Medical Surgical Nursing 9th Edition
Ignatavicius Test Bank (Latest Update 2024)
1. A nurse is caring for a client with heart failure. Which assessment
finding is the most urgent indicator of decreased cardiac output?
a) Pedal edema +2
b) Distended neck veins
c) Crackles in the lung bases
d) Cool, clammy skin
2. The nurse is teaching a client with type 2 diabetes about foot care.
Which client statement indicates a need for further teaching?
a) "I will inspect my feet every day with a mirror."
b) "I should break in new shoes slowly by wearing them for a few hours
at a time."
c) "I can use a heating pad on my feet if they feel cold at night."
d) "I will dry carefully between my toes after bathing."
3. A client is admitted with a diagnosis of syndrome of inappropriate
antidiuretic hormone (SIADH). Which nursing intervention is
the priority?
a) Encourage fluid intake to 3L daily.
b) Restrict fluid intake as prescribed.
c) Administer diuretics as scheduled.
d) Monitor for signs of hyperglycemia.
4. A post-operative client reports a sudden, sharp pain in their calf
when dorsiflexing the foot. The nurse should suspect:
a) Raynaud's phenomenon.
,b) Deep vein thrombosis (DVT).
c) Arterial insufficiency.
d) Muscle strain.
5. The nurse is preparing to administer a beta-blocker to a client with
hypertension. Which vital sign is most important for the nurse to
assess before administration?
a) Temperature
b) Respiratory rate
c) Apical pulse
d) Oxygen saturation
6. A client with chronic obstructive pulmonary disease (COPD) is
receiving oxygen via nasal cannula at 2 L/min. The client's family asks
why the flow rate isn't higher. The nurse's best response is based on
the understanding that:
a) Higher flow rates are too expensive.
b) High oxygen levels can decrease the client's respiratory drive.
c) Nasal cannulas cannot deliver more than 4 L/min effectively.
d) It will cause oxygen toxicity.
7. Which finding in a client with peptic ulcer disease is most suggestive
of a perforation?
a) Heartburn
b) Melena
c) Sudden, severe epigastric pain with a rigid, board-like abdomen
d) Nausea and vomiting
8. A client with a new ileostomy is concerned about their skin around
the stoma. The nurse should teach the client to:
a) Use soap and water to clean the skin.
, b) Ensure the skin barrier opening is no more than 1/8 inch larger than
the stoma.
c) Use talcum powder on the skin if it becomes moist.
d) Change the pouch every week.
9. The nurse is caring for a client with acute pancreatitis. Which
laboratory value does the nurse expect to be elevated?
a) Calcium
b) Serum amylase and lipase
c) Potassium
d) Hemoglobin
10. A client is experiencing an anaphylactic reaction after a bee sting.
The nurse's first priority is to:
a) Administer diphenhydramine (Benadryl) orally.
b) Apply a tourniquet above the sting site.
c) Administer epinephrine intramuscularly.
d) Place the client in a high-Fowler's position.
11. When assessing a client for hypokalemia, the nurse should
monitor for:
a) Hyperactive bowel sounds and diarrhea.
b) Muscle weakness and cardiac dysrhythmias.
c) Positive Chvostek's sign and tetany.
d) Bounding pulses and hypertension.
12. A client with cirrhosis has significant ascites. The nurse should
place the client in which position to enhance respiratory function?
a) Prone
b) Semi-Fowler's or High-Fowler's
Ignatavicius Test Bank (Latest Update 2024)
1. A nurse is caring for a client with heart failure. Which assessment
finding is the most urgent indicator of decreased cardiac output?
a) Pedal edema +2
b) Distended neck veins
c) Crackles in the lung bases
d) Cool, clammy skin
2. The nurse is teaching a client with type 2 diabetes about foot care.
Which client statement indicates a need for further teaching?
a) "I will inspect my feet every day with a mirror."
b) "I should break in new shoes slowly by wearing them for a few hours
at a time."
c) "I can use a heating pad on my feet if they feel cold at night."
d) "I will dry carefully between my toes after bathing."
3. A client is admitted with a diagnosis of syndrome of inappropriate
antidiuretic hormone (SIADH). Which nursing intervention is
the priority?
a) Encourage fluid intake to 3L daily.
b) Restrict fluid intake as prescribed.
c) Administer diuretics as scheduled.
d) Monitor for signs of hyperglycemia.
4. A post-operative client reports a sudden, sharp pain in their calf
when dorsiflexing the foot. The nurse should suspect:
a) Raynaud's phenomenon.
,b) Deep vein thrombosis (DVT).
c) Arterial insufficiency.
d) Muscle strain.
5. The nurse is preparing to administer a beta-blocker to a client with
hypertension. Which vital sign is most important for the nurse to
assess before administration?
a) Temperature
b) Respiratory rate
c) Apical pulse
d) Oxygen saturation
6. A client with chronic obstructive pulmonary disease (COPD) is
receiving oxygen via nasal cannula at 2 L/min. The client's family asks
why the flow rate isn't higher. The nurse's best response is based on
the understanding that:
a) Higher flow rates are too expensive.
b) High oxygen levels can decrease the client's respiratory drive.
c) Nasal cannulas cannot deliver more than 4 L/min effectively.
d) It will cause oxygen toxicity.
7. Which finding in a client with peptic ulcer disease is most suggestive
of a perforation?
a) Heartburn
b) Melena
c) Sudden, severe epigastric pain with a rigid, board-like abdomen
d) Nausea and vomiting
8. A client with a new ileostomy is concerned about their skin around
the stoma. The nurse should teach the client to:
a) Use soap and water to clean the skin.
, b) Ensure the skin barrier opening is no more than 1/8 inch larger than
the stoma.
c) Use talcum powder on the skin if it becomes moist.
d) Change the pouch every week.
9. The nurse is caring for a client with acute pancreatitis. Which
laboratory value does the nurse expect to be elevated?
a) Calcium
b) Serum amylase and lipase
c) Potassium
d) Hemoglobin
10. A client is experiencing an anaphylactic reaction after a bee sting.
The nurse's first priority is to:
a) Administer diphenhydramine (Benadryl) orally.
b) Apply a tourniquet above the sting site.
c) Administer epinephrine intramuscularly.
d) Place the client in a high-Fowler's position.
11. When assessing a client for hypokalemia, the nurse should
monitor for:
a) Hyperactive bowel sounds and diarrhea.
b) Muscle weakness and cardiac dysrhythmias.
c) Positive Chvostek's sign and tetany.
d) Bounding pulses and hypertension.
12. A client with cirrhosis has significant ascites. The nurse should
place the client in which position to enhance respiratory function?
a) Prone
b) Semi-Fowler's or High-Fowler's
