Medical Surgical Exam 4
1. The nurse has attended a staff education conference about clinical manifestations of a
hypertensive crisis, which of the following manifestations stated by the nurse indicate the
need for further teaching?
Carotid bruit not part of htn crisis. S/s of htn crisis: dyspnea, blurred vision, severe HA
2. The nurse is teaching a middle-aged client about lifestyle modification about managing
hypertension. Which of the following information should the nurse include in the
teaching?
Plan to exercise 3 to 4 days per week for 40 minutes each day.
3. The nurse is caring for a client who has hypertension and is receiving the prescribed
medication spironolactone 50 mg oral PO 3 times a day. Which of the following
findings indicate the client is experiences a common side effect of this medication?
An increase in potassium from 4.8 to 5.7
4. The nurse is teaching a client who has chronic venous insufficiency about the prevention
of varicose veins. Which is of the follow client statements indicate that additional teaching is
needed?
I need to decrease the amount I smoke to help with circulation.
5. The nurse is instructing a client who was recently diagnosed with Reynaud’s disease. Which
of the following statements by the client indicates a correct understanding of the teaching?
I should drink decaffeinated beverages as much as possible. (avoid caffeine)
6. The nurse is teaching a client who was recently diagnosed with Buerger’s disease. Which of
the following lifestyles changes is most important for the client to make?
Eliminating tobacco smoking.
, 7. The nurse is caring for a client who has peripheral arterial disease and suspected
intermittent claudication. Which of the following assessment findings is consistent with this
suspicion?
Pain that can be reproduced with exercise.
8. The nurse is caring for a client who has peripheral arterial disease, which of the
following actions if appropriate for the nurse to take when caring for this client?
Instructing the client to avoid crossing their legs.
9. The nurse is performing a cardiovascular assessment and notes a systolic murmur upon
auscultation of the client’s aortic area of the chest wall. Which of the following land marks in
the exhibit below best demonstrates the area in which the murmur is heard?
Picture of torso- it would be 2nd intercostal space right of the sternal border.
(only one on the right side)
10. The nurse is providing discharge teaching to a client that had a below the knee
amputation. Which of the following should the nurse include in the teaching?
To routinely push the residual limb down toward the bed to prepare for a prosthesis.
11. The nurse working in the primary healthcare provider’s office is assessing a client who
was being seen 6 weeks following an above the knee amputation. The client reports
experiencing phantom pain. Which of the following instructions should the nurse provide to the
client?
To take the prescribed gabapentin.
12. The nurse is caring for a client who has a deep vein thrombosis and is receiving continuous
infusion of heparin that started 48 hours ago. Which of the following laboratory values indicates
a therapeutic response to the treatment?
An activated partial thromboplastin (APTT) of 60 seconds.
13. The nurse working in the emergency department is reviewing prescribed laboratory tests
and medications for the following clients. Which of the following prescriptions should the nurse
question?
Atropine for a client that has atrial fibrillation with a pulse of 145 and is reporting dizziness.
1. The nurse has attended a staff education conference about clinical manifestations of a
hypertensive crisis, which of the following manifestations stated by the nurse indicate the
need for further teaching?
Carotid bruit not part of htn crisis. S/s of htn crisis: dyspnea, blurred vision, severe HA
2. The nurse is teaching a middle-aged client about lifestyle modification about managing
hypertension. Which of the following information should the nurse include in the
teaching?
Plan to exercise 3 to 4 days per week for 40 minutes each day.
3. The nurse is caring for a client who has hypertension and is receiving the prescribed
medication spironolactone 50 mg oral PO 3 times a day. Which of the following
findings indicate the client is experiences a common side effect of this medication?
An increase in potassium from 4.8 to 5.7
4. The nurse is teaching a client who has chronic venous insufficiency about the prevention
of varicose veins. Which is of the follow client statements indicate that additional teaching is
needed?
I need to decrease the amount I smoke to help with circulation.
5. The nurse is instructing a client who was recently diagnosed with Reynaud’s disease. Which
of the following statements by the client indicates a correct understanding of the teaching?
I should drink decaffeinated beverages as much as possible. (avoid caffeine)
6. The nurse is teaching a client who was recently diagnosed with Buerger’s disease. Which of
the following lifestyles changes is most important for the client to make?
Eliminating tobacco smoking.
, 7. The nurse is caring for a client who has peripheral arterial disease and suspected
intermittent claudication. Which of the following assessment findings is consistent with this
suspicion?
Pain that can be reproduced with exercise.
8. The nurse is caring for a client who has peripheral arterial disease, which of the
following actions if appropriate for the nurse to take when caring for this client?
Instructing the client to avoid crossing their legs.
9. The nurse is performing a cardiovascular assessment and notes a systolic murmur upon
auscultation of the client’s aortic area of the chest wall. Which of the following land marks in
the exhibit below best demonstrates the area in which the murmur is heard?
Picture of torso- it would be 2nd intercostal space right of the sternal border.
(only one on the right side)
10. The nurse is providing discharge teaching to a client that had a below the knee
amputation. Which of the following should the nurse include in the teaching?
To routinely push the residual limb down toward the bed to prepare for a prosthesis.
11. The nurse working in the primary healthcare provider’s office is assessing a client who
was being seen 6 weeks following an above the knee amputation. The client reports
experiencing phantom pain. Which of the following instructions should the nurse provide to the
client?
To take the prescribed gabapentin.
12. The nurse is caring for a client who has a deep vein thrombosis and is receiving continuous
infusion of heparin that started 48 hours ago. Which of the following laboratory values indicates
a therapeutic response to the treatment?
An activated partial thromboplastin (APTT) of 60 seconds.
13. The nurse working in the emergency department is reviewing prescribed laboratory tests
and medications for the following clients. Which of the following prescriptions should the nurse
question?
Atropine for a client that has atrial fibrillation with a pulse of 145 and is reporting dizziness.
