Medical-Surgical 1 Midterm Exam 2025
Summer- Fall Actual Questions And Answers
Already Graded A+
A female client must take streptomycin for tuberculosis. Before therapy begins, the
nurse should instruct the client to notify the physician if which health concern
occurs?
Decreased hearing acuity
Nurse Oliver observes constant bubbling in the water-seal chamber of a closed
chest drainage system. What should the nurse conclude?
an air leak.
A black client with asthma seeks emergency care for acute respiratory distress.
Because of this client's dark skin, the nurse should assess for cyanosis by
inspecting the:
mucous membranes
,The nurse assesses a male client's respiratory status. Which observation indicates
that the client is experiencing difficulty breathing?
Use of accessory muscles
20. A male client with chronic obstructive pulmonary disease (COPD) is
recovering from a myocardial infarction. Because the client is extremely weak and
can't produce an effective cough, the nurse should monitor closely for:
Atelectasis.
The nurse in charge is teaching a client with emphysema how to perform pursed-
lip breathing. The client asks the nurse to explain the purpose of this breathing
technique. Which explanation should the nurse provide?
"It helps prevent early airway collapse."
A male client suffers adult respiratory distress syndrome as a consequence of
shock. The client's condition deteriorates rapidly, and endotracheal (ET) intubation
and mechanical ventilation are initiated. When the high-pressure alarm on the
mechanical ventilator sounds, the nurse starts to check for the cause. Which
condition triggers the high-pressure alarm?
Kinking of the ventilator tubing
,At 11 p.m., a male client is admitted to the emergency department. He has a
respiratory rate of 44 breaths/minute. He's anxious, and wheezes are audible. The
client is immediately given oxygen by face mask and methylprednisolone (Depo-
medrol) I.V. At 11:30 p.m., the client's arterial blood oxygen saturation is 86% and
he's still wheezing. The nurse should plan to administer:
Albuterol (Proventil).
Nurse Ronn is assessing a client with possible Cushing's syndrome. In a client with
Cushing's syndrome, the nurse would expect to find:
Deposits of adipose tissue in the trunk and dorsocervical area
pacemaker of the heart
sinoatrial (SA) node
the left atrium receives _____ blood from the lungs by the way of the four
pulmonary veins
oxygenated
, The right atrium recieves ____ blood from the upper body by way of the superior
vena cava and from the lower body by way of the inferior vena cava.
deoxygenated
Epinephrine secreated by the adrenal medulla in stressful situations is ________
sympathomimetic
______ increases the rexcretion fo sodium by the kidneys
ANP arterial natriuretic peptide
_____ released from the posterior pituitary, directly increases water reabosorption
by the kidneys, thus increasing blood volume and blood pressure
ADH antidiureitc hormone
________ is the deposition of lipds in the walls o ateries' lemens and form rough
surfaces that may stimulate intravascular clot formation, and decreases blood flow
to the afected organ.
Artherosclerosis
Summer- Fall Actual Questions And Answers
Already Graded A+
A female client must take streptomycin for tuberculosis. Before therapy begins, the
nurse should instruct the client to notify the physician if which health concern
occurs?
Decreased hearing acuity
Nurse Oliver observes constant bubbling in the water-seal chamber of a closed
chest drainage system. What should the nurse conclude?
an air leak.
A black client with asthma seeks emergency care for acute respiratory distress.
Because of this client's dark skin, the nurse should assess for cyanosis by
inspecting the:
mucous membranes
,The nurse assesses a male client's respiratory status. Which observation indicates
that the client is experiencing difficulty breathing?
Use of accessory muscles
20. A male client with chronic obstructive pulmonary disease (COPD) is
recovering from a myocardial infarction. Because the client is extremely weak and
can't produce an effective cough, the nurse should monitor closely for:
Atelectasis.
The nurse in charge is teaching a client with emphysema how to perform pursed-
lip breathing. The client asks the nurse to explain the purpose of this breathing
technique. Which explanation should the nurse provide?
"It helps prevent early airway collapse."
A male client suffers adult respiratory distress syndrome as a consequence of
shock. The client's condition deteriorates rapidly, and endotracheal (ET) intubation
and mechanical ventilation are initiated. When the high-pressure alarm on the
mechanical ventilator sounds, the nurse starts to check for the cause. Which
condition triggers the high-pressure alarm?
Kinking of the ventilator tubing
,At 11 p.m., a male client is admitted to the emergency department. He has a
respiratory rate of 44 breaths/minute. He's anxious, and wheezes are audible. The
client is immediately given oxygen by face mask and methylprednisolone (Depo-
medrol) I.V. At 11:30 p.m., the client's arterial blood oxygen saturation is 86% and
he's still wheezing. The nurse should plan to administer:
Albuterol (Proventil).
Nurse Ronn is assessing a client with possible Cushing's syndrome. In a client with
Cushing's syndrome, the nurse would expect to find:
Deposits of adipose tissue in the trunk and dorsocervical area
pacemaker of the heart
sinoatrial (SA) node
the left atrium receives _____ blood from the lungs by the way of the four
pulmonary veins
oxygenated
, The right atrium recieves ____ blood from the upper body by way of the superior
vena cava and from the lower body by way of the inferior vena cava.
deoxygenated
Epinephrine secreated by the adrenal medulla in stressful situations is ________
sympathomimetic
______ increases the rexcretion fo sodium by the kidneys
ANP arterial natriuretic peptide
_____ released from the posterior pituitary, directly increases water reabosorption
by the kidneys, thus increasing blood volume and blood pressure
ADH antidiureitc hormone
________ is the deposition of lipds in the walls o ateries' lemens and form rough
surfaces that may stimulate intravascular clot formation, and decreases blood flow
to the afected organ.
Artherosclerosis
