MED-SURGuIIuHESIuTESTuBANKuQUESTIONSu&uANSWERS2
u 024u100%uA+uGRADED
A.
AunurseuisureinforcinguteachinguwithuauclientuwhouhasuHIVuanduisubeingudischargedutouhome.uWhichuofutheu
followinguinstructionsushouldutheunurseuincludeuinutheuteaching?
A. Takeutemperatureuonceuauday.
B. Washutheuarmpitsuandugenitalsuwithuaugentleucleanserudaily.u
C.uChangeutheulitteruboxesuwhileuwearingugloves.
D.uWashudishesuinuwarmuwater.u
ANS:A.
Aunurseuisucaringuforuauclientuwhouisupostoperativeufollowinguautracheostomy,uanduhasucopiousuandutenacio
ususecretions.uWhichuofutheufollowinguisuanuacceptableumethoduforutheunurseutouuseutouthinuthisuclient'susecr
etions?
A. Provideuhumidifieduoxygen.
B. Performuchestuphysiotherapyupriorutousuctioning.
C. Prelubricateutheusuctionucatheterutipuwithusterileusalineuwhenusuctioningutheuairway.u
D.uHyperventilateutheuclientuwithu100%uoxygenubeforeusuctioningutheuairway..
ANS:B.
Followinguadmission,uauclientuwithuauvascularuocclusionuofutheurightuloweruextremityucallsutheunurseuandure
portsudifficultyusleepingubecauseuofucoldufeet.uWhichuofutheufollowingunursinguactionsushouldutheunurseuta
keutoupromoteutheuclient'sucomfort?
A.uRubutheuclient'sufeetubrisklyuforuseveraluminutes.u
B.uObtainuaupairuofuslipperusocksuforutheuclient.
C.uIncreaseutheuclient'suoralufluiduintake.
D.uPlaceuaumoistuheatingupaduunderutheuclient'sufeet.u
ANS:C.
Aunurseuisucaringuforuauclientuisuwhouisu4uhrupostoperativeufollowinguautransurethraluresectionuofutheupr
ostateu(TURP).uWhichuofutheufollowinguisutheupriorityufindinguforutheunurseureportutoutheuprovider?uA.u
Emesisuofu100umL
B.uOralutemperatureuofu37.5°uCu(99.5°uF)u
C.uThick,ured-coloreduurine
D.uPainuleveluofu4uonuau0utou10uratinguscaleu
ANS:A.
Aunurseuisucaringuforuauclientuwhouhasuautemperatureuofu39.7°uCu(103.5°uF)uanduhasuauprescriptionuforuauh
ypothermiaublanket.uTheunurseushouldumonitorutheuclientuforuwhichuofutheufollowinguadverseueffectsuofuthe
uhypothermiaublanket?
A.uShiveringu
B.uInfectionu
C.uBurns
, MED-SURGuIIuHESIuTESTuBANKuQUESTIONSu&uANSWERS2
u 024u100%uA+uGRADED
D.uHypervolemiau
ANS:D.
, MED-SURGuIIuHESIuTESTuBANKuQUESTIONSu&uANSWERS2
u 024u100%uA+uGRADED
Aunurseuisureinforcinguteachinguaboutuexerciseuwithuauclientuwhouhasutypeu1udiabetesumellitus.uWhichuofuthe
ufollowingustatementsubyutheuclientuindicatesuanuunderstandinguofutheuteaching?
A.u"IuwillucarryuaucomplexucarbohydrateusnackuwithumeuwhenuIuexercise."u
B.u"Iushoulduexerciseufirstuthinguinutheumorningubeforeueatingubreakfast."
C.u"IushoulduavoiduinjectinguinsulinuintoumyuthighuifuIuamugoingutougourunning."uD.u
"Iuwillunotuexerciseuifumyuurineuisupositiveuforuketones."
ANS:A.
Aunurseunotesuausmallusectionuofuboweluprotrudingufromutheuabdominaluincisionuofuauclientuwho
isupostoperative.uAfterucallinguforuassistance,uwhichuofutheufollowinguactionsushouldutheunurseutakeufirst
?
A.uCoverutheuclient'suwounduwithuaumoist,usterileudressing.u
B.uHaveutheuclientulieusupineuwithukneesuflexed.
C.uCheckutheuclient'suvitalusigns.
D.uInformutheuclientuaboututheuneedutoureturnutousurgery.uAN
S:B.
Aunurseuisucollectingudataufromuauclientuwhouhasualcoholuuseudisorderuanduisuexperiencingumetabolicuacido
sis.uWhichuofutheufollowingumanifestationsushouldutheunurseuexpect?
A.uCool,uclammyuskin.u
B.uHyperventilation
C.uIncreasedubloodupressureu
D.uBradycardia
ANS:A.
Aunurseuisureinforcingudischargeuteachinguwithuauclientufollowinguaucataractuextraction.uWhichuofutheufollowi
ngushouldutheunurseuincludeuinutheuteaching?
A. Avoidubendinguatutheuwaist.
B. Removeutheueyeushielduatubedtime.
C. Limitutheuuseuofulaxativesuifuconstipated.
D. Seeinguflashesuofulightuisuanuexpectedufindingufollowinguextraction.u
ANS:C
Aunurseuisucaringuforuauclientuwhouhasuheartufailureuanduhasubeenutakingudigoxinu0.25umgudaily.uTheuclientu
refusesubreakfastuandureportsunausea.uWhichuofutheufollowinguactionsushouldutheunurseutakeufirst?
1)uSuggestuthatutheuclienturestsubeforeueatingutheumeal.u
2)uRequestuaudietaryuconsult.
3) Checkutheuclient'suvitalusigns.
4) Requestuanuorderuforuanuantiemetic.u
ANS:D.
Aunurseuisucaringuforuauclientuwhouisu3udaysupostoperativeufollowinguaucholecystectomy.uTheunurseusu
spectsutheuclient'suwounduisuinfectedubecauseutheudrainageufromutheudressinguisuyellowuanduthick.uWhi
chuofutheufollowingufindingsushouldutheunurseureportuasutheutypeuofudrainageufound?
1) Sanguineous
2) Serous
, MED-SURGuIIuHESIuTESTuBANKuQUESTIONSu&uANSWERS2
u 024u100%uA+uGRADED
3) Serosanguinous
4) Purulentu
ANS:A.
u 024u100%uA+uGRADED
A.
AunurseuisureinforcinguteachinguwithuauclientuwhouhasuHIVuanduisubeingudischargedutouhome.uWhichuofutheu
followinguinstructionsushouldutheunurseuincludeuinutheuteaching?
A. Takeutemperatureuonceuauday.
B. Washutheuarmpitsuandugenitalsuwithuaugentleucleanserudaily.u
C.uChangeutheulitteruboxesuwhileuwearingugloves.
D.uWashudishesuinuwarmuwater.u
ANS:A.
Aunurseuisucaringuforuauclientuwhouisupostoperativeufollowinguautracheostomy,uanduhasucopiousuandutenacio
ususecretions.uWhichuofutheufollowinguisuanuacceptableumethoduforutheunurseutouuseutouthinuthisuclient'susecr
etions?
A. Provideuhumidifieduoxygen.
B. Performuchestuphysiotherapyupriorutousuctioning.
C. Prelubricateutheusuctionucatheterutipuwithusterileusalineuwhenusuctioningutheuairway.u
D.uHyperventilateutheuclientuwithu100%uoxygenubeforeusuctioningutheuairway..
ANS:B.
Followinguadmission,uauclientuwithuauvascularuocclusionuofutheurightuloweruextremityucallsutheunurseuandure
portsudifficultyusleepingubecauseuofucoldufeet.uWhichuofutheufollowingunursinguactionsushouldutheunurseuta
keutoupromoteutheuclient'sucomfort?
A.uRubutheuclient'sufeetubrisklyuforuseveraluminutes.u
B.uObtainuaupairuofuslipperusocksuforutheuclient.
C.uIncreaseutheuclient'suoralufluiduintake.
D.uPlaceuaumoistuheatingupaduunderutheuclient'sufeet.u
ANS:C.
Aunurseuisucaringuforuauclientuisuwhouisu4uhrupostoperativeufollowinguautransurethraluresectionuofutheupr
ostateu(TURP).uWhichuofutheufollowinguisutheupriorityufindinguforutheunurseureportutoutheuprovider?uA.u
Emesisuofu100umL
B.uOralutemperatureuofu37.5°uCu(99.5°uF)u
C.uThick,ured-coloreduurine
D.uPainuleveluofu4uonuau0utou10uratinguscaleu
ANS:A.
Aunurseuisucaringuforuauclientuwhouhasuautemperatureuofu39.7°uCu(103.5°uF)uanduhasuauprescriptionuforuauh
ypothermiaublanket.uTheunurseushouldumonitorutheuclientuforuwhichuofutheufollowinguadverseueffectsuofuthe
uhypothermiaublanket?
A.uShiveringu
B.uInfectionu
C.uBurns
, MED-SURGuIIuHESIuTESTuBANKuQUESTIONSu&uANSWERS2
u 024u100%uA+uGRADED
D.uHypervolemiau
ANS:D.
, MED-SURGuIIuHESIuTESTuBANKuQUESTIONSu&uANSWERS2
u 024u100%uA+uGRADED
Aunurseuisureinforcinguteachinguaboutuexerciseuwithuauclientuwhouhasutypeu1udiabetesumellitus.uWhichuofuthe
ufollowingustatementsubyutheuclientuindicatesuanuunderstandinguofutheuteaching?
A.u"IuwillucarryuaucomplexucarbohydrateusnackuwithumeuwhenuIuexercise."u
B.u"Iushoulduexerciseufirstuthinguinutheumorningubeforeueatingubreakfast."
C.u"IushoulduavoiduinjectinguinsulinuintoumyuthighuifuIuamugoingutougourunning."uD.u
"Iuwillunotuexerciseuifumyuurineuisupositiveuforuketones."
ANS:A.
Aunurseunotesuausmallusectionuofuboweluprotrudingufromutheuabdominaluincisionuofuauclientuwho
isupostoperative.uAfterucallinguforuassistance,uwhichuofutheufollowinguactionsushouldutheunurseutakeufirst
?
A.uCoverutheuclient'suwounduwithuaumoist,usterileudressing.u
B.uHaveutheuclientulieusupineuwithukneesuflexed.
C.uCheckutheuclient'suvitalusigns.
D.uInformutheuclientuaboututheuneedutoureturnutousurgery.uAN
S:B.
Aunurseuisucollectingudataufromuauclientuwhouhasualcoholuuseudisorderuanduisuexperiencingumetabolicuacido
sis.uWhichuofutheufollowingumanifestationsushouldutheunurseuexpect?
A.uCool,uclammyuskin.u
B.uHyperventilation
C.uIncreasedubloodupressureu
D.uBradycardia
ANS:A.
Aunurseuisureinforcingudischargeuteachinguwithuauclientufollowinguaucataractuextraction.uWhichuofutheufollowi
ngushouldutheunurseuincludeuinutheuteaching?
A. Avoidubendinguatutheuwaist.
B. Removeutheueyeushielduatubedtime.
C. Limitutheuuseuofulaxativesuifuconstipated.
D. Seeinguflashesuofulightuisuanuexpectedufindingufollowinguextraction.u
ANS:C
Aunurseuisucaringuforuauclientuwhouhasuheartufailureuanduhasubeenutakingudigoxinu0.25umgudaily.uTheuclientu
refusesubreakfastuandureportsunausea.uWhichuofutheufollowinguactionsushouldutheunurseutakeufirst?
1)uSuggestuthatutheuclienturestsubeforeueatingutheumeal.u
2)uRequestuaudietaryuconsult.
3) Checkutheuclient'suvitalusigns.
4) Requestuanuorderuforuanuantiemetic.u
ANS:D.
Aunurseuisucaringuforuauclientuwhouisu3udaysupostoperativeufollowinguaucholecystectomy.uTheunurseusu
spectsutheuclient'suwounduisuinfectedubecauseutheudrainageufromutheudressinguisuyellowuanduthick.uWhi
chuofutheufollowingufindingsushouldutheunurseureportuasutheutypeuofudrainageufound?
1) Sanguineous
2) Serous
, MED-SURGuIIuHESIuTESTuBANKuQUESTIONSu&uANSWERS2
u 024u100%uA+uGRADED
3) Serosanguinous
4) Purulentu
ANS:A.
