MED-SURGxIIxHESIxTESTxBANKxQUESTIONSx&xANSWERSx2024x100%xA+xGRADED
A.
AxnursexisxreinforcingxteachingxwithxaxclientxwhoxhasxHIVxandxisxbeingxdischargedxtoxhome.xWhichxofxthexf
ollowingxinstructionsxshouldxthexnursexincludexinxthexteaching?
A. Takextemperaturexoncexaxday.
B. Washxthexarmpitsxandxgenitalsxwithxaxgentlexcleanserxdaily.x
C.xChangexthexlitterxboxesxwhilexwearingxgloves.
D.xWashxdishesxinxwarmxwater.x
ANS:A.
Axnursexisxcaringxforxaxclientxwhoxisxpostoperativexfollowingxaxtracheostomy,xandxhasxcopiousxandxtenacio
usxsecretions.xWhichxofxthexfollowingxisxanxacceptablexmethodxforxthexnursextoxusextoxthinxthisxclient'sxsecre
tions?
A. Providexhumidifiedxoxygen.
B. Performxchestxphysiotherapyxpriorxtoxsuctioning.
C. Prelubricatexthexsuctionxcatheterxtipxwithxsterilexsalinexwhenxsuctioningxthexairway.xD
.xHyperventilatexthexclientxwithx100%xoxygenxbeforexsuctioningxthexairway..
ANS:B.
Followingxadmission,xaxclientxwithxaxvascularxocclusionxofxthexrightxlowerxextremityxcallsxthexnursexandxre
portsxdifficultyxsleepingxbecausexofxcoldxfeet.xWhichxofxthexfollowingxnursingxactionsxshouldxthexnursexta
kextoxpromotexthexclient'sxcomfort?
A.xRubxthexclient'sxfeetxbrisklyxforxseveralxminutes.x
B.xObtainxaxpairxofxslipperxsocksxforxthexclient.
C.xIncreasexthexclient'sxoralxfluidxintake.
D.xPlacexaxmoistxheatingxpadxunderxthexclient'sxfeet.xA
NS:C.
Axnursexisxcaringxforxaxclientxisxwhoxisx4xhrxpostoperativexfollowingxaxtransurethralxresectionxofxthexpr
ostatex(TURP).xWhichxofxthexfollowingxisxthexpriorityxfindingxforxthexnursexreportxtoxthexprovider?xA.xE
mesisxofx100xmL
B.xOralxtemperaturexofx37.5°xCx(99.5°xF)x
C.xThick,xred-coloredxurine
D.xPainxlevelxofx4xonxax0xtox10xratingxscalexA
NS:A.
Axnursexisxcaringxforxaxclientxwhoxhasxaxtemperaturexofx39.7°xCx(103.5°xF)xandxhasxaxprescriptionxforxaxhy
pothermiaxblanket.xThexnursexshouldxmonitorxthexclientxforxwhichxofxthexfollowingxadversexeffectsxofxthexh
ypothermiaxblanket?
A.xShiveringx
B.xInfectionx
C.xBurns
, MED-SURGxIIxHESIxTESTxBANKxQUESTIONSx&xANSWERSx2024x100%xA+xGRADED
D.xHypervolemiax
ANS:D.
, MED-SURGxIIxHESIxTESTxBANKxQUESTIONSx&xANSWERSx2024x100%xA+xGRADED
Axnursexisxreinforcingxteachingxaboutxexercisexwithxaxclientxwhoxhasxtypex1xdiabetesxmellitus.xWhichxofxthexf
ollowingxstatementsxbyxthexclientxindicatesxanxunderstandingxofxthexteaching?
A.x"IxwillxcarryxaxcomplexxcarbohydratexsnackxwithxmexwhenxIxexercise."xB
.x"Ixshouldxexercisexfirstxthingxinxthexmorningxbeforexeatingxbreakfast."
C.x"IxshouldxavoidxinjectingxinsulinxintoxmyxthighxifxIxamxgoingxtoxgoxrunning."xD.x"
Ixwillxnotxexercisexifxmyxurinexisxpositivexforxketones."
ANS:A.
Axnursexnotesxaxsmallxsectionxofxbowelxprotrudingxfromxthexabdominalxincisionxofxaxclientxwho
isxpostoperative.xAfterxcallingxforxassistance,xwhichxofxthexfollowingxactionsxshouldxthexnursextakexfirst
?
A.xCoverxthexclient'sxwoundxwithxaxmoist,xsterilexdressing.xB
.xHavexthexclientxliexsupinexwithxkneesxflexed.
C.xCheckxthexclient'sxvitalxsigns.
D.xInformxthexclientxaboutxthexneedxtoxreturnxtoxsurgery.xAN
S:B.
Axnursexisxcollectingxdataxfromxaxclientxwhoxhasxalcoholxusexdisorderxandxisxexperiencingxmetabolicxacidosi
s.xWhichxofxthexfollowingxmanifestationsxshouldxthexnursexexpect?
A.xCool,xclammyxskin.x
B.xHyperventilation
C.xIncreasedxbloodxpressurex
D.xBradycardia
ANS:A.
Axnursexisxreinforcingxdischargexteachingxwithxaxclientxfollowingxaxcataractxextraction.xWhichxofxthexfollowin
gxshouldxthexnursexincludexinxthexteaching?
A. Avoidxbendingxatxthexwaist.
B. Removexthexeyexshieldxatxbedtime.
C. Limitxthexusexofxlaxativesxifxconstipated.
D. Seeingxflashesxofxlightxisxanxexpectedxfindingxfollowingxextraction.xA
NS:C
Axnursexisxcaringxforxaxclientxwhoxhasxheartxfailurexandxhasxbeenxtakingxdigoxinx0.25xmgxdaily.xThexclientxr
efusesxbreakfastxandxreportsxnausea.xWhichxofxthexfollowingxactionsxshouldxthexnursextakexfirst?
1)xSuggestxthatxthexclientxrestsxbeforexeatingxthexmeal.x2
)xRequestxaxdietaryxconsult.
3) Checkxthexclient'sxvitalxsigns.
4) Requestxanxorderxforxanxantiemetic.x
ANS:D.
Axnursexisxcaringxforxaxclientxwhoxisx3xdaysxpostoperativexfollowingxaxcholecystectomy.xThexnursexsus
pectsxthexclient'sxwoundxisxinfectedxbecausexthexdrainagexfromxthexdressingxisxyellowxandxthick.xWhic
hxofxthexfollowingxfindingsxshouldxthexnursexreportxasxthextypexofxdrainagexfound?
1) Sanguineous
2) Serous
, MED-SURGxIIxHESIxTESTxBANKxQUESTIONSx&xANSWERSx2024x100%xA+xGRADED
3) Serosanguinous
4) Purulentx
ANS:A.
A.
AxnursexisxreinforcingxteachingxwithxaxclientxwhoxhasxHIVxandxisxbeingxdischargedxtoxhome.xWhichxofxthexf
ollowingxinstructionsxshouldxthexnursexincludexinxthexteaching?
A. Takextemperaturexoncexaxday.
B. Washxthexarmpitsxandxgenitalsxwithxaxgentlexcleanserxdaily.x
C.xChangexthexlitterxboxesxwhilexwearingxgloves.
D.xWashxdishesxinxwarmxwater.x
ANS:A.
Axnursexisxcaringxforxaxclientxwhoxisxpostoperativexfollowingxaxtracheostomy,xandxhasxcopiousxandxtenacio
usxsecretions.xWhichxofxthexfollowingxisxanxacceptablexmethodxforxthexnursextoxusextoxthinxthisxclient'sxsecre
tions?
A. Providexhumidifiedxoxygen.
B. Performxchestxphysiotherapyxpriorxtoxsuctioning.
C. Prelubricatexthexsuctionxcatheterxtipxwithxsterilexsalinexwhenxsuctioningxthexairway.xD
.xHyperventilatexthexclientxwithx100%xoxygenxbeforexsuctioningxthexairway..
ANS:B.
Followingxadmission,xaxclientxwithxaxvascularxocclusionxofxthexrightxlowerxextremityxcallsxthexnursexandxre
portsxdifficultyxsleepingxbecausexofxcoldxfeet.xWhichxofxthexfollowingxnursingxactionsxshouldxthexnursexta
kextoxpromotexthexclient'sxcomfort?
A.xRubxthexclient'sxfeetxbrisklyxforxseveralxminutes.x
B.xObtainxaxpairxofxslipperxsocksxforxthexclient.
C.xIncreasexthexclient'sxoralxfluidxintake.
D.xPlacexaxmoistxheatingxpadxunderxthexclient'sxfeet.xA
NS:C.
Axnursexisxcaringxforxaxclientxisxwhoxisx4xhrxpostoperativexfollowingxaxtransurethralxresectionxofxthexpr
ostatex(TURP).xWhichxofxthexfollowingxisxthexpriorityxfindingxforxthexnursexreportxtoxthexprovider?xA.xE
mesisxofx100xmL
B.xOralxtemperaturexofx37.5°xCx(99.5°xF)x
C.xThick,xred-coloredxurine
D.xPainxlevelxofx4xonxax0xtox10xratingxscalexA
NS:A.
Axnursexisxcaringxforxaxclientxwhoxhasxaxtemperaturexofx39.7°xCx(103.5°xF)xandxhasxaxprescriptionxforxaxhy
pothermiaxblanket.xThexnursexshouldxmonitorxthexclientxforxwhichxofxthexfollowingxadversexeffectsxofxthexh
ypothermiaxblanket?
A.xShiveringx
B.xInfectionx
C.xBurns
, MED-SURGxIIxHESIxTESTxBANKxQUESTIONSx&xANSWERSx2024x100%xA+xGRADED
D.xHypervolemiax
ANS:D.
, MED-SURGxIIxHESIxTESTxBANKxQUESTIONSx&xANSWERSx2024x100%xA+xGRADED
Axnursexisxreinforcingxteachingxaboutxexercisexwithxaxclientxwhoxhasxtypex1xdiabetesxmellitus.xWhichxofxthexf
ollowingxstatementsxbyxthexclientxindicatesxanxunderstandingxofxthexteaching?
A.x"IxwillxcarryxaxcomplexxcarbohydratexsnackxwithxmexwhenxIxexercise."xB
.x"Ixshouldxexercisexfirstxthingxinxthexmorningxbeforexeatingxbreakfast."
C.x"IxshouldxavoidxinjectingxinsulinxintoxmyxthighxifxIxamxgoingxtoxgoxrunning."xD.x"
Ixwillxnotxexercisexifxmyxurinexisxpositivexforxketones."
ANS:A.
Axnursexnotesxaxsmallxsectionxofxbowelxprotrudingxfromxthexabdominalxincisionxofxaxclientxwho
isxpostoperative.xAfterxcallingxforxassistance,xwhichxofxthexfollowingxactionsxshouldxthexnursextakexfirst
?
A.xCoverxthexclient'sxwoundxwithxaxmoist,xsterilexdressing.xB
.xHavexthexclientxliexsupinexwithxkneesxflexed.
C.xCheckxthexclient'sxvitalxsigns.
D.xInformxthexclientxaboutxthexneedxtoxreturnxtoxsurgery.xAN
S:B.
Axnursexisxcollectingxdataxfromxaxclientxwhoxhasxalcoholxusexdisorderxandxisxexperiencingxmetabolicxacidosi
s.xWhichxofxthexfollowingxmanifestationsxshouldxthexnursexexpect?
A.xCool,xclammyxskin.x
B.xHyperventilation
C.xIncreasedxbloodxpressurex
D.xBradycardia
ANS:A.
Axnursexisxreinforcingxdischargexteachingxwithxaxclientxfollowingxaxcataractxextraction.xWhichxofxthexfollowin
gxshouldxthexnursexincludexinxthexteaching?
A. Avoidxbendingxatxthexwaist.
B. Removexthexeyexshieldxatxbedtime.
C. Limitxthexusexofxlaxativesxifxconstipated.
D. Seeingxflashesxofxlightxisxanxexpectedxfindingxfollowingxextraction.xA
NS:C
Axnursexisxcaringxforxaxclientxwhoxhasxheartxfailurexandxhasxbeenxtakingxdigoxinx0.25xmgxdaily.xThexclientxr
efusesxbreakfastxandxreportsxnausea.xWhichxofxthexfollowingxactionsxshouldxthexnursextakexfirst?
1)xSuggestxthatxthexclientxrestsxbeforexeatingxthexmeal.x2
)xRequestxaxdietaryxconsult.
3) Checkxthexclient'sxvitalxsigns.
4) Requestxanxorderxforxanxantiemetic.x
ANS:D.
Axnursexisxcaringxforxaxclientxwhoxisx3xdaysxpostoperativexfollowingxaxcholecystectomy.xThexnursexsus
pectsxthexclient'sxwoundxisxinfectedxbecausexthexdrainagexfromxthexdressingxisxyellowxandxthick.xWhic
hxofxthexfollowingxfindingsxshouldxthexnursexreportxasxthextypexofxdrainagexfound?
1) Sanguineous
2) Serous
, MED-SURGxIIxHESIxTESTxBANKxQUESTIONSx&xANSWERSx2024x100%xA+xGRADED
3) Serosanguinous
4) Purulentx
ANS:A.
