Med Surg II Exam Test Questions And Answers Verified
100% Correct
A 43-year-old woman has recently undergone surgery for colon cancer and now has a
sigmoid colostomy. Which finding during the assessment of the stoma most warrants
further follow up?
-slight bleeding around the stoma and its stem
-noticeable lightening or blanching
-stoma that is red
-stoma that is pink - ANSWER noticeable lightening or blanching
Which patient is more likely to be able to establish a more regular pattern of formed
stool from their ostomy? The patient with a(n):
-ascending colostomy
-transverse colostomy
-ileostomy
-sigmoid colostomy - ANSWER sigmoid colostomy
A patient has been diagnosed with cholelithiasis. This condition is characterized by
-necrosis of the gallbladder
-presence of gallstones in the gallbladder or biliary tract
-rupture of the gallbladder
-inflammation of the gallbladder - ANSWER presence of gallstones in the gallbladder or
biliary tract
When evaluating the dietary intake of a patient who is experiencing biliary colic, the
nurse would most likely note meals with high content of
-
cholesterol
-protein
-
sodium
-fat - ANSWER fat
,The nurse is caring for a patient who has had an open cholecystectomy with a T-tube
placed. The patient has asked why this was used. The nurse should explain that the
Ttube helps relieve
-gallstones
-jaundice
-excessive nausea and vomiting
-obstruction of the common bile duct - ANSWER obstruction of the common bile duct
Which types of hepatitis are transmitted primarily by the fecal-oral route?
-Hepatitis B, C, D
-Hepatitis A & E
-Hepatitis A & C
-Hepatitis A & D - ANSWER Hepatitis A & E
Which types of Hepatitis are considered the most serious forms of hepatitis because of
their frequent progression to chronic hepatitis, cirrhosis, liver cancer, and death?
-Hepatitis A & B
-all forms of Hepatitis
-Hepatitis A & E
-Hepatitis B & C - ANSWER Hepatitis B & C
For the patient with cirrhosis of the liver that has developed ascites, nursing measures
that will assist the nurse in monitoring the ascites include:
-accurate intake and output and glucose monitoring
-daily weight and measuring abdominal girth
-daily weight and monitoring daily albumin levels
-measuring abdominal girth daily - ANSWER daily weight and measuring abdominal
girth
Typical signs and symptoms that the nurse would expect to see in the patient with
cirrhosis of the liver include:
-palmar erythema, jaundice, and spider angiomas
-puruitus, hepatic encephalopathy, and bloody stools
-hematemesis, peripheral edema, and pain in the left lower quadrant
-hypoglycemia, caput medusa, and esophageal varices - ANSWER palmar erythema,
jaundice, and spider angiomas
,Which risk factor would most likely alert the nurse to the possibility of a patient having
chronic pancreatitis?
-man with a 38-year history of heavy alcohol consumption
-man with a 5-year history of cirrhosis of the liver -woman
with a 35-year history of type 1 diabetes
-woman with a 10-year history of uncontrolled type 2 diabetes - ANSWER man with a
38-year history of heavy alcohol consumption
A major concern for patient with a diagnosis of pancreatic cancer is:
-drug dependency with opioid analgesics
-development of a deep vein thrombosis
-ascites
-development of hepatitis - ANSWER development of a deep vein thrombosis
Primary liver cancer is most common in people from which areas?
-Mexico and South America
-the United States
-Africa and Asia
-Japan - ANSWER Africa and Asia
Common signs and symptoms of cystitis include painful urination, frequency and
urgency, and:
-low back
pain
-puffy
eyes
-widespread
edema
-hypertension
- ANSWER
low back pain
Glomerulonephritis most commonly occurs after which of the following types of
infection?
-Clostridium difficile
-Methicillin-resistant Staphylococcus aureus (MRSA)
-Group A beta hemolytic streptococcal infection
, -Staphylococcus aureus - ANSWER Group A beta hemolytic streptococcal infection
Nephrotic syndrome is characterized by hyperlipidemia, hypoalbuminemia, severe
edema, and:
-proteinuria
-
hypocalcemia
-elevated blood glucose levels
-hyperkalemia - ANSWER proteinuria
Which of the following patients is at the highest risk for developing renal stones?
-Male, gender, immobile, history of recurrent urinary tract infections (UTIs)
-Male gender, history of gastric bypass surgery, frequent exercises
-Female gender, family history of renal stones, history of recurrent UTIs
-Female gender, proteinuria, obese - ANSWER Male, gender, immobile, history of
recurrent urinary tract infections (UTIs)
The nurse is caring for a patient who is suspected of having chronic pyelonophritis.
Which symptom provides the greatest support to the diagnosis.
-low abdominal pain and tenderness
-
weakness
-headache
-chills - ANSWER weakness
A patient has been diagnosed with acute glomerulonophritis. What will most likely be
noted in the patient's health history?
-recent antibiotic therapy
-recent dental work
-recent fungal infection
-recent diagnosis of impetigo - ANSWER recent diagnosis of impetigo
Acute renal failure most commonly occurs in patients who have had injury to the kidney,
inflammation, damage from toxic chemicals, and:
-cancer in the urinary system
-hypertension
-diabetes mellitus
100% Correct
A 43-year-old woman has recently undergone surgery for colon cancer and now has a
sigmoid colostomy. Which finding during the assessment of the stoma most warrants
further follow up?
-slight bleeding around the stoma and its stem
-noticeable lightening or blanching
-stoma that is red
-stoma that is pink - ANSWER noticeable lightening or blanching
Which patient is more likely to be able to establish a more regular pattern of formed
stool from their ostomy? The patient with a(n):
-ascending colostomy
-transverse colostomy
-ileostomy
-sigmoid colostomy - ANSWER sigmoid colostomy
A patient has been diagnosed with cholelithiasis. This condition is characterized by
-necrosis of the gallbladder
-presence of gallstones in the gallbladder or biliary tract
-rupture of the gallbladder
-inflammation of the gallbladder - ANSWER presence of gallstones in the gallbladder or
biliary tract
When evaluating the dietary intake of a patient who is experiencing biliary colic, the
nurse would most likely note meals with high content of
-
cholesterol
-protein
-
sodium
-fat - ANSWER fat
,The nurse is caring for a patient who has had an open cholecystectomy with a T-tube
placed. The patient has asked why this was used. The nurse should explain that the
Ttube helps relieve
-gallstones
-jaundice
-excessive nausea and vomiting
-obstruction of the common bile duct - ANSWER obstruction of the common bile duct
Which types of hepatitis are transmitted primarily by the fecal-oral route?
-Hepatitis B, C, D
-Hepatitis A & E
-Hepatitis A & C
-Hepatitis A & D - ANSWER Hepatitis A & E
Which types of Hepatitis are considered the most serious forms of hepatitis because of
their frequent progression to chronic hepatitis, cirrhosis, liver cancer, and death?
-Hepatitis A & B
-all forms of Hepatitis
-Hepatitis A & E
-Hepatitis B & C - ANSWER Hepatitis B & C
For the patient with cirrhosis of the liver that has developed ascites, nursing measures
that will assist the nurse in monitoring the ascites include:
-accurate intake and output and glucose monitoring
-daily weight and measuring abdominal girth
-daily weight and monitoring daily albumin levels
-measuring abdominal girth daily - ANSWER daily weight and measuring abdominal
girth
Typical signs and symptoms that the nurse would expect to see in the patient with
cirrhosis of the liver include:
-palmar erythema, jaundice, and spider angiomas
-puruitus, hepatic encephalopathy, and bloody stools
-hematemesis, peripheral edema, and pain in the left lower quadrant
-hypoglycemia, caput medusa, and esophageal varices - ANSWER palmar erythema,
jaundice, and spider angiomas
,Which risk factor would most likely alert the nurse to the possibility of a patient having
chronic pancreatitis?
-man with a 38-year history of heavy alcohol consumption
-man with a 5-year history of cirrhosis of the liver -woman
with a 35-year history of type 1 diabetes
-woman with a 10-year history of uncontrolled type 2 diabetes - ANSWER man with a
38-year history of heavy alcohol consumption
A major concern for patient with a diagnosis of pancreatic cancer is:
-drug dependency with opioid analgesics
-development of a deep vein thrombosis
-ascites
-development of hepatitis - ANSWER development of a deep vein thrombosis
Primary liver cancer is most common in people from which areas?
-Mexico and South America
-the United States
-Africa and Asia
-Japan - ANSWER Africa and Asia
Common signs and symptoms of cystitis include painful urination, frequency and
urgency, and:
-low back
pain
-puffy
eyes
-widespread
edema
-hypertension
- ANSWER
low back pain
Glomerulonephritis most commonly occurs after which of the following types of
infection?
-Clostridium difficile
-Methicillin-resistant Staphylococcus aureus (MRSA)
-Group A beta hemolytic streptococcal infection
, -Staphylococcus aureus - ANSWER Group A beta hemolytic streptococcal infection
Nephrotic syndrome is characterized by hyperlipidemia, hypoalbuminemia, severe
edema, and:
-proteinuria
-
hypocalcemia
-elevated blood glucose levels
-hyperkalemia - ANSWER proteinuria
Which of the following patients is at the highest risk for developing renal stones?
-Male, gender, immobile, history of recurrent urinary tract infections (UTIs)
-Male gender, history of gastric bypass surgery, frequent exercises
-Female gender, family history of renal stones, history of recurrent UTIs
-Female gender, proteinuria, obese - ANSWER Male, gender, immobile, history of
recurrent urinary tract infections (UTIs)
The nurse is caring for a patient who is suspected of having chronic pyelonophritis.
Which symptom provides the greatest support to the diagnosis.
-low abdominal pain and tenderness
-
weakness
-headache
-chills - ANSWER weakness
A patient has been diagnosed with acute glomerulonophritis. What will most likely be
noted in the patient's health history?
-recent antibiotic therapy
-recent dental work
-recent fungal infection
-recent diagnosis of impetigo - ANSWER recent diagnosis of impetigo
Acute renal failure most commonly occurs in patients who have had injury to the kidney,
inflammation, damage from toxic chemicals, and:
-cancer in the urinary system
-hypertension
-diabetes mellitus
