BIOL 131 MEDSURG QUESTIONS
Week 3 Medical Surgical Pre Assignment Quiz
1.) A client is receiving a second dose of IV cefazolin
postoperatively. The nurse notes urticarial, dyspnea, anxiety,
and hypotension. Which of the following should the nurse
anticipate administering?
Oral diphenhydramine
Parenteral diazepam
Parenteral epinephrine
Oral hydroxyzine
2.) A nurse is providing teaching to a client who is diagnosed
with migraine headaches. The client is prescribed ergotamine
sublingual. Which of the following should the nurse include in
her instructions?
Take one tablet three times a day before meals
Take one tablet at onset of migraine
Take up to eight tablets as needed within a 24-hr period
Take one tablet every 15 min until migraine subsides
3.) A nurse is caring for a client who has just been transferred
from the PACU to the medical-surgical unit following a colon
resection. The client reports pain of an 8 on a scale from 0 to
10 and has a prescription for morphine sulfate 4 mg IV bolus
PRN pain every 2 hr. Which of the following actions should the
nurse take first?
Administer the morphine sulfate
Check the client’s PACU medication record
Notify the provider
Change the client’s position
4.) A client newly diagnosed with hypothyroidism is prescribed
levothyroxine 0.25 mg PO daily. After 6 weeks of treatment,
the nurse determines that the medication was effective if the
thyroid-stimulating hormone (TSH) level is 2 microunits/mL
total T4 level is 3 mcg/dL
total T3 level is 65 ng/dL
thyroxine-binding globulin (TBG) is 1.0 mg/dL
5.) A client is taking trimethoprim/sulfamethoxazole. Which of
the following findings should the nurse report to the provider?
,BIOL 131 MEDSURG QUESTIONS
Dry cough
Involuntary wrist contraction
Photosensitivity
Vesicular, crusty rash
6.) A nurse is caring for a client who has candidiasis. Which of
the following medications should the nurse expect to
administer?
Fluconazole
Metronidazole
Linezolid
Nitrofurantoin
7.) A nurse is assessing a client who is taking indomethacin.
For which of the following should the nurse monitor to
evaluate the medication’s effectiveness?
Reduced pain
Improved balance
Relaxed muscles
Weight loss
8.) A nurse is administering donepezil to a client who has
Alzheimer’s disease. Which of the following documented
findings should the nurse report to the provider immediately?
Dyspepsia
Diarrhea
Dizziness
Dyspnea
9.) A client who has a history of hypertension tells the nurse
that he uses over-the-counter oral decongestants for nasal
congestion. The nurse should advise the client that
decongestants
can decrease heart rate
should be limited to no more than 3 days
can constrict blood vessels
are less effective than antihistamines
10.) A nurse is caring for a client who is experiencing acute
alcohol withdrawal. For which of the following is the client
prescribed chlordiazepoxide?
Minimize diaphoresis
, BIOL 131 MEDSURG QUESTIONS
Maintain abstinence
Lessen craving
Prevent delirium tremors
11.) A nurse is caring for a client who taking acetazolamide for
chronic open angle glaucoma. For which of the following
adverse effects should the nurse instruct the client to monitor
and report?
Blurring of vision
Tinnitus
Tingling of fingers
Hypoglycemia
12.) A nurse is caring for a client who has heart failure and is
discharged with a prescription of furosemide. The nurse
should plan to instruct the client that which of the following
are potential adverse effects of this medication? (Select all
that apply)
dizziness
hypokalemia
seizures
urinary frequency
hypoglycemia
13.) A nurse is monitoring a client receiving an IV infusion of
magnesium sulfate for preterm labor. Which of the following
findings indicates to the nurse that the client is experiencing
magnesium toxicity?
Clonus
Raised blood pressure
Decreased level of
consciousness Agitation
14.) A nurse is planning to teach a client about taking
methotrexate. For which of the following should the nurse
instruct the client to monitor and report to the provider?
Tinnitus
Palpitations
Fever
Insomnia
Week 3 Medical Surgical Pre Assignment Quiz
1.) A client is receiving a second dose of IV cefazolin
postoperatively. The nurse notes urticarial, dyspnea, anxiety,
and hypotension. Which of the following should the nurse
anticipate administering?
Oral diphenhydramine
Parenteral diazepam
Parenteral epinephrine
Oral hydroxyzine
2.) A nurse is providing teaching to a client who is diagnosed
with migraine headaches. The client is prescribed ergotamine
sublingual. Which of the following should the nurse include in
her instructions?
Take one tablet three times a day before meals
Take one tablet at onset of migraine
Take up to eight tablets as needed within a 24-hr period
Take one tablet every 15 min until migraine subsides
3.) A nurse is caring for a client who has just been transferred
from the PACU to the medical-surgical unit following a colon
resection. The client reports pain of an 8 on a scale from 0 to
10 and has a prescription for morphine sulfate 4 mg IV bolus
PRN pain every 2 hr. Which of the following actions should the
nurse take first?
Administer the morphine sulfate
Check the client’s PACU medication record
Notify the provider
Change the client’s position
4.) A client newly diagnosed with hypothyroidism is prescribed
levothyroxine 0.25 mg PO daily. After 6 weeks of treatment,
the nurse determines that the medication was effective if the
thyroid-stimulating hormone (TSH) level is 2 microunits/mL
total T4 level is 3 mcg/dL
total T3 level is 65 ng/dL
thyroxine-binding globulin (TBG) is 1.0 mg/dL
5.) A client is taking trimethoprim/sulfamethoxazole. Which of
the following findings should the nurse report to the provider?
,BIOL 131 MEDSURG QUESTIONS
Dry cough
Involuntary wrist contraction
Photosensitivity
Vesicular, crusty rash
6.) A nurse is caring for a client who has candidiasis. Which of
the following medications should the nurse expect to
administer?
Fluconazole
Metronidazole
Linezolid
Nitrofurantoin
7.) A nurse is assessing a client who is taking indomethacin.
For which of the following should the nurse monitor to
evaluate the medication’s effectiveness?
Reduced pain
Improved balance
Relaxed muscles
Weight loss
8.) A nurse is administering donepezil to a client who has
Alzheimer’s disease. Which of the following documented
findings should the nurse report to the provider immediately?
Dyspepsia
Diarrhea
Dizziness
Dyspnea
9.) A client who has a history of hypertension tells the nurse
that he uses over-the-counter oral decongestants for nasal
congestion. The nurse should advise the client that
decongestants
can decrease heart rate
should be limited to no more than 3 days
can constrict blood vessels
are less effective than antihistamines
10.) A nurse is caring for a client who is experiencing acute
alcohol withdrawal. For which of the following is the client
prescribed chlordiazepoxide?
Minimize diaphoresis
, BIOL 131 MEDSURG QUESTIONS
Maintain abstinence
Lessen craving
Prevent delirium tremors
11.) A nurse is caring for a client who taking acetazolamide for
chronic open angle glaucoma. For which of the following
adverse effects should the nurse instruct the client to monitor
and report?
Blurring of vision
Tinnitus
Tingling of fingers
Hypoglycemia
12.) A nurse is caring for a client who has heart failure and is
discharged with a prescription of furosemide. The nurse
should plan to instruct the client that which of the following
are potential adverse effects of this medication? (Select all
that apply)
dizziness
hypokalemia
seizures
urinary frequency
hypoglycemia
13.) A nurse is monitoring a client receiving an IV infusion of
magnesium sulfate for preterm labor. Which of the following
findings indicates to the nurse that the client is experiencing
magnesium toxicity?
Clonus
Raised blood pressure
Decreased level of
consciousness Agitation
14.) A nurse is planning to teach a client about taking
methotrexate. For which of the following should the nurse
instruct the client to monitor and report to the provider?
Tinnitus
Palpitations
Fever
Insomnia
