Medical-Surgical Pre-Assignment
Variant angina (Prinzmetal's angina) - Answer Due to a coronary artery spasm, often
occurring during periods of rest.
Unstable angina - Answer Occurs with exercise or emotional stress, but it increases in
occurrence, severity, and duration over time.
Stable angina - Answer Occurs with exercise or emotional stress and is relieved by rest
or nitroglycerin (Nitrostat).
Hyperkalemia - Answer tall peaked T waves on ECG
Hypocalcemia - Answer tetany
hypokalemia - Answer flat T waves on ECG
hypercalcemia - Answer decreased deep tendon reflexes (DTRs)
Diabetes mellitus - Answer Elevated glycosylated hemoglobin (HbA1c)
Diabetes Insipidus (DI) - Answer Decreased urine specific gravity,
Syndrome of Inappropriate Secretion of Antidiuretic Hormone (SIADH) - Answer
Increased urine osmolality
Addison's disease - Answer Decreased aldosterone and rennin
Cushing's disease - Answer Elevated cortisol
Hypothyroidism - Answer Decreased triiodothyronine (T3) and thyroxine (T4)
Macular degeneration - Answer Central loss of vision
Open-angle glaucoma - Answer Loss of peripheral vision
Angle-closure glaucoma - Answer Rapid onset of elevated IOP
Retinal detachment - Answer Sudden loss of vision without pain
Cataract - Answer Progressive and painless loss of vision
Pancreatitis - Answer Turner's sign
Appendicitis - Answer Pain at McBurney's point
Cholecystitis - Answer Murphy's sign
, Medical-Surgical Pre-Assignment
Peptic Ulcer Disease - Answer Upper epigastric pain 1-2 hours after meals
Decorticate - Answer
Decerebrate - Answer
Hepatitis B - Answer Unprotected sexual contact
Nonviral Hepatitis - Answer Drug toxicity
Hepatitis A - Answer Ingestion of contaminated food/water
A nurse is caring for a client who has undergone a transurethral resection of the
prostate (TURP).
Client reports a constant need to urinate - Answer Explain the impact of the catheter
ballon size
A nurse is caring for a client who has undergone a transurethral resection of the
prostate (TURP).
Volume of urine output decreases and client reports feeling an extreme need to urinate -
Answer Irrigate with 50mL using a piston syringe
A nurse is caring for a client who has undergone a transurethral resection of the
prostate (TURP).
Urine output is bright red and contains large clots - Answer Increase rate of continuous
bladder irrigation
A client is experiencing shortness of breath, fatigue, and jugular vein distention. The
nurse auscultates a third heart sound (S3). What should the nurse anticipate as the
cause of these signs and symptoms? - Answer Heart Failure
Shortness of breath, fatigue, jugular vein distention, and an S3 are signs/symptoms of
heart failure resulting from the decreased pumping ability of the heart and increased
fluid volume.
A nurse is caring for a client experiencing hypovolemic shock. How should the nurse
position this client? - Answer Supine with legs elevated
The nurse should place the client in shock position (on back with legs elevated).
A nurse is caring for a client admitted with wheezing and coughing due to an allergic
reaction to a newly prescribed medication. Which of the following medications should be
administered first? - Answer Albuterol 3 mL via nebulizer
Variant angina (Prinzmetal's angina) - Answer Due to a coronary artery spasm, often
occurring during periods of rest.
Unstable angina - Answer Occurs with exercise or emotional stress, but it increases in
occurrence, severity, and duration over time.
Stable angina - Answer Occurs with exercise or emotional stress and is relieved by rest
or nitroglycerin (Nitrostat).
Hyperkalemia - Answer tall peaked T waves on ECG
Hypocalcemia - Answer tetany
hypokalemia - Answer flat T waves on ECG
hypercalcemia - Answer decreased deep tendon reflexes (DTRs)
Diabetes mellitus - Answer Elevated glycosylated hemoglobin (HbA1c)
Diabetes Insipidus (DI) - Answer Decreased urine specific gravity,
Syndrome of Inappropriate Secretion of Antidiuretic Hormone (SIADH) - Answer
Increased urine osmolality
Addison's disease - Answer Decreased aldosterone and rennin
Cushing's disease - Answer Elevated cortisol
Hypothyroidism - Answer Decreased triiodothyronine (T3) and thyroxine (T4)
Macular degeneration - Answer Central loss of vision
Open-angle glaucoma - Answer Loss of peripheral vision
Angle-closure glaucoma - Answer Rapid onset of elevated IOP
Retinal detachment - Answer Sudden loss of vision without pain
Cataract - Answer Progressive and painless loss of vision
Pancreatitis - Answer Turner's sign
Appendicitis - Answer Pain at McBurney's point
Cholecystitis - Answer Murphy's sign
, Medical-Surgical Pre-Assignment
Peptic Ulcer Disease - Answer Upper epigastric pain 1-2 hours after meals
Decorticate - Answer
Decerebrate - Answer
Hepatitis B - Answer Unprotected sexual contact
Nonviral Hepatitis - Answer Drug toxicity
Hepatitis A - Answer Ingestion of contaminated food/water
A nurse is caring for a client who has undergone a transurethral resection of the
prostate (TURP).
Client reports a constant need to urinate - Answer Explain the impact of the catheter
ballon size
A nurse is caring for a client who has undergone a transurethral resection of the
prostate (TURP).
Volume of urine output decreases and client reports feeling an extreme need to urinate -
Answer Irrigate with 50mL using a piston syringe
A nurse is caring for a client who has undergone a transurethral resection of the
prostate (TURP).
Urine output is bright red and contains large clots - Answer Increase rate of continuous
bladder irrigation
A client is experiencing shortness of breath, fatigue, and jugular vein distention. The
nurse auscultates a third heart sound (S3). What should the nurse anticipate as the
cause of these signs and symptoms? - Answer Heart Failure
Shortness of breath, fatigue, jugular vein distention, and an S3 are signs/symptoms of
heart failure resulting from the decreased pumping ability of the heart and increased
fluid volume.
A nurse is caring for a client experiencing hypovolemic shock. How should the nurse
position this client? - Answer Supine with legs elevated
The nurse should place the client in shock position (on back with legs elevated).
A nurse is caring for a client admitted with wheezing and coughing due to an allergic
reaction to a newly prescribed medication. Which of the following medications should be
administered first? - Answer Albuterol 3 mL via nebulizer
