Med surg proctored exam 2022
A nurse is assisting with he care of a client following a left femoral cardiac angiography. Thee nurse
should place a sandbag on the client over which of the following areas? - left groin
A nurse is reviewing the lab results of a client who is postoperative and has a respiratory rate of 7/min.
The arterial blood gas ABG values include:
pH 7.22
PaCO2 68 mm Hg
base excess -2
PaO2 78 mm Hg
oxygen saturation 80%
Bicarbonate 28 mEq/L. - respiratory acidosis
A nurse is reinforcing discharge instructions with a client who has hepatitis A. Which of the following
statements by the client indicates an understanding of the teaching? - I will abstain from sexual
intercourse
A nurse notes a small section of bowel protruding from the abdominal incision of a client who is
postoperative. After calling for assistance which of the following actions should the nurse take first? -
cover the clients wound with a moist sterile dressing
Based on a clients recent history a nurse suspects that a client is beginning menopause. Which of the
following questions should the nurse ask the client to help confirm the client is experiencing
manifestations of menopause? - Do you sleep well at night
A nurse collecting data from a client who has manifestations of appendicitis. Where should the nurse
palpate to monitor for pain at Mcburneys point? - Mcburneys point is found between the naval and the
anterior iliac crest (left lower)
A nurse is reinforcing teaching about excercise with a client who has type 1 diabetes mellitus. Which of
the following statements by the client indicates an understanding of the teaching? - I should avoid
injecting insulin into my thigh if I am going to go running
, A nurse is caring for a client who is postoperative following a tracheostomy and has copies and
tenacious secretions. Which of the following is an acceptable method for the nurse to use to thin the
clients secretions? - provide humidified oxygen
A nurse is reviewing the lab results of a client who is taking cyclosporine following a kidney transplant.
Which of the following lab findings should the nurse identify as the most important to report to the
provider? - increase in serum creatinine
A nurse is reinforcing discharge teaching on actions that improve gas exchange to a client diagnosed
with emphysema. Which of the following instructions should be included in the teaching? - breath in
through nose and out through pursed lips
A nurse is contributing to the plan of care for a client who has a spinal cord injury at level C8 who is
admitted for comprehensive rehabilitation. Which of the following long term goals is appropriate with
regard to the clients mobility? - propel a wheelchair equipped with knobs on the wheels
A nurse is reinforcing teaching about an esophagogastrodudenscopy with a client who has upper gastric
pain. Which of the following statements should the nurse include in the teaching? - you will remain NPO
for 8 hours before the procedure
A nurse is checking for paradoxical blood pressure on a client who has constrictive pericarditis. Which of
the following findings should the nurse expect? - drop is systolic BP more than 10 mm Hg on inspiration
A nurse is assisting in the care of a client who is 2 hours postoperative following a wedge resection of
the left lung and has a chest tube to section. Which of the following is the priority finding the nurse
should report to the provider? - abdomen is distended
A nurse is reinforcing teaching with a client who is postoperative after having an ileostomy established.
Which of the following instructions should the nurse include in the teaching? - avoid medications in a
capsule or enteric form
A nurse is caring for a client after a radical dissection. To which of the following should the nurse give
priority in the immediate postoperative period? - ineffective airway clearance related to thick copious
secretions
A nurse is assisting with he care of a client following a left femoral cardiac angiography. Thee nurse
should place a sandbag on the client over which of the following areas? - left groin
A nurse is reviewing the lab results of a client who is postoperative and has a respiratory rate of 7/min.
The arterial blood gas ABG values include:
pH 7.22
PaCO2 68 mm Hg
base excess -2
PaO2 78 mm Hg
oxygen saturation 80%
Bicarbonate 28 mEq/L. - respiratory acidosis
A nurse is reinforcing discharge instructions with a client who has hepatitis A. Which of the following
statements by the client indicates an understanding of the teaching? - I will abstain from sexual
intercourse
A nurse notes a small section of bowel protruding from the abdominal incision of a client who is
postoperative. After calling for assistance which of the following actions should the nurse take first? -
cover the clients wound with a moist sterile dressing
Based on a clients recent history a nurse suspects that a client is beginning menopause. Which of the
following questions should the nurse ask the client to help confirm the client is experiencing
manifestations of menopause? - Do you sleep well at night
A nurse collecting data from a client who has manifestations of appendicitis. Where should the nurse
palpate to monitor for pain at Mcburneys point? - Mcburneys point is found between the naval and the
anterior iliac crest (left lower)
A nurse is reinforcing teaching about excercise with a client who has type 1 diabetes mellitus. Which of
the following statements by the client indicates an understanding of the teaching? - I should avoid
injecting insulin into my thigh if I am going to go running
, A nurse is caring for a client who is postoperative following a tracheostomy and has copies and
tenacious secretions. Which of the following is an acceptable method for the nurse to use to thin the
clients secretions? - provide humidified oxygen
A nurse is reviewing the lab results of a client who is taking cyclosporine following a kidney transplant.
Which of the following lab findings should the nurse identify as the most important to report to the
provider? - increase in serum creatinine
A nurse is reinforcing discharge teaching on actions that improve gas exchange to a client diagnosed
with emphysema. Which of the following instructions should be included in the teaching? - breath in
through nose and out through pursed lips
A nurse is contributing to the plan of care for a client who has a spinal cord injury at level C8 who is
admitted for comprehensive rehabilitation. Which of the following long term goals is appropriate with
regard to the clients mobility? - propel a wheelchair equipped with knobs on the wheels
A nurse is reinforcing teaching about an esophagogastrodudenscopy with a client who has upper gastric
pain. Which of the following statements should the nurse include in the teaching? - you will remain NPO
for 8 hours before the procedure
A nurse is checking for paradoxical blood pressure on a client who has constrictive pericarditis. Which of
the following findings should the nurse expect? - drop is systolic BP more than 10 mm Hg on inspiration
A nurse is assisting in the care of a client who is 2 hours postoperative following a wedge resection of
the left lung and has a chest tube to section. Which of the following is the priority finding the nurse
should report to the provider? - abdomen is distended
A nurse is reinforcing teaching with a client who is postoperative after having an ileostomy established.
Which of the following instructions should the nurse include in the teaching? - avoid medications in a
capsule or enteric form
A nurse is caring for a client after a radical dissection. To which of the following should the nurse give
priority in the immediate postoperative period? - ineffective airway clearance related to thick copious
secretions
