NCM 109 Medical-Surgical Nursing 3 – Mock Boards

NCM 109 Medical-Surgical Nursing 3 – Mock Boards
Question 1
pts
A multigravid client thought to be at 14 weeks' gestation reports that she is experiencing such severe
morning sickness that "she has not been able to keep anything down for a week." The nurse should
assess for signs and symptoms of which of the following?
Hyperglycemia.
Hypercalcemia.
Hypokalemia.
Hypobilirubinemia.

Question 2
pts
When assessing a patient with Hypernatremia, the nurse will expect to find:Moist
mucous membranes
Serum Sodium level of 135 mEq / L
Thirst
Hypoactive reflexes

Question 3
pts
TPN is ordered for a client with Crohn's disease. While administering the TPN solution, it isimportant for
the nurse to remember that total parental solutions are used to

provide hydration
treat metabolic acidosis
increase cell nutrition
reverse a positive nitrogen balance

Question 4
pts
The burned client needs fluid replacement because massive amounts of fluid are lost. The rateat which
intravenous fluids are infused is based on the burn client's

lean muscle mass and body surface area burned. total body
surface area and body surface area burned.height and
weight and body surface area burned. total body weight
and body surface area burned.

Question 5
pts
Which of the following signs and symptoms would probably indicate that the client withAddison's
disease is receiving too much glucocorticoid replacement?

Anorexia.

, Rapid weight gain.
Dizziness.
Poor skin turgor.

Question 6
pts
The patient who is suffering from pleural effusion has a CTT tube inserted today. What will bethe long-
term goal of the nurse in the care of this patient?

Maintain oxygen saturation at 95% or higher
Identify high-risk patients
Normalize ABG result
Ensure that the client is free from complications

Question 7
pts
A client presents to the emergency room with diabetic ketoacidosis. The nurse would identifywhich of the
following nursing diagnoses as a priority problem?

Disturbed Sleep Pattern.
Impaired Health Maintenance.
Deficient Fluid Volume.
Imbalanced Nutrition: Less than Body Requirements.

Question 8
pts
To ensure that the patient’s condition is getting better, the following evaluation results must beseen from a
patient treated due to…: … Hyperkalemia:

normal abdominal girth
normal pH
normal lung x-ray
normal ECG result

Question 9
pts
The nurse is teaching the relative of a patient who just had a kidney transplant about intake andoutput
monitoring. You will be worried if the patient’s relative stated that:

“I will make sure he uses measuring cup every time he takes in fluid.”“He
moved her bowel this morning twice!”
“I will drain the foley catheter every hour and record it.”
“I do not know how much his vomitus was this morning.”

, Question 10
pts
A client with MS is experiencing bowel incontinence and is starting a bowel retraining program.Which
strategy is inappropriate?

Using an elevated toilet seat.
Setting a regular time for elimination.
Eating a diet high in fiber.
Limiting fluid intake to 1000 mL/day.

Question 11
pts
A Full Thickness burn is describe as:

Thick, dry in appearance, pearly gray or charred black color and painless
Moist, shiny in appearance, pearly gray or charred black color and is painful when exposed toair
Moist, shiny in appearance, salmon pink to red color, and is painful when exposed to airReddened skin,
with edema but no blistering, burn blanches under pressure

Question 12
pts
A child has an order to receive 250 mL of intravenous fluids every 4 hours. The nurse would setthe infusion
pump using microdrip tubing to run at which of the following flow rates?

10 mL/hour
63 mL/hour
25 mL/hour
42 mL/hour

Question 13
pts
The nurse should prepare which of the following materials if a patient is for cystoclysis?

3-way catheter
IV Catheter
straight catheter
foley catheter

Question 14
pts
The client is now in the End-Stage Renal Disease, which of these following data supports this?The client

has 80% non - functioning nephrons