, over the holidays. - ANS-B
68. A nurse is caring for an older adult client who has a new diagnosis of type 2 diabetes
mellitus and reports difficulty following the diet and remembering to take the prescribed
medication. Which of the following are appropriate actions by the nurse? (Select all that
apply.)
69. A. Ask the dietitian to assist with meal planning.
70. B. Contact the client's support system.
71. C. Assess for age-related cognitive awareness.
72. D. Encourage the use of a daily medication dispenser.
73. E. Provide educational materials for home use. - ANS-a,b,d,e
74. A nurse is evaluating clients at a health fair for modifiable variables affecting health and
wellness. The nurse identifies which of the following as a modifiable variable? (Select all
that apply.)
75. A. A male who smokes on social occasions
76. B. A female with a BMI of 28
77. C. An adult with alopecia
78. D. An adolescent with Trisomy 21
79. E. An infant with reflux - ANS-A,B,E
80. A nurse is monitoring a client who is receiving opioid analgesia for adverse effects of the
medication. Which of the following effects should the nurse anticipate? (Select all that
apply.)
81. A. Urinary incontinence
82. B. Diarrhea
83. C. Bradypnea
84. D. Orthostatic hypotension
85. E. Nausea - ANS-D
86. A nurse is planning care for a client has brain cancer and is experiencing headaches
which of the following adjuvant medications are indicated for this client
87. A. Dexamethasone
88. B. Methylphenidate
89. C. Hydroxyzine
90. D. Amitriptyline - ANS-A
91. A nurse is planning care for a client who has cancer and is taking a glucocorticoid as a
adjuvant medication for pain control which of the following interventions the nurse
include in the plan of care (select all apply)
92. A. Monitor for urinary retention
93. B. monitor serum glucose
94. C. monitor serum potassium level
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