KAPLAN MEDICAL SURGICAL INTEGRATED TEST ACTUAL EXAM 80 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+ BEST DOCUMENT FOR FINAL EXAM PREP

KAPLAN MEDICAL SURGICAL INTEGRATED TEST ACTUAL EXAM 80 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+ BEST DOCUMENT FOR FINAL EXAM PREP A client is diagnosed with glaucoma. The client asks the nurse why eye drops are necessary. Which response by the nurse is best? a. "The drops keep your eye pressure low and help maintain your vision." b. "How can we help you use the drops better? You need to follow the directions." c. "Does using the drops bother you? Did you ask your eye care provider?" d. "Unfortunately, you are not a candidate for the surgery and need the drops." - ANSWER -a. "The drops keep your eye pressure low and help maintain your vision." A client is to receive high-flow oxygen with a concentration of 35%. Which oxygen delivery system does the nurse anticipate for this client? a. Venturi mask b. Non-rebreather mask c. Tracheostomy T bar d. Tracheostomy collar - ANSWER -a. Venturi mask A client reports recurrent headaches with the following symptoms: headache located in "hat band" area with squeezing, tight sensation last 2 hours and causing stiff neck muscles. Which medication prescription does the nurse anticipate? a. Verapamil b. Sumatriptan c. Acetaminophen/butalbital/caffeine d. Dihydroergotamine mesylate - ANSWER -c. Acetaminophen/butalbital/caffeine A client is unresponsive after a closed-head injury. The Glasgow Coma Scale score is 7. The nurse identifies the client's state as which best description? a. Shows signs of visual and hearing impairment b. Is alert with impaired motor function c. Has a subdural hematoma d. Is identified as comatose - ANSWER -d. Is identified as comatose The nurse obtains a specimen for arterial blood gases from a client. Which principle guides the nurse? a. Clotted blood will preserve the blood gas values b. Air in the syringe will alter the blood values c. Continuous intra-arterial monitoring is required d. May use peripheral IV site if no IV fluids present - ANSWER -b. Air in the syringe will alter the blood values A client has a vaso-occlusive crisis. The nurse teaches the client ways to avoid another crisis. Which intervention is most important for this client? a. Refer to a support group b. Adequate hydration c. Infection prevention d. Avoid high altitude situations - ANSWER -b. Adequate hydration A client is diagnosed with hepatitis B. The nurse identifies a nursing diagnosis based on which priority concern? a. Potential for changes in skin integrity because of the jaundice b. Changes in urinary output because oft he darkened urine c. Possible changes in liver function because of a viral infection d. Changes in psychological outlook because this is a chronic disease - ANSWER -c. Possible changes in liver function because of a viral infection A client is diagnosed with varicose veins. Education is provided by the nurse. The nurse continues teaching the client when the client makes which statement? a. "I may have more varicose veins even after my surgery." b. "I can stop wearing my elastic stocking when the pain is gone." c. "I will try to lose some weight to help prevent more vein problems." d. "I need to move my legs frequently when I am sitting." - ANSWER -b. "I can stop wearing my elastic stocking when the pain is gone." A client is diagnosed with a flaccid neurogenic bladder due to a spinal cord injury. The client has had several urinary tract infections. A bladder training program has been established. Which documentation indicates the client's bladder function is currently satisfactory? a. The client has had no urinary tract infections in 3 days b. The client verbalizes when to empty the bladder c. The client correctly demonstrates bladder emptying techniques d. The client empties the bladder completely every 2-3 hours - ANSWER -d. The client empties the bladder completely every 2-3 hours A client is diagnosed with a stroke. The nurse observes while the client eats lunch. The client coughs after many bites, swallows solids very slowly, but swallows liquids without difficulty. The client makes strange movements of the tongue during eating. Which action does the nurse take next? a. Asks the client for favorite food choices b. Requests an occupational therapy consult c. Encourages the client to chew slowly d. Requests a dietary consultation - ANSWER -d. Requests a dietary consultation A client reports difficulty speaking and swallowing. The client is diagnosed with a stroke. The nurse expects to find weakness in which extremities? a. Lower extremities b. Upper extremities