Med Surg practice test

1. A Nurse is contributing to the plan care of a care to promote a restful night’s sleep for a client who has Alzheimer’s disease. Which of the following interventions should the nurse include in the plan? Encourage stimulating activities after dinner Encourage a late afternoon nap Offer a small snack at bedtime Offer hot chocolate at bedtime 2. A nurse if reinforcing teaching with a client who has chronic kidney disease about disease management. Which of the following statements by the client indicates an understanding of the teaching? I will add a banana to my morning cereal I will decrease my intake of carbohydrates I will limit my daily intake of protein I will season my food with a salt substitute 3. A nurse is caring for a client who has just returned to the unit following a bronchoscopy. Which of the following findings should the nurse report to the provider? Absent gag reflex Blood tinged mucus Diminished breath sounds Oxygen saturation 95% 4. A nurse is caring for a client who begins to have a seizure while ambulating in the hall. Identify the sequence of actions the nurse should follow. (Move the steps the nurse should take into the box on the right placing them in order of performance. Use all the steps. Lower the client to the floor Place a pad beneath the client’s head Loose the clothing around the client’s neck Time the length of the client’s seizure Reorient and reassure the client 5. A nurse is reinforcing teaching with a client who has a new diagnosis of genital herpers. Which of the following information should the nurse include in the teaching? Use condoms when lesions are present Look for lesions that have a wart-like appearance The virus can be transmitted without lesions present The lesion resolves in 2 weeks and usually do not recur 6. A nurse is planning care for a group of clients after receiving change-of-shift report. Which of the following clients should the nurse plan to see first? A client who had a colectomy 2 days ago and has a nasogastric tube Jackson-Pratt drain and indwelling urinary catheter. A client who is dehydrated has mental confusion and was found getting out of bed several times during the night. A client who had a right lower lobe lobectomy 4 days ago and has a chest tube set to continuous suction. A client who has pneumonia and an oral temperature of 38.7°C (101.7°F) 7. A nurse is caring for a client who is receiving a continuous tube feeding of 60 mL/hr at 1.2 cal/mL. How many calories will the client receive in 12 hrs? (Round the answer to the nearest whole number) Step 1: What is the unit of measurement the nurse should calculate? Calories Step 2: What is the volume the nurse should infuse? 60 mL/hr x 12 hr = 720 mL Step 3: What is the total infusion time? 12 hrs Step 4: Should the nurse convert the units of measurement? No Step 5: Set up an equation and solve for x. 720 mL x 1.2 cal/mL = calories x = 864 cal 8. A nurse is caring for a client who is in Buck's traction for a fractured hip. The client reports increased pain at the site of the fracture. Which of the following actions should the nurse take? Massage the area Remove the weights Loosen the ropes Reposition the client 9. A nurse is reinforcing teaching with a client who is taking levothyroxine. Which of the following statements by the client indicates an understanding of the teaching? I will need to take the medication until my thyroid function returns to normal The medication should be taken before I eat breakfast every morning The medication might lower my blood sugar I will take the medication with an antacid if it gives me heartburn 10. A nurse is delegating the task of repositioning a client who is in skeletal traction to an assistive personnel (AP). Which of the following instructions should the nurse give the AP? Allow the weights to hang freely Release the tension of the ropes Remove the weights when rewrapping bandages Manually lift the weights when moving the client up in bed 11. A nurse is reinforcing teaching about pursed-lip breathing with a client who has a new diagnosis of COPD. The nurse should identify which of the following client statements indicates an understanding of the teaching? I should perform pursed-lip breathing exercises before going to be When I’m fatigued, I should inhale slowly through pursed-lips Pursed-lip breathing works best for activities like walking up stairs I will exhale through my nose after breathing in through pursed-lips 12. A nurse is admitting a client who is suspected of having active tuberculosis (TB). Which of the following actions should the nurse take first? Administer anti-tuberculosis medication Institute airborne precautions Obtain sputum cultures Auscultate breath sounds 13. A nurse is preparing a client for a cardiac catheterization. Which of the following actions should the nurse take first? Verify the client has given informed consent Administer preoperative medication Make the location of the pedal pulses Have the client void 14. A nurse is assisting in the plan of care for a client who had a recent left hemispheric stroke. Which of the following actions should the nurse include in the plan? Observe for impulsive behavior Approach the client from the right side Use simple verbal cues when directing tasks Place the client in low-fowler’s position during meals 15. A nurse is assisting with an educational program for clients who have been newly diagnosed with diabetes mellitus. Which of the following instructions should the nurse include in the program regarding insulin? Store unopened insulin vials in the freezer for up to 1 month Opened insulin can be stored on a cool countertop away from light Roll discolored insulin gently to mix before use Use refrigerated insulin immediately after removing it from the refrigerator 16. A nurse is caring for a client who reports shortness of breath and has an oxygen saturation of 90%. Which of the following actions should the nurse take? Prepare for intubation of the client Administer opioid medication Administer oxygen via nasal cannula Place the client in low-fowler’s position