NURS 314 MED SURGE EXAM QUESTIONS WITH CORRECT
ANSWERS 2023 A+ SUCCESS GUARANTEED
A client is prescribed 1% silver sulfadiazine cream (Silvadene) to be applied to her burn
wounds twice daily. After 3 days of treatment, the nurse suspects an adverse reaction to the
medication when the client develops which of the following?
Leukopenia
Transient leukopenia is a common adverse effect that appears after 2 to 3 days of treatment
with silver sulfadiazine cream.
A client with a large healing deep partial thickness burn of the forearm and wrist is being
discharged from the burn treatment clinic. Which of the following should the nurse tell the
client to avoid for a year?
Exposure to the sun
A deep partial thickness burn occurs when the first layer of skin, the epidermis, is burned all
the way through, and some level of burning occurs in the underlying layer of skin, called the
dermis. A deep partial thickness burn can cause permanent scars, much like a full thickness
burn.
Exposure to sun of the newly formed and healing skin in the year following a burn injury
can cause more intense scarring.
A nurse on a surgical unit is caring for four clients with healing wounds. Which of the four
clints wounds should the nurse anticipate will heal by primary intention?
,NURS 314 MED SURGE EXAM QUESTIONS WITH CORRECT
ANSWERS 2023 A+ SUCCESS GUARANTEED
Gastroplasty incision
Would closure occurs by primary intention (surgical closure), secondary intention (left open
to close by the reparative process), and tertiary closure (left open and surgically closed at a
later date). With primary intention, a clean would is closed mechanically, leaving well
approximated edges and minimal scarring. A surgical incision is an example of a wound that
heals by primary intention.
A client is being discharged after surgical excision of a malignant melanoma. Which
statement indicated to the nurse an understanding of the danger of ultraviolet light?
I’ll reapply my sunscreen every 2 hours when I’m out in the sun.
Even water- resistant sunscreens should be reapplied at least every 2 hr after swimming or
during prolonged sun exposure.
A client is admitted for treatment of malignant melanoma of the left upper leg. Initially,
the nurse plans to prepare the client for which of the following?
Surgical excision
the therapeutic approach to malignant melanoma depends on the level of invasion and the
depth of the lesion. Surgical excision is the treatment of choice for small, superficial
lesions. Deeper lesions require wide local excision, after which skin grafting may be
needed.
A client is about to undergo a biopsy of a 6-mm, bluish- red lesion. In addition to a thorough
,NURS 314 MED SURGE EXAM QUESTIONS WITH CORRECT
ANSWERS 2023 A+ SUCCESS GUARANTEED
skin examination, the nurse knows the most critical assessment to be made at this time is the
status of the clients
Regional lymph nodes
The description of the lesion suggests a malignant melanoma. The assessment should include
not only a thorough skin examination, but also palpation of the regional lymph nodes that
drain the area near the lesion.
When targeting a group of clients for health teaching, the nurse should be aware that
which group is at greatest risk for developing malignant melanoma?
Clients who are fair- haired, fair- skinned, and of Celtic descent
Clients who have fair hair, fair skin, and blue eyes and are of Celtic descent are at the highest risk
for developing skin cancer.
A client with an undiagnosed lesion on the back of his right hand is concerned about the
possibility of skin cancer. When the client asks what the most serious type of skin cancer is,
the nurse responds based on the knowledge that most malignant tumors are
Melanomas
Melanomas are malignant neoplasms with atypical melanocytes in both the epidermis and the
dermis (and sometimes the subcutaneous cells). It is the most lethal type of skin cancer, often
causing metastases in bone, liver, lungs, spleen, the central nervous system, and lymph nodes.
, NURS 314 MED SURGE EXAM QUESTIONS WITH CORRECT
ANSWERS 2023 A+ SUCCESS GUARANTEED
A client is hospitalized with extensive full thickness burns of both legs. In response to the
clients questions, the nurse explains that during the acute phase of burn injury, biological
dressings are used primarily to
Promote healing
Biological dressings are temporary grafts used during the acute phase to increase the rate of
epithelialization, act as a barrier to protect the wound from contamination, and reduce fluid and
protein loss.
A nurse teaches a wheelchair bound client to reduce the risk of pressure ulcer formation
by instructing the client to do which of the following?
“Shift your weight in the wheelchair every 15 minutes.”
This response addresses the safety issue of the risk of pressure ulcers. Pressure ulcers, wounds
that develop due to prolonged pressure on a particular point of the body, are most likely to
develop if the client does not shift position frequently.
A client had had a basal cell carcinoma removed by surgical excision. The nurse instructs
the client to watch for indications of potential malignancy in other moles, including which
of the following?
Ulceration
Ulceration, bleeding, or exudation are indications of a mole’s potential malignancy.
Increasing size is also a warning sign. The nurse should emphasize the importance of a
ANSWERS 2023 A+ SUCCESS GUARANTEED
A client is prescribed 1% silver sulfadiazine cream (Silvadene) to be applied to her burn
wounds twice daily. After 3 days of treatment, the nurse suspects an adverse reaction to the
medication when the client develops which of the following?
Leukopenia
Transient leukopenia is a common adverse effect that appears after 2 to 3 days of treatment
with silver sulfadiazine cream.
A client with a large healing deep partial thickness burn of the forearm and wrist is being
discharged from the burn treatment clinic. Which of the following should the nurse tell the
client to avoid for a year?
Exposure to the sun
A deep partial thickness burn occurs when the first layer of skin, the epidermis, is burned all
the way through, and some level of burning occurs in the underlying layer of skin, called the
dermis. A deep partial thickness burn can cause permanent scars, much like a full thickness
burn.
Exposure to sun of the newly formed and healing skin in the year following a burn injury
can cause more intense scarring.
A nurse on a surgical unit is caring for four clients with healing wounds. Which of the four
clints wounds should the nurse anticipate will heal by primary intention?
,NURS 314 MED SURGE EXAM QUESTIONS WITH CORRECT
ANSWERS 2023 A+ SUCCESS GUARANTEED
Gastroplasty incision
Would closure occurs by primary intention (surgical closure), secondary intention (left open
to close by the reparative process), and tertiary closure (left open and surgically closed at a
later date). With primary intention, a clean would is closed mechanically, leaving well
approximated edges and minimal scarring. A surgical incision is an example of a wound that
heals by primary intention.
A client is being discharged after surgical excision of a malignant melanoma. Which
statement indicated to the nurse an understanding of the danger of ultraviolet light?
I’ll reapply my sunscreen every 2 hours when I’m out in the sun.
Even water- resistant sunscreens should be reapplied at least every 2 hr after swimming or
during prolonged sun exposure.
A client is admitted for treatment of malignant melanoma of the left upper leg. Initially,
the nurse plans to prepare the client for which of the following?
Surgical excision
the therapeutic approach to malignant melanoma depends on the level of invasion and the
depth of the lesion. Surgical excision is the treatment of choice for small, superficial
lesions. Deeper lesions require wide local excision, after which skin grafting may be
needed.
A client is about to undergo a biopsy of a 6-mm, bluish- red lesion. In addition to a thorough
,NURS 314 MED SURGE EXAM QUESTIONS WITH CORRECT
ANSWERS 2023 A+ SUCCESS GUARANTEED
skin examination, the nurse knows the most critical assessment to be made at this time is the
status of the clients
Regional lymph nodes
The description of the lesion suggests a malignant melanoma. The assessment should include
not only a thorough skin examination, but also palpation of the regional lymph nodes that
drain the area near the lesion.
When targeting a group of clients for health teaching, the nurse should be aware that
which group is at greatest risk for developing malignant melanoma?
Clients who are fair- haired, fair- skinned, and of Celtic descent
Clients who have fair hair, fair skin, and blue eyes and are of Celtic descent are at the highest risk
for developing skin cancer.
A client with an undiagnosed lesion on the back of his right hand is concerned about the
possibility of skin cancer. When the client asks what the most serious type of skin cancer is,
the nurse responds based on the knowledge that most malignant tumors are
Melanomas
Melanomas are malignant neoplasms with atypical melanocytes in both the epidermis and the
dermis (and sometimes the subcutaneous cells). It is the most lethal type of skin cancer, often
causing metastases in bone, liver, lungs, spleen, the central nervous system, and lymph nodes.
, NURS 314 MED SURGE EXAM QUESTIONS WITH CORRECT
ANSWERS 2023 A+ SUCCESS GUARANTEED
A client is hospitalized with extensive full thickness burns of both legs. In response to the
clients questions, the nurse explains that during the acute phase of burn injury, biological
dressings are used primarily to
Promote healing
Biological dressings are temporary grafts used during the acute phase to increase the rate of
epithelialization, act as a barrier to protect the wound from contamination, and reduce fluid and
protein loss.
A nurse teaches a wheelchair bound client to reduce the risk of pressure ulcer formation
by instructing the client to do which of the following?
“Shift your weight in the wheelchair every 15 minutes.”
This response addresses the safety issue of the risk of pressure ulcers. Pressure ulcers, wounds
that develop due to prolonged pressure on a particular point of the body, are most likely to
develop if the client does not shift position frequently.
A client had had a basal cell carcinoma removed by surgical excision. The nurse instructs
the client to watch for indications of potential malignancy in other moles, including which
of the following?
Ulceration
Ulceration, bleeding, or exudation are indications of a mole’s potential malignancy.
Increasing size is also a warning sign. The nurse should emphasize the importance of a
