evssm_04
Medical-Surgical Nursing Exam 1 P a g e |1
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1. Mrs. Chua a 78 year old client is admitted with the diagnosis of mild chronic heart failure. The nurse
expects to hear when listening to client’s lungs indicative of chronic heart failure would be:
A. Stridor
B. Crackles
C. Wheezes
D. Friction rubs
2. Patrick who is hospitalized following a myocardial infarction asks the nurse why he is taking
morphine. The nurse explains that morphine:
A. Decrease anxiety and restlessness
B. Prevents shock and relieves pain
C. Dilates coronary blood vessels
D. Helps prevent fibrillation of the heart
3. Which of the following should the nurse teach the client about the signs of digitalis toxicity?
A. Increased appetite
B. Elevated blood pressure
C. Skin rash over the chest and back
D. Visual disturbances such as seeing yellow spots
4. Nurse Trisha teaches a client with heart failure to take oral Furosemide in the morning. The reason
for this is to help…
A. Retard rapid drug absorption
B. Excrete excessive fluids accumulated at night
C. Prevents sleep disturbances during night
D. Prevention of electrolyte imbalance
5. What would be the primary goal of therapy for a client with pulmonary edema and heart failure?
A. Enhance comfort
B. Increase cardiac output
C. Improve respiratory status
D. Peripheral edema decreased
6. Nurse Linda is caring for a client with head injury and monitoring the client with decerebrate
posturing. Which of the following is a characteristic of this type of posturing?
A. Upper extremity flexion with lower extremity flexion
B. Upper extremity flexion with lower extremity extension
, Medical-Surgical Nursing Exam 1 P a g e |2
Twitter: @DiaryniSN
Email:
C. Extension of the extremities after a stimulus
D. Flexion of the extremities after stimulus
7. A female client is taking Cascara Sagrada. Nurse Betty informs the client that the following maybe
experienced as side effects of this medication:
A. GI bleeding
B. Peptic ulcer disease
C. Abdominal cramps
D. Partial bowel obstruction
8. Dr. Marquez orders a continuous intravenous nitroglycerin infusion for the client suffering from
myocardial infarction. Which of the following is the most essential nursing action?
A. Monitoring urine output frequently
B. Monitoring blood pressure every 4 hours
C. Obtaining serum potassium levels daily
D. Obtaining infusion pump for the medication
9. During the second day of hospitalization of the client after a Myocardial Infarction. Which of the
following is an expected outcome?
A. Able to perform self-care activities without pain
B. Severe chest pain
C. Can recognize the risk factors of Myocardial Infarction
D. Can Participate in cardiac rehabilitation walking program
10. A 68 year old client is diagnosed with a right-sided brain attack and is admitted to the hospital. In
caring for this client, the nurse should plan to:
A. Application of elastic stockings to prevent flaccid by muscle
B. Use hand roll and extend the left upper extremity on a pillow to prevent contractions
C. Use a bed cradle to prevent dorsiflexion of feet
D. Do passive range of motion exercise
11. Nurse Liza is assigned to care for a client who has returned to the nursing unit after left
nephrectomy. Nurse Liza’s highest priority would be…
A. Hourly urine output
B. Temperature
C. Able to turn side to side
D. Able to sips clear liquid
Medical-Surgical Nursing Exam 1 P a g e |1
Twitter: @DiaryniSN
Email:
1. Mrs. Chua a 78 year old client is admitted with the diagnosis of mild chronic heart failure. The nurse
expects to hear when listening to client’s lungs indicative of chronic heart failure would be:
A. Stridor
B. Crackles
C. Wheezes
D. Friction rubs
2. Patrick who is hospitalized following a myocardial infarction asks the nurse why he is taking
morphine. The nurse explains that morphine:
A. Decrease anxiety and restlessness
B. Prevents shock and relieves pain
C. Dilates coronary blood vessels
D. Helps prevent fibrillation of the heart
3. Which of the following should the nurse teach the client about the signs of digitalis toxicity?
A. Increased appetite
B. Elevated blood pressure
C. Skin rash over the chest and back
D. Visual disturbances such as seeing yellow spots
4. Nurse Trisha teaches a client with heart failure to take oral Furosemide in the morning. The reason
for this is to help…
A. Retard rapid drug absorption
B. Excrete excessive fluids accumulated at night
C. Prevents sleep disturbances during night
D. Prevention of electrolyte imbalance
5. What would be the primary goal of therapy for a client with pulmonary edema and heart failure?
A. Enhance comfort
B. Increase cardiac output
C. Improve respiratory status
D. Peripheral edema decreased
6. Nurse Linda is caring for a client with head injury and monitoring the client with decerebrate
posturing. Which of the following is a characteristic of this type of posturing?
A. Upper extremity flexion with lower extremity flexion
B. Upper extremity flexion with lower extremity extension
, Medical-Surgical Nursing Exam 1 P a g e |2
Twitter: @DiaryniSN
Email:
C. Extension of the extremities after a stimulus
D. Flexion of the extremities after stimulus
7. A female client is taking Cascara Sagrada. Nurse Betty informs the client that the following maybe
experienced as side effects of this medication:
A. GI bleeding
B. Peptic ulcer disease
C. Abdominal cramps
D. Partial bowel obstruction
8. Dr. Marquez orders a continuous intravenous nitroglycerin infusion for the client suffering from
myocardial infarction. Which of the following is the most essential nursing action?
A. Monitoring urine output frequently
B. Monitoring blood pressure every 4 hours
C. Obtaining serum potassium levels daily
D. Obtaining infusion pump for the medication
9. During the second day of hospitalization of the client after a Myocardial Infarction. Which of the
following is an expected outcome?
A. Able to perform self-care activities without pain
B. Severe chest pain
C. Can recognize the risk factors of Myocardial Infarction
D. Can Participate in cardiac rehabilitation walking program
10. A 68 year old client is diagnosed with a right-sided brain attack and is admitted to the hospital. In
caring for this client, the nurse should plan to:
A. Application of elastic stockings to prevent flaccid by muscle
B. Use hand roll and extend the left upper extremity on a pillow to prevent contractions
C. Use a bed cradle to prevent dorsiflexion of feet
D. Do passive range of motion exercise
11. Nurse Liza is assigned to care for a client who has returned to the nursing unit after left
nephrectomy. Nurse Liza’s highest priority would be…
A. Hourly urine output
B. Temperature
C. Able to turn side to side
D. Able to sips clear liquid
