MEDSURG FINAL EXAM questions with
certified solutions.
Qs
The nurse is caring for a client who has as a son with a streptococcus throat
infection. Which nurse recommendation would be best to advise the client to do in
order to prevent acquiring the infection? - n
Ans✔
Frequently wash her hands and surfaces of the home.
Qs
The nurse is caring for a client infected with Rocky Mountain spotted fever. The
nurse should ask if the client has experienced which of the following? - n
Ans✔
Was bitten by a tick
Qs
The nurse is caring for a client with a protozoa infection. Which is the most likely
mode of transmission? - n
Ans✔
Ingestion of contaminated food or water
Qs
The nurse is caring for a client who is recovering from an allergic reaction. Which
leukocyte level would the nurse expect to be the most elevated? - n
Ans✔
Eosinophils
Qs
The nurse is caring for a client who has an infected wound on the great toe that is
red with a purulent exudate. The nurse expects that this client has which type of
infection? - n
,Ans✔
Localized
Qs
The client experienced a fall. Nursing assessment reveals that the client is
experiencing tachycardia, hypotension, confusion, tachypnea, and flat jugular veins.
What should be the nurse's first response? - n
Ans✔
Administer oxygen.
Qs
The family wants to know why the nurse is putting a urinary catheter in a client
experiencing shock. What is the nurse's best response? - n
Ans✔
"It will help monitor how much urine the kidneys are able to produce."
Qs
A client experiencing shock has had a urinary output of 250 mL in the last 10 hours.
What is the nurse's most appropriate response? - n
Ans✔
Notify the physician.
Qs
Which client is most likely to be experiencing hypovolemic shock? - n
Ans✔
A client who had surgery 24 hours ago and who also has a nasogastric tube
Qs
The physician has ordered arterial blood gases for a client experiencing shock. The
nurse knows that which value indicates shock? - n
Ans✔
,pH 7.32
Qs
A 63-year-old Arab American male states his left leg is "hot." What is the nurse's
best first response? - n
Ans✔
Assess for pain
Qs
The client is complaining of excruciating pain in a foot that has been amputated.
The family tells the nurse that the client is just addicted to pain medications. What
is the nurse's best response? - n
Ans✔
"He is experiencing phantom limb pain."
Qs
A client has had abdominal surgery and has orders to be ambulated three times a
day. Oral pain medication has been ordered for the client. What should the nurse do
to facilitate ambulation? - n
Ans✔
Mediate 1 hour prior to ambulating the client.
Qs
The client reports frequent use of acetaminophen. How should the nurse best
respond? - n
Ans✔
"Do you drink alcohol?"
Qs
A client with chronic pain has been admitted with a fever. The nursing assessment
reveals that the client has a decreased level of consciousness. What should the
nurse ask the family about? - n
Ans✔
, What medications the client has taken
Qs
The practical nurse is reviewing the social history from a client diagnosed with
small cell carcinoma of the lung. Which information is significant for this disease? -
n
Ans✔
The client has smoked two (2) packs of cigarettes a day for 20 years
Qs
The practical nurse and an unlicensed assistive personnel (UAP) are caring for a
group of clients on a medical unit. Which information provided by the UAP warrants
immediate intervention by the practical nurse? - n
Ans✔
The client receiving Procrit (epoetin alfa) has a T 99.2˚F, P 68, R 24, and BP of
198/102
Qs
The client diagnosed with lung cancer has been told the cancer has metastasized
to the brain. Which intervention should the practical nurse expect to implement? - n
Ans✔
Discuss implementing an advance directive
Qs
The client diagnosed with lung cancer is being discharged. Which statement made
by the client indicates a reiteration of information is required? - n
Ans✔
"It doesn't matter if I smoke now. I already have cancer."
Qs
The practical nurse is interviewing clients at the clinic. Which information provided
by a client warrants further investigation? - n
Ans✔
certified solutions.
Qs
The nurse is caring for a client who has as a son with a streptococcus throat
infection. Which nurse recommendation would be best to advise the client to do in
order to prevent acquiring the infection? - n
Ans✔
Frequently wash her hands and surfaces of the home.
Qs
The nurse is caring for a client infected with Rocky Mountain spotted fever. The
nurse should ask if the client has experienced which of the following? - n
Ans✔
Was bitten by a tick
Qs
The nurse is caring for a client with a protozoa infection. Which is the most likely
mode of transmission? - n
Ans✔
Ingestion of contaminated food or water
Qs
The nurse is caring for a client who is recovering from an allergic reaction. Which
leukocyte level would the nurse expect to be the most elevated? - n
Ans✔
Eosinophils
Qs
The nurse is caring for a client who has an infected wound on the great toe that is
red with a purulent exudate. The nurse expects that this client has which type of
infection? - n
,Ans✔
Localized
Qs
The client experienced a fall. Nursing assessment reveals that the client is
experiencing tachycardia, hypotension, confusion, tachypnea, and flat jugular veins.
What should be the nurse's first response? - n
Ans✔
Administer oxygen.
Qs
The family wants to know why the nurse is putting a urinary catheter in a client
experiencing shock. What is the nurse's best response? - n
Ans✔
"It will help monitor how much urine the kidneys are able to produce."
Qs
A client experiencing shock has had a urinary output of 250 mL in the last 10 hours.
What is the nurse's most appropriate response? - n
Ans✔
Notify the physician.
Qs
Which client is most likely to be experiencing hypovolemic shock? - n
Ans✔
A client who had surgery 24 hours ago and who also has a nasogastric tube
Qs
The physician has ordered arterial blood gases for a client experiencing shock. The
nurse knows that which value indicates shock? - n
Ans✔
,pH 7.32
Qs
A 63-year-old Arab American male states his left leg is "hot." What is the nurse's
best first response? - n
Ans✔
Assess for pain
Qs
The client is complaining of excruciating pain in a foot that has been amputated.
The family tells the nurse that the client is just addicted to pain medications. What
is the nurse's best response? - n
Ans✔
"He is experiencing phantom limb pain."
Qs
A client has had abdominal surgery and has orders to be ambulated three times a
day. Oral pain medication has been ordered for the client. What should the nurse do
to facilitate ambulation? - n
Ans✔
Mediate 1 hour prior to ambulating the client.
Qs
The client reports frequent use of acetaminophen. How should the nurse best
respond? - n
Ans✔
"Do you drink alcohol?"
Qs
A client with chronic pain has been admitted with a fever. The nursing assessment
reveals that the client has a decreased level of consciousness. What should the
nurse ask the family about? - n
Ans✔
, What medications the client has taken
Qs
The practical nurse is reviewing the social history from a client diagnosed with
small cell carcinoma of the lung. Which information is significant for this disease? -
n
Ans✔
The client has smoked two (2) packs of cigarettes a day for 20 years
Qs
The practical nurse and an unlicensed assistive personnel (UAP) are caring for a
group of clients on a medical unit. Which information provided by the UAP warrants
immediate intervention by the practical nurse? - n
Ans✔
The client receiving Procrit (epoetin alfa) has a T 99.2˚F, P 68, R 24, and BP of
198/102
Qs
The client diagnosed with lung cancer has been told the cancer has metastasized
to the brain. Which intervention should the practical nurse expect to implement? - n
Ans✔
Discuss implementing an advance directive
Qs
The client diagnosed with lung cancer is being discharged. Which statement made
by the client indicates a reiteration of information is required? - n
Ans✔
"It doesn't matter if I smoke now. I already have cancer."
Qs
The practical nurse is interviewing clients at the clinic. Which information provided
by a client warrants further investigation? - n
Ans✔
