MED SURG EXAM 3 TEST BANK
QUESTIONS WITH CORRECT
ANSWERS
1. bA bclient bis bscheduled bfor ba bhepatobiliary biminodiacetic bacid b(HIDA) bscan. bWhat
bwould bthe bnurse binclude bin bclient bteaching babout bthis bdiagnostic btest
a. b"You'll bhave bto bdrink ba bcontrast bmedium bright bbefore bthe btest."
b. b"You'll bneed bto bdo ba bbowel bprep bthe bnursing bbefore bthe btest."
c. b"You'll bbe bable bto bdrink bliquids bup buntil bthe btest bbegins."
d. b"You'll bhave ba blarge bcamera bclose bto byou bduring bthe btest." b- bcorrect
banswer✔✔D
A bclient bhas ban bexternal bpercutaneous btranshepatic bbiliary bcatheter binserted bfor ba
bbiliary bobstruction. bWhat bhealth bteaching babout bcatheter bcare bwould bthe bnurse
bprovide bfor bthe bclient?
a. b"Cap bthe bcatheter bdrain bat bnight bto bprevent bleakage band bskin bdamage."
b. b"Position bthe bdrainage bbag blower bthan bthe bcatheter binsertion bsite."
c. b"Irrigate bthe bcatheter bwith ban bounce bof bsaline bevery bnight."
d. b"Pierce ba bhole bin bthe btop bof bthe bdrainage bbag bto bget brid bof bodors." b- bcorrect
banswer✔✔B
After bteaching ba bclient bwho bhas ba bhistory bof bcholelithiasis, bthe bnurse bassesses
bthe bclient's bunderstanding. bWhich bmenu bselection
indicates bthat bthe bclient bunderstands bthe bdietary bteaching?
a. bLasagna, btossed bsalad bwith bItalian bdressing, band blow-fat bmilk
b. bGrilled bcheese bsandwich, btomato bsoup, band bcoffee bwith bcream
c. bCream bof bpotato bsoup, bCaesar bsalad bwith bchicken, band ba bdiet bcola
d. bRoasted bchicken bbreast, bbaked bpotato bwith bchives, band borange bjuice b- bcorrect
banswer✔✔D
A bclient bis badmitted bwith bacute bpancreatitis. bWhat bpriority bproblem bwould bthe
bnurse bexpect bthe bclient bto breport?
a. bNausea band bvomiting
b. bSevere bboring babdominal bpain
,c. bJaundice band bitching
d. bElevated btemperature b- bcorrect banswer✔✔B
After bteaching ba bclient bwho bis bprescribed bpancreatic benzyme breplacement btherapy,
bthe bnurse bassesses bthe bclient's bunderstanding.
Which bstatement bby bthe bclient bindicates ba bneed bfor bfurther bteaching?
a. b"The bcapsules bcan bbe bopened band bthe bpowder bsprinkled bon bapplesauce bif
bneeded."
b. b"I bwill bwipe bmy blips bcarefully bafter bI bdrink bthe benzyme bpreparation."
c. b"The bbest btime bto btake bthe benzymes bis bimmediately bafter bI bhave ba bmeal bor ba
bsnack."
d. b"I bwill bnot bmix bthe benzyme bpowder bwith bfood bor bliquids bthat bcontain bprotein. b-
bcorrect banswer✔✔C
The bnurse bdocuments bthe bvital bsigns bof ba bclient bdiagnosed bwith bacute
bpancreatitis:
Apical bpulse b= b116 bbeats/min
Respirations b= b28 bbreaths/min
Blood bpressure b= b92/50
What bcomplication bof bacute bpancreatitis bwould bthe bnurse bsuspect bthat bthe bclient
bmight bhave?
a. bElectrolyte bimbalance
b. bPleural beffusion
c. bInternal bbleeding
d. bPancreatic bpseudocyst b- bcorrect banswer✔✔C
A bnurse bcares bfor ba bclient bwith bend-stage bpancreatic bcancer. bThe bclient basks,
b"Why bis bthis bhappening bto bme?" bHow bwould bthe bnurse
respond?
a. b"I bdon't bknow. bI bwish bI bhad ban banswer bfor byou, bbut bI bdon't."
b. b"It's bimportant bto bkeep ba bpositive battitude bfor byour bfamily bright bnow."
c. b"Scientists bhave bnot bdetermined bwhy bcancer bdevelops bin bcertain bpeople."
d. b"I bthink bthat bthis bis ba btrial bso byou bcan bbecome ba bbetter bperson bbecause bof bit.
b- bcorrect banswer✔✔A
A bclient bhad ban bopen btraditional bWhipple bprocedure bthis bmorning. bFor bwhat
bpriority bcomplication bwould bthe bnurse bassess?
a. bUrinary btract binfection
b. bChronic bkidney bdisease
c. bHeart bfailure
d. bFluid band belectrolyte bimbalances b- bcorrect banswer✔✔D
A bnurse bassesses ba bclient bwho bhas bcholecystitis. bWhich bsign bor bsymptom
bindicates bthat bthis bcondition bis bchronic brather bthan bacute?
a. bTemperature bof b100.1° bF b(37.8° bC)
b. bPositive bMurphy bsign
, c. bClay-colored bstools
d. bUpper babdominal bpain bafter beating b- bcorrect banswer✔✔C
A bnurse bassesses ba bclient bwho bis brecovering bfrom ba bWhipple bprocedure. bWhich
bassessment bfinding balerts bthe bnurse bto bimmediately
contact bthe bprimary bhealth bcare bprovider?
a. bDrainage bfrom ba bfistula
b. bDiminished bbowel bsounds
c. bPain bat bthe bincision bsite
d. bNasogastric b(NG) btube bdrainage b- bcorrect banswer✔✔A
The bnurse bis bcaring bfor ba bclient bwho bis brecovering bfrom ban bopen btraditional
bWhipple bsurgical bprocedure. bWhat baction bwould bthe
nurse btake?
a. bClamp bthe bnasogastric btube.
b. bPlace bthe bpatient bin bsemi-Fowler bposition.
c. bAssess bvital bsigns bonce bevery bshift.
d. bProvide boral brehydration b- bcorrect banswer✔✔B
A bnurse bassesses ba bclient bwho bis brecovering bfrom ban bopen btraditional bWhipple
bsurgical bprocedure. bWhich bassessment bfinding(s)
alert(s) bthe bnurse bto ba bcomplication bfrom bthis bsurgery? b(Select ball bthat bapply.)
a. bClay-colored bstools
b. bSubsternal bchest bpain
c. bShortness bof bbreath
d. bLack bof bbowel bsounds bor bflatus
e. bUrine boutput bof b20 bmL/6 bhr b- bcorrect banswer✔✔BCDE
The bnurse bis bcaring bfor ba bclient bwho bhas bpossible bacute bpancreatitis. bWhat
bserum blaboratory bfindings bwould bthe bnurse bexpect bfor bthis
client? b(Select ball bthat bapply.)
a. bElevated bamylase
b. bElevated blipase
c. bElevated bglucose
d. bDecreased bcalcium
e. bElevated bbilirubin
f. bElevated bleukocyte bcount b- bcorrect banswer✔✔ABCDEF
The bnurse bplans bcare bfor ba bclient bwho bhas bacute bpancreatitis band bis bprescribed
bnothing bby bmouth b(NPO). bWith bwhich bhealth bcare
team bmembers bwould bthe bnurse bcollaborate bto bprovide bappropriate bnutrition bto
bthis bclient? b(Select ball bthat bapply.)
a. bRegistered bdietitian bnutritionist
b. bNursing bassistant
c. bClinical bpharmacist
d. bCertified bherbalist
QUESTIONS WITH CORRECT
ANSWERS
1. bA bclient bis bscheduled bfor ba bhepatobiliary biminodiacetic bacid b(HIDA) bscan. bWhat
bwould bthe bnurse binclude bin bclient bteaching babout bthis bdiagnostic btest
a. b"You'll bhave bto bdrink ba bcontrast bmedium bright bbefore bthe btest."
b. b"You'll bneed bto bdo ba bbowel bprep bthe bnursing bbefore bthe btest."
c. b"You'll bbe bable bto bdrink bliquids bup buntil bthe btest bbegins."
d. b"You'll bhave ba blarge bcamera bclose bto byou bduring bthe btest." b- bcorrect
banswer✔✔D
A bclient bhas ban bexternal bpercutaneous btranshepatic bbiliary bcatheter binserted bfor ba
bbiliary bobstruction. bWhat bhealth bteaching babout bcatheter bcare bwould bthe bnurse
bprovide bfor bthe bclient?
a. b"Cap bthe bcatheter bdrain bat bnight bto bprevent bleakage band bskin bdamage."
b. b"Position bthe bdrainage bbag blower bthan bthe bcatheter binsertion bsite."
c. b"Irrigate bthe bcatheter bwith ban bounce bof bsaline bevery bnight."
d. b"Pierce ba bhole bin bthe btop bof bthe bdrainage bbag bto bget brid bof bodors." b- bcorrect
banswer✔✔B
After bteaching ba bclient bwho bhas ba bhistory bof bcholelithiasis, bthe bnurse bassesses
bthe bclient's bunderstanding. bWhich bmenu bselection
indicates bthat bthe bclient bunderstands bthe bdietary bteaching?
a. bLasagna, btossed bsalad bwith bItalian bdressing, band blow-fat bmilk
b. bGrilled bcheese bsandwich, btomato bsoup, band bcoffee bwith bcream
c. bCream bof bpotato bsoup, bCaesar bsalad bwith bchicken, band ba bdiet bcola
d. bRoasted bchicken bbreast, bbaked bpotato bwith bchives, band borange bjuice b- bcorrect
banswer✔✔D
A bclient bis badmitted bwith bacute bpancreatitis. bWhat bpriority bproblem bwould bthe
bnurse bexpect bthe bclient bto breport?
a. bNausea band bvomiting
b. bSevere bboring babdominal bpain
,c. bJaundice band bitching
d. bElevated btemperature b- bcorrect banswer✔✔B
After bteaching ba bclient bwho bis bprescribed bpancreatic benzyme breplacement btherapy,
bthe bnurse bassesses bthe bclient's bunderstanding.
Which bstatement bby bthe bclient bindicates ba bneed bfor bfurther bteaching?
a. b"The bcapsules bcan bbe bopened band bthe bpowder bsprinkled bon bapplesauce bif
bneeded."
b. b"I bwill bwipe bmy blips bcarefully bafter bI bdrink bthe benzyme bpreparation."
c. b"The bbest btime bto btake bthe benzymes bis bimmediately bafter bI bhave ba bmeal bor ba
bsnack."
d. b"I bwill bnot bmix bthe benzyme bpowder bwith bfood bor bliquids bthat bcontain bprotein. b-
bcorrect banswer✔✔C
The bnurse bdocuments bthe bvital bsigns bof ba bclient bdiagnosed bwith bacute
bpancreatitis:
Apical bpulse b= b116 bbeats/min
Respirations b= b28 bbreaths/min
Blood bpressure b= b92/50
What bcomplication bof bacute bpancreatitis bwould bthe bnurse bsuspect bthat bthe bclient
bmight bhave?
a. bElectrolyte bimbalance
b. bPleural beffusion
c. bInternal bbleeding
d. bPancreatic bpseudocyst b- bcorrect banswer✔✔C
A bnurse bcares bfor ba bclient bwith bend-stage bpancreatic bcancer. bThe bclient basks,
b"Why bis bthis bhappening bto bme?" bHow bwould bthe bnurse
respond?
a. b"I bdon't bknow. bI bwish bI bhad ban banswer bfor byou, bbut bI bdon't."
b. b"It's bimportant bto bkeep ba bpositive battitude bfor byour bfamily bright bnow."
c. b"Scientists bhave bnot bdetermined bwhy bcancer bdevelops bin bcertain bpeople."
d. b"I bthink bthat bthis bis ba btrial bso byou bcan bbecome ba bbetter bperson bbecause bof bit.
b- bcorrect banswer✔✔A
A bclient bhad ban bopen btraditional bWhipple bprocedure bthis bmorning. bFor bwhat
bpriority bcomplication bwould bthe bnurse bassess?
a. bUrinary btract binfection
b. bChronic bkidney bdisease
c. bHeart bfailure
d. bFluid band belectrolyte bimbalances b- bcorrect banswer✔✔D
A bnurse bassesses ba bclient bwho bhas bcholecystitis. bWhich bsign bor bsymptom
bindicates bthat bthis bcondition bis bchronic brather bthan bacute?
a. bTemperature bof b100.1° bF b(37.8° bC)
b. bPositive bMurphy bsign
, c. bClay-colored bstools
d. bUpper babdominal bpain bafter beating b- bcorrect banswer✔✔C
A bnurse bassesses ba bclient bwho bis brecovering bfrom ba bWhipple bprocedure. bWhich
bassessment bfinding balerts bthe bnurse bto bimmediately
contact bthe bprimary bhealth bcare bprovider?
a. bDrainage bfrom ba bfistula
b. bDiminished bbowel bsounds
c. bPain bat bthe bincision bsite
d. bNasogastric b(NG) btube bdrainage b- bcorrect banswer✔✔A
The bnurse bis bcaring bfor ba bclient bwho bis brecovering bfrom ban bopen btraditional
bWhipple bsurgical bprocedure. bWhat baction bwould bthe
nurse btake?
a. bClamp bthe bnasogastric btube.
b. bPlace bthe bpatient bin bsemi-Fowler bposition.
c. bAssess bvital bsigns bonce bevery bshift.
d. bProvide boral brehydration b- bcorrect banswer✔✔B
A bnurse bassesses ba bclient bwho bis brecovering bfrom ban bopen btraditional bWhipple
bsurgical bprocedure. bWhich bassessment bfinding(s)
alert(s) bthe bnurse bto ba bcomplication bfrom bthis bsurgery? b(Select ball bthat bapply.)
a. bClay-colored bstools
b. bSubsternal bchest bpain
c. bShortness bof bbreath
d. bLack bof bbowel bsounds bor bflatus
e. bUrine boutput bof b20 bmL/6 bhr b- bcorrect banswer✔✔BCDE
The bnurse bis bcaring bfor ba bclient bwho bhas bpossible bacute bpancreatitis. bWhat
bserum blaboratory bfindings bwould bthe bnurse bexpect bfor bthis
client? b(Select ball bthat bapply.)
a. bElevated bamylase
b. bElevated blipase
c. bElevated bglucose
d. bDecreased bcalcium
e. bElevated bbilirubin
f. bElevated bleukocyte bcount b- bcorrect banswer✔✔ABCDEF
The bnurse bplans bcare bfor ba bclient bwho bhas bacute bpancreatitis band bis bprescribed
bnothing bby bmouth b(NPO). bWith bwhich bhealth bcare
team bmembers bwould bthe bnurse bcollaborate bto bprovide bappropriate bnutrition bto
bthis bclient? b(Select ball bthat bapply.)
a. bRegistered bdietitian bnutritionist
b. bNursing bassistant
c. bClinical bpharmacist
d. bCertified bherbalist
