ADVANCED MED-SURG PRINCIPLES MIDTERM
JERSEY COLLEGE EXAM QUESTIONS AND
CORRECT ANSWERS GRADED A+
◉ Hypotension
Poor skin turgor
Dry mucous membranes
Decreased urine. Answer: Which symptoms indicate to the nurse
that the client has an inadequate fluid volume? Select all that apply.
◉ Low grade fever. Answer: A client's urine specific gravity is being
measured. For which condition should the nurse conduct a focused
assessment when a client's specific gravity is increased?
◉ Presence of dependent edema
Bounding pulse
Neck vein distention in the upright position. Answer: The client is
receiving high-flow intravenous (IV) fluid replacement therapy.
Which nursing assessment findings are consistent with fluid volume
overload? Select all that apply.
◉ Prevention of cardiac overload. Answer: An elderly client with
c.diff experiences severe diarrhea and is given intravenous (IV)
, fluids. What is the most important reason for the nurse to closely
monitor the IV flow rate?
◉ Cardiac dysrhythmias
Hypoactive bowel sounds. Answer: A client's laboratory values
demonstrate an increased serum calcium level, and further
diagnostic tests reveal hyperparathyroidism. What clinical
manifestations might the nurse identify when assessing this client?
Select all that apply.
◉ Depressed deep tendon reflexes
Bone pain. Answer: A client who has been immobile for a prolonged
time develops hypercalcemia. Which findings are consistent with
this condition? Select all that apply.
◉ Calcium gluconate. Answer: After a surgical thyroidectomy a client
exhibits carpopedal spasm and some tremors. The client complains
of tingling in the fingers and around the mouth. What medication
should the nurse expect the primary health care provider to
prescribe after being notified of the client's adaptations?
◉ K+2.8. Answer: A nurse is caring for a very ill medical surgical
patient and the telemetry monitor shows flattening T waves and
peaked P waves. What electrolyte finding should the nurse consider
based on these ECG changes?
JERSEY COLLEGE EXAM QUESTIONS AND
CORRECT ANSWERS GRADED A+
◉ Hypotension
Poor skin turgor
Dry mucous membranes
Decreased urine. Answer: Which symptoms indicate to the nurse
that the client has an inadequate fluid volume? Select all that apply.
◉ Low grade fever. Answer: A client's urine specific gravity is being
measured. For which condition should the nurse conduct a focused
assessment when a client's specific gravity is increased?
◉ Presence of dependent edema
Bounding pulse
Neck vein distention in the upright position. Answer: The client is
receiving high-flow intravenous (IV) fluid replacement therapy.
Which nursing assessment findings are consistent with fluid volume
overload? Select all that apply.
◉ Prevention of cardiac overload. Answer: An elderly client with
c.diff experiences severe diarrhea and is given intravenous (IV)
, fluids. What is the most important reason for the nurse to closely
monitor the IV flow rate?
◉ Cardiac dysrhythmias
Hypoactive bowel sounds. Answer: A client's laboratory values
demonstrate an increased serum calcium level, and further
diagnostic tests reveal hyperparathyroidism. What clinical
manifestations might the nurse identify when assessing this client?
Select all that apply.
◉ Depressed deep tendon reflexes
Bone pain. Answer: A client who has been immobile for a prolonged
time develops hypercalcemia. Which findings are consistent with
this condition? Select all that apply.
◉ Calcium gluconate. Answer: After a surgical thyroidectomy a client
exhibits carpopedal spasm and some tremors. The client complains
of tingling in the fingers and around the mouth. What medication
should the nurse expect the primary health care provider to
prescribe after being notified of the client's adaptations?
◉ K+2.8. Answer: A nurse is caring for a very ill medical surgical
patient and the telemetry monitor shows flattening T waves and
peaked P waves. What electrolyte finding should the nurse consider
based on these ECG changes?
