1. A client with a liver abscess undergoes surgical evacuation and drainage of the abscess.
Which laboratory value is most important for the nurse to monitor following the
procedure?
a. Serum creatinine
b. Blood urea nitrogen (BUN)
c. White blood cell count
d. Serum glucose
2. A male client with bilateral carpal tunnel syndrome reports to the nurse that the pain
and tingling he is experiencing worsens at night. What client teaching should the nurse
provide?
a. Elevate the hands on two pillows at night
b. Notify the healthcare provider as soon as possible
c. Wear braces as both writs during the night
d. Apply cold compresses for 30 min before bedtime
3. A client returns to the unit following a suprapubic prostatectomy. He has a three-way
m
er as
catheter in place with a continuous bladder irrigation infusing. Which assessment finding
warrants immediate intervention by the nurse
co
eH w
a. True urinary output of 50ml/hr
b. Lower abdominal tenderness
o.
rs e
c. Blood urine output with clots
ou urc
d. Urine leaking around the meatus
4. An adult female client is diagnosed with restless leg syndrome and is referred to the
sleep clinic. The healthcare provider prescribes ferrous sulfate (Feosol) 325 mg PO daily.
o
Which laboratory values should the nurse monitor?
aC s
a. Serum electrolytes
vi y re
b. Neutrophils and eosinophils
c. Serum iron and ferritin
d. Platelet count and hematocrit
5. A client uses triamcinolone (Kenalog), a corticosteroid ointment, to manage pruritus
ed d
caused by a chronic skin rash. The client calls the clinic nurse to report increased
ar stu
erythema with purulent exudate at the site. Which action should the nurse implement?
a. Schedule an appointment or the client to see the healthcare provider
b. Advise the client to apply plastic wrap over the ointment to promote healing
is
c. Instruct the client to continue the ointment until all erythema is relieved
d. Explain the client need to complete all prescribed dose of the medication
Th
6. During preoperative teaching for a male client schedule for repair of an inguinal hernia,
the client tells the nurse that he has had several surgeries and understand the need to
perform coughing and deep breathing exercise after surgery. How should the nurse
sh
respond?
a. Ask for a demonstration of these exercises
b. Explain that coughing should be avoided
c. Review the client previous surgical history
d. Document the clients understanding of teaching
This study source was downloaded by 100000825331278 from CourseHero.com on 05-26-2021 08:30:18 GMT -05:00
https://www.coursehero.com/file/42737334/Med-Surg-study-notesdocx/
, 7. A client with ulcerative colitis is admitted to the medical unit during an acute
exacerbation. The nurse should instruct the unlicensed assistive personnel (UAP) to
report which finding related to the client’s bowel movements?
a. Hard pellets of stool
b. Clay-colored stool
c. Stool with fatty streaks
d. Blood in the stool
8. The nurse is evaluating a male client understanding of diet teaching about the DASH
(Dietary Approaches to Stop Hypertension) eating plan. Which behavior indicates that
the client is adhering to the eating plan?
a. Uses only lactose-free dairy products.
b. Enjoys fat free yogurt as an occasional snack food
c. No longer includes grains in his daily diet
d. Carefully cleans and peels all fresh fruit and vegetables
9. An adult client is admitted with flank pain and is diagnosed with acute pyelonephritis.
m
er as
What is the priority nursing action?
a. Auscultate for presence of bowl sounds.
co
eH w
b. Monitor hemoglobin and hematocrit
c. Encourage turning and deep breathing
o.
rs e
d. Administer IV antibiotics as prescribed.
ou urc
10. An adult client is admitted with diabetic ketoacidosis (DKA) and a urinary tract infection
(UTI). Prescriptions for intravenous antibiotics and an insulin infusion are initiated.
Which serum laboratory value warrants the most immediate intervention by the nurse?
o
a. Glucose of 350 mg/dl
aC s
b. White blood cell count of 15, 000 mm3
vi y re
c. Blood PH of 7.30
d. Potassium of 2.5 mEq/L
11. An older male client with long-standing lung disease is admitted to the medical unit for
treatment of pulmonary infection. In assessing for signs of increasing hypoxia, which
ed d
action should the nurse include? (select all that apply)
ar stu
a. Monitor dryness of mucous membranes
b. Check for changes in mentation
c. Observe color of skin and nailbeds
is
d. Note appearance of jugular veins
e. Assess breathing patterns
Th
12. A client who suffered an electrical injury with the entrance site on the left hand and the
exit site on the left foot is admitted to the burn unit. Which intervention is most
important for the nurse to include in this client plan of care?
sh
a. Continuous cardiac monitoring
b. Perform passive range of motion
c. Evaluate level of consciousness
d. Assess lung sounds q4 hours.
13. A nurse assists a male client with Parkinson’s disease (PD) to ambulate in the hallway.
The client appears to “freeze” and then carefully lifts one leg and steps forward. He tells
This study source was downloaded by 100000825331278 from CourseHero.com on 05-26-2021 08:30:18 GMT -05:00
https://www.coursehero.com/file/42737334/Med-Surg-study-notesdocx/
Which laboratory value is most important for the nurse to monitor following the
procedure?
a. Serum creatinine
b. Blood urea nitrogen (BUN)
c. White blood cell count
d. Serum glucose
2. A male client with bilateral carpal tunnel syndrome reports to the nurse that the pain
and tingling he is experiencing worsens at night. What client teaching should the nurse
provide?
a. Elevate the hands on two pillows at night
b. Notify the healthcare provider as soon as possible
c. Wear braces as both writs during the night
d. Apply cold compresses for 30 min before bedtime
3. A client returns to the unit following a suprapubic prostatectomy. He has a three-way
m
er as
catheter in place with a continuous bladder irrigation infusing. Which assessment finding
warrants immediate intervention by the nurse
co
eH w
a. True urinary output of 50ml/hr
b. Lower abdominal tenderness
o.
rs e
c. Blood urine output with clots
ou urc
d. Urine leaking around the meatus
4. An adult female client is diagnosed with restless leg syndrome and is referred to the
sleep clinic. The healthcare provider prescribes ferrous sulfate (Feosol) 325 mg PO daily.
o
Which laboratory values should the nurse monitor?
aC s
a. Serum electrolytes
vi y re
b. Neutrophils and eosinophils
c. Serum iron and ferritin
d. Platelet count and hematocrit
5. A client uses triamcinolone (Kenalog), a corticosteroid ointment, to manage pruritus
ed d
caused by a chronic skin rash. The client calls the clinic nurse to report increased
ar stu
erythema with purulent exudate at the site. Which action should the nurse implement?
a. Schedule an appointment or the client to see the healthcare provider
b. Advise the client to apply plastic wrap over the ointment to promote healing
is
c. Instruct the client to continue the ointment until all erythema is relieved
d. Explain the client need to complete all prescribed dose of the medication
Th
6. During preoperative teaching for a male client schedule for repair of an inguinal hernia,
the client tells the nurse that he has had several surgeries and understand the need to
perform coughing and deep breathing exercise after surgery. How should the nurse
sh
respond?
a. Ask for a demonstration of these exercises
b. Explain that coughing should be avoided
c. Review the client previous surgical history
d. Document the clients understanding of teaching
This study source was downloaded by 100000825331278 from CourseHero.com on 05-26-2021 08:30:18 GMT -05:00
https://www.coursehero.com/file/42737334/Med-Surg-study-notesdocx/
, 7. A client with ulcerative colitis is admitted to the medical unit during an acute
exacerbation. The nurse should instruct the unlicensed assistive personnel (UAP) to
report which finding related to the client’s bowel movements?
a. Hard pellets of stool
b. Clay-colored stool
c. Stool with fatty streaks
d. Blood in the stool
8. The nurse is evaluating a male client understanding of diet teaching about the DASH
(Dietary Approaches to Stop Hypertension) eating plan. Which behavior indicates that
the client is adhering to the eating plan?
a. Uses only lactose-free dairy products.
b. Enjoys fat free yogurt as an occasional snack food
c. No longer includes grains in his daily diet
d. Carefully cleans and peels all fresh fruit and vegetables
9. An adult client is admitted with flank pain and is diagnosed with acute pyelonephritis.
m
er as
What is the priority nursing action?
a. Auscultate for presence of bowl sounds.
co
eH w
b. Monitor hemoglobin and hematocrit
c. Encourage turning and deep breathing
o.
rs e
d. Administer IV antibiotics as prescribed.
ou urc
10. An adult client is admitted with diabetic ketoacidosis (DKA) and a urinary tract infection
(UTI). Prescriptions for intravenous antibiotics and an insulin infusion are initiated.
Which serum laboratory value warrants the most immediate intervention by the nurse?
o
a. Glucose of 350 mg/dl
aC s
b. White blood cell count of 15, 000 mm3
vi y re
c. Blood PH of 7.30
d. Potassium of 2.5 mEq/L
11. An older male client with long-standing lung disease is admitted to the medical unit for
treatment of pulmonary infection. In assessing for signs of increasing hypoxia, which
ed d
action should the nurse include? (select all that apply)
ar stu
a. Monitor dryness of mucous membranes
b. Check for changes in mentation
c. Observe color of skin and nailbeds
is
d. Note appearance of jugular veins
e. Assess breathing patterns
Th
12. A client who suffered an electrical injury with the entrance site on the left hand and the
exit site on the left foot is admitted to the burn unit. Which intervention is most
important for the nurse to include in this client plan of care?
sh
a. Continuous cardiac monitoring
b. Perform passive range of motion
c. Evaluate level of consciousness
d. Assess lung sounds q4 hours.
13. A nurse assists a male client with Parkinson’s disease (PD) to ambulate in the hallway.
The client appears to “freeze” and then carefully lifts one leg and steps forward. He tells
This study source was downloaded by 100000825331278 from CourseHero.com on 05-26-2021 08:30:18 GMT -05:00
https://www.coursehero.com/file/42737334/Med-Surg-study-notesdocx/
