MEDICAL-SURGICAL NURSING EXAM
1 QUESTIONS AND ANSWERS
Thesdnursesdissdcaringsdforsdasdclientsdwhosdhassdassdasdsonsdwithsdasdstreptococcussdthroat
sdinfection.sdWhichsdnursesdrecommendationsdwouldsdbesdbestsdtosdadvisesdthesdclientsdtosd
dosdinsdordersdtosdpreventsdacquiringsdthesdinfection?sd-sdanswer--
Frequentlysdwashsdhersdhandssdandsdsurfacessdofsdthesdhome.
ThesdnursesdissdcaringsdforsdasdclientsdinfectedsdwithsdRockysdMountainsdspottedsdfever.sdT
hesdnursesdshouldsdasksdifsdthesdclientsdhassdexperiencedsdwhichsdofsdthesdfollowing?sd-
sdanswer--Wassdbittensdbysdasdtick
Thesdnursesdissdcaringsdforsdasdclientsdwithsdasdprotozoasdinfection.sdWhichsdissdthesdmostsdli
kelysdmodesdofsdtransmission?sd-sdanswer--Ingestionsdofsdcontaminatedsdfoodsdorsdwater
Thesdnursesdissdcaringsdforsdasdclientsdwhosdissdrecoveringsdfromsdansdallergicsdreaction.sdW
hichsdleukocytesdlevelsdwouldsdthesdnursesdexpectsdtosdbesdthesdmostsdelevated?sd-
sdanswer--Eosinophils
Thesdnursesdissdcaringsdforsdasdclientsdwhosdhassdansdinfectedsdwoundsdonsdthesdgreatsdtoesd
thatsdissdredsdwithsdasdpurulentsdexudate.sdThesdnursesdexpectssdthatsdthissdclientsdhassdwhi
chsdtypesdofsdinfection?sd-sdanswer--Localized
Thesdclientsdexperiencedsdasdfall.sdNursingsdassessmentsdrevealssdthatsdthesdclientsdissdex
periencingsdtachycardia,sdhypotension,sdconfusion,sdtachypnea,sdandsdflatsdjugularsdvein
s.sdWhatsdshouldsdbesdthesdnurse'ssdfirstsdresponse?sd-sdanswer--Administersdoxygen.
Thesdfamilysdwantssdtosdknowsdwhysdthesdnursesdissdputtingsdasdurinarysdcathetersdinsdasdclie
ntsdexperiencingsdshock.sdWhatsdissdthesdnurse'ssdbestsdresponse?sd-
sdanswer--"Itsdwillsdhelpsdmonitorsdhowsdmuchsdurinesdthesdkidneyssdaresdablesdtosdproduce
."
Asdclientsdexperiencingsdshocksdhassdhadsdasdurinarysdoutputsdofsd250sdmLsdinsdthesdlastsd1
0sdhours.sdWhatsdissdthesdnurse'ssdmostsdappropriatesdresponse?sd-sdanswer--
Notifysdthesdphysician.
Whichsdclientsdissdmostsdlikelysdtosdbesdexperiencingsdhypovolemicsdshock?sd-sdanswer--
Asdclientsdwhosdhadsdsurgerysd24sdhourssdagosdandsdwhosdalsosdhassdasdnasogastricsdtube
Thesdphysiciansdhassdorderedsdarterialsdbloodsdgasessdforsdasdclientsdexperiencingsdshock.
sdThesdnursesdknowssdthatsdwhichsdvaluesdindicatessdshock?sd-sdanswer--pHsd7.32
,Asd63-year-
oldsdArabsdAmericansdmalesdstatessdhissdleftsdlegsdissd"hot."sdWhatsdissdthesdnurse'ssdbestsdfi
rstsdresponse?sd-sdanswer--Assesssdforsdpain
Thesdclientsdissdcomplainingsdofsdexcruciatingsdpainsdinsdasdfootsdthatsdhassdbeensdamputat
ed.sdThesdfamilysdtellssdthesdnursesdthatsdthesdclientsdissdjustsdaddictedsdtosdpainsdmedicatio
ns.sdWhatsdissdthesdnurse'ssdbestsdresponse?sd-
sdanswer--"Hesdissdexperiencingsdphantomsdlimbsdpain."
Asdclientsdhassdhadsdabdominalsdsurgerysdandsdhassdorderssdtosdbesdambulatedsdthreesdtim
essdasdday.sdOralsdpainsdmedicationsdhassdbeensdorderedsdforsdthesdclient.sdWhatsdshouldsdt
hesdnursesddosdtosdfacilitatesdambulation?sd-sdanswer--
Mediatesd1sdhoursdpriorsdtosdambulatingsdthesdclient.
Thesdclientsdreportssdfrequentsdusesdofsdacetaminophen.sdHowsdshouldsdthesdnursesdbestsd
respond?sd-sdanswer--"Dosdyousddrinksdalcohol?"
Asdclientsdwithsdchronicsdpainsdhassdbeensdadmittedsdwithsdasdfever.sdThesdnursingsdassess
mentsdrevealssdthatsdthesdclientsdhassdasddecreasedsdlevelsdofsdconsciousness.sdWhatsdsh
ouldsdthesdnursesdasksdthesdfamilysdabout?sd-sdanswer--
Whatsdmedicationssdthesdclientsdhassdtaken
Thesdpracticalsdnursesdissdreviewingsdthesdsocialsdhistorysdfromsdasdclientsddiagnosedsdwith
sdsmallsdcellsdcarcinomasdofsdthesdlung.sdWhichsdinformationsdissdsignificantsdforsdthissddise
ase?sd-sdanswer--
Thesdclientsdhassdsmokedsdtwosd(2)sdpackssdofsdcigarettessdasddaysdforsd20sdyears
Thesdpracticalsdnursesdandsdansdunlicensedsdassistivesdpersonnelsd(UAP)sdaresdcaringsdfo
rsdasdgroupsdofsdclientssdonsdasdmedicalsdunit.sdWhichsdinformationsdprovidedsdbysdthesdUAP
sdwarrantssdimmediatesdinterventionsdbysdthesdpracticalsdnurse?sd-sdanswer--
ThesdclientsdreceivingsdProcritsd(epoetinsdalfa)sdhassdasdTsd99.2˚F,sdPsd68,sdRsd24,sdandsdBP
sdofsd198/102
Thesdclientsddiagnosedsdwithsdlungsdcancersdhassdbeensdtoldsdthesdcancersdhassdmetastasi
zedsdtosdthesdbrain.sdWhichsdinterventionsdshouldsdthesdpracticalsdnursesdexpectsdtosdimple
ment?sd-sdanswer--Discusssdimplementingsdansdadvancesddirective
Thesdclientsddiagnosedsdwithsdlungsdcancersdissdbeingsddischarged.sdWhichsdstatementsdm
adesdbysdthesdclientsdindicatessdasdreiterationsdofsdinformationsdissdrequired?sd-
sdanswer--"Itsddoesn'tsdmattersdifsdIsdsmokesdnow.sdIsdalreadysdhavesdcancer."
Thesdpracticalsdnursesdissdinterviewingsdclientssdatsdthesdclinic.sdWhichsdinformationsdprovi
dedsdbysdasdclientsdwarrantssdfurthersdinvestigation?sd-sdanswer--
Thesdclientsdhassdbeensdcoughingsdupsdbloodsdinsdthesdmornings
Thesdmalesdclientsdhadsdabdominalsdsurgerysdandsdthesdpracticalsdnursesdsuspectssdthesdcl
ientsdhassdperitonitis.sdWhichsdinformationsdsupportsdthesddiagnosissdofsdperitonitis?sd-
sdanswer--Hard,sdrigidsdabdomensdandsdwhitesdbloodsdcellsdcountsd22,000/mm3
, Thesdclientsdwhosdhadsdabdominalsdsurgerysdtellssdthesdpracticalsdnurse,sd"Isdfeltsdsomethin
gsdgivesdwaysdinsdmysdstomach."sdWhichsdinterventionsdshouldsdthesdpracticalsdnursesdimpl
ementsdfirst?sd-sdanswer--Inspectsdthesdabdominalsdwoundsdincision
Thesdclientsdissdonesd(1)sddaysdpostoperativesdmajorsdabdominalsdsurgery.sdWhichsdclientsd
problemsdissdasdpriority?sd-sdanswer--Fluidsdandsdelectrolytesdimbalance
Thesdclientsdhassdansdevisceratedsdabdominalsdwound.sdWhichsdinterventionsdshouldsdthes
dpracticalsdnursesdimplement?sd-sdanswer--Applysdsterilesdnormalsdsalinesddressing
Thesdclientsdissddiagnosedsdwithsdperitonitis.sdWhichsdinformationsdindicatessdtosdthesdprac
ticalsdnursesdthesdclient'ssdconditionsdissdimproving?sd-sdanswer--
Thesdclientsdhassdasddecreasesdinsdtemperaturesdandsdasdsoftsdabdomen
Asdpatientsdissdbeingsdreleasedsdfromsdthesdhospitalsdwithsdasdprescriptionsdforsdtetracycline
.sdWhatsdshouldsdthesdnursesdincludesdinsdpatientsdteaching?sd
Selectsdallsdthatsdapply.sd-sdanswer--Advisesdlimitingsdexposuresdtosdthesdsun.
Informsdpatientsdofsdthesdpossibilitysdofsdgastrointestinalsdupset.
Suggestsdeatingsdcrackerssdandsdsomesdjuicesdwhensdtakingsdthissdmedicine.
Thesdnursesdwantssdtosddeterminesdifsdasdpatientsdnotsdfullysdawakesdfromsdanesthesiasdfors
dasdsurgicalsdproceduresdissdexperiencingsdpain.sdWhatsdfindingssdshouldsdthesdnursesduse
sdtosdmakesdthissddetermination?sd
Selectsdallsdthatsdapply.sd-sdanswer--Moaning
Restlessness
Pullingsdatsdasdbodysdarea
Elevatedsdbloodsdpressure
Asdpatientsdissddiagnosedsdwithsdansdinfectionsdthatsdhassdspreadsdtosdthesdbloodsdstream.sd
Whichsdtermsdshouldsdthesdnursesdusesdtosddocumentsdthissdpatient'ssdhealthsdproblem?sd-
sdanswer--Sepsis
Thesdnursesdlearnssdthatsdasdpatientsdissdbeingsdadmittedsdwithsdansdinfectioussddiseasesdth
atsdissdtransmitedsdthroughsdthesdair.sdForsdwhichsdhealthsdproblemssdshouldsdthesdnursesdp
reparesdtosdprovidesdcare?sd
Selectsdallsdthatsdapply.sd-sdanswer--Measles
Tuberculosis
Chickenpox
AsdpatientsdissddiagnosedsdwithsdRockysdMountainsdspottedsdfever.sdWhatsdshouldsdthesdnu
rsesdexplainsdassdthesdmethodsdbysdwhichsdthissddiseasesdwassdtransmittedsdtosdthesdpatien
t?sd-sdanswer--Ticks
Asdpatientsdreturningsdfromsdthesdrecoverysdroomsdfollowingsdabdominalsdsurgerysdtosddrai
nsdansdabscesssdhassdasdnonsuction-
1 QUESTIONS AND ANSWERS
Thesdnursesdissdcaringsdforsdasdclientsdwhosdhassdassdasdsonsdwithsdasdstreptococcussdthroat
sdinfection.sdWhichsdnursesdrecommendationsdwouldsdbesdbestsdtosdadvisesdthesdclientsdtosd
dosdinsdordersdtosdpreventsdacquiringsdthesdinfection?sd-sdanswer--
Frequentlysdwashsdhersdhandssdandsdsurfacessdofsdthesdhome.
ThesdnursesdissdcaringsdforsdasdclientsdinfectedsdwithsdRockysdMountainsdspottedsdfever.sdT
hesdnursesdshouldsdasksdifsdthesdclientsdhassdexperiencedsdwhichsdofsdthesdfollowing?sd-
sdanswer--Wassdbittensdbysdasdtick
Thesdnursesdissdcaringsdforsdasdclientsdwithsdasdprotozoasdinfection.sdWhichsdissdthesdmostsdli
kelysdmodesdofsdtransmission?sd-sdanswer--Ingestionsdofsdcontaminatedsdfoodsdorsdwater
Thesdnursesdissdcaringsdforsdasdclientsdwhosdissdrecoveringsdfromsdansdallergicsdreaction.sdW
hichsdleukocytesdlevelsdwouldsdthesdnursesdexpectsdtosdbesdthesdmostsdelevated?sd-
sdanswer--Eosinophils
Thesdnursesdissdcaringsdforsdasdclientsdwhosdhassdansdinfectedsdwoundsdonsdthesdgreatsdtoesd
thatsdissdredsdwithsdasdpurulentsdexudate.sdThesdnursesdexpectssdthatsdthissdclientsdhassdwhi
chsdtypesdofsdinfection?sd-sdanswer--Localized
Thesdclientsdexperiencedsdasdfall.sdNursingsdassessmentsdrevealssdthatsdthesdclientsdissdex
periencingsdtachycardia,sdhypotension,sdconfusion,sdtachypnea,sdandsdflatsdjugularsdvein
s.sdWhatsdshouldsdbesdthesdnurse'ssdfirstsdresponse?sd-sdanswer--Administersdoxygen.
Thesdfamilysdwantssdtosdknowsdwhysdthesdnursesdissdputtingsdasdurinarysdcathetersdinsdasdclie
ntsdexperiencingsdshock.sdWhatsdissdthesdnurse'ssdbestsdresponse?sd-
sdanswer--"Itsdwillsdhelpsdmonitorsdhowsdmuchsdurinesdthesdkidneyssdaresdablesdtosdproduce
."
Asdclientsdexperiencingsdshocksdhassdhadsdasdurinarysdoutputsdofsd250sdmLsdinsdthesdlastsd1
0sdhours.sdWhatsdissdthesdnurse'ssdmostsdappropriatesdresponse?sd-sdanswer--
Notifysdthesdphysician.
Whichsdclientsdissdmostsdlikelysdtosdbesdexperiencingsdhypovolemicsdshock?sd-sdanswer--
Asdclientsdwhosdhadsdsurgerysd24sdhourssdagosdandsdwhosdalsosdhassdasdnasogastricsdtube
Thesdphysiciansdhassdorderedsdarterialsdbloodsdgasessdforsdasdclientsdexperiencingsdshock.
sdThesdnursesdknowssdthatsdwhichsdvaluesdindicatessdshock?sd-sdanswer--pHsd7.32
,Asd63-year-
oldsdArabsdAmericansdmalesdstatessdhissdleftsdlegsdissd"hot."sdWhatsdissdthesdnurse'ssdbestsdfi
rstsdresponse?sd-sdanswer--Assesssdforsdpain
Thesdclientsdissdcomplainingsdofsdexcruciatingsdpainsdinsdasdfootsdthatsdhassdbeensdamputat
ed.sdThesdfamilysdtellssdthesdnursesdthatsdthesdclientsdissdjustsdaddictedsdtosdpainsdmedicatio
ns.sdWhatsdissdthesdnurse'ssdbestsdresponse?sd-
sdanswer--"Hesdissdexperiencingsdphantomsdlimbsdpain."
Asdclientsdhassdhadsdabdominalsdsurgerysdandsdhassdorderssdtosdbesdambulatedsdthreesdtim
essdasdday.sdOralsdpainsdmedicationsdhassdbeensdorderedsdforsdthesdclient.sdWhatsdshouldsdt
hesdnursesddosdtosdfacilitatesdambulation?sd-sdanswer--
Mediatesd1sdhoursdpriorsdtosdambulatingsdthesdclient.
Thesdclientsdreportssdfrequentsdusesdofsdacetaminophen.sdHowsdshouldsdthesdnursesdbestsd
respond?sd-sdanswer--"Dosdyousddrinksdalcohol?"
Asdclientsdwithsdchronicsdpainsdhassdbeensdadmittedsdwithsdasdfever.sdThesdnursingsdassess
mentsdrevealssdthatsdthesdclientsdhassdasddecreasedsdlevelsdofsdconsciousness.sdWhatsdsh
ouldsdthesdnursesdasksdthesdfamilysdabout?sd-sdanswer--
Whatsdmedicationssdthesdclientsdhassdtaken
Thesdpracticalsdnursesdissdreviewingsdthesdsocialsdhistorysdfromsdasdclientsddiagnosedsdwith
sdsmallsdcellsdcarcinomasdofsdthesdlung.sdWhichsdinformationsdissdsignificantsdforsdthissddise
ase?sd-sdanswer--
Thesdclientsdhassdsmokedsdtwosd(2)sdpackssdofsdcigarettessdasddaysdforsd20sdyears
Thesdpracticalsdnursesdandsdansdunlicensedsdassistivesdpersonnelsd(UAP)sdaresdcaringsdfo
rsdasdgroupsdofsdclientssdonsdasdmedicalsdunit.sdWhichsdinformationsdprovidedsdbysdthesdUAP
sdwarrantssdimmediatesdinterventionsdbysdthesdpracticalsdnurse?sd-sdanswer--
ThesdclientsdreceivingsdProcritsd(epoetinsdalfa)sdhassdasdTsd99.2˚F,sdPsd68,sdRsd24,sdandsdBP
sdofsd198/102
Thesdclientsddiagnosedsdwithsdlungsdcancersdhassdbeensdtoldsdthesdcancersdhassdmetastasi
zedsdtosdthesdbrain.sdWhichsdinterventionsdshouldsdthesdpracticalsdnursesdexpectsdtosdimple
ment?sd-sdanswer--Discusssdimplementingsdansdadvancesddirective
Thesdclientsddiagnosedsdwithsdlungsdcancersdissdbeingsddischarged.sdWhichsdstatementsdm
adesdbysdthesdclientsdindicatessdasdreiterationsdofsdinformationsdissdrequired?sd-
sdanswer--"Itsddoesn'tsdmattersdifsdIsdsmokesdnow.sdIsdalreadysdhavesdcancer."
Thesdpracticalsdnursesdissdinterviewingsdclientssdatsdthesdclinic.sdWhichsdinformationsdprovi
dedsdbysdasdclientsdwarrantssdfurthersdinvestigation?sd-sdanswer--
Thesdclientsdhassdbeensdcoughingsdupsdbloodsdinsdthesdmornings
Thesdmalesdclientsdhadsdabdominalsdsurgerysdandsdthesdpracticalsdnursesdsuspectssdthesdcl
ientsdhassdperitonitis.sdWhichsdinformationsdsupportsdthesddiagnosissdofsdperitonitis?sd-
sdanswer--Hard,sdrigidsdabdomensdandsdwhitesdbloodsdcellsdcountsd22,000/mm3
, Thesdclientsdwhosdhadsdabdominalsdsurgerysdtellssdthesdpracticalsdnurse,sd"Isdfeltsdsomethin
gsdgivesdwaysdinsdmysdstomach."sdWhichsdinterventionsdshouldsdthesdpracticalsdnursesdimpl
ementsdfirst?sd-sdanswer--Inspectsdthesdabdominalsdwoundsdincision
Thesdclientsdissdonesd(1)sddaysdpostoperativesdmajorsdabdominalsdsurgery.sdWhichsdclientsd
problemsdissdasdpriority?sd-sdanswer--Fluidsdandsdelectrolytesdimbalance
Thesdclientsdhassdansdevisceratedsdabdominalsdwound.sdWhichsdinterventionsdshouldsdthes
dpracticalsdnursesdimplement?sd-sdanswer--Applysdsterilesdnormalsdsalinesddressing
Thesdclientsdissddiagnosedsdwithsdperitonitis.sdWhichsdinformationsdindicatessdtosdthesdprac
ticalsdnursesdthesdclient'ssdconditionsdissdimproving?sd-sdanswer--
Thesdclientsdhassdasddecreasesdinsdtemperaturesdandsdasdsoftsdabdomen
Asdpatientsdissdbeingsdreleasedsdfromsdthesdhospitalsdwithsdasdprescriptionsdforsdtetracycline
.sdWhatsdshouldsdthesdnursesdincludesdinsdpatientsdteaching?sd
Selectsdallsdthatsdapply.sd-sdanswer--Advisesdlimitingsdexposuresdtosdthesdsun.
Informsdpatientsdofsdthesdpossibilitysdofsdgastrointestinalsdupset.
Suggestsdeatingsdcrackerssdandsdsomesdjuicesdwhensdtakingsdthissdmedicine.
Thesdnursesdwantssdtosddeterminesdifsdasdpatientsdnotsdfullysdawakesdfromsdanesthesiasdfors
dasdsurgicalsdproceduresdissdexperiencingsdpain.sdWhatsdfindingssdshouldsdthesdnursesduse
sdtosdmakesdthissddetermination?sd
Selectsdallsdthatsdapply.sd-sdanswer--Moaning
Restlessness
Pullingsdatsdasdbodysdarea
Elevatedsdbloodsdpressure
Asdpatientsdissddiagnosedsdwithsdansdinfectionsdthatsdhassdspreadsdtosdthesdbloodsdstream.sd
Whichsdtermsdshouldsdthesdnursesdusesdtosddocumentsdthissdpatient'ssdhealthsdproblem?sd-
sdanswer--Sepsis
Thesdnursesdlearnssdthatsdasdpatientsdissdbeingsdadmittedsdwithsdansdinfectioussddiseasesdth
atsdissdtransmitedsdthroughsdthesdair.sdForsdwhichsdhealthsdproblemssdshouldsdthesdnursesdp
reparesdtosdprovidesdcare?sd
Selectsdallsdthatsdapply.sd-sdanswer--Measles
Tuberculosis
Chickenpox
AsdpatientsdissddiagnosedsdwithsdRockysdMountainsdspottedsdfever.sdWhatsdshouldsdthesdnu
rsesdexplainsdassdthesdmethodsdbysdwhichsdthissddiseasesdwassdtransmittedsdtosdthesdpatien
t?sd-sdanswer--Ticks
Asdpatientsdreturningsdfromsdthesdrecoverysdroomsdfollowingsdabdominalsdsurgerysdtosddrai
nsdansdabscesssdhassdasdnonsuction-
