Med Surg I - Knowledge & Clinical Judgment
Advanced Test Quiz
1. A nurse is caring for a client who has terminal pancreatic cancer. The client is competent and has
requested no resuscitative measures to be taken in the event of respiratory or cardiac arrest.
Which of the following is necessary to legally change the client's code status to do-not-resuscitate
(DNR)? - Correct answer A written prescription from the provider
2. A nurse is caring for a toddler who has acute otitis media and is prescribed benzocaine
(Americaine) ear drops for pain relief. Which of the following actions by the nurse is appropriate
when administering the ear drops? - Correct answer Warm refrigerated drops to room
temperature prior to instillation
3. A nurse is caring for a client who has a new colostomy. The client is being discharged and plans
to live with her daughter. Which of the following responses by the nurse is appropriate when the
daughter states that she doesn't know how she is going to care for her mother's colostomy? -
Correct answer "What part of your mother's care concerns you?"
4. A nurse is caring for a client who is diagnosed with bipolar disorder and is taking lithium (Lithane).
Which of the following serum lithium levels indicates the client's dosage is appropriate for
maintenance therapy? - Correct answer 0.75 mEq/L
5. A nurse is caring for a client who is scheduled for a lumbar puncture. The nurse should teach the
client that which of the following is a post-procedure complication? - Correct answer Headache
6. A nurse is reinforcing teaching about a new prescription for cromolyn sodium (Intal) metered-dose
inhaler (MDI) to a school-age child who has asthma. Which of the following statements should
indicate to the nurse that the child needs further teaching? - Correct answer "I will use my
cromolyn nebulizer before using my albuterol inhaler."
7. A nurse is planning to obtain blood pressure on four clients. On which of the following clients
should the nurse perform an electronic blood pressure measurement? - Correct answer A client
who is recovering from a cardiac catheterization
8. A nurse is caring for a client who weighs 132 lb and has been prescribed gentamicin (Garamycin)
5mg/kg/day by IV bolus in three equal doses. Available on hand is 40mg/mL that is to be added
to 50 mL 0.9% sodium chloride. How many mL should the nurse add to the solution per dose? -
Correct answer 2.5 mL
9. A nurse is providing education to the parent of an infant who is newly diagnosed with biliary
atresia. The nurse should teach the parent that which of the following is a clinical manifestation
associated with the illness? - Correct answer Dark urine
10. A nurse administrator is reviewing policies and procedures of the facility she works in to ensure
Advanced Test Quiz
1. A nurse is caring for a client who has terminal pancreatic cancer. The client is competent and has
requested no resuscitative measures to be taken in the event of respiratory or cardiac arrest.
Which of the following is necessary to legally change the client's code status to do-not-resuscitate
(DNR)? - Correct answer A written prescription from the provider
2. A nurse is caring for a toddler who has acute otitis media and is prescribed benzocaine
(Americaine) ear drops for pain relief. Which of the following actions by the nurse is appropriate
when administering the ear drops? - Correct answer Warm refrigerated drops to room
temperature prior to instillation
3. A nurse is caring for a client who has a new colostomy. The client is being discharged and plans
to live with her daughter. Which of the following responses by the nurse is appropriate when the
daughter states that she doesn't know how she is going to care for her mother's colostomy? -
Correct answer "What part of your mother's care concerns you?"
4. A nurse is caring for a client who is diagnosed with bipolar disorder and is taking lithium (Lithane).
Which of the following serum lithium levels indicates the client's dosage is appropriate for
maintenance therapy? - Correct answer 0.75 mEq/L
5. A nurse is caring for a client who is scheduled for a lumbar puncture. The nurse should teach the
client that which of the following is a post-procedure complication? - Correct answer Headache
6. A nurse is reinforcing teaching about a new prescription for cromolyn sodium (Intal) metered-dose
inhaler (MDI) to a school-age child who has asthma. Which of the following statements should
indicate to the nurse that the child needs further teaching? - Correct answer "I will use my
cromolyn nebulizer before using my albuterol inhaler."
7. A nurse is planning to obtain blood pressure on four clients. On which of the following clients
should the nurse perform an electronic blood pressure measurement? - Correct answer A client
who is recovering from a cardiac catheterization
8. A nurse is caring for a client who weighs 132 lb and has been prescribed gentamicin (Garamycin)
5mg/kg/day by IV bolus in three equal doses. Available on hand is 40mg/mL that is to be added
to 50 mL 0.9% sodium chloride. How many mL should the nurse add to the solution per dose? -
Correct answer 2.5 mL
9. A nurse is providing education to the parent of an infant who is newly diagnosed with biliary
atresia. The nurse should teach the parent that which of the following is a clinical manifestation
associated with the illness? - Correct answer Dark urine
10. A nurse administrator is reviewing policies and procedures of the facility she works in to ensure
