Nsg 233 med surg 3 exam 4 questions and answers () (verified answers)
22. - ansAfter change of shift report, which patient will the nurse assess first?
a. 19 year old with type I diabetes who was admitted with possible dawn
phenomenon
b. 35 year old patient with type I diabetes whose most recent blood glucose reading
was 230
c. 60 year old patient with hyperosmolar hyperglycemic syndrome who has poor skin
turgor and dry oral mucosa
d. A 68 year old patient with type II diabetes who has severe peripheral neuropathy
and complains of burning foot pain
24. - ansan 82 year old patient in a long term care facility is newly diagnosed with
hypothyroidism. The nurse will need to consult with the health care provider before
administering the prescribed:
a. docusate
b. ibuprofen
c. diazepam
d. cefoxitin
29. - ansThe cardiac telemetry unit charge nurse receives status reports from other
nursing units about four patients who need cardiac monitoring. Which patient should
be transferred to the cardiac unit first?
a. Patient with Hashimotos thyroiditis and a heart rate of 102
b. Patient with tetany who has a new order for IV calcium chloride
c. Patient with cushings syndrome and a blood glucose of 104
d. Patient with addisons who takes hydrocortisone BID
36. - ansA 42 year old female patient is scheduled for transsphenoidal
hypophysectomy to treat a pituitary adenoma. During preoperative teaching, the
nurse instructs the patient about the need to:
a. Cough and deep breath every 2 hours postoperatively
b. Avoid brushing teeth for at least 10 days after surgery
c. Remain on bed rest for the first 48 hours after the surgery
d. Be positioned flat with sandbags at the head postoperatively
41. - ansA patient with diabetes has bacterial pneumonia is being treated with IV
gentamicin 60mg IV BID. The nurse will monitor for adverse effects of the medication
by evaluating the patients:
a. Blood glucose
b. Serum potassium
c. Serum creatinine
d. Urine osmolality
49. - ansA 32 year old who is employed as a hairdresser has a 15 pack year history of
cigarette smoking is scheduled for an annual physical exam. The nurse will plan to
teach the patient about increased risk for:
,Nsg 233 med surg 3 exam 4 questions and answers () (verified answers)
a. Pyelonephritis
b. Renal failure
c. Bladder cancer
d. Kidney stones
50. - ansA 40 year old male patient has been newly diagnosed with type II DM. which
information about the patient is most useful to the nurse who is helping the patient
develop strategies for successful adaptation to this disease?
a. Visual changes
b. Activity level
c. Ideal weight
d. Value system
59. - ansWhich statement made by the patient indicates a need for additional
instruction in administering insulin?
a. I need to rotate injection sites among my arms, legs and abdomen each day
b. I should draw up the regular insulin first after injecting air into the NPH bottle
c. I can buy the 0.5 syringes because the line markings will be easier to see
d. I do not need to aspirate the plunger to check for blood before injecting insulin
60. - ansAfter ureterolithotomy, a female patient has a left ureteral catheter and a
urethral catheter in place. Which action will the nurse include in the plan of care?
a. Call the healthcare provider if the ureteral catheter output drops suddenly
b. Apply continuous stead tension to the urethral catheter
c. provide teaching about home care for both catheters
d. clamp the ureteral catheter off when output from the urethral catheter stops
66. - ansDuring a well-woman physical exam, a 43 year old patient asks about her
risk for breast cancer. Which question is most pertinent for the nurse to ask?
a. Do you currently smoke tobacco?
b. Have you ever had a breast injury?
c. At what age did you start having menstrual periods?
d. Is there a family history of fibrocystic breast changes?
75. - ansA patient admitted with chest pain is also found to have positive Venereal
Disease Research Laboratory )VDRL) and fluorescent treponemal antibody
absorption tests, rashes on the palms and soles of feet and moist papules in the anal
and vulvular area. Which action will the nurse include in the plan of care?
a. Assess for arterial aneurysms
b. Wear gloves for patient contact
c. Place the patient in a private room
d. Apply antibiotic ointment to the perineum
78. - ansWhen caring for a patient who has a radium implant for treatment of cancer
of the cervix, the nurse will:
,Nsg 233 med surg 3 exam 4 questions and answers () (verified answers)
a. assist the patient to ambulate every 2-3 hours
b. use gloves and gown when changing the patients bed
c. flush the toilet several times right after the patient voids
d. encourage the patient to discuss needs or concerns by telephone
84. - ansA 39 year old patient with a history of IV drug use is seen at the community
clinic. The patient reports difficulty walking, stating, I don't know where my feet are.
Diagnostic screening reveals positive venereal disease research laboratory and
fluorescent treponemal antibiody absorption tests. Based on the patient history,
what will the nurse asseses?
a. Heart sounds
b. Genetalia for lesions
c. Swelling and inflammation of joints
d. Mental state for judgement and orientation
e. Skin and mucous membranes for gummas
93. - ansWhich assessment will the nurse make to monitor a patients cerebellar
function (select all that apply)
a. Assess for graphesthesia
b. Observe arm swing and gait
c. Perform the finger-to-nose test
d. Check the ability to push against resistance
e. Determine ability to sense heat and cold
94. - ansAn unconscious patient with a traumatic brain injury has a blood pressure of
130/76 and an ICP of 20. The nurse will calculate the cerebral perfusion pressure as
mmHg
a. MAP-ICP=CPP
b. MAP=systolic + diastolic (2)/3
114. - ansStimulation of the parasympathetic nervous system results in (select all
that apply):
a. Constriction of the bronchi
b. Dilation of the skin blood vessels
c. Increased secretion of insulin
d. Increased blood glucose levels
e. Relaxation of the urinary sphincters
115. - ansThe nurse assessing the muscle strength of an older adult patient. The
nurse knows the findings cannot be compared with those of a younger adult
because:
a. Nutritional status is better in young adults
b. Muscle bulk and strength decreases in older adults
c. Muscle strength should be the same for all adults
d. Most young adults exercise more than older adults
, Nsg 233 med surg 3 exam 4 questions and answers () (verified answers)
116. - ansA patient is admitted with a headache, fever, and general malaise. The HCP
has asked that the patient be prepared for a lumbar puncture. What is a priority
nursing action to avoid complications?
a. Ensure a CT scan is performed prior to lumbar puncture
b. Assess laboratory results for changes in the white cell count
c. Provide acetaminophen for the headache and fever before the procedure
d. Administer antibiotics before the procedure to treat the potential meningitis
117. - ansDuring neurological testing, the patient is able to perceive pain elicited by
pinprick. Based on this finding, the nurse may omit testing for:
a. Position sense
b. Patellar reflexes
c. Temperature perception
d. Heel-to-shin movements
118. - ansA patients eyes jerk while the patient looks to the left. The nurse will
record this finding as:
a. Nystagmus
b. CN VI palsy
c. Ophthalmic dyskinesia
d. Oculocephalic response
119. - ansthe nurse is caring for a patient with peripheral neuropathy who is
scheduled for EMG studies tomorrow morning. The nurse should:
a. ensure the patient has an empty bladder
b. instruct the patient about the risk of electrical shock
c. ensure the patient has no metallic jewelry or metal fragments
d. instruct the patient that pain may be experienced during the study.
120. - ansVasogenic cerebral edema increases intracranial pressure by:
a. Shifting fluid in the grey matter
b. Altering the endothelial lining of cerebral capillaries
c. Leaking molecules from the intracellular fluid to the capillaries
d. Altering the osmotic gradient flow into the intravascular component
121. - ansA patient with an intracranial pressure monitoring has a pressure of
12mmHg. The nurse understands this pressure reflects:
a. A severe decrease in cerebral perfusion pressure
b. An alteration in the production of cerebrospinal fluid
c. The loss of autoregulatory control of intracranial pressure
d. A normal balance between brain tissue, blood, and cerebrospinal fluid
122. - ansA nurse plans care for the patient with increased intracranial pressure with
the knowledge that the best way to position the patient is to:
22. - ansAfter change of shift report, which patient will the nurse assess first?
a. 19 year old with type I diabetes who was admitted with possible dawn
phenomenon
b. 35 year old patient with type I diabetes whose most recent blood glucose reading
was 230
c. 60 year old patient with hyperosmolar hyperglycemic syndrome who has poor skin
turgor and dry oral mucosa
d. A 68 year old patient with type II diabetes who has severe peripheral neuropathy
and complains of burning foot pain
24. - ansan 82 year old patient in a long term care facility is newly diagnosed with
hypothyroidism. The nurse will need to consult with the health care provider before
administering the prescribed:
a. docusate
b. ibuprofen
c. diazepam
d. cefoxitin
29. - ansThe cardiac telemetry unit charge nurse receives status reports from other
nursing units about four patients who need cardiac monitoring. Which patient should
be transferred to the cardiac unit first?
a. Patient with Hashimotos thyroiditis and a heart rate of 102
b. Patient with tetany who has a new order for IV calcium chloride
c. Patient with cushings syndrome and a blood glucose of 104
d. Patient with addisons who takes hydrocortisone BID
36. - ansA 42 year old female patient is scheduled for transsphenoidal
hypophysectomy to treat a pituitary adenoma. During preoperative teaching, the
nurse instructs the patient about the need to:
a. Cough and deep breath every 2 hours postoperatively
b. Avoid brushing teeth for at least 10 days after surgery
c. Remain on bed rest for the first 48 hours after the surgery
d. Be positioned flat with sandbags at the head postoperatively
41. - ansA patient with diabetes has bacterial pneumonia is being treated with IV
gentamicin 60mg IV BID. The nurse will monitor for adverse effects of the medication
by evaluating the patients:
a. Blood glucose
b. Serum potassium
c. Serum creatinine
d. Urine osmolality
49. - ansA 32 year old who is employed as a hairdresser has a 15 pack year history of
cigarette smoking is scheduled for an annual physical exam. The nurse will plan to
teach the patient about increased risk for:
,Nsg 233 med surg 3 exam 4 questions and answers () (verified answers)
a. Pyelonephritis
b. Renal failure
c. Bladder cancer
d. Kidney stones
50. - ansA 40 year old male patient has been newly diagnosed with type II DM. which
information about the patient is most useful to the nurse who is helping the patient
develop strategies for successful adaptation to this disease?
a. Visual changes
b. Activity level
c. Ideal weight
d. Value system
59. - ansWhich statement made by the patient indicates a need for additional
instruction in administering insulin?
a. I need to rotate injection sites among my arms, legs and abdomen each day
b. I should draw up the regular insulin first after injecting air into the NPH bottle
c. I can buy the 0.5 syringes because the line markings will be easier to see
d. I do not need to aspirate the plunger to check for blood before injecting insulin
60. - ansAfter ureterolithotomy, a female patient has a left ureteral catheter and a
urethral catheter in place. Which action will the nurse include in the plan of care?
a. Call the healthcare provider if the ureteral catheter output drops suddenly
b. Apply continuous stead tension to the urethral catheter
c. provide teaching about home care for both catheters
d. clamp the ureteral catheter off when output from the urethral catheter stops
66. - ansDuring a well-woman physical exam, a 43 year old patient asks about her
risk for breast cancer. Which question is most pertinent for the nurse to ask?
a. Do you currently smoke tobacco?
b. Have you ever had a breast injury?
c. At what age did you start having menstrual periods?
d. Is there a family history of fibrocystic breast changes?
75. - ansA patient admitted with chest pain is also found to have positive Venereal
Disease Research Laboratory )VDRL) and fluorescent treponemal antibody
absorption tests, rashes on the palms and soles of feet and moist papules in the anal
and vulvular area. Which action will the nurse include in the plan of care?
a. Assess for arterial aneurysms
b. Wear gloves for patient contact
c. Place the patient in a private room
d. Apply antibiotic ointment to the perineum
78. - ansWhen caring for a patient who has a radium implant for treatment of cancer
of the cervix, the nurse will:
,Nsg 233 med surg 3 exam 4 questions and answers () (verified answers)
a. assist the patient to ambulate every 2-3 hours
b. use gloves and gown when changing the patients bed
c. flush the toilet several times right after the patient voids
d. encourage the patient to discuss needs or concerns by telephone
84. - ansA 39 year old patient with a history of IV drug use is seen at the community
clinic. The patient reports difficulty walking, stating, I don't know where my feet are.
Diagnostic screening reveals positive venereal disease research laboratory and
fluorescent treponemal antibiody absorption tests. Based on the patient history,
what will the nurse asseses?
a. Heart sounds
b. Genetalia for lesions
c. Swelling and inflammation of joints
d. Mental state for judgement and orientation
e. Skin and mucous membranes for gummas
93. - ansWhich assessment will the nurse make to monitor a patients cerebellar
function (select all that apply)
a. Assess for graphesthesia
b. Observe arm swing and gait
c. Perform the finger-to-nose test
d. Check the ability to push against resistance
e. Determine ability to sense heat and cold
94. - ansAn unconscious patient with a traumatic brain injury has a blood pressure of
130/76 and an ICP of 20. The nurse will calculate the cerebral perfusion pressure as
mmHg
a. MAP-ICP=CPP
b. MAP=systolic + diastolic (2)/3
114. - ansStimulation of the parasympathetic nervous system results in (select all
that apply):
a. Constriction of the bronchi
b. Dilation of the skin blood vessels
c. Increased secretion of insulin
d. Increased blood glucose levels
e. Relaxation of the urinary sphincters
115. - ansThe nurse assessing the muscle strength of an older adult patient. The
nurse knows the findings cannot be compared with those of a younger adult
because:
a. Nutritional status is better in young adults
b. Muscle bulk and strength decreases in older adults
c. Muscle strength should be the same for all adults
d. Most young adults exercise more than older adults
, Nsg 233 med surg 3 exam 4 questions and answers () (verified answers)
116. - ansA patient is admitted with a headache, fever, and general malaise. The HCP
has asked that the patient be prepared for a lumbar puncture. What is a priority
nursing action to avoid complications?
a. Ensure a CT scan is performed prior to lumbar puncture
b. Assess laboratory results for changes in the white cell count
c. Provide acetaminophen for the headache and fever before the procedure
d. Administer antibiotics before the procedure to treat the potential meningitis
117. - ansDuring neurological testing, the patient is able to perceive pain elicited by
pinprick. Based on this finding, the nurse may omit testing for:
a. Position sense
b. Patellar reflexes
c. Temperature perception
d. Heel-to-shin movements
118. - ansA patients eyes jerk while the patient looks to the left. The nurse will
record this finding as:
a. Nystagmus
b. CN VI palsy
c. Ophthalmic dyskinesia
d. Oculocephalic response
119. - ansthe nurse is caring for a patient with peripheral neuropathy who is
scheduled for EMG studies tomorrow morning. The nurse should:
a. ensure the patient has an empty bladder
b. instruct the patient about the risk of electrical shock
c. ensure the patient has no metallic jewelry or metal fragments
d. instruct the patient that pain may be experienced during the study.
120. - ansVasogenic cerebral edema increases intracranial pressure by:
a. Shifting fluid in the grey matter
b. Altering the endothelial lining of cerebral capillaries
c. Leaking molecules from the intracellular fluid to the capillaries
d. Altering the osmotic gradient flow into the intravascular component
121. - ansA patient with an intracranial pressure monitoring has a pressure of
12mmHg. The nurse understands this pressure reflects:
a. A severe decrease in cerebral perfusion pressure
b. An alteration in the production of cerebrospinal fluid
c. The loss of autoregulatory control of intracranial pressure
d. A normal balance between brain tissue, blood, and cerebrospinal fluid
122. - ansA nurse plans care for the patient with increased intracranial pressure with
the knowledge that the best way to position the patient is to:
