MEDICAL SURGICAL
NURSING CANADIAN PN EXAM WITH Q&A
NEW MODIFIED
Mrs. Juliet Matthias, age 34, has been overweight most of her life. Because she
began feeling lightheaded and dizzy, she came to the health clinic for a check
up. She was diagnosed with primary hypertension following serial blood
pressures of 150/100 mm Hg. The community practical nurse visits her in her
home. Which of the following statements about primary hypertension is true? --
ANSWER--It has no identifiable cause.
Primary hypertension has no identifiable cause.
Mrs. Juliet Matthias, age 34, has been overweight most of her life. Because she
began feeling lightheaded and dizzy, she came to the health clinic for a check
up. She was diagnosed with primary hypertension following serial blood
pressures of 150/100 mm Hg. The community practical nurse visits her in her
home. Mrs. Matthias is started on hydrochlorothiazide (HydroDIURIL) by the
physician for her hypertension. Which dietary modification, related to the
HydroDIURIL, with the practical nurse teach Miss Matthias in order to prevent
an electrolyte imbalance? -- ANSWER--Increase potassium-containing foods.
Page 1 of 25
,HydroDIURIL may cause loss of potassium. Clients are encouraged to eat foods
containing potassium, such as bananas, and monitor serum potassium levels.
Mrs. Juliet Matthias, age 34, has been overweight most of her life. Because she
began feeling lightheaded and dizzy, she came to the health clinic for a check
up. She was diagnosed with primary hypertension following serial blood
pressures of 150/100 mm Hg. The community practical nurse visits her in her
home. The practical nurse determines that Miss Matthias's hypertension is not
well-controlled on the diuretic. She is referred back to the physician, who
prescribes a calcium channel blocker. What would be priority teaching for her
regarding this medication? -- ANSWER--She may feel dizzy when she stands
quickly.
Cardiovascular effects from the use of calcium channel blockers may include
peripheral edema, hypertension, palpitations, bradycardia, tachycardia, and
arrhythmias that me and Dusse orthostatic hypotension.
The throat is a vascular area, and even with laser surgery, there is a recognized
danger for hemorrhage. It may occur quickly and is the most immediate
lifethreatening post surgical complication.
Fred Kingsley, a 52-year-old country and western singer, has been diagnosed
with vocal cord polyps, requiring surgical laser removal. What is the practical
nurses priority assessment in Mr. Kingsley's immediate postoperative period? --
ANSWER--Hemorrhage.
Page 2 of 25
, Positioning the client in a semi Fowlers with the neck flexed helps prevent
pooling of secretions in the mouth and allows easier breathing and less chance
of choking, coughing, and aspirating. Clients often put themselves into high
Fowlers position for comfort and ease of breathing.
Fred Kingsley, a 52-year-old country and western singer, has been diagnosed
with vocal cord polyps, requiring surgical laser removal. What nursing action
can best alleviate Mr. Kingsleys throat discomfort? -- ANSWER--Giving him
acetaminophen, Tylenol, elixir or pills.
Acetaminophen, Tylenol, elixir or pills is the analgesic of choice and should be
given around the clock. Sometimes rinsing the mouth out with viscous lidocaine
is effective to decrease pain in the throat.
Consuela Gomez, age 58, moved to Canada from Mexico 10 years ago. For the
past few months, she has been experiencing fatigue, cough, and occasional
blood tinged sputum. The practical nurse administers a montoux tuberculin skin
test, and this is Gomez returns to the clinic for the test to be read. Mrs. Gomez's
montoux test yields and in duration area of 10 mm. What is the most accurate
interpretation of a 10 mm result? -- ANSWER--She has been exposed to M
tuberculosis or has been vaccinated with Bacille Calmette-Guérin.
Page 3 of 25
NURSING CANADIAN PN EXAM WITH Q&A
NEW MODIFIED
Mrs. Juliet Matthias, age 34, has been overweight most of her life. Because she
began feeling lightheaded and dizzy, she came to the health clinic for a check
up. She was diagnosed with primary hypertension following serial blood
pressures of 150/100 mm Hg. The community practical nurse visits her in her
home. Which of the following statements about primary hypertension is true? --
ANSWER--It has no identifiable cause.
Primary hypertension has no identifiable cause.
Mrs. Juliet Matthias, age 34, has been overweight most of her life. Because she
began feeling lightheaded and dizzy, she came to the health clinic for a check
up. She was diagnosed with primary hypertension following serial blood
pressures of 150/100 mm Hg. The community practical nurse visits her in her
home. Mrs. Matthias is started on hydrochlorothiazide (HydroDIURIL) by the
physician for her hypertension. Which dietary modification, related to the
HydroDIURIL, with the practical nurse teach Miss Matthias in order to prevent
an electrolyte imbalance? -- ANSWER--Increase potassium-containing foods.
Page 1 of 25
,HydroDIURIL may cause loss of potassium. Clients are encouraged to eat foods
containing potassium, such as bananas, and monitor serum potassium levels.
Mrs. Juliet Matthias, age 34, has been overweight most of her life. Because she
began feeling lightheaded and dizzy, she came to the health clinic for a check
up. She was diagnosed with primary hypertension following serial blood
pressures of 150/100 mm Hg. The community practical nurse visits her in her
home. The practical nurse determines that Miss Matthias's hypertension is not
well-controlled on the diuretic. She is referred back to the physician, who
prescribes a calcium channel blocker. What would be priority teaching for her
regarding this medication? -- ANSWER--She may feel dizzy when she stands
quickly.
Cardiovascular effects from the use of calcium channel blockers may include
peripheral edema, hypertension, palpitations, bradycardia, tachycardia, and
arrhythmias that me and Dusse orthostatic hypotension.
The throat is a vascular area, and even with laser surgery, there is a recognized
danger for hemorrhage. It may occur quickly and is the most immediate
lifethreatening post surgical complication.
Fred Kingsley, a 52-year-old country and western singer, has been diagnosed
with vocal cord polyps, requiring surgical laser removal. What is the practical
nurses priority assessment in Mr. Kingsley's immediate postoperative period? --
ANSWER--Hemorrhage.
Page 2 of 25
, Positioning the client in a semi Fowlers with the neck flexed helps prevent
pooling of secretions in the mouth and allows easier breathing and less chance
of choking, coughing, and aspirating. Clients often put themselves into high
Fowlers position for comfort and ease of breathing.
Fred Kingsley, a 52-year-old country and western singer, has been diagnosed
with vocal cord polyps, requiring surgical laser removal. What nursing action
can best alleviate Mr. Kingsleys throat discomfort? -- ANSWER--Giving him
acetaminophen, Tylenol, elixir or pills.
Acetaminophen, Tylenol, elixir or pills is the analgesic of choice and should be
given around the clock. Sometimes rinsing the mouth out with viscous lidocaine
is effective to decrease pain in the throat.
Consuela Gomez, age 58, moved to Canada from Mexico 10 years ago. For the
past few months, she has been experiencing fatigue, cough, and occasional
blood tinged sputum. The practical nurse administers a montoux tuberculin skin
test, and this is Gomez returns to the clinic for the test to be read. Mrs. Gomez's
montoux test yields and in duration area of 10 mm. What is the most accurate
interpretation of a 10 mm result? -- ANSWER--She has been exposed to M
tuberculosis or has been vaccinated with Bacille Calmette-Guérin.
Page 3 of 25
