Test Bank for Davis Advantage for
Understanding Medical-Surgical Nursing
Nur 372 Advantage for Understanding Medical-
Surgical Nursing Test Bank Verified 350 Questions
And Answers With Detailed Rationales Already
Graded A+ Guaranteed Pass – Ace your Exam
5. In preparing to administer intravenous albumin to a client following surgery, what is the priority
nursing intervention? (Select all that apply.)
a. Set the infusion pump to infuse the albumin within four hours.
b. Compare the client's blood type with the label on the albumin.
c. Assign a UAP to monitor blood pressure q15 minutes.
d. Administer through a large gauge catheter.
e. Monitor hemoglobin and hematocrit levels.
f. Assess for increased bleeding after administration.
A, C, D, E, F
Rationale
A+ TEST BANK 1
, Test Bank for Davis Advantage for
Understanding Medical-Surgical Nursing
Albumin should be infused within four hours because it does not contain any preservatives. Any fluid
remaining after four hours should be discarded. Albumin administration does not require blood typing.
Vital signs should be monitored periodically to assess for fluid volume overload. A large gauge catheter
allows for fast infusion rate, which may be necessary. Hemodilution may decrease hemoglobin (HgB)
and hematocrit (HCT) levels, so the HgB and HCT levels should be monitored. While monitoring for
bleeding because of the increased blood volume and blood pressure.
1. A client with diabetes mellitus is experiencing polyphagia. Which outcome statement is the priority
for this client?
a. Fluid and electrolyte balance.
b. Prevention of water toxicity.
c. Reduced glucose in the urine.
d. Adequate cellular nourishment.
D
Rationale
Diabetes mellitus Type 1 is characterized by hyperglycemia that precipitates glucosuria and polyuria
(frequent urination), polydipsia (excessive thirst), and polyphagia (excessive hunger). Polyphagia is a
consequence of cellular malnourishment when insulin deficiency prevents utilization of glucose into
the cell for energy, so the outcome statement should include stabilization of adequate cellular
nutrition which is done by providing the insulin supplement the client needs.
2. 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
a. pulse rate, both apically and radially.
b. blood pressure, both standing and sitting.
c. temperature.
d. skin color and turgor.
C
Rationale
A+ TEST BANK 2
, Test Bank for Davis Advantage for
Understanding Medical-Surgical Nursing
It is very important to check the client's temperature. Long term use of steroids use COPD clients is
effective in suppressing inflammation in their airways making it easier for them to breath, but at the
same time suppresses the immune system, placing the client at risk for infection.
3. Which intervention should the nurse plan to implement when caring for a client who has just
undergone a right above-the-knee amputation?
a. Maintain the residual limb on three pillows at all times.
b. Place a large tourniquet at the client's bedside.
c. Apply constant, direct pressure to the residual limb.
d. Do not allow the client to lie in the prone position.
B
Rationale
A large tourniquet should be placed in plain sight at the client's bedside, in the event severe bleeding
occurs. The purpose is to have the tourniquet available to applied to the residual limb to control
bleeding if hemorrhaging was to occur. The residual limb should not be placed on a pillow because a
flexion contracture of the hip may result and the client should be encouraged to lie in the prone
position to prevent flexion contracture of the hip.
4. The nurse knows that lab values sometimes vary for the older client. Which data would the nurse
expect to find when reviewing laboratory values of an 80-year-old male?
a. Increased WBC, decreased RBC.
b. Increased serum bilirubin, slightly increased liver enzymes.
c. Increased protein in the urine, slightly increased serum glucose levels.
d. Decreased serum sodium, an increased urine specific gravity.
C
Rationale
As older adults aged, the protein found in urine slightly rises as a result of kidney changes and the
serum glucose increases slightly, also due to changes in the kidney. The specific gravity declines by age
80 from 1.032 to 1.024.
A+ TEST BANK 3
, Test Bank for Davis Advantage for
Understanding Medical-Surgical Nursing
6. The healthcare provider prescribes aluminum and magnesium hydroxide (Maalox), 1 tablet PO PRN,
for a client with chronic kidney disease (CKD) who is complaining of indigestion. What intervention
should the nurse implement?
a. Administer 30 minutes before eating.
b. Evaluate the effectiveness 1 hour after administration.
c. Instruct the client to swallow the tablet whole.
d. Question the healthcare provider's prescription.
D
Rationale
Magnesium agents are not usually used for clients with CKD due to the risk of hypermagnesemia, so
this prescription should be questioned by the nurse.
7. Small bowel obstruction is a condition characterized by which finding?
a. Severe fluid and electrolyte imbalances.
b. Metabolic acidosis.
c. Ribbon-like stools.
d. Intermittent lower abdominal cramping.
A
Rationale
Among the findings characteristic of a small bowel obstruction is the presence of severe fluid and
electrolyte imbalances.
8. The nurse is taking a history of a newly diagnosed Type 2 diabetic who is beginning treatment.
Which subjective information is most important for the nurse to note?
a. A history of obesity.
b. An allergy to sulfa drugs.
c. Cessation of smoking three years ago.
d. Numbness in the soles of the feet.
B
A+ TEST BANK 4
Understanding Medical-Surgical Nursing
Nur 372 Advantage for Understanding Medical-
Surgical Nursing Test Bank Verified 350 Questions
And Answers With Detailed Rationales Already
Graded A+ Guaranteed Pass – Ace your Exam
5. In preparing to administer intravenous albumin to a client following surgery, what is the priority
nursing intervention? (Select all that apply.)
a. Set the infusion pump to infuse the albumin within four hours.
b. Compare the client's blood type with the label on the albumin.
c. Assign a UAP to monitor blood pressure q15 minutes.
d. Administer through a large gauge catheter.
e. Monitor hemoglobin and hematocrit levels.
f. Assess for increased bleeding after administration.
A, C, D, E, F
Rationale
A+ TEST BANK 1
, Test Bank for Davis Advantage for
Understanding Medical-Surgical Nursing
Albumin should be infused within four hours because it does not contain any preservatives. Any fluid
remaining after four hours should be discarded. Albumin administration does not require blood typing.
Vital signs should be monitored periodically to assess for fluid volume overload. A large gauge catheter
allows for fast infusion rate, which may be necessary. Hemodilution may decrease hemoglobin (HgB)
and hematocrit (HCT) levels, so the HgB and HCT levels should be monitored. While monitoring for
bleeding because of the increased blood volume and blood pressure.
1. A client with diabetes mellitus is experiencing polyphagia. Which outcome statement is the priority
for this client?
a. Fluid and electrolyte balance.
b. Prevention of water toxicity.
c. Reduced glucose in the urine.
d. Adequate cellular nourishment.
D
Rationale
Diabetes mellitus Type 1 is characterized by hyperglycemia that precipitates glucosuria and polyuria
(frequent urination), polydipsia (excessive thirst), and polyphagia (excessive hunger). Polyphagia is a
consequence of cellular malnourishment when insulin deficiency prevents utilization of glucose into
the cell for energy, so the outcome statement should include stabilization of adequate cellular
nutrition which is done by providing the insulin supplement the client needs.
2. 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
a. pulse rate, both apically and radially.
b. blood pressure, both standing and sitting.
c. temperature.
d. skin color and turgor.
C
Rationale
A+ TEST BANK 2
, Test Bank for Davis Advantage for
Understanding Medical-Surgical Nursing
It is very important to check the client's temperature. Long term use of steroids use COPD clients is
effective in suppressing inflammation in their airways making it easier for them to breath, but at the
same time suppresses the immune system, placing the client at risk for infection.
3. Which intervention should the nurse plan to implement when caring for a client who has just
undergone a right above-the-knee amputation?
a. Maintain the residual limb on three pillows at all times.
b. Place a large tourniquet at the client's bedside.
c. Apply constant, direct pressure to the residual limb.
d. Do not allow the client to lie in the prone position.
B
Rationale
A large tourniquet should be placed in plain sight at the client's bedside, in the event severe bleeding
occurs. The purpose is to have the tourniquet available to applied to the residual limb to control
bleeding if hemorrhaging was to occur. The residual limb should not be placed on a pillow because a
flexion contracture of the hip may result and the client should be encouraged to lie in the prone
position to prevent flexion contracture of the hip.
4. The nurse knows that lab values sometimes vary for the older client. Which data would the nurse
expect to find when reviewing laboratory values of an 80-year-old male?
a. Increased WBC, decreased RBC.
b. Increased serum bilirubin, slightly increased liver enzymes.
c. Increased protein in the urine, slightly increased serum glucose levels.
d. Decreased serum sodium, an increased urine specific gravity.
C
Rationale
As older adults aged, the protein found in urine slightly rises as a result of kidney changes and the
serum glucose increases slightly, also due to changes in the kidney. The specific gravity declines by age
80 from 1.032 to 1.024.
A+ TEST BANK 3
, Test Bank for Davis Advantage for
Understanding Medical-Surgical Nursing
6. The healthcare provider prescribes aluminum and magnesium hydroxide (Maalox), 1 tablet PO PRN,
for a client with chronic kidney disease (CKD) who is complaining of indigestion. What intervention
should the nurse implement?
a. Administer 30 minutes before eating.
b. Evaluate the effectiveness 1 hour after administration.
c. Instruct the client to swallow the tablet whole.
d. Question the healthcare provider's prescription.
D
Rationale
Magnesium agents are not usually used for clients with CKD due to the risk of hypermagnesemia, so
this prescription should be questioned by the nurse.
7. Small bowel obstruction is a condition characterized by which finding?
a. Severe fluid and electrolyte imbalances.
b. Metabolic acidosis.
c. Ribbon-like stools.
d. Intermittent lower abdominal cramping.
A
Rationale
Among the findings characteristic of a small bowel obstruction is the presence of severe fluid and
electrolyte imbalances.
8. The nurse is taking a history of a newly diagnosed Type 2 diabetic who is beginning treatment.
Which subjective information is most important for the nurse to note?
a. A history of obesity.
b. An allergy to sulfa drugs.
c. Cessation of smoking three years ago.
d. Numbness in the soles of the feet.
B
A+ TEST BANK 4
