Medical Surgical Final
A nurse is caring for a client who has returned from the surgical suite following surgery
for a fractured mandible. The client had intermaxillary fixation to repair and stabilize the
fracture. Which of the following actions is the priority for the nurse to take?Pr - Answer
Prevent aspiration
A nurse is caring for a client who has Cushing's syndrome. The nurse should recognize
that which of the following are manifestations of Cushing's syndrome? (Select all that
apply.) - Answer moon face, aloplecia or purple striation, and buffalo hump
A nurse is assessing a client who is admitted for elective surgery and has a history of
Addison's disease which of the following findings should the nurse expect? - Answer
hyperpigmentation
A nurse is caring for a client who has just developed a pulmonary embolism. Which of
the following medications should the nurse anticipate administering? - Answer Heparin
Lab results for four clients-which is a manifestation of primary hyperparathyroidism: -
Answer Client who has increased magnesium level
The nurse is teaching a client who has a new diagnosis of hyperparathyroidism -nurse
should include in teaching that client is at risk for with of the following complications: -
Answer pathologic fracture
When assessing an individual for potential of Polycystic kidney disease nurse should
expect: - Answer Flank pain
Nurse has pt. With new AV graft in left forearm-which techniques should nurse assess
the patency of graft: - Answer auscultate for a bruit
A nurse is caring for an adolescent client who has a newly applied fiberglass cast for a
fractured tibia. Which of the following is the priority action for the nurse to take? -
Answer Perform a neurovascular assessment
A nurse is assessing a client who has Parkinson's disease. Which of the following
manifestations should the nurse expect? - Answer Bradykinesia
A nurse is assessing the reflexes of a client who has an unrepaired femur fractures and
has suddenly become stuporous. For which of the following findings should the nurse
identify that the client exhibits Babinskis sign? - Answer Dorsi flexion of the great big toe
A nurse is caring for an unconcious client who has a loss of the corneal reflex. Which of
the following actions should the nurse take? - Answer Apply lubrication eye drops
, A nurse is caring for a client who has ulcerative colitis and is teaching the client about
the common link with Crohn's disease. Which of the following information should the
nurse include? - Answer Both are inflammatory
A nurse is caring for an older client who has left-sided hear failure. Which of the
following assessment findings should the nurse expect? - Answer Frothy sputum
A nurse is teaching a client who has AKI about the oliguric phase. Which of the
following information should the nurse include in the teaching? - Answer urine output is
less than 400 mL per 24 hours
A nurse is reviewing the lab results from a client who has a prerenal AKI. Which of the
following electrolye imbalances should the nurse expect? - Answer hyperkalemia
Client has peptic ulcer disease, indication of GI perforation - Answer sudden abdominal
pain
A nurse is caring for a client who is receiving peritoneal dialysis. The nurse should
monitor the client for which of the following manifestations of the peritonitis? - Answer
Nausea and vomiting
A client who has a history of MI is prescribed aspirin 325 mg. The nurse recognized that
the aspirin is given due to which of the following actions of the medication? - Answer
anti-platelet aggregate
Identify rhythms
Ventricular tachycardia
Ventricular Fib
Supraventricular tachycardia - Answer
Anurses is reviewing the lab data of a client who has acute pancreatitis. The nurse
should expect to find an elevation of which of the following values? - Answer Lipase
A nurse is in a client's room when the client begins having a tonic-clonic seizure. Which
of the following actions should the nurse take first? - Answer Turn the client's head to
the side
A nurse is reviewing the EKG strip of a client who has prolonged vomiting. Which of the
following abnormalities on the client's EKG should the nurse interpret as a sign of
hypokalemia? - Answer Abnormally prominent U wave
What does ESR indicate? - Answer Rheumatoid arthritis
A nurse is providing dietary teaching to a client who develops VFIB, client is
unresponsive, pulseless, and apneic. Nurses priority - Answer Defibrillation
A nurse is caring for a client who has returned from the surgical suite following surgery
for a fractured mandible. The client had intermaxillary fixation to repair and stabilize the
fracture. Which of the following actions is the priority for the nurse to take?Pr - Answer
Prevent aspiration
A nurse is caring for a client who has Cushing's syndrome. The nurse should recognize
that which of the following are manifestations of Cushing's syndrome? (Select all that
apply.) - Answer moon face, aloplecia or purple striation, and buffalo hump
A nurse is assessing a client who is admitted for elective surgery and has a history of
Addison's disease which of the following findings should the nurse expect? - Answer
hyperpigmentation
A nurse is caring for a client who has just developed a pulmonary embolism. Which of
the following medications should the nurse anticipate administering? - Answer Heparin
Lab results for four clients-which is a manifestation of primary hyperparathyroidism: -
Answer Client who has increased magnesium level
The nurse is teaching a client who has a new diagnosis of hyperparathyroidism -nurse
should include in teaching that client is at risk for with of the following complications: -
Answer pathologic fracture
When assessing an individual for potential of Polycystic kidney disease nurse should
expect: - Answer Flank pain
Nurse has pt. With new AV graft in left forearm-which techniques should nurse assess
the patency of graft: - Answer auscultate for a bruit
A nurse is caring for an adolescent client who has a newly applied fiberglass cast for a
fractured tibia. Which of the following is the priority action for the nurse to take? -
Answer Perform a neurovascular assessment
A nurse is assessing a client who has Parkinson's disease. Which of the following
manifestations should the nurse expect? - Answer Bradykinesia
A nurse is assessing the reflexes of a client who has an unrepaired femur fractures and
has suddenly become stuporous. For which of the following findings should the nurse
identify that the client exhibits Babinskis sign? - Answer Dorsi flexion of the great big toe
A nurse is caring for an unconcious client who has a loss of the corneal reflex. Which of
the following actions should the nurse take? - Answer Apply lubrication eye drops
, A nurse is caring for a client who has ulcerative colitis and is teaching the client about
the common link with Crohn's disease. Which of the following information should the
nurse include? - Answer Both are inflammatory
A nurse is caring for an older client who has left-sided hear failure. Which of the
following assessment findings should the nurse expect? - Answer Frothy sputum
A nurse is teaching a client who has AKI about the oliguric phase. Which of the
following information should the nurse include in the teaching? - Answer urine output is
less than 400 mL per 24 hours
A nurse is reviewing the lab results from a client who has a prerenal AKI. Which of the
following electrolye imbalances should the nurse expect? - Answer hyperkalemia
Client has peptic ulcer disease, indication of GI perforation - Answer sudden abdominal
pain
A nurse is caring for a client who is receiving peritoneal dialysis. The nurse should
monitor the client for which of the following manifestations of the peritonitis? - Answer
Nausea and vomiting
A client who has a history of MI is prescribed aspirin 325 mg. The nurse recognized that
the aspirin is given due to which of the following actions of the medication? - Answer
anti-platelet aggregate
Identify rhythms
Ventricular tachycardia
Ventricular Fib
Supraventricular tachycardia - Answer
Anurses is reviewing the lab data of a client who has acute pancreatitis. The nurse
should expect to find an elevation of which of the following values? - Answer Lipase
A nurse is in a client's room when the client begins having a tonic-clonic seizure. Which
of the following actions should the nurse take first? - Answer Turn the client's head to
the side
A nurse is reviewing the EKG strip of a client who has prolonged vomiting. Which of the
following abnormalities on the client's EKG should the nurse interpret as a sign of
hypokalemia? - Answer Abnormally prominent U wave
What does ESR indicate? - Answer Rheumatoid arthritis
A nurse is providing dietary teaching to a client who develops VFIB, client is
unresponsive, pulseless, and apneic. Nurses priority - Answer Defibrillation
