HH IV Med Surg TEST #1 - Practice Questions Questions
With Complete Solutions
A client admitted with metastatic lung cancer is ordered to
receive morphine sulphate for pain. The nurse should assess for
which of the following common adverse reactions to this
medication?
a) Constipation
b) Agitation
c) Diarrhea
d) Urinary incontinence Correct Answer a)
A client asks the nurse why a dose of morphine sulphate by IV
bolus is given before starting the medication via PCA. Which of
the following responses is most appropriate?
a) "PCA takes at least 2 hours to begin working, so the IV bolus
dose will provide pain relief in the interim."
b) "The IV bolus dose will enhance the effects of the PCA for
the next 8 hours."
c) "The IV bolus dose will provide for immediate pain relief,
which can be maintained by using the PCA."
d) "PCA will never be effective unless a bolus dose is given
first." Correct Answer c)
A client with a history of end-stage renal disease secondary to
diabetes mellitus has presented to the outpatient dialysis unit for
scheduled hemodialysis. Which of the following assessments
should the nurse prioritize before, during, and after his
treatment?
,a) Level of consciousness
b) Blood pressure and fluid balance
c) Temperature, heart rate, and blood pressure
d) Assessment for signs and symptoms of infection Correct
Answer b)
A client with osteoarthritis has been taking ibuprofen 400 mg
every 8 hours. The client states that the drug does not seem to
work as well as it used to in controlling the pain. The most
appropriate response to the client is based on knowledge of
which of the following?
a) Another NSAID may be indicated because of individual
variations in response to drug therapy.
b) The client is probably not compliant with the drug therapy
and therefore the nurse must initially assess the client's
knowledge base and initiate appropriate teaching.
c) If NSAIDs are not effective in controlling symptoms,
systemic corticosteroids are the next line of therapy.
d) It may take several months for NSAIDs to reach therapeutic
levels in the blood and thus be effective. Correct Answer a)
A postoperative client has an order to receive morphine sulphate
4 mg IM every 3-4 hours PRN for pain. On hand are prefilled
syringes labelled morphine sulphate 10 mg/mL. How many
millilitres should the nurse administer?
a) 0.4 mL
b) 0.55 mL
c) 0.6 mL
, d) 0.75 mL Correct Answer a)
After administering oxycodone for complaints of pain, which of
the following interventions would be of highest priority for the
nurse to complete before leaving the client's room?
a) Leave the overbed light on at low setting.
b) Ensure that the upper two side rails are raised
c) Offer to turn on the television to provide distraction.
d) Ensure that documentation of intake and output is accurate.
Correct Answer b)
Before administering meloxicam, the nurse will assess the
client's medical record for which of the following medications
that would increase the risk of adverse effects?
a) Acetylsalicylic acid
b) Scopolamine
c) Theophylline
d) Acetaminophen Correct Answer a)
Bronchial obstruction by retained secretions has contributed to a
postoperative client's recent pulse oximetry reading of 87%.
Which of the following health problems is the client
experiencing?
a) Atelectasis
b) Bronchospasm
c) Hypoventilation
d) Pulmonary embolism Correct Answer a)
With Complete Solutions
A client admitted with metastatic lung cancer is ordered to
receive morphine sulphate for pain. The nurse should assess for
which of the following common adverse reactions to this
medication?
a) Constipation
b) Agitation
c) Diarrhea
d) Urinary incontinence Correct Answer a)
A client asks the nurse why a dose of morphine sulphate by IV
bolus is given before starting the medication via PCA. Which of
the following responses is most appropriate?
a) "PCA takes at least 2 hours to begin working, so the IV bolus
dose will provide pain relief in the interim."
b) "The IV bolus dose will enhance the effects of the PCA for
the next 8 hours."
c) "The IV bolus dose will provide for immediate pain relief,
which can be maintained by using the PCA."
d) "PCA will never be effective unless a bolus dose is given
first." Correct Answer c)
A client with a history of end-stage renal disease secondary to
diabetes mellitus has presented to the outpatient dialysis unit for
scheduled hemodialysis. Which of the following assessments
should the nurse prioritize before, during, and after his
treatment?
,a) Level of consciousness
b) Blood pressure and fluid balance
c) Temperature, heart rate, and blood pressure
d) Assessment for signs and symptoms of infection Correct
Answer b)
A client with osteoarthritis has been taking ibuprofen 400 mg
every 8 hours. The client states that the drug does not seem to
work as well as it used to in controlling the pain. The most
appropriate response to the client is based on knowledge of
which of the following?
a) Another NSAID may be indicated because of individual
variations in response to drug therapy.
b) The client is probably not compliant with the drug therapy
and therefore the nurse must initially assess the client's
knowledge base and initiate appropriate teaching.
c) If NSAIDs are not effective in controlling symptoms,
systemic corticosteroids are the next line of therapy.
d) It may take several months for NSAIDs to reach therapeutic
levels in the blood and thus be effective. Correct Answer a)
A postoperative client has an order to receive morphine sulphate
4 mg IM every 3-4 hours PRN for pain. On hand are prefilled
syringes labelled morphine sulphate 10 mg/mL. How many
millilitres should the nurse administer?
a) 0.4 mL
b) 0.55 mL
c) 0.6 mL
, d) 0.75 mL Correct Answer a)
After administering oxycodone for complaints of pain, which of
the following interventions would be of highest priority for the
nurse to complete before leaving the client's room?
a) Leave the overbed light on at low setting.
b) Ensure that the upper two side rails are raised
c) Offer to turn on the television to provide distraction.
d) Ensure that documentation of intake and output is accurate.
Correct Answer b)
Before administering meloxicam, the nurse will assess the
client's medical record for which of the following medications
that would increase the risk of adverse effects?
a) Acetylsalicylic acid
b) Scopolamine
c) Theophylline
d) Acetaminophen Correct Answer a)
Bronchial obstruction by retained secretions has contributed to a
postoperative client's recent pulse oximetry reading of 87%.
Which of the following health problems is the client
experiencing?
a) Atelectasis
b) Bronchospasm
c) Hypoventilation
d) Pulmonary embolism Correct Answer a)
