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Test bank for Medical surgical practice exam questions and verified answers
Test bank for Medical surgical practice exam questions and verified answers
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Test bank for Medical surgical practiceexam questions and verified answers
1. A 20 year old female client calls the nurse to report a lump she found in her breast.
Which response is the best for the nurse to provide? - ANS-Most lumps are benign, but it
is always best to come in form an examination.
2. A 32 year old female client complains of severe abdominal pain each month before her
menstrual period, painful intercourse, and painful defecation. Which additional history
should the nurse obtain that is consistent with the client's complaints? - ANS-Inability to
get pregnant
3. A 46 year old female client is admitted for acute renal failure secondary to diabetes and
hypertension. Which test is the best indicator of adequate glomerular filtration? -
ANS-Serum creatinine
4. A 49 year old female client arrives at the clinic for an annual exam and asks the nurse
why she becomes excessively diaphoretic and feels warm during nighttime. What is the
nurse's best response? - ANS-Discuss perimenopause and related comfort measures
5. A 51 year old truck driver who smokes two packs of cigarettes a day and is 30 pounds
overweight is diagnosed with having a gastric ulcer. Which content is most important for
the nurse to include in the discharge teaching for this client? - ANS-Information about
smoking cessation
6. A 57 year old male client is scheduled to have a stress thallium test the following
morning and is NPO after midnight. At 0130, he is agitated because he cannot eat and is
demanding food. Which response is best for the nurse to provide to this client? -
ANS-The test you are having tomorrow requires that you have nothing by mouth tonight
7. A 58 year old client who has been post menopausal for five years is concerned about
the risk of osteoporosis because her mother has the condition. Which information should
the nurse offer? - ANS-Calcium loss from bones can be slowed by increasing calcium
intake and exercise
8. A 58 year old client, who has no health problems, asks the nurse about the Pneumovax
vaccine. The nurse's response to the client should be based on which information? -
ANS-The immunization is administered once to older adults or persons with a history of
chronic illness
9. A 67 year old woman who lives alone tripped on a rug in her home and fractured her hip.
Which predisposing factor probably led to the fracture in the proximal end of her femur? -
ANS-Osteoporosis resulting from hormonal changes
10. A 77 year old female client is admitted to the hospital. She is confused, has no appetite,
is nauseated and vomiting, and is complaining of a headache. Her pulse rate is 43 beats
per minute. It is most important for the nurse to assess for which finding? - ANS-Takes
digitalis
, 11. A client experiencing uncontrolled atrial fibrillation is admitted to the telemetry unit. What
initial medication should the nurse anticipate administering to the client? - ANS-Digoxin
12. A client has a staging procedure for cancer of the breast and ask the nurse which type of
breast cancer has the poorest prognosis. Which information should the nurse offer the
client? - ANS-Inflammatory with peau d'orange
13. A client has been hospitalized with a femur fracture and is being treated with traction.
which action by the nurse is the priority when caring for this client? - ANS-Assess
neurovascular status
14. A client has been taking oral corticosteroids for the past five days because of seasonal
allergies. Which assessment finding is of most concern to the nurse? - ANS-Purulent
sputum
15. A client has taken steroids for 12 years to help manage chronic obstructive pulmonary
disease (COPD). When making a home visit, which nursing function is of greatest
importance to this client? Assess the client's - ANS-temperature
16. A client has undergone insertion of a permanent pacemaker. When developing a
discharge teaching plan, the nurse writes a goal of, "The client will verbalize symptoms
of pacemaker failure." Which symptoms are most important to teach the client? -
ANS-Feelings of dizziness
17. A client is admitted for further testing to confirm sarcoidosis Which diagnostic test
provides definitive information that the nurse should report to the HCP? - ANS-Lung
tissue biopsy
18. A client is admitted to the emergency department after falling from a high roof. Which
finding should the nurse report immediately? - ANS-Clear, watery drainage from the ear
19. A client is admitted to the hospital with a medical diagnosis of pneumococcal
pneumonia. The nurse knows that the prognosis for gram-negative pneumonias (such as
E. coli, Klebsiella, Pseudomonas, and Proteus) is very poor. Which information relates
most directly to the prognosis for gram negative pneumonias? - ANS-Gram negative
organisms are more resistant to antibiotic therapy
20. A client is admitted to the hospital with diagnosis of severe acute diverticulitis. Which
assessment finding should the nurse expect this client to exhibit? - ANS-Lower left
quadrant pain and a low-grade fever
21. A client is admitted to the medical intensive care unit with a diagnosis of myocardial
infarction. The client's history indicates the infarction occurred ten hours ago. Which lab
test result would the nurse expect this client to exhibit? - ANS-Elevated CK-MB
22. A client is newly diagnosed with diverticulosis. The registered nurse (RN) is assessing
the client's basic knowledge about the disease process. Which statement by the client
conveys an understanding of the etiology of diverticula? - ANS-Chronic constipation
causes weakening of colon wall which results in out pouching sacs
23. A client is placed on a mechanical ventilator following a cerebral hemorrhage, and
vecuronium bromide 0.04 mg/kg q12 hours IV is prescribed. Which is the priority nursing
diagnosis for this client? - ANS-impaired communication related to paralysis of skeletal
muscles
24. A client presents with chronic venous insufficiency. Which assessment finding should the
nurse anticipate? - ANS-Bilateral lower leg stasis dermatitis
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