Med-Surg test bank practice Questions and answers

A nurse is caring for a client who has pancreatitis and has been receiving total parenteral nutrition. Which of the following laboratory tests should the nurse monitor for overall nutritional status? Prealbumin A nurse is caring for a client in diabetic ketoacidosis. Which of the following is the priority intervention by the nurse? Check potassium levels A nurse is preparing to administer furosemide to a client who has acute heart failure. Which of the following laboratory results should the nurse identify as a contraindication for receiving the medication? Potassium 3.2 A nurse in the emergency department is preparing a client for emergency surgery. The client’s alcohol level is 180. Which of the following action is the nurse priority? Insert an NG Tube A nurse is caring for a client who has bladder cancer and a WBC of 900. Which of the following action should the nurse take? Use Contact isolation while providing care A nurse is teaching a client who has asthma about the use of a peak flow meter. After setting the meter to the zero baseline, what is the sequence of steps the nurse should instruct the client to take? (Use all steps) *this is the correct steps… I found the correct sequence. * “Stand upright.”1 “Fill your lungs with a deep breath.”3 “Seal your lips around the mouthpiece.”2 “Exhale forcefully and quickly.”4 “Record the highest of three consecutive readings.”5 A nurse is preparing to perform ocular irrigation for a client following a chemical splash to the eye. Which of the following actions should the nurse plan to take? Collect information about the irritant that caused injury *I think this is correct* Administer proparacaine eyedrop into the infected eye Place a strip of ph paper onto the colder sac of the infected eye Instill 0.9% sodium chloride into the affected eye *do not choose this* A nurse is providing instructions about foot care for a client who has peripheral arterial disease. The nurse should identify that which of the following statements by the client indicates an understanding of the teaching? I rest in my recliner with my feet elevated for about an hour every afternoon A nurse is caring for older client with dementia, which of the following finding questions should the nurse ask to assess the clients abstract thinking? Can you tell me the state where you were born? Can you count backwards? Do not choose this answer… got it wrong “what do a dog and cat have in common” ask what two traits are similar but not identical A nurse is caring for a client who is scheduled for an abdominal paracentesis. The nurse should plan to take which of the following actions? Ask client to empty his bladder prior to the procedure A nurse is caring for a client who has hypotension, cool and clammy skin, tachycardia, and tachypnea. In which of the following positions should the nurse place the client? Reverse Trendelenburg * Side Lying High Fowlers Feet elevated A nurse is assessing a client who is preoperative and reports an allergy to bananas. The nurse should recognize that the client is at risk for an allergic cross reactivity to which of the following substance? latex A nurse is caring for a client who has diabetes mellitus and has been following a treatment plan for 3 months. Which of the following laboratory result should the nurse monitor to determine long term diabetes? A1C glycated hemoglobin A nurse is teaching a client who has diabetes mellitus about foot care. Which of the following instructions should the nurse include? “Wear cotton rather than nylon sock” A nurse is assessing a client who has pericarditis, in which of the following areas of the client’s chest should the nurse place the stethoscope to pleural friction rub? This will be an image….. choose Erb’s Point (3rd Intercostal, Central) A nurse is providing teaching to a client and his partner about performing peritoneal dialysis at home. When discussing peritonitis, which of the following manifestations should the nurse identify as the earliest indication of this complication? Generalized abdominal pain Cloudy effluent Fever Increased heart rate A nurse is reviewing the medication list of a client who is being admitted with diabetes insipidus. Which of the following medication places the client at an increased risk for developing diabetes insipidus? (according to google… drugs include lithium, amphotericin, cidofovir, demeclocycline, didanosine, foscarnet, ofloxacin, orlistat) Ranitidine Atorvastatin do not choose… got it wrong ??didn’t give the answer choice ??didn’t give the answer choice A nurse is planning a staff education session about hepatitis A. Which of the following information should the nurse include? Immunization for hep A is recommended prior to travel A nurse is administering potassium chloride via IV infusion to a client who has sever hypokalemia. Which of the following actions should the nurse take? Monitor the client for adequate urine output A nurse is assessing a client who has a new diagnosis of diverticulitis and report that he uses multiple complementary and alternative healing therapies. Which of the following complimentary therapies should the nurse identify as a contraindication for the client? Acupuncture A nurse is assessing a client who has a pressure ulcer. Which of the following findings should the nurse expect as an indication the wound is healing? Dark red granulation tissue A nurse is assessing a client who has cirrhosis. Which of the following finding is a priority for the nurse to report? Platelet 70,000 A nurse is planning care for a client who has status epilepticus. Which of the following intervention is the nurse priority to include? Turn the client to the lateral position during seizure A nurse is caring for an older adult client who is suspected of having septicemia. Which of the following actions is the nurse’s priority? Obtain a blood specimen for culture and sensitivity testing Dosage calc- a nurse is preparing to administer piperacillin 3.375g by intermittent iv every 6 hours. available is 3.375g in water 100ml to infuse over 30min. the nurse should set the pump at how many ml/hr = I got 200… A nurse is providing discharge teaching to a client who has an impaired immune system due to chemotherapy. Which of the following information should the nurse include in the teaching? Wash your perineal area two times each day with antimicrobial soap Dosage calc ….. don’t have the question. A nurse is caring for a client who has a chest tube. The client asks why does the fluid and the water seal chamber rises and falls. Which of the following statement should the nurse make? Your breathing pattern causes this A nurse is caring for a client who has Meniere’s disease. Which of the following intervention should the nurse include in the plan? Encourage the client to change position slowly A nurse is providing discharge teaching to a client following a modified left radical mastectomy with breast expander. Which of the following statements by the client indicates an understanding of the teaching? “I should expect less than 25 ml of secretions per day in the drainage devices” A nurse on an oncology unit is caring for a client receiving enternal radiation therapy, which of the following action should the nurse take? Wear a lead apron when providing the client care A nurse is providing teaching for a client who has a deep vein thrombosis. Which of the following findings should the nurse identify as a risk factor of the development for DVT? Oral contraceptive A nurse in a provider office is caring for a client who has a total vision loss and has a service dog. Which of the following action should the nurse take to show consideration for the client and the service animal? Consult the client before approaching the dog A nurse is administering furosemide 80 to a client with pulmonary edema. Which of the following assessment findings indicates the nurse that the medication is effective? Weight loss of 1.8 kg (4lb) in the past 24 hr. A nurse is providing preoperative teaching to a client who is having a left sided cardiac catherization. Which of the following information should the nurse include in the teaching You should expect a warm sensation after the injection of the contrast dye during the procedure You will receive a general anesthetic during the procedure – they are given LOCAL anesthesia You will have blood pressure measurements every 5 mins for the first 2 hours after the procedure- every 5min for 30 min You should plan to remain in bed for 18 hours after the procedure – it’s 4-6 hours A nurse is assessing a client admitted with peripheral vascular disease. Which of the following findings indicate a venous vascular disorder? Hair loss not sure, one of the two. An ulcer on the tip of the toe Edema of the ankle Leg pain at rest wrong answer A nurse is teaching about food choices to a client who has chronic kidney disease and must limit potassium intake. Which of the follow choices should the nurse recommend as containing the least amount of potassium? White rice A nurse is caring for a client with a total knee arthroplasty. The client reports a pain level of 6 on a pain scale of 0-10. Which of the following interventions should the nurse take? Apply ice pack to the client’s knee A nurse is preparing to administer 2 units of packed red blood cells to a client. Which of the following actions should the nurse take? Prime the tube with 0.9 saline chloride A nurse is caring for a client who has just undergone a total laryngectomy. Which of the following finding is the nurse priority for immediate intervention? IV filtration Fever tachypnea blood thin secretions A nurse is providing discharge teaching about blood glucose monitoring for a client who has a new diagnose of type 2 diabetes mellites. The nurse should instruct the client to obtain which of the following supplies? Sterile lancet Compression stockings Toe nail clippers Hand mirror A nurse is completing discharge teaching with a client who has a new diagnosis of AIDS. Which of the following statements by the client indicates an understanding of the teaching? I will increase the amount of fresh veggies I will wipe up areas soiled with body fluids with alcohol and immediately dispose of the trash *(should be in a biohazard bag… not the trash)* I will need to take my clothes to the dry cleaners to sterilize them I will be sure to wear gloves and wash my hands when I change my cat’s litter box A community health nurse is reviewing home care instructions with an older adult client who has a new diagnosis of heart failure. Which of the following is the priority topic for the nurse to review with the client? Daily exercise routine DO NOT choose this answer, it’s wrong… did not say the other 3 options…… A nurse is teaching a client who has aids and wishes to continue self-care at home despite living alone. Which of the following actions by the nurse displays client advocacy? Tell the patient to avoid places where there are large crowds Initiate a referral for the client to a home health agency I think this is correct because the patient lives alone but wishes to continue self-care at home Remind the client of the importance of medication adherence Instruct the client to avoid eating raw vegetables A Nurse in a clinic is providing preventive teaching to an older adult client during a well visit. The nurse should instruct the client that which of the following immunizations are recommended for healthy adults after age 60? SATA Influenza, Pneumococcal polysaccharide, Herpes Zoster A nurse suspects that a client who has diabetes mellitus is experiencing hypoglycemia. Which of the following assessment findings supports this suspicion? Cool, clammy skin A nurse is caring for a client who has anemia. Which of the following assessment finding should the nurse anticipate with the clients condition? headaches A nurse is caring for a client who has advanced liver disease. Which of the following laboratory results should the nurse monitor when assessing the client? Serum Ammonia A nurse is providing discharge teaching for a client who has asthma and a new prescription for a meter dose inhaler. Which of the following client statement indicates an understanding of the teaching? I should shake the inhaler before I use it A nurse is caring for a client who is receiving radiation. The client reports nausea since the therapy was initiated. Which of the following considerations should the nurse include when planning the client’s meals? Offer frequent high-carbohydrate meals A nurse in an emergency department is caring for a client who was involve in an explosion. Which of the following action should the nurse plan to take first? Initiate peripheral access Notify the rapid