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Test bank for Med surg quiz 1 practice questions with verified answers
Test bank for Med surg quiz 1 practice questions with verified answers
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Test bank for Med surg quiz 1 practicequestions with verified answers
1. 1. The nurse is caring for clients on an oncology unit. Which neutropenia precautions
should be implemented?
2. 1. Hold all venipuncture sites for at least 5 minutes
3. 2. Limit fresh fruits and flowers
4. 3. Place all clients in reverse isolation
5. 4. Have the clients use a soft-bristle toothbrush - ANS-2. Limit fresh fruits and flowers
6. 1. The nurse requests the client to sign a surgical informed consent form for an
emergency appendectomy. Which statement by the client indicates further teaching is
needed?
7. 1. "I will be glad when this is over so I can go home today."
8. 2. "I will not be able to eat or drink anything prior to my surgery."
9. 3. "I can practice relaxing by listening to my favorite music."
10. 4. "I will need to get up and walk as soon as possible." - ANS-1. "I will be glad when this
is over so I can go home today."
11. 10. The nurse is caring for a client scheduled for total hip replacement. Which behavior
indicates the need for further preoperative teaching?
12. 1. The client uses the diaphragm and abdominal muscles to inhale through the nose
and exhale through the mouth
13. 2. The client demonstrates dorsiflexion of the feet, flexing of the toes, and moves the
feet in a circular motion
14. 3. The client uses the incentive spirometer and inhales slowly and deeply so the piston
rises to the preset volume
15. 4. The client gets out of bed by lifting straight upright from the waist and then swings
both legs along the side of the bed - ANS-4. The client gets out of bed by lifting straight
upright from the waist and then swings both legs along the side of the bed
16. 11. The nurse is completing a care plan for a client diagnosed with leukemia. Which
independent problem should be addressed?
17. 1. Infection
18. 2. Anemia
19. 3. Nutrition
20. 4. Grieving - ANS-4. Grieving
21. 11. The nurse is completing preoperative assessment on a male client who states, "I am
allergic to codeine." Which intervention should the nurse implement first?
22. 1. Apply an allergy bracelet on the client's wrist
23. 2. Label the client's allergies on the front of the chair
24. 3. Ask the client what happens when he takes codeine
,25. 4. Document the allergy on the medication administration record - ANS-3. Ask the client
what happens when he takes codeine
26. 12. The nurse is caring for a client diagnosed with acute leukemia. Which assessment
data warrant immediate intervention?
27. 1. T 99, P 102, R 22, and BP 132/68
28. 2. Hyperplasia of the gums
29. 3. Weaknesses and Fatigue
30. 4. Pain in LUQ - ANS-4. Pain in LUQ
31. 12. Which lab result would require immediate intervention by the nurse for the client
scheduled for surgery?
32. 1. Calcium 9.2
33. 2. Bleeding time 2 minutes
34. 3. Hemoglobin 15
35. 4. Potassium 2.4 - ANS-4. Potassium 2.4
36. 13. Which activities are the circulating nurse's responsibilities in the OR?
37. 1. Monitor the position of the client, prepare the surgical site, and ensure the client's
safety
38. 2. Give preop meds in the holding area and monitor the client's response to anesthesia
39. 3. Prepare sutures; set up the sterile fild, and count all needles and sponges and
instruments
40. 4. Prepare the meds to be administered by the anesthesiologist and change the tubing
for the anesthesia machine - ANS-1. Monitor the position of the client, prepare the
surgical site, and ensure the client's safety
41. 14. The circulating nurse observes the surgical scrub technician remove a sponge from
the edge of the sterile field with a clamp and place the sponge and clamp in a
designated area. Which action should the nurse implement?
42. 1. Place the sponge back where it was
43. 2. Tell the technician to not waste supplies
44. 3. Do nothing because this is the correct procedure
45. 4. Take the sponge out of the room immediately - ANS-3. Do nothing because this is the
correct procedure
46. 14. The client asks the nurse, "they say I have cancer. How can they tell if I have
Hodgkin's disease from a biopsy?" The nurse's answer is based on which scientific
rationale?
47. 1. Biopsies are nuclear medication scans that can detect cancer
48. 2. A biopsy is a laboratory test that detects cancer cells
49. 3. It determines which kind of cancer the client has
50. 4. The HCP takes a small piece out of the tumor and looks at the cells - ANS-3. It
determines which kind of cancer the client has
51. 16. Which client is at the highest risk for developing a lymphoma?
52. 1. The client is diagnosed with chronic lung disease who is taking a steroid
53. 2. The client diagnosed with breast cancer who has extensive lymph involvement
54. 3. The client who received a kidney transplant several years ago
, 55. 4. The client ho has had ureteral stent placements for a neurogenic bladder - ANS-3.
The client who received a kidney transplant several years ago
56. 16. Which violation of surgical asepsis would require immediate intervention by the
circulating nurse?
57. 1. Surgical supplies were cleaned and sterilized prior to the case
58. 2. The circulating nurse is wearing a long-sleeved sterile gown
59. 3. Masks covering the mouth and nose are being worn by the surgical team
60. 4. The scrub nurse setting up the sterile field is wearing artificial nails - ANS-4. The scrub
nurse setting up the sterile field is wearing artificial nails
61. 17. The nurse identifies the nursing diagnosis "risk for injury related to positioning" for
the client in the operating room. Which nursing intervention should the nurse implement?
62. 1. Avoid using the cautery unit, which does not have a biomedical tag on it
63. 2. Carefully pad the client's elbows before covering the client with a blanket
64. 3. Apply a warming pad on the OR table before placing the client on the table
65. 4. Check the chart for any prescription or OTC medication use - ANS-2. Carefully pad
the client's elbows before covering the client with a blanket
66. 18. The circulating nurse is positioning clients for surgery. Which client has the greatest
potential for nerve damage?
67. 1. The 16 year old in dorsal recumbent position having an appendectomy
68. 2. The 68 year old in the Trendlenburg position having a cholecystectomy
69. 3. The 45 year old in the reverse trendlenburg position having a biopsy
70. 4. The 22 year old client in the lateral postion having a nephrectomy - ANS-2. The 68
year old in the Trendlenburg position having a cholecystectomy
71. 19. Which situation demonstrates the circulating nurse acting as the client's advocate?
72. 1. Plays the client's favorite audio book during surgery
73. 2. Keeps the family informed of the findings of the surgery
74. 3. Keeps the operating room door closed at all times
75. 4. Calls the client by the first name when the client is recovering - ANS-3. Keeps the
operating room door closed at all times
76. 2. The nurse in the holding area of the surgery department is interviewing a client who
requests to keep his religious medal on during surgery. Which intervention should the
nurse implement?
77. 1. Notify the surgeon about the client's request to wear the medal
78. 2. Tape the medal to the client and allow the client to wear the medal
79. 3. Request the family member take the medal prior to surgery
80. 4. Explain taking the medal to surgery is against the policy - ANS-2. Tape the medal to
the client and allow the client to wear the medal
81. 2. The nurse is assessing a client diagnosed with acute leukemia. Which assessment
data support this diagnosis?
82. 1. Fever and infections
83. 2. N+V
84. 3. Excessive energy and high platelet counts
85. 4. Cervical lymph node enlargement and positive acid-fast bacillus - ANS-1. Fever and
infections
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