Medical-Surgical Nursing 1: MBOL BATCH 2021
NCM 109 Medical-Surgical Nursing 1 Questions & Answers
Take the Quiz Again
Correct answers are hidden.
Score for this attempt: 98 out of 100
Question 1 pts
The physician refers the client with angina for a cardiac cathetherization.
What is the primary rationale for performing this test for this client?
To bypass obstructed blood vessels
To assess the extent of arterial blockage
To assess the functional adequacy of the valves and heart muscle
To open and dilate blocked coronary arteries
1/56
, Medical-Surgical Nursing 1: MBOL BATCH 2021
Question 2 pts
Situation: A 69-year old female client has a history of congestive heart
failure (CHF). Her physician recently increased her daily digoxin (Lanoxin)
and furosemide (Lasix) does as her condition was deteriorating. Ten days
ago, the client stopped taking all her medications, which she blamed for
her frequent headaches. She is now admitted to the emergency room with
CHF complicated by pulmonary edema. She is edematous and cyanotic,
in acute respiratory distress, extremely anxious and complaining of
nausea. In which of the following positions should the nurse place the
client?
Lying in her right side (sim’s position)
Semi-sitting (low fowler’s position)
Sitting nearly upright (high fowler’s position)
Lying on her back with her head lowered (trendelenburg’s position)
Question 3 pts
The client with hemophilia A is experiencing hemarthrosis. Which
intervention should the nurse recommend to the client?
Apply cold packs for 24-48 hours to the affected area.
Put the affected extremity in the dependent position.
Alternate aspirin and acetaminophen to help with the pain.
Perform active range of motion exercise on the extremity.
2/56
, Medical-Surgical Nursing 1: MBOL BATCH 2021
Question 4 pts
Following lobectomy, clients should be instructed to perform deep
breathing exercises to:
Expand the alveoli and increase the lung surface available for ventilation.
Elevate the diaphragm, which enlarges the thorax and increases the lung
surface available for gas exchange.
Control the rate of air flow to the remaining lobe so that it will not become
hyper inflated.
Decrease blood flow to the lungs to allow them to rest and increase the
surface available for ventilation.
Question 5 pts
A client with anemia may be tired due to a tissue deficiency of which of
the following substances?
T-cell antibodies
Oxygen
Factor VIII
Carbon dioxide
3/56
, Medical-Surgical Nursing 1: MBOL BATCH 2021
Question 6 pts
Situation: A client is admitted to the hospital with an acute exacerbation of
long standing chronic obstructive pulmonary disease (COPD) brought on
by an upper respiratory infection. He is tachypneic and acutely short of
breath. Both he and his wife are extremely anxious. During postural
drainage, movement of secretions from the lower respiratory tract to
upper respiratory tract occurs due to:
The sweeping motion of cilia
Involuntary muscle contractions
Friction between the cilia
The force of gravity
Question 7 pts
Which of the following disorders results from a deficiency of factor VIII?
Hemophilia A
Christmas disease
Hemophilia B
Sickle cell disease
4/56
NCM 109 Medical-Surgical Nursing 1 Questions & Answers
Take the Quiz Again
Correct answers are hidden.
Score for this attempt: 98 out of 100
Question 1 pts
The physician refers the client with angina for a cardiac cathetherization.
What is the primary rationale for performing this test for this client?
To bypass obstructed blood vessels
To assess the extent of arterial blockage
To assess the functional adequacy of the valves and heart muscle
To open and dilate blocked coronary arteries
1/56
, Medical-Surgical Nursing 1: MBOL BATCH 2021
Question 2 pts
Situation: A 69-year old female client has a history of congestive heart
failure (CHF). Her physician recently increased her daily digoxin (Lanoxin)
and furosemide (Lasix) does as her condition was deteriorating. Ten days
ago, the client stopped taking all her medications, which she blamed for
her frequent headaches. She is now admitted to the emergency room with
CHF complicated by pulmonary edema. She is edematous and cyanotic,
in acute respiratory distress, extremely anxious and complaining of
nausea. In which of the following positions should the nurse place the
client?
Lying in her right side (sim’s position)
Semi-sitting (low fowler’s position)
Sitting nearly upright (high fowler’s position)
Lying on her back with her head lowered (trendelenburg’s position)
Question 3 pts
The client with hemophilia A is experiencing hemarthrosis. Which
intervention should the nurse recommend to the client?
Apply cold packs for 24-48 hours to the affected area.
Put the affected extremity in the dependent position.
Alternate aspirin and acetaminophen to help with the pain.
Perform active range of motion exercise on the extremity.
2/56
, Medical-Surgical Nursing 1: MBOL BATCH 2021
Question 4 pts
Following lobectomy, clients should be instructed to perform deep
breathing exercises to:
Expand the alveoli and increase the lung surface available for ventilation.
Elevate the diaphragm, which enlarges the thorax and increases the lung
surface available for gas exchange.
Control the rate of air flow to the remaining lobe so that it will not become
hyper inflated.
Decrease blood flow to the lungs to allow them to rest and increase the
surface available for ventilation.
Question 5 pts
A client with anemia may be tired due to a tissue deficiency of which of
the following substances?
T-cell antibodies
Oxygen
Factor VIII
Carbon dioxide
3/56
, Medical-Surgical Nursing 1: MBOL BATCH 2021
Question 6 pts
Situation: A client is admitted to the hospital with an acute exacerbation of
long standing chronic obstructive pulmonary disease (COPD) brought on
by an upper respiratory infection. He is tachypneic and acutely short of
breath. Both he and his wife are extremely anxious. During postural
drainage, movement of secretions from the lower respiratory tract to
upper respiratory tract occurs due to:
The sweeping motion of cilia
Involuntary muscle contractions
Friction between the cilia
The force of gravity
Question 7 pts
Which of the following disorders results from a deficiency of factor VIII?
Hemophilia A
Christmas disease
Hemophilia B
Sickle cell disease
4/56
