Med Surg 1 Final Exam Question And
Answers 2024
A nurse is caring for a client who is postprocedure following
lumbar puncture and reports a throbbing headache when sitting
upright. Which of the following actions should the nurse take?
(Select all that apply)
a.) Use the Glasgow Coma Scale when assessing the client
b.) Assist the client to a supine position
c.) Administer an opioid medications
d.) Encourgae the client to increase fluid intake
e.) Instruct the client to perform deep breathing and coughing
exercises - correct answers✅b,c,d
A nurse is caring for a client who experienced a traumatic head
injury and has an intraventricular catheter (ventriculostomy) for
ICP monitoring. The nurse should monitor the client for which of
the following complications related to the ventriculostomy?
a.) Headache
b.) Infection
c.) Aphasia
,Med Surg 1 Final Exam Question And
Answers 2024
d.) Hypertension - correct answers✅b
A nurse is assessing a client for changes in the level of
consciousness using the Glasgow Coma Scale (GCS). The client
opens his eyes when spoken to, speaks incoherently, and moves
his extremities when pain is applied. Which of the following GCS
scores should the nurse document?
a.) E2+V3+M5 = 10
b.) E3+V4+M4= 11
c.) E4+V5+M6= 15
d.) E2+V2+M4= 8 - correct answers✅b
A nurse is developing a plan of care for a client who is scheduled
for a cerebral angiography with contrast media. Which of the
following statements by the client should the nurse report to the
provider? (Slect all that apply)
a.) "I think I might be pregnant."
b.) "I take warfarin."
,Med Surg 1 Final Exam Question And
Answers 2024
c.) "I take antihypertensive medication."
d.) "I am allergic to shrimp."
e.) "I ate a light breakfast this morning." - correct
answers✅a,b,d,e
A nurse is providing a education to a client who is to undergo an
electroencephalogram (EEG) the next day. Which of the following
information should the nurse include in the teaching?
a.) "Do not wash your hair the morning of the procedure."
b.) "Try to stay awake most of the night prior to the procedure."
c.) "The procedure will take approximately 15 minutes."
d.) "You will need to lie flat for 4 hours after the procedure." -
correct answers✅b
A nurse is assessing a client who has a seizure disorder. The client
tells the nurse, "I am about to have a seizure." Which of the
following actions should the nurse implement?
a.) provide privacy
, Med Surg 1 Final Exam Question And
Answers 2024
b.) Ease the client to the floor if standing
c.) Move furniture away from the client
d.) Loosen the client's clothing
e.) Protect the client's head with padding
f.) Restrain the client - correct answers✅a,b,c,d,e
A nurse is caring for a client who just experienced a generalized
seizure. Which of the following actions should the nurse perform
first?
a.) Keep the client in a side-lying position
b.) Document the duration of the seizure
c.) Reorient the client to the environment
d.) Provide client hygeine - correct answers✅a
A nurse is providing discharge instructions to a client who has a
prescription for phenytoin. Which of the following information
should the nurse include?
Answers 2024
A nurse is caring for a client who is postprocedure following
lumbar puncture and reports a throbbing headache when sitting
upright. Which of the following actions should the nurse take?
(Select all that apply)
a.) Use the Glasgow Coma Scale when assessing the client
b.) Assist the client to a supine position
c.) Administer an opioid medications
d.) Encourgae the client to increase fluid intake
e.) Instruct the client to perform deep breathing and coughing
exercises - correct answers✅b,c,d
A nurse is caring for a client who experienced a traumatic head
injury and has an intraventricular catheter (ventriculostomy) for
ICP monitoring. The nurse should monitor the client for which of
the following complications related to the ventriculostomy?
a.) Headache
b.) Infection
c.) Aphasia
,Med Surg 1 Final Exam Question And
Answers 2024
d.) Hypertension - correct answers✅b
A nurse is assessing a client for changes in the level of
consciousness using the Glasgow Coma Scale (GCS). The client
opens his eyes when spoken to, speaks incoherently, and moves
his extremities when pain is applied. Which of the following GCS
scores should the nurse document?
a.) E2+V3+M5 = 10
b.) E3+V4+M4= 11
c.) E4+V5+M6= 15
d.) E2+V2+M4= 8 - correct answers✅b
A nurse is developing a plan of care for a client who is scheduled
for a cerebral angiography with contrast media. Which of the
following statements by the client should the nurse report to the
provider? (Slect all that apply)
a.) "I think I might be pregnant."
b.) "I take warfarin."
,Med Surg 1 Final Exam Question And
Answers 2024
c.) "I take antihypertensive medication."
d.) "I am allergic to shrimp."
e.) "I ate a light breakfast this morning." - correct
answers✅a,b,d,e
A nurse is providing a education to a client who is to undergo an
electroencephalogram (EEG) the next day. Which of the following
information should the nurse include in the teaching?
a.) "Do not wash your hair the morning of the procedure."
b.) "Try to stay awake most of the night prior to the procedure."
c.) "The procedure will take approximately 15 minutes."
d.) "You will need to lie flat for 4 hours after the procedure." -
correct answers✅b
A nurse is assessing a client who has a seizure disorder. The client
tells the nurse, "I am about to have a seizure." Which of the
following actions should the nurse implement?
a.) provide privacy
, Med Surg 1 Final Exam Question And
Answers 2024
b.) Ease the client to the floor if standing
c.) Move furniture away from the client
d.) Loosen the client's clothing
e.) Protect the client's head with padding
f.) Restrain the client - correct answers✅a,b,c,d,e
A nurse is caring for a client who just experienced a generalized
seizure. Which of the following actions should the nurse perform
first?
a.) Keep the client in a side-lying position
b.) Document the duration of the seizure
c.) Reorient the client to the environment
d.) Provide client hygeine - correct answers✅a
A nurse is providing discharge instructions to a client who has a
prescription for phenytoin. Which of the following information
should the nurse include?
