MED SURG 2 - EXAM #1 ACTUAL
UPDATED QUESTIONS AND CORRECT
ANSWERS
A nurse is caring for an older adult client who has had surgery for an intestinal obstruction an
d has an NG tube to wall suction. Which of the following interventions should the nurse
include in the client's post-op plan of care? (select all that apply)
A. Discontinue suction when assessing for peristalsis
B. Irrigate the NG tube with 0.9% NaCl solution
C. Place sequential compression devices on the bilateral lower extremities
D. Reposition the pt from side to side every 2 hrs
E. Encourage the use of incentive spirometry every 2 hours when awake - CORRECT
ANSWERS✅✅A. Discontinue suction when assessing for peristalsis
B. Irrigate the NG tube with 0.9% NaCl solution
C. Place sequential compression devices on the bilateral lower extremities
D. Reposition the pt from side to side every 2 hrs
E: INCORRECT because IS should be done every hour while awake
A nurse is providing teaching to a client who has a new diagnosis of testicular cancer. Whie
of the following information should the nurse include in the teaching? (select all that apply)
A. Close male relatives are at increased risk of developing cancer
B. Testicular cancer typically occurs between ages 15-35
C. Testicular cancer occurs in both testes equally
D. Sperm are no longer viable after diagnosis
E. An early manifestation is a painful scrotum lump - CORRECT
ANSWERS✅✅CORRECT ANSWERS:
A. Close male relatives are at increased risk of developing cancer
B. Testicular cancer typically occurs between ages 15-35
__________________________________________
INCORRECT ANSWERS:
C. Testicular cancer is rarely bilateral
, D. Sperm might be absent or low in number but remain viable after diagnosis
E. A painless swelling is an early manifestation
Platelet replacement is usually limited to clients whose platelet count drops below ________
- CORRECT ANSWERS✅✅50,000
The appropriate intervention for a pt with a platelet count of 180,000/mm3 is to
______________ - CORRECT ANSWERS✅✅Monitor for ecchymosis
A nurse is caring for a pt who has received chemotherapy. The nurse is aware that a client
with myelosuppresion is at risk for which of the following?
A/ Anorexia and malnutrition
B. Bleeding gums
C. Diarrhea and dehydration
D. Full body alopecia - CORRECT ANSWERS✅✅B. Bleeding from the gums
This is related to the inhibited production of blood cells and platelets.
A nurse is caring for a pt who has lung cancer and is exhibiting manifestations of SIADH.
Which of the following findings should the nurse report to the provider?
(select all that apply)
A. Behavioral changes
B. Client report of headache
C. Urine output 40 Ml/hr
D. Nausea
E. Increased urine specific gravity - CORRECT ANSWERS✅✅A. Behavioral changes
C. Urine output 40 Ml/hr
D. Nausea
All three are inndications of cerebral edema
_______________
UPDATED QUESTIONS AND CORRECT
ANSWERS
A nurse is caring for an older adult client who has had surgery for an intestinal obstruction an
d has an NG tube to wall suction. Which of the following interventions should the nurse
include in the client's post-op plan of care? (select all that apply)
A. Discontinue suction when assessing for peristalsis
B. Irrigate the NG tube with 0.9% NaCl solution
C. Place sequential compression devices on the bilateral lower extremities
D. Reposition the pt from side to side every 2 hrs
E. Encourage the use of incentive spirometry every 2 hours when awake - CORRECT
ANSWERS✅✅A. Discontinue suction when assessing for peristalsis
B. Irrigate the NG tube with 0.9% NaCl solution
C. Place sequential compression devices on the bilateral lower extremities
D. Reposition the pt from side to side every 2 hrs
E: INCORRECT because IS should be done every hour while awake
A nurse is providing teaching to a client who has a new diagnosis of testicular cancer. Whie
of the following information should the nurse include in the teaching? (select all that apply)
A. Close male relatives are at increased risk of developing cancer
B. Testicular cancer typically occurs between ages 15-35
C. Testicular cancer occurs in both testes equally
D. Sperm are no longer viable after diagnosis
E. An early manifestation is a painful scrotum lump - CORRECT
ANSWERS✅✅CORRECT ANSWERS:
A. Close male relatives are at increased risk of developing cancer
B. Testicular cancer typically occurs between ages 15-35
__________________________________________
INCORRECT ANSWERS:
C. Testicular cancer is rarely bilateral
, D. Sperm might be absent or low in number but remain viable after diagnosis
E. A painless swelling is an early manifestation
Platelet replacement is usually limited to clients whose platelet count drops below ________
- CORRECT ANSWERS✅✅50,000
The appropriate intervention for a pt with a platelet count of 180,000/mm3 is to
______________ - CORRECT ANSWERS✅✅Monitor for ecchymosis
A nurse is caring for a pt who has received chemotherapy. The nurse is aware that a client
with myelosuppresion is at risk for which of the following?
A/ Anorexia and malnutrition
B. Bleeding gums
C. Diarrhea and dehydration
D. Full body alopecia - CORRECT ANSWERS✅✅B. Bleeding from the gums
This is related to the inhibited production of blood cells and platelets.
A nurse is caring for a pt who has lung cancer and is exhibiting manifestations of SIADH.
Which of the following findings should the nurse report to the provider?
(select all that apply)
A. Behavioral changes
B. Client report of headache
C. Urine output 40 Ml/hr
D. Nausea
E. Increased urine specific gravity - CORRECT ANSWERS✅✅A. Behavioral changes
C. Urine output 40 Ml/hr
D. Nausea
All three are inndications of cerebral edema
_______________
