PN MEDICAL- ADULT MEDICAL SURGICAL EXAM QUESTIONS WITH 100% VERIFIED ANSWERS
PN MEDICAL- ADULT MEDICAL SURGICAL EXAM QUESTIONS
WITH 100% VERIFIED ANSWERS
A nurse is caring for a client who has a history of cirrhosis and is admitted with
manifestations of hepatic encephalopathy. The nurse should anticipate a
prescription for which of the following laboratory tests to determine the possibility
of recent excessive alcohol use?
A. Gamma-gluramyl transferase (GGT)
B. Alkaline phosphatase (ALP)
C. Serum bilirubin
D. Alanine aminotransferase (ALT] - CORRECT ANSWER A. CORRECT: The GGT
laboratory test is specific to the hepatobiliary system in which levels can be raised
by alcohol and hepatotoxic drugs. Therefore, it is useful for monitoring drug
toxicity and excessive alcohol use.
B. ALP is elevated in biliary obstruction and most forms of liver dysfunction.
It does not differentiate between alcohol and other causative factors for
liver disease.
C. The serum bilirubin test is used to detect the function of the liver and its
ability to excrete bilirubin. Elevated levels can determine liver disease or biliary
tract disease.
D. The largest concentration of the enzyme ALT is found in liver tissue. However.
it is also present in kidney, heart. and skeletal muscle tissues. Because it is
elevated in various toes of tissue damage. it is not helpful in identifying excessive
alcohol use.
A nurse is providing dietary teaching to a client who has diverticulitis about
preventing acute attacks. which of the following foods should the nurse
recommend?
A. Foods high in vitamin C
B. Foods low in fat
C. Foods high in fiber
D. Foods low in calories - CORRECT ANSWER A. Vitamin C functions as an
antioxidant as well as a coenzyme. It can be associated with prevention of cancer of
the stomach. esophagus and colon. However, it does not improve or prevent acute
diverticulitis attacks.
B. Low-fat foods do not improve or prevent acute diverticulitis attacks.
C. CORRECT: The result of long-term, low-fiber eating habits along with increased
,PN MEDICAL- ADULT MEDICAL SURGICAL EXAM QUESTIONS WITH 100% VERIFIED ANSWERS
intracolonic pressure lead to straining during bowel movements, causing the
development of diverticula. High-fiber foods help strengthen and maintain active
motility of the gastrointestinal tract.
D. Low-calorie foods do not improve or prevent acute diverticulitis attacks.
A nurse is caring for a client who is 4 hr postoperative following a
laparoscopic cholecystectomy. Which of the following findings
should the nurse expect?
,PN MEDICAL- ADULT MEDICAL SURGICAL EXAM QUESTIONS WITH 100% VERIFIED ANSWERS
A. Right shoulder pain
B. Urine output 20 mL/hr
C. Temperature 38.4 degrees C (101.1 degrees F)
D. Oxygen saturation 92% - CORRECT ANSWER A. CORRECT: The client can
experience pain in the right upper shoulder due to gas (carbon dioxide) injected
into the abdominal cavity during the laparoscopic procedure, which can irritate the
diaphragm and cause referred pain in the shoulder area. The pain disappears in 1-
2 days. Mild analgesics and a recumbent position can help with client comfort.
B. Urine output following surgery should be at least 30 mL/hr. Less than this amount
can indicate hypovolemia or renal complications and should be reported to the
provider immediately.
C. A temperature greater than 38.4. C (101.1 F) can indicate infection and should
be reported to the provider immediately.
D. An oxygen saturation of less than 95% can indicate an impaired gas
exchange following surgery and should be reported to the provider
immediately.
A nurse in the emergency dependent is caring for a client who has bleeding
esophageal varies. The nurse should anticipate a prescription for which of the
following medications?
A. Famotidine
B. Esomeprazole
C. Vasopressin
D. Omeprazole - CORRECT ANSWER A. Famotidine is an H2 receptor antagonist
used to treat stress ulcers.
B. Esomeprazole is a proton pump inhibitor used to treat gastrointestinal reflux
disease.
C. CORRECT: Vasopressin constricts the splanchnic bed and decreases portal
pressure. Vasopressin also constricts the distal esophageal and proximal gastric
veins, which reduces inflow into the portal system and is used to treat bleeding
varies.
D. Omeprazole is a proton pump inhibitor used to treat duodenal and gastric ulcers.
A nurse is assessing a client who is in the early stages of hepatitis A. which of
the following manifestations should the nurse expect?
, PN MEDICAL- ADULT MEDICAL SURGICAL EXAM QUESTIONS WITH 100% VERIFIED ANSWERS
A. Jaundice
PN MEDICAL- ADULT MEDICAL SURGICAL EXAM QUESTIONS
WITH 100% VERIFIED ANSWERS
A nurse is caring for a client who has a history of cirrhosis and is admitted with
manifestations of hepatic encephalopathy. The nurse should anticipate a
prescription for which of the following laboratory tests to determine the possibility
of recent excessive alcohol use?
A. Gamma-gluramyl transferase (GGT)
B. Alkaline phosphatase (ALP)
C. Serum bilirubin
D. Alanine aminotransferase (ALT] - CORRECT ANSWER A. CORRECT: The GGT
laboratory test is specific to the hepatobiliary system in which levels can be raised
by alcohol and hepatotoxic drugs. Therefore, it is useful for monitoring drug
toxicity and excessive alcohol use.
B. ALP is elevated in biliary obstruction and most forms of liver dysfunction.
It does not differentiate between alcohol and other causative factors for
liver disease.
C. The serum bilirubin test is used to detect the function of the liver and its
ability to excrete bilirubin. Elevated levels can determine liver disease or biliary
tract disease.
D. The largest concentration of the enzyme ALT is found in liver tissue. However.
it is also present in kidney, heart. and skeletal muscle tissues. Because it is
elevated in various toes of tissue damage. it is not helpful in identifying excessive
alcohol use.
A nurse is providing dietary teaching to a client who has diverticulitis about
preventing acute attacks. which of the following foods should the nurse
recommend?
A. Foods high in vitamin C
B. Foods low in fat
C. Foods high in fiber
D. Foods low in calories - CORRECT ANSWER A. Vitamin C functions as an
antioxidant as well as a coenzyme. It can be associated with prevention of cancer of
the stomach. esophagus and colon. However, it does not improve or prevent acute
diverticulitis attacks.
B. Low-fat foods do not improve or prevent acute diverticulitis attacks.
C. CORRECT: The result of long-term, low-fiber eating habits along with increased
,PN MEDICAL- ADULT MEDICAL SURGICAL EXAM QUESTIONS WITH 100% VERIFIED ANSWERS
intracolonic pressure lead to straining during bowel movements, causing the
development of diverticula. High-fiber foods help strengthen and maintain active
motility of the gastrointestinal tract.
D. Low-calorie foods do not improve or prevent acute diverticulitis attacks.
A nurse is caring for a client who is 4 hr postoperative following a
laparoscopic cholecystectomy. Which of the following findings
should the nurse expect?
,PN MEDICAL- ADULT MEDICAL SURGICAL EXAM QUESTIONS WITH 100% VERIFIED ANSWERS
A. Right shoulder pain
B. Urine output 20 mL/hr
C. Temperature 38.4 degrees C (101.1 degrees F)
D. Oxygen saturation 92% - CORRECT ANSWER A. CORRECT: The client can
experience pain in the right upper shoulder due to gas (carbon dioxide) injected
into the abdominal cavity during the laparoscopic procedure, which can irritate the
diaphragm and cause referred pain in the shoulder area. The pain disappears in 1-
2 days. Mild analgesics and a recumbent position can help with client comfort.
B. Urine output following surgery should be at least 30 mL/hr. Less than this amount
can indicate hypovolemia or renal complications and should be reported to the
provider immediately.
C. A temperature greater than 38.4. C (101.1 F) can indicate infection and should
be reported to the provider immediately.
D. An oxygen saturation of less than 95% can indicate an impaired gas
exchange following surgery and should be reported to the provider
immediately.
A nurse in the emergency dependent is caring for a client who has bleeding
esophageal varies. The nurse should anticipate a prescription for which of the
following medications?
A. Famotidine
B. Esomeprazole
C. Vasopressin
D. Omeprazole - CORRECT ANSWER A. Famotidine is an H2 receptor antagonist
used to treat stress ulcers.
B. Esomeprazole is a proton pump inhibitor used to treat gastrointestinal reflux
disease.
C. CORRECT: Vasopressin constricts the splanchnic bed and decreases portal
pressure. Vasopressin also constricts the distal esophageal and proximal gastric
veins, which reduces inflow into the portal system and is used to treat bleeding
varies.
D. Omeprazole is a proton pump inhibitor used to treat duodenal and gastric ulcers.
A nurse is assessing a client who is in the early stages of hepatitis A. which of
the following manifestations should the nurse expect?
, PN MEDICAL- ADULT MEDICAL SURGICAL EXAM QUESTIONS WITH 100% VERIFIED ANSWERS
A. Jaundice
