MED-SURG BSN 266 EXAM REVIEW
QUESTIONS WITH CORRECT
ANSWERS
When teaching the client older than age 50 who is receiving long-term prednisone
therapy, the nurse should recommend which of the following?
A. Take the prednisone with food.
B. Take over-the-counter drugs as needed.
C. Exercise three to four times a week.
D. Eat foods that are low in potassium. - Answer-A. Take the prednisone with food.
The nurse is preparing a teaching plan about increased exercise for a female client who
is receiving long-term corticosteroid therapy. What type of exercise is most appropriate
for this client?
A. Floor exercises.
B. Stretching.
C. Running.
D. Walking. - Answer-D. Walking
The nurse is teaching a female client with a history of acquired thrombocytopenia about
how to prevent and control hemorrhage. Which statement indicates that the client needs
further instruction?
A. "I can apply direct pressure over small cuts for at least 5 to 10 minutes to stop a
venous bleed."
B. "I can count the number of tissues saturated to detect blood loss during a
nosebleed."
C. "I can take hormones to decrease blood loss during menses."
D. "I can count the number of sanitary napkins to detect excess blood loss during
menses." - Answer-B. "I can count the number of tissues saturated to detect blood loss
during a nosebleed."
A client has been on long-term prednisone therapy. The nurse should instruct the client
to consume a diet high in which of the following? Select all that apply.
A. Carbohydrate.
B. Protein.
C. Trans fat.
D. Potassium.
E. Calcium.
F. Vitamin D. - Answer-B. Protein
D. Potassium
E. Calcium
F. Vitamin D
,Platelets should not be administered under which of the following conditions?
A. The platelet bag is cold.
B. The platelets are 2 days old.
C. The platelet bag is at room temperature.
D. The platelets are 12 hours old. - Answer-A. The platelet bag is cold.
The nurse is preparing to administer platelets. The nurse should:
A. Check the ABO compatibility.
B. Administer the platelets slowly.
C. Gently rotate the bag.
D. Use a whole blood tubing set. - Answer-C. Gently rotate the bag.
Which of the following indicates that a client has achieved the goal of correctly
demonstrating deep breathing for an upcoming splenectomy? The client:
A. Breathes in through the nose and out through the mouth.
B. Breathes in through the mouth and out through the nose.
C. Uses diaphragmatic breathing in the lying, sitting, and standing positions.
D. Takes a deep breath in through the nose, holds it for 5 seconds, and blows out
through pursed lips. - Answer-D. Takes a deep breath in through the nose, holds it for 5
seconds, and blows out through pursed lips.
A client is scheduled for an elective splenectomy. Immediately before the client goes to
surgery, the nurse should determine that the client has:
A. Voided completely.
B. Signed the consent.
C. Vital signs recorded.
D. Name band on wrist. - Answer-C. Vital signs recorded.
When receiving a client from the post anesthesia care unit after a splenectomy, which
should the nurse assess next after obtaining vital signs?
A. Nasogastric drainage.
B. Urinary catheter.
C. Dressing.
D. Need for pain medication. - Answer-C. Dressing
The client's family asks why the client who had a splenectomy has a nasogastric(NG)
tube. An NG tube is used to:
A. Move the stomach away from where the spleen was removed.
B. Irrigate the operative site.
C. Decrease abdominal distention.
D. Assess for the gastric pH as peristalsis returns. - Answer-C. Decrease abdominal
distention.
A client is admitted with an acute onset of shortness of breath. A diagnosis of
pulmonary embolism is made. One common cause of pulmonary embolism is:
, A. Arteriosclerosis.
B. Aneurysm formation.
C. Deep vein thrombosis (DVT).
D. Varicose veins. - Answer-C. Deep vein thrombosis (DVT).
A client with a cerebral embolus is receiving streptokinase. The nurse should evaluate
the client for which of the following expected outcomes of this drug therapy?
A. Improved cerebral perfusion.
B. Decreased vascular permeability.
C. Dissolved emboli.
D. Prevention of cerebral hemorrhage. - Answer-C. Dissolved emboli.
A client is on complete bed rest. The nurse should assess the client for risk for
developing which of the following complications?
A. Air embolus.
B. Fat embolus.
C. Stress fractures.
D. Thrombophlebitis. - Answer-D. Thrombophlebitis.
Knee-high sequential compression devices have been prescribed for a newly admitted
client. The client reports new pain localized in the right calf area that is noted to be
slightly reddened and warm to touch upon initial assessment. The nurse should first:
A. Offer analgesics as prescribed and apply the compression devices.
B. Leave the compression devices off and contact the physician to report the
assessment findings.
C. Massage the area of discomfort before applying the compression devices.
D. Leave the compression devices off and report assessment findings to the oncoming
shift. - Answer-B. Leave the compression devices off and contact the physician to report
the assessment findings.
A client is receiving an IV infusion of 5% dextrose in water (D5W). The skin around the
IV insertion site is red, warm to touch, and painful. The nurse should first:
A. Administer acetaminophen (Tylenol).
B. Change the D5W to normal saline.
C. Discontinue the IV.
D. Place a warm compress on the area. - Answer-C. Discontinue the IV.
The nurse is planning care for a client on complete bed rest. The plan of care should
include all except which of the following:
A. Turning every 2 hours.
B. Passive and active range-of-motion exercises.
C. Use of thromboembolic disease (TED) support hose.
D. Maintaining the client in the supine position. - Answer-D. Maintaining the client in the
supine position.
QUESTIONS WITH CORRECT
ANSWERS
When teaching the client older than age 50 who is receiving long-term prednisone
therapy, the nurse should recommend which of the following?
A. Take the prednisone with food.
B. Take over-the-counter drugs as needed.
C. Exercise three to four times a week.
D. Eat foods that are low in potassium. - Answer-A. Take the prednisone with food.
The nurse is preparing a teaching plan about increased exercise for a female client who
is receiving long-term corticosteroid therapy. What type of exercise is most appropriate
for this client?
A. Floor exercises.
B. Stretching.
C. Running.
D. Walking. - Answer-D. Walking
The nurse is teaching a female client with a history of acquired thrombocytopenia about
how to prevent and control hemorrhage. Which statement indicates that the client needs
further instruction?
A. "I can apply direct pressure over small cuts for at least 5 to 10 minutes to stop a
venous bleed."
B. "I can count the number of tissues saturated to detect blood loss during a
nosebleed."
C. "I can take hormones to decrease blood loss during menses."
D. "I can count the number of sanitary napkins to detect excess blood loss during
menses." - Answer-B. "I can count the number of tissues saturated to detect blood loss
during a nosebleed."
A client has been on long-term prednisone therapy. The nurse should instruct the client
to consume a diet high in which of the following? Select all that apply.
A. Carbohydrate.
B. Protein.
C. Trans fat.
D. Potassium.
E. Calcium.
F. Vitamin D. - Answer-B. Protein
D. Potassium
E. Calcium
F. Vitamin D
,Platelets should not be administered under which of the following conditions?
A. The platelet bag is cold.
B. The platelets are 2 days old.
C. The platelet bag is at room temperature.
D. The platelets are 12 hours old. - Answer-A. The platelet bag is cold.
The nurse is preparing to administer platelets. The nurse should:
A. Check the ABO compatibility.
B. Administer the platelets slowly.
C. Gently rotate the bag.
D. Use a whole blood tubing set. - Answer-C. Gently rotate the bag.
Which of the following indicates that a client has achieved the goal of correctly
demonstrating deep breathing for an upcoming splenectomy? The client:
A. Breathes in through the nose and out through the mouth.
B. Breathes in through the mouth and out through the nose.
C. Uses diaphragmatic breathing in the lying, sitting, and standing positions.
D. Takes a deep breath in through the nose, holds it for 5 seconds, and blows out
through pursed lips. - Answer-D. Takes a deep breath in through the nose, holds it for 5
seconds, and blows out through pursed lips.
A client is scheduled for an elective splenectomy. Immediately before the client goes to
surgery, the nurse should determine that the client has:
A. Voided completely.
B. Signed the consent.
C. Vital signs recorded.
D. Name band on wrist. - Answer-C. Vital signs recorded.
When receiving a client from the post anesthesia care unit after a splenectomy, which
should the nurse assess next after obtaining vital signs?
A. Nasogastric drainage.
B. Urinary catheter.
C. Dressing.
D. Need for pain medication. - Answer-C. Dressing
The client's family asks why the client who had a splenectomy has a nasogastric(NG)
tube. An NG tube is used to:
A. Move the stomach away from where the spleen was removed.
B. Irrigate the operative site.
C. Decrease abdominal distention.
D. Assess for the gastric pH as peristalsis returns. - Answer-C. Decrease abdominal
distention.
A client is admitted with an acute onset of shortness of breath. A diagnosis of
pulmonary embolism is made. One common cause of pulmonary embolism is:
, A. Arteriosclerosis.
B. Aneurysm formation.
C. Deep vein thrombosis (DVT).
D. Varicose veins. - Answer-C. Deep vein thrombosis (DVT).
A client with a cerebral embolus is receiving streptokinase. The nurse should evaluate
the client for which of the following expected outcomes of this drug therapy?
A. Improved cerebral perfusion.
B. Decreased vascular permeability.
C. Dissolved emboli.
D. Prevention of cerebral hemorrhage. - Answer-C. Dissolved emboli.
A client is on complete bed rest. The nurse should assess the client for risk for
developing which of the following complications?
A. Air embolus.
B. Fat embolus.
C. Stress fractures.
D. Thrombophlebitis. - Answer-D. Thrombophlebitis.
Knee-high sequential compression devices have been prescribed for a newly admitted
client. The client reports new pain localized in the right calf area that is noted to be
slightly reddened and warm to touch upon initial assessment. The nurse should first:
A. Offer analgesics as prescribed and apply the compression devices.
B. Leave the compression devices off and contact the physician to report the
assessment findings.
C. Massage the area of discomfort before applying the compression devices.
D. Leave the compression devices off and report assessment findings to the oncoming
shift. - Answer-B. Leave the compression devices off and contact the physician to report
the assessment findings.
A client is receiving an IV infusion of 5% dextrose in water (D5W). The skin around the
IV insertion site is red, warm to touch, and painful. The nurse should first:
A. Administer acetaminophen (Tylenol).
B. Change the D5W to normal saline.
C. Discontinue the IV.
D. Place a warm compress on the area. - Answer-C. Discontinue the IV.
The nurse is planning care for a client on complete bed rest. The plan of care should
include all except which of the following:
A. Turning every 2 hours.
B. Passive and active range-of-motion exercises.
C. Use of thromboembolic disease (TED) support hose.
D. Maintaining the client in the supine position. - Answer-D. Maintaining the client in the
supine position.
