NUR 2313C Med surg 2 final study guide Latest 2022
1. A nurse is concerned that a preoperative client has a great deal of anxiety about the
upcoming procedure. What action by the nurse is best? -ask the client to describe
current feelings
2. A preoperative nurse is reviewing morning laboratory values on four clients waiting for
surgery, which result warrants immediate communication with the surgical team? -
potassium 2.9 mEq/L
3. A nurse Is caring for a client who is experiencing moderate metabolic alkalosis.
Which action should the nurse take? -teach the client fall prevention measures
4. Which newly written prescription does the nurse administer first? -oral potassium
chloride to a client whose serum potassium is 3 mEq/L
5. A postoperative client has an abdominal drain. What assessment by the nurse
indicates that foals for the priority client problems related to the drain are being met? -
there is no redness, warmth, or drainage at the insertion site
6. A nurse evaluates the following arterial blood gas values in a client: pH 7.48, PaO2 98mm
Hg,
PaCO2 28 mm Hg, and HCO3 -22 mEq/L, which client condition should the nurse
correlate with these results? -anxiety induced hyperventilation
7. An older adult client is admitted with dehydration. Which nursing assessment data
identify that the client is at risk for falling? -orthostatic blood pressure changes
8. When caring for a client with a pulse oximetry level of 89%, which action does the
nurse take first? -apply oxygen as prescribed
9. A preoperative client smokes a pack of cigarettes a day. What is the nurses teaching
priority for the best physical outcomes? -teach the importance of incentive spirometry
10. The charge nurse on a medical surgical unit is completing assignments for the day shift.
Which client is assigned to the LPN/LVN? -a 76 year old with poor skin turgor who
has a serum osmolarity of 300 mOsm/L
11. A nurse is assessing clients for fluid and electrolyte imbalances. Which client should the
nurse
assess first for potential hyponatremia? – a 34-year-old on NPO status who is receiving
intravenous D5W
12. During a preoperative assessment, which statement by a client requires further
investigation by the nurse to asses’ surgical risks? – “I had a heart attack 4 months ago”
13. In going through the preoperative checklist, the nurse notices that the clients armband
does not match the handwritten name on the informed consent, but it matches the
stamped name. what does the nurse do first? -talk to the operating team
14. A 90-year-old client with hypermagnesemia is seen in the emergency department (ED).
The ED
nurse prepares the client for admission to which inpatient unit? -telemetry/cardiac
stepdown
15. After teaching a client to increase dietary potassium intake, a nurse assesses the
clients understanding. Which dietary meal selection indicates the client correctly
understands the teaching? -sausage, one slice of whole wheat toast, half cup of
raisins and a glass of milk
16. After teaching a client who is prescribed a restricted sodium diet, a nurse assesses the
clients
understanding. Which food choice for lunch indicates the client correctly understood the
teaching? -grilled chicken breast with glazed carrots
17. A nurse is caring for a client who is experiencing excessive diarrhea. The clients arterial
,blood gas
values are pH 7.28, PaO2 45 mm Hg, and HCO3 -16 mEq/L. which provider order
should the nurse expect to receive? – sodium bicarbonate 100 mEq/L diluted in 1 L of
D5W
,18. A nurse assesses a client who is experiencing an acid-base imbalance. The client’s
arterial blood gas values are pH 7.34, PaO2 88 mm Hg, PaCO2 38 mm Hg, and HCO3 -
19 mEq/L. which assessment should the nurse perform first? -cardiac rate and rhythm
19. An inpatient nurse brings an informed consent form to a client for an operation scheduled
for
tomorrow. The client asks about possible complications from the operation. What
response by the nurse is best? -do not have the client sign the consent and call the
surgeon
20. Which electrolyte laboratory result does the nurse report immediately to the
anesthesiologist?
-creatinine 1.9 mEq/L
21. The nurse is instructing a client who is being discharged with a diagnosis of
congestive heart failure (CHF). Which client statement indicates a correct
understanding of CHF? –“weighing myself daily can reveal increased fluid
retention.”
22. A nurse is caring for an older adult client who is admitted with moderate dehydration.
Which
intervention should the nurse implement to prevent injury while in the hospital? -dangle
the client on the bedside before ambulating
23. A nurse is giving a preoperative client a dose of ranitidine (Zantac). The client asks why
the nurse
is giving this drug when the client has no history of ulcers. What response by the nurse is
best? – “it helps prevent ulcers from the stress of surgery”
24. A nurse is caring for a client who has the following arterial blood values: pH 7.12, PaO2
56 mm Hg, PaCO2 65 mm Hg, and HCO3 -22 mEq/L. which clinical situation should
thenurse correlate with these values? -bronchial obstruction related to aspiration of a hot
dog
25. A nurse is assessing a client who has acute pancreatitis and is at risk for an acid-base
imbalance. For which manifestation of this acid-base imbalance should the nurse
assess? -kussmaul respirations
26. To decrease the risk of acid-base imbalance, what goal must the client with diabetes
mellitus strive for? -Maintaining blood glucose level within normal limits
27. A nurse assesses a client who is prescribed a mediation that inhibits angiotensin I from
converting into angiotensin II(Angiotensin-converting enzyme[ACE] inhibitor). For
whichexpected therapeutic effect should the nurse assess? -blood pressure decreases
from 180/72 mm Hg to 144/50 mm Hg
28. The nurse is teaching a group of unlicensed assistive personnel (UAP) about fluid intake
principles for older adults. What does the nurse tell them? –“offer fluids that they prefer
frequently and on a regular schedule
29. A nurse cares for a client who has a serum potassium of 7.5 mEq/L and is exhibiting
cardiovascular changes. Which prescription should the nurse implement first? -prepare
to administer dextrose 20% and 10 units of regular insulin IV push
30. A 77-year-old woman is brought to the emergency department by her family after she
has had diarrhea for 3 days. The family tells the nurse that she has not been eating or
drinking well, but that she has been taking her diuretics for congestive heart failure. Her
laboratory results include a potassium level of 7.0 mEq/L. What is the primary goal of
drug therapy for this client? -Restoring fluid balance by controlling the causes of
dehydration
31. A nurse evaluates a clients arterial blood gas values (ABGs): pH 7.30, PaO2 86 mm hg,
, PaCO2 55 mm Hg, and HCO3 22 mEq/L. which intervention should the nurse implement
first? -assess the airway
32. A 70-year-old woman is admitted to the hospital with heart failure, shortness of breath,
and 3+ pitting edema in her lower extremities. Her medications are furosemide (Lasix),
1. A nurse is concerned that a preoperative client has a great deal of anxiety about the
upcoming procedure. What action by the nurse is best? -ask the client to describe
current feelings
2. A preoperative nurse is reviewing morning laboratory values on four clients waiting for
surgery, which result warrants immediate communication with the surgical team? -
potassium 2.9 mEq/L
3. A nurse Is caring for a client who is experiencing moderate metabolic alkalosis.
Which action should the nurse take? -teach the client fall prevention measures
4. Which newly written prescription does the nurse administer first? -oral potassium
chloride to a client whose serum potassium is 3 mEq/L
5. A postoperative client has an abdominal drain. What assessment by the nurse
indicates that foals for the priority client problems related to the drain are being met? -
there is no redness, warmth, or drainage at the insertion site
6. A nurse evaluates the following arterial blood gas values in a client: pH 7.48, PaO2 98mm
Hg,
PaCO2 28 mm Hg, and HCO3 -22 mEq/L, which client condition should the nurse
correlate with these results? -anxiety induced hyperventilation
7. An older adult client is admitted with dehydration. Which nursing assessment data
identify that the client is at risk for falling? -orthostatic blood pressure changes
8. When caring for a client with a pulse oximetry level of 89%, which action does the
nurse take first? -apply oxygen as prescribed
9. A preoperative client smokes a pack of cigarettes a day. What is the nurses teaching
priority for the best physical outcomes? -teach the importance of incentive spirometry
10. The charge nurse on a medical surgical unit is completing assignments for the day shift.
Which client is assigned to the LPN/LVN? -a 76 year old with poor skin turgor who
has a serum osmolarity of 300 mOsm/L
11. A nurse is assessing clients for fluid and electrolyte imbalances. Which client should the
nurse
assess first for potential hyponatremia? – a 34-year-old on NPO status who is receiving
intravenous D5W
12. During a preoperative assessment, which statement by a client requires further
investigation by the nurse to asses’ surgical risks? – “I had a heart attack 4 months ago”
13. In going through the preoperative checklist, the nurse notices that the clients armband
does not match the handwritten name on the informed consent, but it matches the
stamped name. what does the nurse do first? -talk to the operating team
14. A 90-year-old client with hypermagnesemia is seen in the emergency department (ED).
The ED
nurse prepares the client for admission to which inpatient unit? -telemetry/cardiac
stepdown
15. After teaching a client to increase dietary potassium intake, a nurse assesses the
clients understanding. Which dietary meal selection indicates the client correctly
understands the teaching? -sausage, one slice of whole wheat toast, half cup of
raisins and a glass of milk
16. After teaching a client who is prescribed a restricted sodium diet, a nurse assesses the
clients
understanding. Which food choice for lunch indicates the client correctly understood the
teaching? -grilled chicken breast with glazed carrots
17. A nurse is caring for a client who is experiencing excessive diarrhea. The clients arterial
,blood gas
values are pH 7.28, PaO2 45 mm Hg, and HCO3 -16 mEq/L. which provider order
should the nurse expect to receive? – sodium bicarbonate 100 mEq/L diluted in 1 L of
D5W
,18. A nurse assesses a client who is experiencing an acid-base imbalance. The client’s
arterial blood gas values are pH 7.34, PaO2 88 mm Hg, PaCO2 38 mm Hg, and HCO3 -
19 mEq/L. which assessment should the nurse perform first? -cardiac rate and rhythm
19. An inpatient nurse brings an informed consent form to a client for an operation scheduled
for
tomorrow. The client asks about possible complications from the operation. What
response by the nurse is best? -do not have the client sign the consent and call the
surgeon
20. Which electrolyte laboratory result does the nurse report immediately to the
anesthesiologist?
-creatinine 1.9 mEq/L
21. The nurse is instructing a client who is being discharged with a diagnosis of
congestive heart failure (CHF). Which client statement indicates a correct
understanding of CHF? –“weighing myself daily can reveal increased fluid
retention.”
22. A nurse is caring for an older adult client who is admitted with moderate dehydration.
Which
intervention should the nurse implement to prevent injury while in the hospital? -dangle
the client on the bedside before ambulating
23. A nurse is giving a preoperative client a dose of ranitidine (Zantac). The client asks why
the nurse
is giving this drug when the client has no history of ulcers. What response by the nurse is
best? – “it helps prevent ulcers from the stress of surgery”
24. A nurse is caring for a client who has the following arterial blood values: pH 7.12, PaO2
56 mm Hg, PaCO2 65 mm Hg, and HCO3 -22 mEq/L. which clinical situation should
thenurse correlate with these values? -bronchial obstruction related to aspiration of a hot
dog
25. A nurse is assessing a client who has acute pancreatitis and is at risk for an acid-base
imbalance. For which manifestation of this acid-base imbalance should the nurse
assess? -kussmaul respirations
26. To decrease the risk of acid-base imbalance, what goal must the client with diabetes
mellitus strive for? -Maintaining blood glucose level within normal limits
27. A nurse assesses a client who is prescribed a mediation that inhibits angiotensin I from
converting into angiotensin II(Angiotensin-converting enzyme[ACE] inhibitor). For
whichexpected therapeutic effect should the nurse assess? -blood pressure decreases
from 180/72 mm Hg to 144/50 mm Hg
28. The nurse is teaching a group of unlicensed assistive personnel (UAP) about fluid intake
principles for older adults. What does the nurse tell them? –“offer fluids that they prefer
frequently and on a regular schedule
29. A nurse cares for a client who has a serum potassium of 7.5 mEq/L and is exhibiting
cardiovascular changes. Which prescription should the nurse implement first? -prepare
to administer dextrose 20% and 10 units of regular insulin IV push
30. A 77-year-old woman is brought to the emergency department by her family after she
has had diarrhea for 3 days. The family tells the nurse that she has not been eating or
drinking well, but that she has been taking her diuretics for congestive heart failure. Her
laboratory results include a potassium level of 7.0 mEq/L. What is the primary goal of
drug therapy for this client? -Restoring fluid balance by controlling the causes of
dehydration
31. A nurse evaluates a clients arterial blood gas values (ABGs): pH 7.30, PaO2 86 mm hg,
, PaCO2 55 mm Hg, and HCO3 22 mEq/L. which intervention should the nurse implement
first? -assess the airway
32. A 70-year-old woman is admitted to the hospital with heart failure, shortness of breath,
and 3+ pitting edema in her lower extremities. Her medications are furosemide (Lasix),
