MED-SURG FINAL - NUR 201 QUESTIONS WITH
ACCURATE ANSWERS
A 78 year old patient with a diagnosis of hypothyroidism got an order for the
following medications. Which one should the nurse consult the physician prior to
administration? why? correct answer Diazepam (Valium)
A characteristic common to all hormones correct answer they influence cellular
activity of specific target tissues
A client develops a renal disorder after taking in an antibiotic that has
nephrotoxicity as an adverse effect. The nurse adds to the client's medical record
a standardized care plan for which of the following disorders? correct answer
acute renal failure
A client develops a renal disorder after taking in an antibiotic that has
nephrotoxicity as an adverse effect. The nurse adds to the client's medical record
a standardized care plan for which of the following disorders? correct answer
Acute renal failure
A client is at risk for IICP, which of the following would be the priority for the
nurse to monitor correct answer Unequal pupil size
A client is being evaluated for brain death. Which findings are positive indicators
of brain death? correct answer pupils are nonreactive & dilated
absence of deep tendon reflexes
dolls eyes absent
,A client returned from a TURP with CBI. In which situation should the nurse
increase the flow rate of the CBI: correct answer when the drainage becomes
bright red
A client returned from a TURP with CBI. In which situation should the nurse
increase the flow rate of the CBI? correct answer when the drainage becomes
bright red
A client who is developing hepatic encephalopathy may exhibit which symptom?
correct answer asterixis
A client with cirrhosis may have alterations in which laboratory value? correct
answer prothrombin time
A client with Guillain-Barre syndrome is drooling and having difficulty swallowing
secretions. The nurse explains to the family that the cause of this is: correct
answer demyelination of the cranial nerves responsible for gag and swallow reflex
A female patient is being given iodine treatment for Grave's disease. What should
the nurse teach before giving the client her first dose? correct answer Instruct the
patient that she must not get pregnant during treatment
A nurse instructs a pt who has MG about home care. Which of the following
patient statements indicates a need for further teaching? correct answer I will
soak in the hot tub every day
A nurse is assessing a client 24 hours following a cholecystectomy. The nurse
notes that the T tube has drained 700 ml of greenish brown drainage. Which
nursing intervention is most appropriate? correct answer document the finding
, A nurse is assessing a patient who is on a rehab unit and was diagnosed with GBS
1 month ago. Which of the client findings should the nurse anticipated correct
answer muscle weakness, incontinence, ineffective cough
a nurse is caring for a patient who is placed on a low bacteria diet in combination
with an oral selective bowel decontamination solution prior to a liver transplant.
The nurse understands that the patient should avoid: correct answer fresh grapes
A nurse is caring for a patient who is scheduled for cerebral angiogram with
contrast dye. Which statements should the nurse communicate to the MD?
correct answer I may be pregnant, I take coumadin, I am allergic to shellfish
A nurse is preparing to assist the provider in testing a client for myasthenia gravis
(MG). Which of the following medications should the nurse have available to
administer? correct answer tensilon
A nurse is taking care of a patient who is tentatively diagnosed with Gullian-Barre
syndrome (GBS) due to progressive paralysis of the lower extremities. Which of
the following patient reports is relevant to the diagnosis of GBS? correct answer
history of upper respiratory infection
A patient calls and tells nurse that her monring dose of Dilantin was accidentally
skipped and it is now 3 hrs before the next dose is due. The client typically takes
Dilantin 3 times a day. What should the nurse tell the patient to do? correct
answer wait until the next scheduled time and take a regular dose (b/c the
Dilantin is scheduled 3 times a day)
ACCURATE ANSWERS
A 78 year old patient with a diagnosis of hypothyroidism got an order for the
following medications. Which one should the nurse consult the physician prior to
administration? why? correct answer Diazepam (Valium)
A characteristic common to all hormones correct answer they influence cellular
activity of specific target tissues
A client develops a renal disorder after taking in an antibiotic that has
nephrotoxicity as an adverse effect. The nurse adds to the client's medical record
a standardized care plan for which of the following disorders? correct answer
acute renal failure
A client develops a renal disorder after taking in an antibiotic that has
nephrotoxicity as an adverse effect. The nurse adds to the client's medical record
a standardized care plan for which of the following disorders? correct answer
Acute renal failure
A client is at risk for IICP, which of the following would be the priority for the
nurse to monitor correct answer Unequal pupil size
A client is being evaluated for brain death. Which findings are positive indicators
of brain death? correct answer pupils are nonreactive & dilated
absence of deep tendon reflexes
dolls eyes absent
,A client returned from a TURP with CBI. In which situation should the nurse
increase the flow rate of the CBI: correct answer when the drainage becomes
bright red
A client returned from a TURP with CBI. In which situation should the nurse
increase the flow rate of the CBI? correct answer when the drainage becomes
bright red
A client who is developing hepatic encephalopathy may exhibit which symptom?
correct answer asterixis
A client with cirrhosis may have alterations in which laboratory value? correct
answer prothrombin time
A client with Guillain-Barre syndrome is drooling and having difficulty swallowing
secretions. The nurse explains to the family that the cause of this is: correct
answer demyelination of the cranial nerves responsible for gag and swallow reflex
A female patient is being given iodine treatment for Grave's disease. What should
the nurse teach before giving the client her first dose? correct answer Instruct the
patient that she must not get pregnant during treatment
A nurse instructs a pt who has MG about home care. Which of the following
patient statements indicates a need for further teaching? correct answer I will
soak in the hot tub every day
A nurse is assessing a client 24 hours following a cholecystectomy. The nurse
notes that the T tube has drained 700 ml of greenish brown drainage. Which
nursing intervention is most appropriate? correct answer document the finding
, A nurse is assessing a patient who is on a rehab unit and was diagnosed with GBS
1 month ago. Which of the client findings should the nurse anticipated correct
answer muscle weakness, incontinence, ineffective cough
a nurse is caring for a patient who is placed on a low bacteria diet in combination
with an oral selective bowel decontamination solution prior to a liver transplant.
The nurse understands that the patient should avoid: correct answer fresh grapes
A nurse is caring for a patient who is scheduled for cerebral angiogram with
contrast dye. Which statements should the nurse communicate to the MD?
correct answer I may be pregnant, I take coumadin, I am allergic to shellfish
A nurse is preparing to assist the provider in testing a client for myasthenia gravis
(MG). Which of the following medications should the nurse have available to
administer? correct answer tensilon
A nurse is taking care of a patient who is tentatively diagnosed with Gullian-Barre
syndrome (GBS) due to progressive paralysis of the lower extremities. Which of
the following patient reports is relevant to the diagnosis of GBS? correct answer
history of upper respiratory infection
A patient calls and tells nurse that her monring dose of Dilantin was accidentally
skipped and it is now 3 hrs before the next dose is due. The client typically takes
Dilantin 3 times a day. What should the nurse tell the patient to do? correct
answer wait until the next scheduled time and take a regular dose (b/c the
Dilantin is scheduled 3 times a day)
