NURSING Med SURG Practice EXAM STUDY G
h h h h h h
UIDE QUIZZES FROM EVOLVE HESI RATED A
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Questions
□
Theh nurseh ish assessingh ah client'sh laboratoryh valueshfollowing
administrationhofhchemotherapy.hWhichhlabhvaluehleadshthehnursehtohsus
h
pecththaththehclienthishexperiencinghtumorhlysishsyndromeh(TLS)?
A SerumhPTThofh10hseconds.
B Serumhcalciumhofh5hmg/dl.hCorrect
C Oxygenhsaturationhofh90%.
D Hemoglobinhofh10hg/dl.
□ TLShresultshinhhyperkalemia,hhypocalcemia,hhyperuricemia,h andh
hyperphosphatemia.h Ah serumh calciumhlevelhofh5h(B),hwhichhishlow,hishanhi
ndicatorhofhpossiblehtumorhlysishsyndrome.h(A,hC,handhD)harehnothparticul
arlyhrelatedhtohTLS.hAwardedh0.0hpointshouthofh1.0hpossiblehpoints.
□ 2.ID:h6974889585Ahclienthishadmittedhtohthehhospitalhwithhahdiagno
sishofhseverehacutehdiverticulitis.hWhichhassessmenthfindinghshouldhthehn
ursehexpecththishclienthtohexhibit?
A Lowerhlefthquadranthpainhandhahlow-gradehfever.hCorrect
B SeverehpainhathMcBurney'shpointhandhnausea.hC
Abdominalh painh andhintermittenth tenesmus.
D Exacerbationsh ofh severeh diarrhea.
□ Lefthlowerhquadranthpainhoccurshwithhdiverticulitishbecauseh thehsig
moidh colonhish theh mosth commonh areah forhdiverticula,handhthehinflammatio
nhofhdiverticulahcauseshahlow-
gradehfeverh(A).h(B)hwouldhbehindicativehofhappendicitis.h(ChandhD)harehsym
h
NURSING Med SURG Practice EXAM STUDY G
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UIDE QUIZZES FROM EVOLVE HESI RATED A
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, NURSING Med SURG Practice EXAM STUDY G
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UIDE QUIZZES FROM EVOLVE HESI RATED A
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ptomshexhibitedhwithhulcerativehcolitis.
Awardedh0.0hpointshouthofh1.0hpossiblehpoints.
□ 3.ID:h 6974891763Duringh CPR,h whenh attemptingh tohventilateh ah cl
ient'sh lungs,h theh nurseh notesh thath theh chesth ishnothmoving.hWhathaction
h shouldhthehnursehtakehfirst?
A Usehahlaryngoscopehtohcheckhforhahforeignhbodyhlodgedhinhthehesophagus.
B Repositionhthehheadhtohvalidatehthaththeh headhishinhthehproperhpositionhtoho
penhthehairway.hCorrect
C Turnhthehclienthtohthehsidehandhadministerhthreehbackhblows.hD
Performh ahfingerhsweeph ofhtheh mouthh toh removeh anyh vomitus.
□ Thehmosthfrequenthcausehofhinadequatehaerationh ofhthe
NURSING Med SURG Practice EXAM STUDY G
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UIDE QUIZZES FROM EVOLVE HESI RATED A
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, NURSING Med SURG Practice EXAM STUDY G
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UIDE QUIZZES FROM EVOLVE HESI RATED A
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client'sh lungsh duringh CPRh ish improperh positioningh ofh theh headhresultinghinh
occlusionhofhthehairwayh(B).hAhforeignhbodyhcanhoccludeh theh airway,h buth t
hish ish noth commonh unlessh chokinghprecededh theh cardiach emergency,h andh
(A,h Ch andh D)h shouldhnothbehthehnurse'shfirsthaction.h Awardedh0.0hpointshou
thofh1.0hpossiblehpoints.
□ 4.ID:h 6974891794Ah clienth ish admittedh toh theh hospitalh withhahmedica
lhdiagnosishofhpneumococcalhpneumonia.hThehnursehknowshthaththehprog
nosishforhgram-
negativehpneumoniash(suchhashE.hcoli,hKlebsiella,hPseudomonas,handhPro
teus)hishveryhpoorhbecause
A theyhoccurhinhthehlowerhlobehalveolihwhichharehmorehsensitivehtohinfection
.
B gram-
negativeh organismsh areh moreh resistanth toh antibiotichtherapy.hCorre
ct
C theyh occurh inh healthyh youngh adultsh whoh haveh recentlyh beenhdebilitatedh
byhanhupperhrespiratoryhinfection.
D gram-negativeh pneumoniash usuallyh affecth infantsh andh smallhchildren.
□ Thehgram-
negativehorganismsharehresistanthtohdrughtherapyh(B)hwhichhmakeshrec
overyhveryhdifficult.hGram-
h negativehpneumoniashaffecthallhlobeshofhthehlungh(A).hThehmeanhagehfo
rhcontractinghthishtypehofhpneumoniahish50hyearsh(ChandhD),handhithusuallyh
strikeshdebilitatedhpersonshsuchhashalcoholics,hdiabetics,handhthosehwithh
NURSING Med SURG Practice EXAM STUDY G
h h h h h h
UIDE QUIZZES FROM EVOLVE HESI RATED A
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, NURSING Med SURG Practice EXAM STUDY G
h h h h h h
UIDE QUIZZES FROM EVOLVE HESI RATED A
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chronichlunghdiseases.
Awardedh0.0hpointshouthofh1.0hpossiblehpoints.
□ 5.ID:h6974891705Ah clienthish placedh onh ah mechanicalhventilatorh foll
owingh ah cerebralh hemorrhage,h andh vecuroniumhbromideh (Norcuron)h 0.04h
mg/kgh q12h hourshIVh ish prescribed.hWhathishthehpriorityhnursinghdiagnosishf
orhthishclient?
A Impairedh communicationhrelatedh toh paralysish ofh skeletalhmuscles.h
Correct
B Highhriskhforhinfectionhrelatedhtohincreasedhintracranialhpressure.
C Potentialhforhinjuryhrelatedhtohimpairedhlunghexpansion.hD
Socialhisolationhrelatedhtohinabilityhtohcommunicate.
□ Tohincreasehthehclient'shtolerancehofhendotrachealhintubationhand/o
rhmechanicalhventilation,hahskeletal-
musclehrelaxant,h suchh ash vecuronium,h ish usuallyh prescribed.h Impaired
NURSING Med SURG Practice EXAM STUDY G
h h h h h h
UIDE QUIZZES FROM EVOLVE HESI RATED A
h h h h h h
+
h h h h h h
UIDE QUIZZES FROM EVOLVE HESI RATED A
h h h h h h
+
Questions
□
Theh nurseh ish assessingh ah client'sh laboratoryh valueshfollowing
administrationhofhchemotherapy.hWhichhlabhvaluehleadshthehnursehtohsus
h
pecththaththehclienthishexperiencinghtumorhlysishsyndromeh(TLS)?
A SerumhPTThofh10hseconds.
B Serumhcalciumhofh5hmg/dl.hCorrect
C Oxygenhsaturationhofh90%.
D Hemoglobinhofh10hg/dl.
□ TLShresultshinhhyperkalemia,hhypocalcemia,hhyperuricemia,h andh
hyperphosphatemia.h Ah serumh calciumhlevelhofh5h(B),hwhichhishlow,hishanhi
ndicatorhofhpossiblehtumorhlysishsyndrome.h(A,hC,handhD)harehnothparticul
arlyhrelatedhtohTLS.hAwardedh0.0hpointshouthofh1.0hpossiblehpoints.
□ 2.ID:h6974889585Ahclienthishadmittedhtohthehhospitalhwithhahdiagno
sishofhseverehacutehdiverticulitis.hWhichhassessmenthfindinghshouldhthehn
ursehexpecththishclienthtohexhibit?
A Lowerhlefthquadranthpainhandhahlow-gradehfever.hCorrect
B SeverehpainhathMcBurney'shpointhandhnausea.hC
Abdominalh painh andhintermittenth tenesmus.
D Exacerbationsh ofh severeh diarrhea.
□ Lefthlowerhquadranthpainhoccurshwithhdiverticulitishbecauseh thehsig
moidh colonhish theh mosth commonh areah forhdiverticula,handhthehinflammatio
nhofhdiverticulahcauseshahlow-
gradehfeverh(A).h(B)hwouldhbehindicativehofhappendicitis.h(ChandhD)harehsym
h
NURSING Med SURG Practice EXAM STUDY G
h h h h h h
UIDE QUIZZES FROM EVOLVE HESI RATED A
h h h h h h
+
, NURSING Med SURG Practice EXAM STUDY G
h h h h h h
UIDE QUIZZES FROM EVOLVE HESI RATED A
h h h h h h
+
ptomshexhibitedhwithhulcerativehcolitis.
Awardedh0.0hpointshouthofh1.0hpossiblehpoints.
□ 3.ID:h 6974891763Duringh CPR,h whenh attemptingh tohventilateh ah cl
ient'sh lungs,h theh nurseh notesh thath theh chesth ishnothmoving.hWhathaction
h shouldhthehnursehtakehfirst?
A Usehahlaryngoscopehtohcheckhforhahforeignhbodyhlodgedhinhthehesophagus.
B Repositionhthehheadhtohvalidatehthaththeh headhishinhthehproperhpositionhtoho
penhthehairway.hCorrect
C Turnhthehclienthtohthehsidehandhadministerhthreehbackhblows.hD
Performh ahfingerhsweeph ofhtheh mouthh toh removeh anyh vomitus.
□ Thehmosthfrequenthcausehofhinadequatehaerationh ofhthe
NURSING Med SURG Practice EXAM STUDY G
h h h h h h
UIDE QUIZZES FROM EVOLVE HESI RATED A
h h h h h h
+
, NURSING Med SURG Practice EXAM STUDY G
h h h h h h
UIDE QUIZZES FROM EVOLVE HESI RATED A
h h h h h h
+
client'sh lungsh duringh CPRh ish improperh positioningh ofh theh headhresultinghinh
occlusionhofhthehairwayh(B).hAhforeignhbodyhcanhoccludeh theh airway,h buth t
hish ish noth commonh unlessh chokinghprecededh theh cardiach emergency,h andh
(A,h Ch andh D)h shouldhnothbehthehnurse'shfirsthaction.h Awardedh0.0hpointshou
thofh1.0hpossiblehpoints.
□ 4.ID:h 6974891794Ah clienth ish admittedh toh theh hospitalh withhahmedica
lhdiagnosishofhpneumococcalhpneumonia.hThehnursehknowshthaththehprog
nosishforhgram-
negativehpneumoniash(suchhashE.hcoli,hKlebsiella,hPseudomonas,handhPro
teus)hishveryhpoorhbecause
A theyhoccurhinhthehlowerhlobehalveolihwhichharehmorehsensitivehtohinfection
.
B gram-
negativeh organismsh areh moreh resistanth toh antibiotichtherapy.hCorre
ct
C theyh occurh inh healthyh youngh adultsh whoh haveh recentlyh beenhdebilitatedh
byhanhupperhrespiratoryhinfection.
D gram-negativeh pneumoniash usuallyh affecth infantsh andh smallhchildren.
□ Thehgram-
negativehorganismsharehresistanthtohdrughtherapyh(B)hwhichhmakeshrec
overyhveryhdifficult.hGram-
h negativehpneumoniashaffecthallhlobeshofhthehlungh(A).hThehmeanhagehfo
rhcontractinghthishtypehofhpneumoniahish50hyearsh(ChandhD),handhithusuallyh
strikeshdebilitatedhpersonshsuchhashalcoholics,hdiabetics,handhthosehwithh
NURSING Med SURG Practice EXAM STUDY G
h h h h h h
UIDE QUIZZES FROM EVOLVE HESI RATED A
h h h h h h
+
, NURSING Med SURG Practice EXAM STUDY G
h h h h h h
UIDE QUIZZES FROM EVOLVE HESI RATED A
h h h h h h
+
chronichlunghdiseases.
Awardedh0.0hpointshouthofh1.0hpossiblehpoints.
□ 5.ID:h6974891705Ah clienthish placedh onh ah mechanicalhventilatorh foll
owingh ah cerebralh hemorrhage,h andh vecuroniumhbromideh (Norcuron)h 0.04h
mg/kgh q12h hourshIVh ish prescribed.hWhathishthehpriorityhnursinghdiagnosishf
orhthishclient?
A Impairedh communicationhrelatedh toh paralysish ofh skeletalhmuscles.h
Correct
B Highhriskhforhinfectionhrelatedhtohincreasedhintracranialhpressure.
C Potentialhforhinjuryhrelatedhtohimpairedhlunghexpansion.hD
Socialhisolationhrelatedhtohinabilityhtohcommunicate.
□ Tohincreasehthehclient'shtolerancehofhendotrachealhintubationhand/o
rhmechanicalhventilation,hahskeletal-
musclehrelaxant,h suchh ash vecuronium,h ish usuallyh prescribed.h Impaired
NURSING Med SURG Practice EXAM STUDY G
h h h h h h
UIDE QUIZZES FROM EVOLVE HESI RATED A
h h h h h h
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