NURS 6541 MED SURGE EXAM 2023 QUESTIONS WITH
COMPLETE SOLUTIONS A+ ASSUARED SUCCESS
client has venous insufficiency about self-care. client understands
teaching? i will wear clean graduated compression stockings every day
client has end stage kidney disease about organ donation. nurse include in
teaching? the client who receives a kidney from a live donor has a lower rate of transplant
rejection
client is exhibiting manifestations of a febrile reaction while receiving blood transfusion.
meds should nurse administer?
acetaminophen
client receiving plasmapheresis through venous access site. action nurse take?
check electrolyte levels before and after therapy
client at client for a 1 week follow up visit after HF. nurse report to
provider? HR 55/min
preop teaching for client with scheduled for open cholecystectomy, action nurse
take? demonstrate ways to deep breathe and cough
acute care facility caring for client at risk for seizures. precautions nurse implement?
ensure that the client has a patent IV
client has bladder cancer and undergo cutaneous diversion procedure to establish
ureterstomy. nurse include in teaching?
cut the opening of the skin barrier 1/8inch wider than the stoma
assessing male client for inguinal hernia. which area should the nurse palpate to verify
has inguinal hernia?
C
client is 8hr postop total hip arthroplasty, client unable to void on bedpan. action nurse
, NURS 6541 MED SURGE EXAM 2023 QUESTIONS WITH
COMPLETE SOLUTIONS A+ ASSUARED SUCCESS
take first?
scan bladder with portable ultrasound
Set 2
A nurse is reviewing the medical record of a client who has systemic
lupus erythematosus. Which of the following findings should the nurse
expect?
Facial butterfly rash.
R: A butterfly rash is a manifestation of SLE. It appears as a dry red rash on the clients cheeks
and nose and can disappear during times of remission.
A nurse is caring for a client who is receiving plasmapheresis through a venous access
site. Which of the following actions should the nurse take?
Check electrolyte levels before and after therapy.
R: Plasmapheresis can cause citrate induced hypocalcemia. Therefore the nurse should monitor
the clients electrolyte levels before and after therapy.
, NURS 6541 MED SURGE EXAM 2023 QUESTIONS WITH
COMPLETE SOLUTIONS A+ ASSUARED SUCCESS
A nurse is assessing a client who has Graves disease. Which of the following images
should indicate to the nurse that the client has exophthalmos?
The nurse should identify an outward protrusion of the eyes is exophthalmos a common finding
of graves disease. An overproduction of the thyroid hormone causes edema of the extraocular
muscle and increases fatty tissue behind the eye which results in the eyes protruding outward.
Exophthalmos can cause the client to experience problems with vision including focusing on
objects as well as pressure on the optic nerve.
A nurse is performing a cardiac assessment for a client who had a myocardial infarction 2
days ago. Which of the following actions should the nurse take first after hearing the
following sound?
Listen with the client on his left side. When providing nursing care the nurse should first use the
least invasive intervention. Therefore after auscultating a murmur the first action the nurse
should take is to place the client on his left side and listen to his heart again.
A nurse is providing teaching to an older adult female client who has stress incontinence
and a BMI of 32. Which of the following statements by the client indicates an
understanding of the teaching question mark
I am dieting to lose weight. Excess weight cut creates increased abdominal pressure that can
result in stress incontinence.
A nurse is reviewing the ABG results of a client who has advanced COPD. Which of the
following results should the nurse expect?
Paco2 of 56. A client who has COPD retains paco2 due to the weakening and the collapse of the
alveolar sacs which decreases the area and lungs for gas exchange and causes the paco2 to
increase above the expected reference range.
A nurse is providing teaching to a client who is perimenopausal and has a prescription for
, NURS 6541 MED SURGE EXAM 2023 QUESTIONS WITH
COMPLETE SOLUTIONS A+ ASSUARED SUCCESS
hormone replacement therapy. For which of the following adverse effects should the
nurse instruct the client to notify the provider? Select all that apply.
Calf pain, numbness in the arms and intense headache. Calf pain is an indication of DVT and the
client should report this finding to the provider immediately. Numbness in the arms can indicate
cerebrovascular accident which is an adverse effect of hormone replacement therapy and an
intense headache can indicate a cerebrovascular accident.
A nurse is providing teaching to a client who has chronic kidney disease and a new
prescription for erythropoietin. Which of the following statements by the client
indicates an understanding of the teaching?
I am taking this medication to increase my energy level. The goal of erythropoietin therapy is to
increase the level of hematocrit and clients who have anemia. When the medication is effective
the client should have a decreasing fatigue and an improvement and activity tolerance.
A nurse is teaching a client who has venous insufficiency about self-care. Which of the
following statements should the nurse identify as an indication that the client understands
teaching?
I will wear clean graduated compression stockings everyday. The client should apply a clean
pair of graduated compression stockings each day and clean soiled stockings with mild detergent
and warm water by hand.
A nurse is preparing to present a program about atherosclerosis at a health fair. Which of
the following recommendations should the nurse plan to include? Select all that apply.
Follow a smoking cessation program maintain an appropriate weight eat a low-fat diet and
increase fluid intake. Smoking cessation is an important lifestyle modification to prevent
Arthur
COMPLETE SOLUTIONS A+ ASSUARED SUCCESS
client has venous insufficiency about self-care. client understands
teaching? i will wear clean graduated compression stockings every day
client has end stage kidney disease about organ donation. nurse include in
teaching? the client who receives a kidney from a live donor has a lower rate of transplant
rejection
client is exhibiting manifestations of a febrile reaction while receiving blood transfusion.
meds should nurse administer?
acetaminophen
client receiving plasmapheresis through venous access site. action nurse take?
check electrolyte levels before and after therapy
client at client for a 1 week follow up visit after HF. nurse report to
provider? HR 55/min
preop teaching for client with scheduled for open cholecystectomy, action nurse
take? demonstrate ways to deep breathe and cough
acute care facility caring for client at risk for seizures. precautions nurse implement?
ensure that the client has a patent IV
client has bladder cancer and undergo cutaneous diversion procedure to establish
ureterstomy. nurse include in teaching?
cut the opening of the skin barrier 1/8inch wider than the stoma
assessing male client for inguinal hernia. which area should the nurse palpate to verify
has inguinal hernia?
C
client is 8hr postop total hip arthroplasty, client unable to void on bedpan. action nurse
, NURS 6541 MED SURGE EXAM 2023 QUESTIONS WITH
COMPLETE SOLUTIONS A+ ASSUARED SUCCESS
take first?
scan bladder with portable ultrasound
Set 2
A nurse is reviewing the medical record of a client who has systemic
lupus erythematosus. Which of the following findings should the nurse
expect?
Facial butterfly rash.
R: A butterfly rash is a manifestation of SLE. It appears as a dry red rash on the clients cheeks
and nose and can disappear during times of remission.
A nurse is caring for a client who is receiving plasmapheresis through a venous access
site. Which of the following actions should the nurse take?
Check electrolyte levels before and after therapy.
R: Plasmapheresis can cause citrate induced hypocalcemia. Therefore the nurse should monitor
the clients electrolyte levels before and after therapy.
, NURS 6541 MED SURGE EXAM 2023 QUESTIONS WITH
COMPLETE SOLUTIONS A+ ASSUARED SUCCESS
A nurse is assessing a client who has Graves disease. Which of the following images
should indicate to the nurse that the client has exophthalmos?
The nurse should identify an outward protrusion of the eyes is exophthalmos a common finding
of graves disease. An overproduction of the thyroid hormone causes edema of the extraocular
muscle and increases fatty tissue behind the eye which results in the eyes protruding outward.
Exophthalmos can cause the client to experience problems with vision including focusing on
objects as well as pressure on the optic nerve.
A nurse is performing a cardiac assessment for a client who had a myocardial infarction 2
days ago. Which of the following actions should the nurse take first after hearing the
following sound?
Listen with the client on his left side. When providing nursing care the nurse should first use the
least invasive intervention. Therefore after auscultating a murmur the first action the nurse
should take is to place the client on his left side and listen to his heart again.
A nurse is providing teaching to an older adult female client who has stress incontinence
and a BMI of 32. Which of the following statements by the client indicates an
understanding of the teaching question mark
I am dieting to lose weight. Excess weight cut creates increased abdominal pressure that can
result in stress incontinence.
A nurse is reviewing the ABG results of a client who has advanced COPD. Which of the
following results should the nurse expect?
Paco2 of 56. A client who has COPD retains paco2 due to the weakening and the collapse of the
alveolar sacs which decreases the area and lungs for gas exchange and causes the paco2 to
increase above the expected reference range.
A nurse is providing teaching to a client who is perimenopausal and has a prescription for
, NURS 6541 MED SURGE EXAM 2023 QUESTIONS WITH
COMPLETE SOLUTIONS A+ ASSUARED SUCCESS
hormone replacement therapy. For which of the following adverse effects should the
nurse instruct the client to notify the provider? Select all that apply.
Calf pain, numbness in the arms and intense headache. Calf pain is an indication of DVT and the
client should report this finding to the provider immediately. Numbness in the arms can indicate
cerebrovascular accident which is an adverse effect of hormone replacement therapy and an
intense headache can indicate a cerebrovascular accident.
A nurse is providing teaching to a client who has chronic kidney disease and a new
prescription for erythropoietin. Which of the following statements by the client
indicates an understanding of the teaching?
I am taking this medication to increase my energy level. The goal of erythropoietin therapy is to
increase the level of hematocrit and clients who have anemia. When the medication is effective
the client should have a decreasing fatigue and an improvement and activity tolerance.
A nurse is teaching a client who has venous insufficiency about self-care. Which of the
following statements should the nurse identify as an indication that the client understands
teaching?
I will wear clean graduated compression stockings everyday. The client should apply a clean
pair of graduated compression stockings each day and clean soiled stockings with mild detergent
and warm water by hand.
A nurse is preparing to present a program about atherosclerosis at a health fair. Which of
the following recommendations should the nurse plan to include? Select all that apply.
Follow a smoking cessation program maintain an appropriate weight eat a low-fat diet and
increase fluid intake. Smoking cessation is an important lifestyle modification to prevent
Arthur
