Medical And Surgical Nursing Comprehensive Exam
1. A client has just returned to the medical-surgical unit following a segmental lung
resection. After assessing the client, the first nursing action would be to:
A. Administer pain medication.
B. Suction excessive tracheobronchial secretions.
C. Assist client to turn, deep breathe and cought.
D. Monitor oxygen saturation.
E. A and B.
2. Which of the following would be the best strategy for the nurse to use when
teaching insulin injection techniques to a newly diagnosed client with diabetes?
A. Give written pre and post-tests.
B. Ask questions during practice.
C. Allow another diabetic to assist.
D. Observe a return demonstration.
E. All of above are correct.
3. A 23 year-old single client is in the 33rd week of her first pregnancy. She tells the
nurse that she has everything ready for the baby and has made plans for the first
weeks together at home. Which normal emotional reaction does the nurse
recognize?
A. Acceptance of the pregnancy.
B. Focus on fetal development.
C. Anticipation of the birth.
D. Ambivalence about pregnancy.
E. A and C only.
4. Which of the following should the nurse teach the client to avoid when taking
chlorpromazine HCL (Thorazine(?
A. Direct sunlight
B. Foods containing tyramine
C. Foods fermented with yeast
D. Canned citrus fruit drinks
E. None of above.
5. The nurse is caring for a client with acute pancreatitis. After pain management,
which intervention should be included in the plan of care?
A. Cough and deep breathe every 2 hours.
B. Place the client in contact isolation.
C. Provide a diet high in protein.
D. Institute seizure precautions.
6. The nurse is caring for a client with trigeminal neuralgia. To assist the client with
nutrition needs, the nurse should:
A. Offer small meals of high calorie soft food.
B. Assist the client to sit in a chair for meals.
C. Provide additional servings of fruits and raw vegetables.
D. Encourage the client to eat fish, liver and chicken.
1
, 7. A client has just been admitted with portal hypertension. Which nursing diagnosis
would be a priority in planning care?
A. Altered nutrition: less than body requirements.
B. Potential complication hemorrhage.
C. Ineffective individual coping.
D. Fluid volume excess.
8. The nurse is caring for a client with cirrhosis of the liver with ascites. When
instructing nursing assistants in the care of the client, the nurse should emphasize
that:
A. The client should remain on bed rest in a semi-Fowler's position.
B. The client should alternate ambulation with bed rest with legs elevated.
C. The client may ambulate and sit in chair as tolerated.
D. The client may ambulate as tolerated and remain in semi-Fowlers
positioning bed.
9. The nurse is assessing a client with delayed wound healing. Which of the
following risk factors is most important in this situation?
A. Glucose level of 120 mg/dl.
B. History of myocardial infarction.
C. Long term steroid usage.
D. Diet high in carbohydrates.
10. A client with HIV infection has a secondary herpes simplex type 1 (HSV-1)
infection.The nurse knows that the most likely cause of the HSV-1 infection in
this client is:
A. Immunosuppression.
B. Emotional stress.
C. Unprotected sexual activities.
D. Contact with saliva.
11. The nurse is caring for a client with a sigmoid colostomy who requests assistance
in removing the flatus from a 1 piece drainable ostomy pouch. Which is the
correct intervention?
A. Piercing the plastic of the ostomy pouch with a pin to vent the flatus.
B. Opening the bottom of the pouch, allowing the flatus to be expelled.
C. Pulling the adhesive seal around the ostomy pouch to allow the flatus to
escape.
D. Assisting the client to ambulate to reduce the flatus in the pouch.
12. When teaching a client with chronic obstructive pulmonary disease about oxygen
by cannula, the nurse should also instruct the client's family to:
A. Avoid smoking near the client.
B. Turn off oxygen during meals.
C. Adjust the liter flow to 10 as needed.
D. Remind the client to keep mouth closed.
E. B & C only.
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1. A client has just returned to the medical-surgical unit following a segmental lung
resection. After assessing the client, the first nursing action would be to:
A. Administer pain medication.
B. Suction excessive tracheobronchial secretions.
C. Assist client to turn, deep breathe and cought.
D. Monitor oxygen saturation.
E. A and B.
2. Which of the following would be the best strategy for the nurse to use when
teaching insulin injection techniques to a newly diagnosed client with diabetes?
A. Give written pre and post-tests.
B. Ask questions during practice.
C. Allow another diabetic to assist.
D. Observe a return demonstration.
E. All of above are correct.
3. A 23 year-old single client is in the 33rd week of her first pregnancy. She tells the
nurse that she has everything ready for the baby and has made plans for the first
weeks together at home. Which normal emotional reaction does the nurse
recognize?
A. Acceptance of the pregnancy.
B. Focus on fetal development.
C. Anticipation of the birth.
D. Ambivalence about pregnancy.
E. A and C only.
4. Which of the following should the nurse teach the client to avoid when taking
chlorpromazine HCL (Thorazine(?
A. Direct sunlight
B. Foods containing tyramine
C. Foods fermented with yeast
D. Canned citrus fruit drinks
E. None of above.
5. The nurse is caring for a client with acute pancreatitis. After pain management,
which intervention should be included in the plan of care?
A. Cough and deep breathe every 2 hours.
B. Place the client in contact isolation.
C. Provide a diet high in protein.
D. Institute seizure precautions.
6. The nurse is caring for a client with trigeminal neuralgia. To assist the client with
nutrition needs, the nurse should:
A. Offer small meals of high calorie soft food.
B. Assist the client to sit in a chair for meals.
C. Provide additional servings of fruits and raw vegetables.
D. Encourage the client to eat fish, liver and chicken.
1
, 7. A client has just been admitted with portal hypertension. Which nursing diagnosis
would be a priority in planning care?
A. Altered nutrition: less than body requirements.
B. Potential complication hemorrhage.
C. Ineffective individual coping.
D. Fluid volume excess.
8. The nurse is caring for a client with cirrhosis of the liver with ascites. When
instructing nursing assistants in the care of the client, the nurse should emphasize
that:
A. The client should remain on bed rest in a semi-Fowler's position.
B. The client should alternate ambulation with bed rest with legs elevated.
C. The client may ambulate and sit in chair as tolerated.
D. The client may ambulate as tolerated and remain in semi-Fowlers
positioning bed.
9. The nurse is assessing a client with delayed wound healing. Which of the
following risk factors is most important in this situation?
A. Glucose level of 120 mg/dl.
B. History of myocardial infarction.
C. Long term steroid usage.
D. Diet high in carbohydrates.
10. A client with HIV infection has a secondary herpes simplex type 1 (HSV-1)
infection.The nurse knows that the most likely cause of the HSV-1 infection in
this client is:
A. Immunosuppression.
B. Emotional stress.
C. Unprotected sexual activities.
D. Contact with saliva.
11. The nurse is caring for a client with a sigmoid colostomy who requests assistance
in removing the flatus from a 1 piece drainable ostomy pouch. Which is the
correct intervention?
A. Piercing the plastic of the ostomy pouch with a pin to vent the flatus.
B. Opening the bottom of the pouch, allowing the flatus to be expelled.
C. Pulling the adhesive seal around the ostomy pouch to allow the flatus to
escape.
D. Assisting the client to ambulate to reduce the flatus in the pouch.
12. When teaching a client with chronic obstructive pulmonary disease about oxygen
by cannula, the nurse should also instruct the client's family to:
A. Avoid smoking near the client.
B. Turn off oxygen during meals.
C. Adjust the liter flow to 10 as needed.
D. Remind the client to keep mouth closed.
E. B & C only.
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