3
NUTR-GE 2060 Med-Surg vati Exam
*****A nurse is caring for a client who has atopic dermatitis and a prescription for triamcinolone
ointment. The nurse should assess the client to monitor for which of the following adverse effects?
Thinning of the skin
*****A nurse is assessing a client who has left-sided heart failure. Which of the following findings
should the nurse identify as a manifestation of left-sided heart failure?
Frothy sputum
****A nurse is caring for a client who is experiencing anxiety as well as numbness and tingling of the
lips and fingers. The client's ABGs are: pH 7.48, PCO2 30 mm Hg, HCO3- 24 mEq/L, PaO2 85 mm Hg.
Which of the following acid-base imbalances should the nurse identify that the client is experiencing?
Respiratory alkalosis
****A nurse is assessing a client who has Cushing's syndrome. Which of the following findings should
the nurse expect?
Osteoporosis
****A nurse is inspecting the skin of a client who has basal cell carcinoma. The nurse should identify
which of the following lesion characteristics on the client's skin?
A pearly, waxy nodule
****A nurse is assessing a client who has hypocalcemia. In which of the following areas should the
nurse tap on the client's face to detect the presence of Chvostek's sign? (You will find hot spots to select
in the artwork below. Select only the hot spot that corresponds to your answer.)
A is correct. The nurse should tap the client's cheek just in front of the ear and below the zygomatic
arch. The client who has hypocalcemia will display a Chvostek's sign, which is a twitching of the facial
muscle.
B is incorrect. The nurse should apply upward pressure at the supraorbital ridge, below the eyebrow,
to assess for tenderness and inflammation of the frontal sinuses.
C is incorrect. The nurse should palpate the jaw and mastoid muscle of a client who has
temporomandibular joint dysfunction. This can be caused by misaligned teeth, arthritis, or grinding of
the teeth. With palpation, the nurse might feel a click, pop, or grating sensation when the client opens
or closes the jaw.
pg. 1
, 3
****A nurse in an emergency department is assessing a client who is overusing prescribed diuretics
and has a sodium level of 127 mEq/L. Which of the following laboratory findings should the nurse
expect?
Low urine specific gravity
pg. 2
, 3
***A home health nurse is assisting a client with planning care for a family member who has Alzheimer's
disease. Which of the following instructions should the nurse include?
Review the daily schedule with the client every morning.
***A nurse is caring for a client who has developed acute respiratory distress syndrome (ARDS). Which
of the following findings should the nurse identify as a manifestation of this syndrome?
Refractory hypoxemia
***An emergency room nurse is assessing a client who has asthma and difficulty breathing. Which of
the following findings should indicate to the nurse that the client is experiencing status asthmaticus?
Use of accessory muscles
****A nurse is teaching a client who has a new prescription for phenytoin to treat a seizure disorder.
Which of the following adverse effects should the nurse instruct the client to report immediately to the
provider?
Skin rash
***A nurse is monitoring a client following a lumbar laminectomy. The client has a drain and indwelling
urinary catheter. The nurse should identify which of the following findings as an indication of a
complication of the surgery?
Clear drainage on the dressings
***A nurse is assessing a client who has right-sided heart failure. Which of the following findings should
the nurse identify as a manifestation of right-sided heart failure?
Increased abdominal girth
***A nurse is caring for a client who recently assumed the role of caregiver for their aging parents who
have chronic illnesses. The nurse should identify that which of the following statements by the client
indicates acceptance of the role change?
pg. 3
NUTR-GE 2060 Med-Surg vati Exam
*****A nurse is caring for a client who has atopic dermatitis and a prescription for triamcinolone
ointment. The nurse should assess the client to monitor for which of the following adverse effects?
Thinning of the skin
*****A nurse is assessing a client who has left-sided heart failure. Which of the following findings
should the nurse identify as a manifestation of left-sided heart failure?
Frothy sputum
****A nurse is caring for a client who is experiencing anxiety as well as numbness and tingling of the
lips and fingers. The client's ABGs are: pH 7.48, PCO2 30 mm Hg, HCO3- 24 mEq/L, PaO2 85 mm Hg.
Which of the following acid-base imbalances should the nurse identify that the client is experiencing?
Respiratory alkalosis
****A nurse is assessing a client who has Cushing's syndrome. Which of the following findings should
the nurse expect?
Osteoporosis
****A nurse is inspecting the skin of a client who has basal cell carcinoma. The nurse should identify
which of the following lesion characteristics on the client's skin?
A pearly, waxy nodule
****A nurse is assessing a client who has hypocalcemia. In which of the following areas should the
nurse tap on the client's face to detect the presence of Chvostek's sign? (You will find hot spots to select
in the artwork below. Select only the hot spot that corresponds to your answer.)
A is correct. The nurse should tap the client's cheek just in front of the ear and below the zygomatic
arch. The client who has hypocalcemia will display a Chvostek's sign, which is a twitching of the facial
muscle.
B is incorrect. The nurse should apply upward pressure at the supraorbital ridge, below the eyebrow,
to assess for tenderness and inflammation of the frontal sinuses.
C is incorrect. The nurse should palpate the jaw and mastoid muscle of a client who has
temporomandibular joint dysfunction. This can be caused by misaligned teeth, arthritis, or grinding of
the teeth. With palpation, the nurse might feel a click, pop, or grating sensation when the client opens
or closes the jaw.
pg. 1
, 3
****A nurse in an emergency department is assessing a client who is overusing prescribed diuretics
and has a sodium level of 127 mEq/L. Which of the following laboratory findings should the nurse
expect?
Low urine specific gravity
pg. 2
, 3
***A home health nurse is assisting a client with planning care for a family member who has Alzheimer's
disease. Which of the following instructions should the nurse include?
Review the daily schedule with the client every morning.
***A nurse is caring for a client who has developed acute respiratory distress syndrome (ARDS). Which
of the following findings should the nurse identify as a manifestation of this syndrome?
Refractory hypoxemia
***An emergency room nurse is assessing a client who has asthma and difficulty breathing. Which of
the following findings should indicate to the nurse that the client is experiencing status asthmaticus?
Use of accessory muscles
****A nurse is teaching a client who has a new prescription for phenytoin to treat a seizure disorder.
Which of the following adverse effects should the nurse instruct the client to report immediately to the
provider?
Skin rash
***A nurse is monitoring a client following a lumbar laminectomy. The client has a drain and indwelling
urinary catheter. The nurse should identify which of the following findings as an indication of a
complication of the surgery?
Clear drainage on the dressings
***A nurse is assessing a client who has right-sided heart failure. Which of the following findings should
the nurse identify as a manifestation of right-sided heart failure?
Increased abdominal girth
***A nurse is caring for a client who recently assumed the role of caregiver for their aging parents who
have chronic illnesses. The nurse should identify that which of the following statements by the client
indicates acceptance of the role change?
pg. 3
