NCM 109 Medical Surgical Nursing 3 - Mock Boards

NCM 109 Medical Surgical Nursing 3 - Mock Boards Question 1 1 / 1 pts A multigravid client thought to be at 14 weeks' gestation reports that she is experiencing such severe morning sickness that "she has not been able to keep anything down for a week." The nurse should assess for signs and symptoms of which of the following? Hyperglycemia. Hypercalcemia. Hypokalemia. Hypobilirubinemia. Question 2 1 / 1 pts When assessing a patient with Hypernatremia, the nurse will expect to find: Moist mucous membranes Serum Sodium level of 135 mEq / L Thirst Hypoactive reflexes Question 3 1 / 1 pts TPN is ordered for a client with Crohn's disease. While administering the TPN solution, it is important for the nurse to remember that total parental solutions are used to provide hydration treat metabolic acidosis increase cell nutrition reverse a positive nitrogen balance Question 4 1 / 1 pts The burned client needs fluid replacement because massive amounts of fluid are lost. The rate at which intravenous fluids are infused is based on the burn client's lean muscle mass and body surface area burned. total body surface area and body surface area burned. height and weight and body surface area burned. total body weight and body surface area burned. Question 5 1 / 1 pts Which of the following signs and symptoms would probably indicate that the client with Addison's disease is receiving too much glucocorticoid replacement? Anorexia. Rapid weight gain. Dizziness. Poor skin turgor. Question 6 1 / 1 pts The patient who is suffering from pleural effusion has a CTT tube inserted today. What will be the long-term goal of the nurse in the care of this patient? Maintain oxygen saturation at 95% or higher Identify high-risk patients Normalize ABG result Ensure that the client is free from complications Question 7 1 / 1 pts A client presents to the emergency room with diabetic ketoacidosis. The nurse would identify which of the following nursing diagnoses as a priority problem? Disturbed Sleep Pattern. Impaired Health Maintenance. Deficient Fluid Volume. Imbalanced Nutrition: Less than Body Requirements. Question 8 1 / 1 pts To ensure that the patient’s condition is getting better, the following evaluation results must be seen from a patient treated due to…: … Hyperkalemia: normal abdominal girth normal pH normal lung x-ray normal ECG result Question 9 1 / 1 pts The nurse is teaching the relative of a patient who just had a kidney transplant about intake and output monitoring. You will be worried if the patient’s relative stated that: “I will make sure he uses measuring cup every time he takes in fluid.” “He moved her bowel this morning twice!” “I will drain the foley catheter every hour and record it.” “I do not know how much his vomitus was this morning.” Question 10 1 / 1 pts A client with MS is experiencing bowel incontinence and is starting a bowel retraining program. Which strategy is inappropriate? Using an elevated toilet seat. Setting a regular time for elimination. Eating a diet high in fiber. Limiting fluid intake to 1000 mL/day. Question 11 1 / 1 pts A Full Thickness burn is describe as: Thick, dry in appearance, pearly gray or charred black color and painless Moist, shiny in appearance, pearly gray or charred black color and is painful when exposed to air Moist, shiny in appearance, salmon pink to red color, and is painful when exposed to air Reddened skin, with edema but no blistering, burn blanches under pressure Question 12 1 / 1 pts A child has an order to receive 250 mL of intravenous fluids every 4 hours. The nurse would set the infusion pump using microdrip tubing to run at which of the following flow rates? 10 mL/hour 63 mL/hour 25 mL/hour 42 mL/hour Question 13 1 / 1 pts The nurse should prepare which of the following materials if a patient is for cystoclysis? 3-way catheter IV Catheter straight catheter foley catheter Question 14 1 / 1 pts The client is now in the End-Stage Renal Disease, which of these following data supports this? The client has 80% non - functioning nephrons The client has 50% remaining nephrons The client has 25 % remaining functional nephrons The client has only less than 10% functioning nephrons Question 15 1 / 1 pts Fluid replacement therapy is ordered for an infant diagnosed with pyloric stenosis. In addition to dextrose, water, and sodium chloride, which of the following would the nurse anticipate the physician to order as an additive to the intravenous solution? Bicarbonate chloride. Potassium chloride. Calcium chloride. Magnesium chloride. Question 16 Which of the following nursing diagnoses would be appropriate for the nurse to identify as a priority diagnosis for an infant just admitted to the hospital with a diagnosis of gastroenteritis? Deficient Fluid Volume related to excessive losses from severe diarrhea. Impaired Parenting related to infant's loss of fluid. Impaired Urinary Elimination related to increased fluid intake feeding pattern. Pain related to repeated episodes of vomiting Question 17 1 / 1 pts Which of the following would be an expected outcome for a client who is recovering from an abdominal-perineal resection with a colostomy? The client will maintain a fluid intake of 3000 mL / day The client will accept that sexual activity will be diminished The client will eliminate fiber from the diet The client will limit physical activity to light exercise Question 18 1 / 1 pts When developing a care plan for a client who is receiving TPN, which one of the following potential nursing diagnoses would be most appropriate? Impaired Gas Exchange Risk for Fluid Volume Excess Ineffective Tissue Perfusion Impaired Swallowing Question 19 1 / 1 pts Which of line following is the best indicator for determining whether a client with Addison's disease is receiving the correct amount of glucocorticoid replacement? Temperature. Daily weight. Thirst. Skin turgor. Question 20 1 / 1 pts Cystoclysis is also known as: IV therapy catheterization bladder irrigation bowel irrigation Question 21 1 / 1 pts Which of the following solutions would the nurse administer for this patient with Hypernatremia? D5W 0.3 NSS D5 LR Plain NSS Question 22 In the oliguric phase of acute renal failure, the nurse should anticipate the development of which of the following complications? Hypotension. Hypokalemia. Metabolic alkalosis. Pulmonary edema. Question 23 1 / 1 pts The client is scheduled for a percutaneous transluminal coronary angioplasty (PTCA) to treat angina. Priority goals for the client immediately after PTCA would include preventing fluid volume deficit. maintaining adequate blood pressure control. minimizing dyspnea. decreasing myocardial contractility.