Med surg proctored exam
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?
Correct answer- 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. Correct answer- 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?
Correct answer- 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? Correct answer- 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? Correct answer- 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? Correct answer-
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? Correct answer- 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? Correct answer- 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? Correct answer- 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? Correct answer- 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? Correct answer- 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? Correct answer- 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? Correct answer-
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? Correct answer- 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? Correct answer- 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? Correct answer-
ineffective airway clearance related to thick copious secretions
A nurse is caring for a client scheduled for coronary artery bypass grafting who reports
he is no longer certain he wants to have the procedure. Which of the following
responses should the nurse make? Correct answer- Bypass surgery must be very
frightening for you
A nurse is assisting with the care of a client who has diabetes insipidus. The nurse
should monitor the client for which of the following manifestations? Correct answer-
hypotension
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?
Correct answer- 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. Correct answer- 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?
Correct answer- 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? Correct answer- 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? Correct answer- 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? Correct answer-
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? Correct answer- 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? Correct answer- 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? Correct answer- 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? Correct answer- 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? Correct answer- 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? Correct answer- 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? Correct answer-
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? Correct answer- 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? Correct answer- 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? Correct answer-
ineffective airway clearance related to thick copious secretions
A nurse is caring for a client scheduled for coronary artery bypass grafting who reports
he is no longer certain he wants to have the procedure. Which of the following
responses should the nurse make? Correct answer- Bypass surgery must be very
frightening for you
A nurse is assisting with the care of a client who has diabetes insipidus. The nurse
should monitor the client for which of the following manifestations? Correct answer-
hypotension
