MED SURG NR325, Final Exam | Chamberlain College of Nursing | 100% CORRECT

Med Surg Final Exam Exam Questions: 1. The nurse administering total pareneteral nutrition to a client., understanding that TPN is which type of fluid? a. Hypotonic dextrose b. Hypertonic el ectrolytes c. Hypertonic dextrose d. Hypotonic electrolytes 2. A nurse is caring for a client with gastrointestinal bleeding. Which action should the nurse take first? a. Obtain Hgb and HCT reading b. Tests the client’s emesis and stool for blood c. Prepare the client for an upper GI series d. Assess BP 3. A client who had GERD is experiencing increasing discomfort. What client statement indicates to the nurse that further teaching is needed? a. I eat 2 big meals during the day and a snack before bed b. I quit smoking several years ago c. I sleep with the HOB elevated on 4 in block d. I take antacids between meals and at bedtime 4. A nurse is caring for a client who had a surgical repair of an open right radial fracture. Which assessment finding requires immediate notification of HCP? a. Right radial is 2+ b. Pain to the right arm with movement c. Serious wound drainage d. Oral temp of 101.5 5. A client experiencing an acute exacerbation of Chron’s Disease has concentrated urine, decreased output, and hypotension. What is the nurse’s priority intervention? a. Turn and reposition the patient every 2 hrs b. Obtain the client’s pulse ox reading c. Provide parenteral rehydration as prescribed d. Encourage the client to drink 1,000 mL per day 6. A nurse is caring for a client with peptic ulcer disease (PUD). The nurse should monitor the client for which finding as an indication of gastrointestinal perforation? a. Increased BP b. Hyperactive bowel sounds c. Decreased HR d. Sudden abdominal pain 7. Epinephrine is ordered for a client experiencing a hypersensitivity reaction to a bee sting. What’s the primary purpose of epinephrine administration a. Stop the systemic release of histamine produced by mast cells b. Increasing declining of BP and dilate constriction bronchi associated with anaphylaxis c. Promotes the formation of antibodies in response to an invading antigen d. Increase the # of WBCs produced to counteract the allergic reaction 8. Client was a cute exacerbation of ulcerative colitis is admitted with hemoglobin of 7.6 mg/dL. Which manifestation should the nurse identifies contributing factor to this laboratory results a. Lack of the iron in the diet b. Chronic blood loss c. Intestinal malabsorption syndrome d. Poor adherence to low residue diet 9. The nurse is assessing a client admitted with bowel obstruction. The nurse expects the client to exhibit which signs and symptoms? SATA a. Copious diarrhea b. Abdominal distention c. Frequent vomiting d. Rapid onset of dehydration e. Complaints of nausea 10. Which of these clients at the human immunodeficiency virus (HIV) clinic should the nurse assess first? a. A client who has a CD4+ count has dropped to 450 ut b. A client who has had 10 liquid stools in the last 24 hrs. c. A client whose rapid HIV antibody test is positive d. A client who has nausea prescribed antiretrovirals 11. Which information will the nurse include when teaching a client who has a new ileostomy for ulcerative colitis? SATA a. Irrigate the ileostomy daily to avoid having to wear a drainage appliance b. Provide emotional support and allow time to adjust to this new method of elimination c. Describe symptoms of fluid and electrolyte imbalance to report to HCP d. Introduce high fiber foods slowly into the diet e. Restrict fluid intake to prevent constant liquid drainage from the stoma 12. A client has been admitted the emergency department with nausea and vomiting. Which manifestation requires rapid intervention by the nurse? a. The client has had a previous intestinal infection b. The client takes antacids 8-10 times a day c. The client is lethargic and difficult to arouse d. The client has been vomiting for 4 days 13. A nurse is teaching a client with diverticulosis about preventing diverticulitis. Which menu choice by the client indicates an understanding of the teaching? a. Roast beef sandwich on white bread b. Navy bean soap and vegetable salad c. Baked potato with sour cream d. Pasta with tomato sauce 14. During assessment of a client with ruptured diverticula, the nurse recognizes which symptoms confirm the client is experiencing acute peritonitis? SATA a. Decreased or absent bowel sounds b. Dysuria c. Abdominal rigidity d. Fever e. Leukopenia 15. The nurse is administering IV fluid boluses to a client with acute gastrointestinal bleeding. Which assessment finding is most important to communicate with the HCP? a. The NG suction is returning coffee ground material b. The client’s lungs have crackled audible to the mid chest c. The client’s BP has increased to 142/84 d. The bowel sounds are hyperactive in all 4 quadrants 16. Which intervention will the emergency department nurse include for a client with a sprained ankle? a. Apply a heating pad to reduce muscle spasms b. Keep the ankle loosely wrapped in a gauze c. Use pillows to elevate the ankle above the heart d. Move the ankle through ROM exercises 17. A client received anti-gout meds. for an acute attack of gout. Which finding indicates to the nurse that the med. has been effective? a. Elevated uric acid level b. Decreased potassium level c. Reduced joint pain d. Increased UO 18. A client is admitted with severe abdominal pain and a board-like abdomen. Vital signs include T: 102, HR: 129, BP: 82/5, RR: 32. Which interventions should the nurse implement first? a. Administer IV morphine b. Obtain a computed tomography scan of the abdomen c. Obtain a blood sample for a CBC d. Begin a bolus infusion of isotonic solution 19. A nurse is caring for a client one day after total hip replacement. Prior to ambulation, which intervention is the nurse’s priority? a. Educate the client on the importance of ambulation b. Administer the prescribed pain med c. Observe the status of the incisional drain device d. Change the dressing and document the wound appearance 20. A nurse is instructing a client about risk factors for osteoporosis. Which factors should the nurse include in teaching? SATA a. Diet deficient in calcium b. Excessive alcohol intake c. Advanced age d. Obesity e. Sedentary lifestyle 21. Which statement by a client with systemic lupus erythematosus indicates the client has understood the nurse’s teaching about the condition? a. “I will exercise even when I’m tired” b. “I will use sunscreen when outside” c. “I will avoid non-steroidal anti-inflammatory drugs” d. “I should take bc to avoid pregnancy” 22. A client is experiencing an anaphylactic reaction from eating shellfish. The nurse should prioritize which med? a. Diphenhydramine b. Epinephrine c. Prednisolone d. Albuterol Show Less