TTT 67777 - MedSurg 3
1. A nurse is assessing a client who is 12hr postoperative following a colon
resection. Which of the following findings should the nurse report to the
surgeon?
a. Heart rate 90/min
b. Absent bowel sounds
c. Hgb 8.2 g/dl
d. Gastric pH of 3.0
2. A nurse is caring for a client who has diabetes insipidus. Which of the
following medications should the nurse plan to administer?
a. Desmopressin
b. Regular insulin
c. Furosemide
d. Lithium carbonate
3. A nurse is admitting a client who has arthritic pain and reports taking
ibuprofen several times daily for 3 years. Which of the following test should
the nurse monitor?
a. Fasting blood glucose
b. Stool for occult blood
c. Urine for white blood cells
d. Serum calcium
4. A nurse in the emergency department is assessing a client. Which of the
following actions should the nurse take first (Click on the “Exhibit” button for
additional information about the client. There are three tabs that contain
separate categories of data.)
a. Obtain a sputum sample for culture
b. Prepare the client for a chest x-ray
, c. Initiate airborne precautions
d. Administer ondansetron.
5. A nurse is contacting the provider for a client who has cancer and is
experiencing breakthrough pain. Which of the following prescriptions should
the nurse anticipate?
a. Transmucosal fentanyl
b. Intramuscular meperidine
c. Oral acetaminophen
d. Intravenous dexamethasone
6. A nurse is admitting a client who reports chest pain and has been placed on
a telemetry monitor. Which of the following should the nurse analyze to
determine whether the client is experiencing a myocardial infarction?
a. PR interval
b. QRS duration
c. T wave
d. ST segment
7. A nurse is teaching a client who has ovarian cancer about skin care
following radiation treatment. Which of the following instructions should the
nurse include?
a. Pat the skin on the radiation site to dry it
b. Apply OTC moisturizer to the radiation site
c. Cover the radiation site loosely with a gauze wrap before dressing
d. Use a soft washcloth to clean the area around the radiation site
8. A nurse is caring for a client who is receiving a blood transfusion. The nurse
observes that the client has bounding peripheral pulses, hypertension, and
distended jugular veins. The nurse should anticipate administering which of
the following prescribed medications?
a. Diphenhydramine
b. Acetaminophen
c. Pantoprazole
, d. Furosemide
9. A nurse is assessing a client who is receiving magnesium sulfate IV for the
treatment of hypomagnesemia. Which of the following findings indicates
effectiveness of the medication?
a. Lungs clear
b. Apical pulse 82/min
c. Hyperactive bowel sounds
d. Blood pressure 90/50 mm Hg
10. A nurse is reviewing a client’s ABG results pH 7.42, PaC02 30 mm Hg, and
HCO3 21 mEq/L. The nurse should recognize these findings as indication of
which of the following conditions?
a. Metabolic acidosis
b. Metabolic alkalosis
c. Compensated respiratory alkalosis
d. Uncompensated respiratory acidosis
11. A nurse is caring for a client who has a deep partial thickness burns over
15% of her body which of the following labs should the nurse expect
during the first 24 hours
a. Decreased BUN
b. Hypoglycemia
c. Hypoalbuminemia
d. Decreased Hematocrit
12. A nurse is caring for a client who has dumping syndrome following a
gastrectomy, which of the following actions should the nurse takes?
a. Offer the client high carbohydrate meal options
b. Provide the client with four full meals a day
c. Encourage the client to drink at least 360 ml of fluids with meals
d. Have the client lie down for 30 minutes after meals
1. A nurse is assessing a client who is 12hr postoperative following a colon
resection. Which of the following findings should the nurse report to the
surgeon?
a. Heart rate 90/min
b. Absent bowel sounds
c. Hgb 8.2 g/dl
d. Gastric pH of 3.0
2. A nurse is caring for a client who has diabetes insipidus. Which of the
following medications should the nurse plan to administer?
a. Desmopressin
b. Regular insulin
c. Furosemide
d. Lithium carbonate
3. A nurse is admitting a client who has arthritic pain and reports taking
ibuprofen several times daily for 3 years. Which of the following test should
the nurse monitor?
a. Fasting blood glucose
b. Stool for occult blood
c. Urine for white blood cells
d. Serum calcium
4. A nurse in the emergency department is assessing a client. Which of the
following actions should the nurse take first (Click on the “Exhibit” button for
additional information about the client. There are three tabs that contain
separate categories of data.)
a. Obtain a sputum sample for culture
b. Prepare the client for a chest x-ray
, c. Initiate airborne precautions
d. Administer ondansetron.
5. A nurse is contacting the provider for a client who has cancer and is
experiencing breakthrough pain. Which of the following prescriptions should
the nurse anticipate?
a. Transmucosal fentanyl
b. Intramuscular meperidine
c. Oral acetaminophen
d. Intravenous dexamethasone
6. A nurse is admitting a client who reports chest pain and has been placed on
a telemetry monitor. Which of the following should the nurse analyze to
determine whether the client is experiencing a myocardial infarction?
a. PR interval
b. QRS duration
c. T wave
d. ST segment
7. A nurse is teaching a client who has ovarian cancer about skin care
following radiation treatment. Which of the following instructions should the
nurse include?
a. Pat the skin on the radiation site to dry it
b. Apply OTC moisturizer to the radiation site
c. Cover the radiation site loosely with a gauze wrap before dressing
d. Use a soft washcloth to clean the area around the radiation site
8. A nurse is caring for a client who is receiving a blood transfusion. The nurse
observes that the client has bounding peripheral pulses, hypertension, and
distended jugular veins. The nurse should anticipate administering which of
the following prescribed medications?
a. Diphenhydramine
b. Acetaminophen
c. Pantoprazole
, d. Furosemide
9. A nurse is assessing a client who is receiving magnesium sulfate IV for the
treatment of hypomagnesemia. Which of the following findings indicates
effectiveness of the medication?
a. Lungs clear
b. Apical pulse 82/min
c. Hyperactive bowel sounds
d. Blood pressure 90/50 mm Hg
10. A nurse is reviewing a client’s ABG results pH 7.42, PaC02 30 mm Hg, and
HCO3 21 mEq/L. The nurse should recognize these findings as indication of
which of the following conditions?
a. Metabolic acidosis
b. Metabolic alkalosis
c. Compensated respiratory alkalosis
d. Uncompensated respiratory acidosis
11. A nurse is caring for a client who has a deep partial thickness burns over
15% of her body which of the following labs should the nurse expect
during the first 24 hours
a. Decreased BUN
b. Hypoglycemia
c. Hypoalbuminemia
d. Decreased Hematocrit
12. A nurse is caring for a client who has dumping syndrome following a
gastrectomy, which of the following actions should the nurse takes?
a. Offer the client high carbohydrate meal options
b. Provide the client with four full meals a day
c. Encourage the client to drink at least 360 ml of fluids with meals
d. Have the client lie down for 30 minutes after meals
